22.1-289.035-B-4 · Authorize the child day center to obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

The facility did not obtain a central registry check and sex offender check from another state that staff 1 has resided in within the past five years.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-330-B · Where playground equipment is provided the fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. The fall zone shall be under equipment with moving parts and meet the use zones required by the National Program for Playground Safety.

The fall zone surrounding the see saw, located on the children's playground, does not meet the requirement of 6 feet on all sides outlined by the National Program for Playground Safety.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-400-B · Behavioral guidance shall be intended to redirect children to appropriate behavior.

Staff 1 did not make any attempt to redirect child 1 as their behavior escalated during a tantrum on the afternoon of 4/15/2025.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-130-E · Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. Child 1 lacked documentation of having received additional immunizations once every six months for children under the age of two years. a. The most recent immunizations on file for child 1 were administered on 04/17/2023. This immunization record is not current for a child of child 1's age. 2, Administrative staff confirmed that an updated immunization record had not been obtained for child 1.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-40-E · 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, the center's own policies and procedures that are required by these standards.

Evidence: 1. Staff 2 failed to report a suspicion of inappropriate behavior guidance immediately as required by the center staff handbook which states that staff are to immediately report any suspicion of child abuse or neglect. a. On 08/10/2023 staff 2 reported to administrative staff that she had witnessed multiple incidents of inappropriate behavior guidance dating back to approximately 04/01/2023. b. Staff 2 confirmed to the inspector that she had failed to report her concerns of inappropriate behavior guidance immediately as required. c. Staff 2 additionally confirmed to the inspector that she was aware of the center policy for reporting concerns of inappropriate behavior guidance but had failed to follow.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-410-1 · Based on interviews and written statements, it was determined that the center did not ensure that the following actions or threats thereof are forbidden: forcing a child to assume an uncomfortable position as punishment.

Evidence: 1. Staff #3 observed Staff #2 holding Child #1 by their ankles in a vertical position upside down. The child?s head was over 12 inches off the ground. Staff #3 heard Staff #2 state to Child #1, ?Child #1 it?s time to go to sleep!? 2. Staff #4 observed Staff #2 holding Child #1 upside down by her feet stating, ?Ha ha, I scared you.? Child #1 was observed vertical and off the ground being held by their feet. 3. Staff #1 completed an internal investigation and interviews were conducted of staff that observed the incident. Staff #1 confirmed that they had enough to support the allegations in which the child was placed upside down by Staff #2. Administrative action was taken on Staff #2 which resulted in termination.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.035-B-4 · Based on record review and interview, the center failed to obtain a copy of the results of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years.

Evidence: 1. Staff 1 lacked the results of a criminal record check from another state. a. Staff 1 has a hire date of 03/07/2022 and has resided outside of Virginia within the past five years according to documentation on file in the employment record. 2. Administrative staff confirmed that an out-of-state criminal record check had not been obtained for staff 1.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-340-A · Based on observation, interviews, and a review of records, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

Evidence: 1. The facility failed to put any systems in place to ensure the care and protection of a two-year old child that had demonstrated behavior challenges. a. Staff 1, staff 2 and staff 3 all reported that a close relative of child 1 indicated that he had problems with hitting and biting during a trial day on 09/30/2022. All three staff noted that child 1 exhibited behavior challenges on this day which included running around the class, turning off the lights, climbing on the furniture and 3 attempts to exit the classroom during the one hour he was in care. b. Staff 1, staff 2 and staff 3 all reported that child 1 exhibited the same challenging behaviors on his first day of care, 10/4/2022, which included: hitting children and staff, throwing toys, running around the classroom, standing on tables, pushing chairs around the classroom, and attempting at least 9 times to run out of the classroom. c. Staff 1, staff 2 and staff 3 additionally reported that child 1 was non-verbal and did not respond to any verbal cues which included his name. 2. All 3 staff stated no plan had been put in place to manage child 1's behaviors and that no one was watching the door during parent pick-up despite the multiple times child 1 had attempted to exit the classroom that morning and on his pervious visit on 09/30/2022. 3. Written information for child 1, age two years, indicated one diagnosed special need. The child's physician indicated that child 1 needed to be referred for evaluation for a second special need. a. Administrative staff stated it was the general practice of the school to have a behavior coach observe new children the first week of school and put plans and training in place once observations had been completed. b. Administrative staff stated they did provide written information to staff regarding child 1's diagnosed special need but no plan was put in place for staff to manage this need. c. Administrative staff stated they were aware that child 1 was under evaluation for a second special need however, no information from the parent was requested and this suspicion was not reviewed or discussed with staff as to how to manage any behavior challenges that could arise from both the diagnosed and suspected special need. 4. Staff 1, staff 2 and staff 3 all stated they had received no information or training strategies regarding child 1's special needs from administrative staff. a. Staff 1 stated the only information she was provided was the name of the child and relevant allergy information. b. Staff 2 stated there was no plan in place and no information had been provided about child 1. "It was his first day so no plan was set in place...no information was provided from leadership." c. Staff 3 stated, "No one from administrative gave us any information about him."

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-160-A-2 · Based on record review, the center failed to ensure that documentation of the TB screening shall have been completed within the last 30 calendar days of the date of employment.

Evidence: 1. The TB screening for staff 1, hire date 03/03/2022, was completed on 03/18/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.