The center must provide annual approval from the health department regarding their water supply and sewage disposal system. The center had not obtained an annual Report of Environmental Sanitation as required.

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

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On 8/13/2025, the floors and carpets in the gym area and the two school age classrooms were observed to be dirty and did not appear as if they had been swept, vacuumed, or mopped recently. There was dirt, dust, hair, food, bits of trash, and debris on the floors and carpets where children were playing. The tables and desks in the two school age classrooms were smeared with a buildup of fingerprints, smudgy handprints, and bits of food and trash. The trashcan in one of the school age rooms was overflowing with garbage.

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

Based on observations, review of a child?s record and interview, the center did not follow its policies and procedures to prevent the use of outdated medication.

Evidence: Child #11 was prescribed and had on site an emergency medication, Albuterol, with 2 puffs for asthma each day at noon and 4:00 p.m. The medication administration log for Child #11 documented that the Albuterol had been administered on 7/29/24, 7/30/24, 7/31/24. The Albuterol expired in February of 2024. In an interview on 7/31/24, the Program Director acknowledged that they did not follow policies and procedures to prevent the use of outdated medication.

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

Repeat Violation. Based on record review, the center did not ensure that children?s records were complete.

Evidence: 1. The record for child 1 with an enrollment date of 9/27/2022, did not contain documentation of an annual update. 2. The record for child 3 with an enrollment date of 9/28/2020, did not contain documentation of an annual update. 3. The record for child 4 with an enrollment date of 4/26/2021, did not contain documentation of an annual update.

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

Based on observation, video footage, and interviews with staff, the center did not ensure the forbidden action of enclosure in a small, confined space or any space that the child cannot freely exit himself did not occur.

Evidence: On April 23, 2023, it was revealed that child #1 (DOB 7/31/2020) was placed in stroller as a form of confinement on two separate occasions: 1. On May 8, 2023, interviews with staff revealed the following: a. Staff #1 and Staff #2 stated that child #1 a 2-year-old was placed in a stroller during nap time on April 23, 2023. b. Staff #1 and staff #2 stated that child #1 was placed in the stroller because he was running around waking up other children that were napping. 2. Based on video footage taken on April 23, 2023, the following was revealed: a. At approximately 5:30pm staff #1 and staff #2 moved their class across the hall to another classroom because they were leaving for the day. At the time of the transition, child #1 was asleep in a stroller. Child #1 was placed in a stroller because he fell asleep on a swing while outside on the playground. b. Staff #4 stated that child #1 was beginning to wake up. Staff #4 then went to remove child #1 from the stroller and place the child on their lap. Staff #4 stated that he was unable to attend to the other children while holding child #1 and therefore placed the child back into the stroller. c. Shortly after placing the child back in the stroller, child #1?s mother entered the classroom at approximately 5:45. Staff # 4 tried to explain to the parent why child #1 was in the stroller.

8VAC20-780-410-2 · Correction status not published

Based on review of five children's records, the center failed to ensure records were complete.

Evidence: 1. Child # 2?s record (start date 9/9/2022) was missing the physicians name and phone number. 2. Child #4?s record (start date 9/27/2022) was missing the physician?s name and phone number.

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

Based on the observation and interview, the applicant did not ensure areas of the equipment of the center, inside and outside, will be maintained in a clean, safe and operable condition. Evidence: 1. A portion of the bottom wall border was pulled away from the wall in the Pre-K 1 classroom and the Yellow Birds Pre-K classroom. 2. A liquid substance was wasted on the floor in the Orange Birds classroom. 3. Chipped paint was observed in 4 classrooms on the window frames. 4. A toilet in the boy?s bathroom in the Private Kindergarten room was not flushed.

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

Based on observation and interviews, the center that was built before 2015 and serves preschool-age children is not equipped with at least one carbon monoxide detector.

Evidence: 1) The center was not equipped with at least one carbon monoxide detector. 2) During interviews, a member of management confirmed the center did not have a carbon monoxide detector on site at the time of the inspection.

22.1-289.058 · Correction status not published

Based on observations and inspection of the facility, the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: During the inspection conducted on 03/15/2022, the licensing inspector observed a bottle of cleaning solution and shaving cream on a shelf in the Greenbirds bathroom.

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

Based on documentation review, observation and interviews, the center did not ensure prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

Evidence: 1) During the inspection, the medication administration log for Child #5 was reviewed. The inspector observed that a prescription medication was administered to Child #5 on 11/17/21, 11/18/21, 11/19/21, and 11/22/21 without written parental permission. The center had obtained written permission from the child's physician, but the written parental permission had not been obtained. 2) During interview, a member of management confirmed the written parental permission was not on file and the medication was administered.

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

Based on interviews and documentation review, the facility failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Evidence: 1. Documentation from an outside agency reported that during an interview on 10/19/20 and at a medical facility on 10/19/20, Child #1, who is six years old, made consistent statements that Staff #1 inappropriately touched him during naptime. 2. Documentation from an outside agency reported that during an interview on 12/28/20, Child #2, who is six years old, made statements that Staff #1 inappropriately touched him on multiple occasions during naptime and in a classroom closet. Documentation from an outside agency reported that an on-site investigation of the facility where the allegations took place occurred on 2/4/21 and observations were consistent with statements made by Child #2 on 12/28/20.

22VAC40-185-340-A · Correction status not published