22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment. Results of the central registry search must be complete before staff can be alone with children.

Staff #1?s central registry check was requested almost one month after hire and the results were dated, January 23, 2026, three months after hire. Staff #1 was observed to be alone with children in a classroom on January 20, 2026. Staff #2?s central registry results were dated seven months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check. Staff #3?s central registry results were dated January 26, 2026, eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. Staff #3 was observed to be alone with children in a classroom on January 20, 2026. There was no documentation provided that center had followed up on the request for the central registry check. Staff #4?s central registry results were dated eight months after hire. Although asked for by the inspector, the center did not provide the date the central registry check was requested. There was no documentation provided that center had followed up on the request for the central registry check.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

The records for Child #2, Child #3 and Child #6 were missing the first day of attendance. The record for Child #7 was missing the following required components: first day of attendance, written agreement between the parent and the center as required, and documentation of viewing the child?s identity and age.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-400-B · Behavior guidance shall be constructive in nature, age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflict.

On August 5, 2025, Child #1 (two years old) was taking toys away from other children. To correct the behavior, Staff #1 stood beside the child and used their foot to hold Child #1 down on the ground while the child was crying and saying ?No?.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-80-B-2 · The center shall inform the department?s representative as soon as practically possible but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

On April 17, 2025, Child #1 slipped on the playground, cut their knee on a nail from the turf, which required emergency services to be contacted and four stitches. This injury was not reported to the department.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two.

Child #3, age 2 years old, only had immunization records from two months of age on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #4, who had been attending for four months, did not have documentation of an immunization record on file.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.