The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the center has obtained written authorization from a parent.

The medication authorization forms for child A and B did not have the center's name identified as being granted the authority to administer said medications.

8VAC20-780-510-I · Correction status not published

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

On 5/12/2025, staff A took five children ( toddler through 2 years of age) outside onto the Portico. At approximately 4: 45 pm, staff A was entering information into the center issued tablet when four of the five children exited the Portico through the half gate and walked approximately 20 feet toward the roundabout where a motorist saw the unaccompanied children near the road and pulled over and escorted the children to the front entrance of the center.

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

Out- of- State Sex Offender Registry Search must be completed prior to employment on each state an individual has resided in the past 5 years.

There was no out -of -state sex offender search completed on staff A . This background check was overdue by 9 months.

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

Repeat Violation:

Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. The door to the supply closet was open and there were 3 containers of paint stored on the shelves. The door to the laundry room was unlocked and there were over 15 containers of hazardous cleaning agents on the shelves.

8VAC20-780-280-B · Correction status not published

Background checks must be repeated every 5 years.

Staff A's Central Registry background check was dated 3/28/19 and a repeat background check had not been obtained.

22.1-289.035-A · Correction status not published

Based on interviews conducted, the center did not ensure that infants were fed in accordance with parental instructions. Evidence: Interviews revealed that in approximately March 2023 an eight-month-old infant was fed ?sloppy joes? when the parents had not given permission for the infant to eat that food. The same infant was given whole milk in approximately June 2023 without parent permission.

8VAC20-780-570-D · Correction status not published

Based on observation and review of documentation, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 1/19/23 at approximately 11:32am, four infants were observed in the Infant classroom. The attendance contained documentation of five infants present. Staff reported that an infant was moved to the Older Infant classroom at approximately 9:00am, but the attendance was not updated.

8VAC20-780-80-A · Correction status not published

Based on observation, review of documentation, and interview with staff, the center did not maintain a written record of attendance that documented the arrival and departure of children in care as it occurred. Evidence: 1. At approximately 10:35am on 7/15/22 there were three children observed in the Infant class. The attendance contained documentation of five children present. Interview revealed that one child had left for an appointment and another child had been moved to another class. 2. At approximately 10:45am on 7/15/22 there were seven children observed in the two-year-old class. The attendance contained documentation of six children present.

8VAC20-780-80-A · Correction status not published

Based on review of medication and medication authorization, the center did not ensure that medications were picked up within 14 days of authorization expiring, or that the parent renewed the authorization. Evidence: There were two emergency medications onsite for Child A. The medication authorization forms for both medications expired 11/4/21.

8VAC20-780-510-P · Correction status not published

Based on review of four staff records, the center did not obtain documentation of a completed sworn disclosure statement for one staff member prior to date of hire. Evidence: The sworn statement submitted for Staff A was dated 7/12/2021. The start date for Staff A was documented as 7/6/2021.

22VAC40-191-60-B · Correction status not published