Complaint related/Repeat Violation/Systemic Deficiency: The required ratio for children birth to 16 months is one staff per four children.

Staff to Child ratio sheet for the infant classroom on 5/29/2026 had documentation of the following: 1. Two staff supervising 10 infants (birth to 16 months old) from 8:35am-10:25am 2. Three staff supervising 16 infants (birth to 16 months old) from 10:25am- approximately 11:44am 3. Three staff supervising 14 infants(birth to 16 months old) from 11:44am-12:20pm 4. Three staff supervising 13 infants(birth to 16 months old) from 12:20pm- approximately 2:10pm

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

Repeat Violation

The required ratio for children birth to 16 months is one staff per four children. 1. The Child Supervision Record for the Infant Homeroom dated 12/23/2025 documented 6 children with 1 staff at the 7:00 a.m. and 8:00 a.m. Name-to-Face Check. 2. The Child Supervision Record for the Infant Homeroom dated 12/15/2025 documented between 6:30 a.m. and 7:20 a.m. 6 children with 1 staff. 3. The Child Supervision Record for the Infant Room dated 01/16/2026 documented between 6:30 a.m. and 8:40 a.m. 7 infants with 1 staff. 4. The Child Supervision Record for the Infant Home Room dated 01/21/2026 documented between 7:04 a.m. and 7:40 a.m. 12 children with 2 staff. 5. The Child Supervision Record for the Infant Room dated 01/02/2026 documented between 8:50 a.m. and 9:16 a.m. 5 infants with 1 staff. 6. The Child Supervision Record for the Infant Homeroom dated 01/02/2026 documented 9 children with 1 staff at the 8:03 a.m. Name-to-Face Check. 7. The Child Supervision Record for the Infant Room dated 02/09/2026 documented 13 children with 4 staff at the 10:40 a.m. and 12:44 p.m. Name-to-Face Check. 8. The Child Supervision Record for the Infant Homeroom dated 02/10/2026 documented 9 children with 2 staff at 8:37 a.m. Name-to Face Check.

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

The required ratio for children birth to 16 months is one staff per four children.

1. The Child Supervision Record for the Infant Homeroom dated 12/10/2025 documented: 9 children with 2 staff between 8:16 a.m. and 8:20 a.m.; 9 children with 2 staff between 10:34 a.m. and 11:37 a.m.; and 9 children with 2 staff at 2:00 p.m. 2. The Child Supervision Record for the Infant Homeroom dated 12/18/2025 documented 8 children with 1 staff between 7:19 a.m. ? 7:43 a.m. and 8 children with 1 staff between 7:43 a.m. and 7:46 a.m.

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

Repeat Violation

Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. The file for S5 employed for 9 days did not contain documentation of orientation training.

8VAC20-780-240-B · Correction status not published

The center is required to obtain a completed sworn statement prior to the employee's first day of employment. S1, employed for 28 days did not have a completed sworn statement.

22.1-289.035-B-1 · Correction status not published

The required ratio for children ages birth to 16 months is one staff per four children. Licensing inspector while in the infant room pm 08/27/2025 observed the center?s Child Supervision Record (CSR) and that at 2 p.m. staff documented 13 children with 2 staff supervising.

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

Staff shall complete annually the department?s health and safety update course. The record for S5 did not contain documentation of this annual training since 09/20/2023.

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

The center shall obtain documentation of additional immunizations once every six months for a child under the age of two years. C5 under the age of 2 years old and enrolled for 10 months did not have documentation of additional immunizations in the file.

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

The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. The center failed to notify the parent of C1 of an injury when it occurred on 10/24/2024. The injury was observed by the parent when the child was leaving the center for the day. S1 acknowledged not notifying the parent of C1 of the injury and the provision of first aid when it occurred. Center policy requires that parents be contacted about any injury more serious than a small scrape.

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

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The infant room was observed to have: the diaper changing table was caked with unidentified debris; multiple crib sheets were stained, yellowed, torn, and had an unidentified debris on them; carpets were stained, and there was debris on top of carpet, dirt and bug carcasses between carpets; and a live bug was observed on floor near where the children?s dining table and chairs.

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

Based on record review, the provider failed to ensure that staff receive annually the Department?s Health and Safety update course.

Evidence: The record for S3 documented completion of the training on 03/11/2023 and 08/29/2024. The record for S4 documented completion of the training on 01/21/2020 and 08/31/2024. The record for S5 documented completion of the training on 06/06/2022 and 08/30/2024. The record for S6 documented completion of the training on 02/27/2023 and 08/30/2024.

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

Based on staff record review, the provider failed to ensure that two of six staff shall

obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended. Evidence: The TB screenings for S4 are dated 10/05/2021 and 01/19/2024. The TB screenings for S5 are dated 05/23/2022 and 08/26/2024.

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

Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for C11, enrolled 02/05/2024 documented immunizations on 06/03/2024.

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

Based on a review of 5 staff records (S1 through S5) and interview with S6, administrator at the time of the inspection, the center failed to ensure that 2 staff (S1 and S3) received certification in first aid and CPR within 90 days of their employment.

Evidence 1) The start date for S1 was documented on the ?Orientation Form? as being on 1/30/23. The start date for S3 was documented on the ?Staff File Sheet? as being on 6/30/23. 2) The staff files of S1 and S3 did not include documentation that they have certification in first aid and CPR. 3) S6 acknowledged that there was no documentation that the center ensured that S1 and S3 received certification in first aid and CPR.

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

(Repeat Violation)

Based on a review of 5 staff records (S1 through S5) and interviews with a center representative S6, the center failed to obtain a sex offender registry check and a child abuse and neglect registry search from the state other than Virginia that S2 resided in within the last 5 years. Evidence: 1) S2 completed a sworn disclosure statement on 6/13/23 documenting that they resided in a state other than Virginia within the last 5 years. 2) There was no documentation in the record of S2 of a sex offender registry check or a child abuse and neglect registry search from that state. 3) CR1 acknowledged that there was no documentation in the file of S2 of a sex offender registry check or a child abuse and neglect registry search from that state.

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

Based on staff interviews and documentation review, the center failed to ensure that the center?s activities, services, and facilities are maintained in compliance with 1the center?s own policies and procedures that are required by these standards.

Evidence: 1. The written center?s Standard Operating Procedures (SOP) for Child Supervision Record (CSR) states ?When transitioning from one location to another, teachers will use the Name-to-Face Transitions section of the CSR to confirm all children are accounted for during transitions, whether that be a transition within the classroom or across thresholds. 2. On June 15, 2023, at approximately 3:50pm, the center?s fire alarm was activated. Staff and children evacuated the building to playgrounds. 3. Staff #1 and Staff #2 along with eight Toddlers left the classroom through the door leading to the playground. 4. Child #A (20-month-old child) was found alone in the Toddler classroom by the child?s parent. 5. On June 16, 2023, management completed a ?Coaching Form? for Staff #1. The Coaching Form stated the following: ?During fire evauation (sic) a child in your care who is not ambulatory was left in the classroom unattended. Child was retriveed (sic) by her mother who arrived to pick up the child. It was further observed that your CSR was inaccurate. It was found no name to face was complete foloowing (sic) the transition to the play area. You were provided CSR training on several occasions. You werepreviously (sic) coached on 05/17/23 for a child in your care who was left in another classroom where the child was returned by another staff member.?

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

Based on review of six staff records and interview, the center did not request the results of a sex offender registry check and a search of founded complaints of child abuse or neglect within the required timeframes from all the states in which the one staff member had resided in the preceding five years.

Evidence: 1. The record for Staff #6 (Date of employment 04/05/2023) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain documentation of a sex offender registry check and documentation a request for an out of state child abuse and neglect search. 2. Staff #6 confirmed residing in another state outside of Virginia during the last five years and was observed working and being counted in the staff-to-child ratio during the inspection. 3. Documentation of an out of state sex offender registry is required to be obtained prior to being hired. Documentation of a requested for an out of state child abuse and neglect search by the end of the 30th day employment.

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

Based on a review of records and interview, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment.

Evidence: 1. The record of Staff #2 (hired on 12/13/21) contained documentation of a central registry finding dated 1/21/22. 2. The record of Staff #3 (hired on 11/22/21) contained documentation of a central registry finding dated 1/17/22. 3. The record of Staff #4 (hired on 12/20/21) contained documentation of a central registry finding dated 1/26/22. 4. Administration acknowledged the central registries were not received within the timeframe.

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