(Repeat violation) Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for two years, was missing the following required components: mother's employment phone number and two emergency contacts. The record for Child #2, present on this date, was missing start date of attendance and father's employment information. The record for Child #3, enrolled for a month, was missing parents' employment phone numbers, a second emergency contact other than a parent, and emergency contact address. The record for Child #4, enrolled for seven months, was missing emergency contact addresses. The record for Child #5, enrolled for a year, was missing father's home and employment information and a second emergency contact.

8VAC20-780-60-A · Correction status not published

(Repeat violation) Staff are required to complete the department's health and safety update course annually. Staff #3 is overdue by a month in completing the training.

8VAC20-790-600-F · Correction status not published

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for more seven weeks, did not have documentation of requesting a criminal history check, central registry check and sex offender search from one state.

22.1-289.035-B-4 · Correction status not published

Staff who work directly with children shall annually take the departments health and safety update course. Staff # 5 did not have documentation of taking the annual update course in 2024.

8VAC20-790-600-F · Correction status not published

The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.

22.1-289.057-A · Correction status not published

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #5, who had been enrolled for five weeks.

8VAC20-780-140-A · Correction status not published

Based on record review, the licensee did not ensure that enrolled children's required physicals and immunization reports are always signed or stamped by a physician, his designee, or an official of a local health department.

Evidence: Five children's records were reviewed. The record for child #1 contained an immunization record which was not signed (or stamped) by a physician, his designee, or an official of a local health department. The record for child #2 contained the results of a physical examination which were not signed (or stamped) by a physician, his designee, or an official of a local health department.

8VAC20-780-150-B · Correction status not published

**** REPEAT VIOLATION****

Based on observation and interview. the licensee did not ensure that documents required by the Superintendent were posted in a conspicuous place on the licensed premises. Evidence: The most recently issued violation notice from the previous inspection was not posted conspicuously in the center. The violation notice was located under the Summary page of the Inspection Report and the entire Inspection Report was closed behind a glass display window. The violation notice was not visible. Staff confirmed during the inspection that the violation notice was not visible at the time of the inspection.

22.1-289.011-F · Correction status not published

Based on observation and interview, the licensee did not ensure that documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

Evidence: The most recently issued violation notice from the previous inspection was not posted conspicuously in the center. The program director confirmed that the violation notice was not posted at the time of the inspection.

22.1-289.011-F · Correction status not published

***REPEAT VIOLATION***

Based on interviews and a review of written policies and procedures, the licensee did not always ensure that the center's activities, services, and facilities were maintained in compliance with the Standards for Licensed Child Day Centers and the center's own policies and procedures that are required by these standards. Evidence: 1. On the afternoon of 6/14/2023, 2 two-year old children were left alone and unsupervised on the playground when staff failed to follow the center?s own written playground safety polices. 2. The center?s written ?SOP for Outside Play? states that ?Staff must complete a name to face every 15 minutes during outside play. Staff must check off children and write the time on the name to face sheet?. 3. When asked if a ?name to face? check was conducted using the written list of children?s names to confirm that all the children were accounted for, staff #1, staff #2 and staff #3 confirmed that they did not call individual children?s names from their name to face sheet and that they did not use that list to look for each individual child. Each of the three staff confirmed that they only counted the total number of children present on the playground and again as they entered the building. 4. The program?s written playground plan states that ?Staff must ensure that any children that join their group are added to the name to face sheet and to their classroom app at all times?. a. Two of the 3 staff caring for child #1 and child #2 on the afternoon of 6/14/2023 recalled that 6 children from their group were taken to the ?pre-tod?s? classroom. The third staff recalled that 2 or 3 children went to the ?pre-tod?s? classroom. b. The ?pre-tod?s name to face sheet did not contain the names of any of the children brought to this room on the afternoon of 6/14/2023, nor did the two and three year old name to face sheets reflect that some children left this group and went to the Pre-tods? classroom on 6/14/2023. c. The final remaining staff present on 6/14/2023 in the front room, where child #1 and child #2 are normally cared for in the afternoon, stated ?I did not know the children were missing until their parents arrived - I thought they were in Tod?s?. 5. The program?s written playground plan states that "There is to be no more than 1 class on the playground? at a time?? Interviews with staff #1, staff #2, and staff #3 confirm that the two-year-old group and the 3- to 4-year-old group were both outside on the large playground at the same time on the afternoon of 6/14/2023. 6. Administrative Staff #5 stated that Staff #1 and Staff #2 ?broke policy?they combined classes and went outside. We do not allow 2 classes on the playground at one time. They did not keep track of these two [children]. They did not complete the required record keeping and they did not follow sight and sound supervision.?

Based on documentation and interviews, staff did not always ensure that children are cleaned and changed immediately when their clothes or diaper are wet or soiled.

Evidence: The digital program that staff utilize for documenting children's feedings, diaper changes, activities and important information throughout the day showed that:on 5/23/2023, child #1 arrived at the center at 8:50 a.m. Child #1's wet diaper was changed at 9:50 and again at 11:50. Child #1 had a bottle, took a nap and had an afternoon snack between 1:15 p.m. and 3:46 pm and at 4:48 child #1 was signed out and left the center for the day. Nearly 5 hours had passed since child #1's diaper had been changed when she was picked up from care. Child #1's diaper was reportedly very wet at the time that she left the center to go home.

8VAC20-780-500-B · Correction status not published

Based on interviews, the licensee did not always ensure that areas and equipment, inside and outside, are always maintained in a clean, safe, operable condition.

Evidence: Seven staff were interviewed regarding a concern about cleanliness resulting from the toilet not being flushed after each use by children. Two staff stated that they did not always flush the toilet between uses when assisting several young children toileting in succession, as long as the children only urinated. An additional staff acknowledged an awareness that another staff utilizes that practice.

8VAC20-780-270-A · Correction status not published

Based on a review of records and interview, the licensee did not always obtain a copy of results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which each individual staff has resided in the preceding five years.

Evidence: Five staff records were reviewed. The record for staff #1, whose date of employment was documented as 1/202023, contained documentation of her residency in the state of Florida within the past 5 years. The record for staff #1 did not contain results of a Search of the Abuse and Neglect registry for Florida and did not contain results of a Sex Offender Registry for the state of Florida. The program director confirmed that this documentation was not present in staff #1's record. The record for staff #3, whose date of employment was documented as 2/7/2023, contained documentation of her residency in the state of Alabama within the past 5 years. The record for staff #3 did not contain results of a Search of the Abuse and Neglect registry for Alabama, did not contain results of a Sex Offender Registry for the state of Alabama and did not contain a Criminal History Record check for the state of Alabama. The program director confirmed that this documentation was not present in staff #3's record.

22.1-289.035-B-4 · Correction status not published

Based on a review of documentation to include the facility's parent handbook, the licensee did not ensure that the center's activities, services, and facilities are always maintained in compliance with the state standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

Evidence: 1. The owner / director disenrolled two sibling children, due to staffing shortages, with less than 24 hours notice given to the children's parent. 2. The parent handbook states that children may be disenrolled "due to excessive late payments, inability to adjust, behavioral issues or parental inconsistencies". 3. In addition, the parent handbook states that the center "will give you 2 weeks? notice whenever possible" but that "immediate termination may be required if behavior presents a danger to staff or children". 4. The children were not disenrolled for late payments, inability to adjust, behavioral issues or parental inconsistencies. 5. The license did not adhere to the center's own written policies when disenrolling the 2 children.

8VAC20-780-40-E · Correction status not published

Based on a review of records and interview, the licensee did not ensure that each child's record contains a signed agreement between the parent and the center which includes the required agreements.

Evidence: Three children's records were reviewed The record for child #1 did not contain a parent signature on the written agreement between the parent and the center. The program director confirmed that this agreement was not signed.

8VAC20-780-90-A · Correction status not published

Based on a review of records and interview, the licensee was unable to demonstrate that she obtained a copy of the results of a criminal history record information check, a sex offender registry check from any state which the individual has resided in the preceding five years.

Evidence: Four staff records were reviewed. The record for staff #3 who was hired 4/7/2022, contained a signed Sworn Statement of Affirmation that documented that Staff #3 resided in Hawaii in the past 5 years. The record for Staff #3 did not contain the results of a Hawaii Sex Offender Check. The record for staff #4, who was hired 4/5/2022, contained a signed Sworn Statement of Affirmation that documented that staff #4 resided in New Mexico within the past 5 years. The record for staff #4 did not contain the results of a New Mexico Sex Offender Check. The record for staff #4 did not contain the results of a New Mexico Criminal Record Check. The program director was unable to furnish the requested documentation of the above background checks requested during the inspection.

22.1-289.035-B-4 · Correction status not published

Based on observation and interview, the licensee did not visibly post the most recent findings (violation notice) of the most recent licensing inspection of the program.

Evidence: The last inspection Summary was posted on a parent information board located just inside the entrance used by parents to enter the center. The violation notice was behind the summary page and was not visible. There was a clear plexiglass cover over the board enclosing the posted items. The administrator removed the document from the board and showed the inspector that the violation notice was behind the Summary page stating that it was inadvertently posted backwards.

8VAC20-820-120-E-2 · Correction status not published