Cornerstone Ministries of Virginia, Inc.

8VAC20-790-700-A · **Repeat Violation**

Behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. Staff #4 admitted to ?plucking? child #1 (age 3) on June 2, 2026 as a consequence for the child being disrespectful to another staff in the classroom. Staff #4 described ?plucking? as flicking or hitting the child?s ear with their hand. Video footage shows staff #4 used their right hand to flick child #1 in the left ear and strike child #1 in the face. A witness reports observing staff #4 hitting child #1 across the face with an open hand. A staff reported witnessing Staff #4 flicking child #1 on the ear on at least 3 other occasions as a consequence related to the child's behavior.

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22.1-289.031-B-2 · **Repeat Violation**

The center shall establish and implement procedures for appropriate supervision of all children in care to ensure safety of children. The center?s policy for behavior management and discipline states: ?Our philosophy is that the Center use discipline to teach proper behavior. The children will be explained the rules of the Center frequently so that they will know the guidelines. Once a child understands the rules and disobeys them, hurts others or property, the following developmentally appropriate guidance techniques will be used. These techniques are: 1. Positive reinforcement. 2. Redirection. 3. Time out. 4. Last resort: when a child?s behavior is continually upsetting or dangerous to others, a conference will be called with the parents.? On June 2, 2026, staff #4 flicked child #1 (age 3) in the ear and struck child #1 in the face with their hand. Video footage shows staff #4 used their right hand to flick child #1 in the left ear and strike child #1 in the face. After being struck, Child #1 immediately grabs their face and appears to start crying. Staff #4 admitted to ?plucking? child #1 in the ear as a consequence for disrespectful behavior in the classroom. Staff #4 described ?plucking? as flicking or hitting the child?s ear with their hand. A witness reports observing staff #4 hitting child #1 across the face with an open hand. A staff reported witnessing Staff #4 flicking child #1 on the ear on at least 3 other occasions as a consequence related to the child's behavior. Orientation documentation in Staff #4?s file states, ?No level of physical aggression (hitting, tap, pluck, slap, etc.) will be tolerated at all. Doesn?t matter if parents give you permission or not. (with any of the children)?. Staff #4 initials were next to this statement.

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22.1-289.031-B-4 · The center shall establish and implement procedures for: Ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children again certain diseases.

The record for child #2, enrolled for 5 days, did not contain documentation of immunizations.

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8VAC20-790-540-B-11 · The record for each child shall include: written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergies and steps to be taken in the event of a suspected or confirmed allergic reaction.

The record for child #3, enrolled for 8 months and who is diagnosed with a food allergy, did not contain a written allergy care plan.

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8VAC20-790-700-A · Behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts.

On March 24, 2026, Staff #1 was observed by two staff members to have an interaction with a child (3 years old) where staff #1 attempted to stop the child from walking in the lunchroom. Staff #1 reportedly placed her hand in front of the child?s chest to keep her from moving forward and caused the child to fall and spill juice on themselves. On March 24, 2026, staff #1 threw a shoe at a child (under age 2) after witnessing the child playing on staff #1?s phone that was left on a nearby table.

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22.1-289.031-B-2 · **Repeat Violation**

**Systemic Deficiency** The center shall establish and implement procedures for: Appropriate supervision of all children in care. The center's policy for drug and alcohol use states, "No employees or individual who performs work for Cornerstone Tender Care LLC is allowed to consume, possess, sell, purchase or be impaired by alcohol or illegal drugs, as defined under federal and/or state law, on any property owned by or leased on behalf of Cornerstone Tender Care LLC." On March 24, 2026, staff #1 was observed by multiple staff members to have abnormal behavior between 8:12am to approximately 2:18pm, including stumbling or unable to stand up, glassy eyes, disorganized speech, and frequently requesting to leave their room. Staff #1 was found to have alcohol on the premises, and multiple staff suspected staff #1 to be inebriated. Management believed they detected the odor of alcohol on staff #1 at approximately 9:30am and had been previously informed that staff #1 had a history of alcohol use in the workplace while employed by a previous employer. Additional information revealed during the investigation related to staff #1?s interactions and supervision of children on March 24, 2026 includes: 1. Staff #1 threw a shoe at a child (under age 2) after witnessing the child playing with staff #1?s phone that had been left on a nearby table. 2. Staff #1 was observed by two staff members to have an interaction with a child (3 years old) where staff #1 attempted to stop the child from walking in the lunchroom. Staff #1 reportedly placed her hand in front of the child?s chest to keep the child from moving forward and caused the child to fall and spill juice on themselves. 3. Staff #1 was alone supervising 9 toddlers (ages 16 months to 2 years) during rest time from 1pm to 2pm.

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22.1-289.035-A · The center shall not continue to employ any person who is the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

Staff #1 was observed working and supervising children on the date of the inspection. Center administration confirmed staff #1 was employed by the center after being informed of staff #1 was the subject of a founded complaint of child abuse or neglect.

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22.1-289.031-A-3-a · **Repeat/Systemic**

The child day center shall maintain supervisory personnel according to the following ratio of staff to children: The required ratio for children ages zero to 16 months is one staff member to four children. Upon arrival, there was one staff supervising five infants, ages five months to 12 months. A second staff entered the room approximately 1-2 minutes later to meet ratio requirements.

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8VAC20-790-530-B · For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 62 children present and only 47 were checked in on the attendance app and paper attendance sheets.

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22.1-289.031-A-3-a · Repeat/Systemic

The child day center shall maintain supervisory personnel according to the following ratio of staff to children: The required ratio for children ages zero to 16 months is one staff member to four children. When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff to children ratio that applies to that group. In the Infant room, there were eight infants, ages four months to 13 months. One staff was observed taking one infant across the hall into another room for a diaper change, leaving one staff with seven infants. Administration stated this is the normal routine to change diapers in the other classroom. In classroom #1 (16 months through two years), two staff were supervising 12 children. Child #1, 15 months in age, was present in the classroom. One additional member of staff was required.

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8VAC20-790-670-H · Repeat Violation

Children less than 10 years of age shall always be within actual sight and sound supervision of staff. On September 15, 2025, video footage shows that Staff #1 left 12 children (ages 2 years to 5 years) unsupervised in a room for approximately 8 minutes. During this time, child #2 was attacked by multiple children resulting in an injury that required medical attention.

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22.1-289.031-A-3-a · The child day center shall employ supervisory personnel according to the following ratio of staff to children: One staff member to four children from ages zero to 16 months. When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio

that applies to that group. During the inspection on September 23, 2025, the infant room was observed with 2 staff supervising 10 infants for approximately 5 minutes. Staff #3 confirmed this room was out of ratio for approximately 1 hour due to an additional staff being on break.

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8VAC20-790-570-3 · Any suspected incident of child abuse or neglect shall be reported in accordance with ? 63.2-1509 of the Code of Virginia.

Staff #2 and Staff #3 acknowledged the incident on August 29, 2025 with Staff #1 was a suspected incident of child neglect and failed to report the incident to Child Protective Services.

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22.1-289.031-A-3-d · The child day center shall employ supervisory personnel according to the following ratio of staff to children: One staff member to ten children from ages 36 months to 5 years. When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio

that applies to that group. 1. On August 29, 2025, Staff #1 left a group of 16 children (ages 3-school age) unsupervised in a classroom for at least 2-3 minutes. 2. During the inspection on September 15, 2025, the preschool room (3-4year olds) was observed with one staff supervising 19 children for approximately 5 minutes.

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8VAC20-790-560-A · **Repeat Violation**

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. The record for staff #3, who was employed for over 1 year, did not contain documentation of tuberculosis screening results.

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22.1-289.031-A-3-b · The required ratio for children ages 16 months to 24 months is one staff per five children.

Staff #7 was observed supervising 7 children (youngest child 22 months) from approximately 9am to 9:10am. Staff #5 was observed supervising 7 children (youngest child 22 months) from approximately 9:28am-9:30am while staff #1 left the room to answer the front door.

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