(Repeat/Systemic Violation) The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards.

1) The Center?s ?Behavior Guidance Plan For Parents? states that ?We will offer alternatives to children engaged in undesirable behavior by offering a different toy, suggesting a new activity, engaging the child in an activity with a teacher or another child, or by suggesting independent play? and that ?the teacher helps the child to understand the logical consequences of his/her actions by removing an object, activity etc. that is causing the problem.? The ?Behavior Guidance Plan For Parents? also prohibits corporal punishment. On 6/27/25, Child #2 scribbled on the floor with a marker. Staff #2 and Parent #1 witnessed Staff #5 spank Child #2 before making Child #2 clean up the marker with Lysol spray and paper towels. Staff #5 then spanked Child #2 again. 2) The Center?s ?Child Supervision Record, Quick Guide? requires staff to ?Write the exact times for arrive (sic) and departure.? The Child Supervision Record for Classroom #2 dated 6/27/25 does not document the departure time for three children. The Child Supervision Record for the Classroom #6 dated 6/27/25 does not document the departure time for seven children. 3) The Center?s ?Child Supervision Record, Quick Guide? requires that when a staff member ?enters ratio they must sign in with their first and last name, noting the arrival time. When they leave, for any reason, including break or leaving for the day they must sign out with the corresponding time.? A) Two staff members did not sign out for breaks on the Child Supervision Record for Classroom #1 dated 6/27/25. B) One staff member did not sign out when she left for the day on the Child Supervision Record for Classroom #2 dated 6/27/25. C) One staff member did not sign out for breaks on the Child Supervision Record for Classroom #3 dated 6/27/25. D) Three staff members did not sign out for breaks on the Child Supervision Record for Classroom #4 dated 6/27/25 and two staff members did not sign out when they left for the day. E) One staff member did not sign out for breaks on the Child Supervision Record for Classroom #5 dated 6/27/25. F) One staff member did not sign out for breaks on the Child Supervision Record for Classroom #6 dated 6/27/25. 4) The Center?s ?Child Supervision Record, Quick Guide? requires that ?Management observe at least two Name-to-Face and/or transition processes per day, document accordingly.? A) Management did not document observations of any Name-to-Face and/or transition processes on the Child Supervision Records for Classrooms #1, #4, #5, and #6 dated 6/27/25. B) Management did not document two observations of Name-to-Face and/or transition processes on the Child Supervision Record for Classroom #2 dated 6/27/25. 5) The Center?s ?Child Supervision Record, Quick Guide? requires that staff ?Document the number of children and teachers at the bottom of the CSR? and ?Teacher(s) should initial after each Name to Face Transition and Name to Face Check.? The initials of Staff #2 and Staff #5 were written on the Child Supervision Record for Classroom #3 for each name to face check on 6/27/25. When the CSR for Classroom #3 dated 6/27/25 was reviewed with Staff #2, she stated that they weren?t their initials. Staff #2 was documented as being in Classroom #3 and Classroom #2 at the same time between 10:00 a.m.-1:48 p.m. and between 2:36 p.m.-6:30 p.m.

After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for the water supply, sewage disposal system. The Report of Environmental Sanitation was overdue by 13 days.

8VAC20-780-260-B · Correction status not published

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for the past 4 months, did not have any completed reference verifications on file.

8VAC20-780-70 · Correction status not published

Annual approval from the health department shall be provided regarding the water supply and sewage disposal system. The center had not obtained a report of environmental sanitation from the health department as required.

8VAC20-780-260-B · 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. The center did not request a search of the child abuse and neglect registry from one state for Staff #2, who has been employed for four months and was working with children at the time of the inspection.

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

Based on record review and interview, the center failed to ensure that the operational responsibilities of the licensee shall include ensuring that the center's activities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards.

Evidence: 1) The Center?s ?Behavior Guidance Plan For Parents? states that ?if inappropriate behavior continues, parents will be asked to participate in an immediate parent/teacher conference.? There was no documentation of a parent/teacher conference in the record of Child #1. There were seven incident reports documenting physically aggressive and bullying behaviors toward other children and staff by Child #1 between 4/17/24 and 7/16/24. 2) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires teachers to ?sign in and out of classroom CSRs at the exact time they arrive or leave.? The CSR for the school age classroom dated 7/15/24 documents no staff in the classroom between 12:30 p.m. and 1:25 p.m. A Name- to-Face Check completed at 12:00 pm documents 13 school age children in the classroom. A Name- to-Face Check completed at 2:00 pm documents 15 school age children in the classroom. No transitions were documented between 12:00 and 2:00. 3) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires teachers to ?complete and document name-to-face checks on the CSR eight times a day? aside from transition times. The CSRs for the school age classroom dated 7/15/24 and 7/16/24 document six name-to-face checks. 4) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires that ?Managers must observe at least two Name -to-Face Transitions per classroom daily and review (and sign!) every classroom?s CSR at least twice daily.? The CSR for the school age classroom dated 7/15/24 has no documentation of management observations. The CSR for the school age classroom dated 7/16/24 has documentation of one management observation. 5) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires that each combined classroom or ?homeroom? at the beginning and the end of the day ?should have their own CSR?. The CSR for the school age classroom dated 7/15/24 has five Pre-K students signed in then signed out. The CSR for the school age classroom dated 7/16/24 has three Pre-K students signed in then signed out. 6) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires teachers to ?write the total number of children and teachers at the bottom of the CSR? and to add their ?initials in the box provided for the name-to-face check?. The CSR for the school age classroom dated 7/15/24 documents a name-to-face check at 7:15. The total number of children and teachers and the teacher?s initials are not documented. 7) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires teachers to ?write the total number of children and teachers at the bottom of the CSR? and to add their initials in the ?Teacher Initials box provided for each transition at the bottom of the CSR.? The CSR for the school age classroom dated 7/16/24 documents a transition to the playground at 9:32 a.m. The total number of children and teachers and the teacher?s initials are not documented. 8) The center?s ?Child Supervision Records (CSR) Standard Operating Procedure (SOP)? requires teachers to ?Print children?s FIRST and LAST NAME as they enter the classroom? on the CSR. The CSR for the school age classroom dated 7/15/24 documents five "Pre-K" children without their last names. The CSR for the school age classroom dated 7/16/24 documents three "Pre-K" children without their last names. continued on supplemental page

Based on staff record review and interview, the center did not ensure that a staff member obtained a follow up tuberculosis screening at least every two years.

Evidence: The most recent tuberculosis screening for Staff #1 in the record was dated 7/22/22. In an interview on 8/14/24, the Program Director acknowledged that the TB screening for Staff #2 was overdue.

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

Based on documentation review and interviews the facility failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: According to reports and interviews, child, C1, age 3, was left alone on the playground on 11/14/2023 for approximately 4 minutes. The classroom teacher, S1 did not know the child walked behind her after she called his name during the transition from the playground to the to the classroom. C1 was left alone on the playground from approximately 11:30 a.m. to 11:34 a.m. At approximately 11:34 a.m.,the director observed the child on the playground from her office window. The incident report prepared by the center documented that C1 walked inside when his name was called but then turned around and walked behind S1 and walked back outside.

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

Based on records review, and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: The record for staff #1, date of employment 01/01/01, contained a tuberculosis screening dated 01/20/21. A repeat screening was due on 01/20/23.

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

Based on records review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #1, date of employment 05/10/2023, contained a tuberculosis screening dated 06/20/2023.

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

Based on records review, and interview, the center failed to ensure that the results of a criminal history records check are received prior to the first day of employment. Evidence: The record for staff #2, date of employment 05/08/2023, contained the results of a criminal history records check dated 05/16/23. Interview with the Director confirmed the date of the criminal history record check.

22.1-289.035-B-2 · Correction status not published

Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition bending, or warping. Evidence: 1) Several broken buckets on playground with sharp edges. 2) Several bikes with missing pedals 3) The poured-in-place material on playground was cracked and open.

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