The following actions or threats thereof are forbidden: roughly handling a child.

On 09/25/2024, S1 lifted C1, (age 2), off the ground by one arm to have the child get off a rocking toy. The child was observed to be favoring her arm after this incident. The center was later notified that the child had been seen at the emergency room and had sustained a break in the wrist growth plate.

8VAC20-780-410-1 · Correction status not published

The following actions or threats thereof are forbidden: rough handling and forcing rest. S1 was observed by S2 on 03/20/2026, via the classroom monitoring system, roughly push C1?s head back down on a rest cot with her hand when C1 appeared to be waking from a nap. S1 was then observed to fully cover the child?s head with a blanket.

8VAC20-780-410-1 · Correction status not published

Repeat Violation

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. 1. S1, employed for 5 months, did not have documentation of requesting a sexual offender check from one state. 2. S2, employed for more than 5 months, did not have documentation of requesting a central registry check from one state. 3. S4, employed for 10 days, did not have documentation of the requesting from three states a search central registry and sexual offender check. There was no documentation requesting a criminal history check from one state.

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

Repeat Violation

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. S1, employed for 19 days, did not have documentation of requesting a sexual offender check from one state. S4, employed for more than 3 weeks, did not have documentation of requesting a central registry check from one state.

22.1-289.035-B-4 · 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. S1, employed for more than 2 months, did not have documentation of requesting a sexual offender registry check from one state.

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

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. C3, who had been attending for six months did not have documentation of additional immunizations.

8VAC20-780-130-A · Correction status not published

Based on staff record review, the provider failed to obtain a search of the central registry

within 30 days of employment. The record for S1, employed 06/05/2024 did not contain findings of a central registry search.

8VAC20-770-60-C-2 · Correction status not published

Based on interviews and documentation review, it was determined that a staff used

the forbidden action of rough handling of children. S1 and S2 were interviewed regarding incidents involving S3 being observed pulling a child, C1?s hair while walking the child from the playground to the building and a second incident with child, C2 by pulling the child by his arm in the classroom such that another staff intervened. S1 reported that S3 acknowledged the incidents.

8VAC20-780-410-1 · Correction status not published

Based on record review, the provider failed to obtain a current Report of Tuberculosis

Screening form every two years from the date of the previous tuberculosis screening. The TB screenings for S2 were dated 06/21/2021 and 01/10/2024.

8VAC20-780-160-C · Correction status not published

The required ratio for children birth to 16 months is 1 staff per 4 children. An incident report dated 05/07/2024 documented a brief time period where 2 of the 3 staff working in the infant room with 5 children left the classroom resulting in the classroom being out of ratio.

8VAC20-780-350-B-1 · Correction status not published

8VAC20-780-(2)-130-E

Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C4, under the age of 2, enrolled 01/16/2023 did not contain documentation of additional immunizations.

8VAC20-780-130-E · Correction status not published

Based on interviews the center failed to ensure that children under 10 years of age

always shall be within actual sight and sound supervision of staff. Evidence: A child, C1, age 16 months was found in a classroom without sight and sound supervision of staff. S2 reported that she and another staff were supervising the toddlers and 2-year-olds in the center?s inside playground. She stepped away briefly from the group to attend to another child needs. S2 did not realize that C1 had gone into the classroom out of actual sight and supervision of staff until the child?s mother came in to pick up the child and located the child.

8VAC20-780-340-F · Correction status not published

Based on staff record review, the provider failed to ensure that two of five staff members

who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for S3, employed 05/25/2023 did not contain certification in CPR within 90 days of hire. The record for S5, employed 05/04/2023 did not contain certification in CPR within 90 days of hire.

8VAC20-790-600-D-1 · Correction status not published

Based on record review, the provider failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance.

Evidence: The record for C2, enrolled 09/18/2023 did not contain a physical examination.

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

Based on child record review, the provider failed to ensure that three of five records

contained the required information for each child enrolled. Evidence: 1. The record for C2, enrolled 03/20/2023 failed to obtain health information as required by 8VAC20-780-130-A within the required time frame. 2. The record for C3, enrolled 11/28/2023 failed to obtain health information as required by 8VAC20-780-140. 3. The record for C-4, enrolled 01/30/2023 did not contain the name, address, and phone number of two designated persons to call in an emergency if a parent cannot be reached.

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

Based on review of staff (S) records, the provider failed to ensure that two of four staff records

contained information required by 8VAC20-780-160.C Evidence: The staff records for S1 and S3 failed to show at least every two years from the date of the prior tuberculosis screening the results of a follow-up screening. S1 screening was completed 10/08/2019 and 02/02/2022 and S3?s screening was completed 11/16/18 and 12/21/2021. Both screening were more than two years apart.

8VAC20-780-160-C · Correction status not published

Based on a review of documents and interview, the center failed to develop written procedures for abusive head trauma.

Evidence: There was no documentation of written procedures for abusive head trauma. Administration acknowledged it was not completed.

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