8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

1. The record for Child #2, child #5, child #6, and child #7, was missing a home phone number and work number for mom and dad. 2. The record for child #6 and child #7, did not contain documentation of child updates and confirmation of up-to-date information.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-240-C · Based on a review of six (6) staff records and interview, the center did not ensure that staff completed the required recognizing child abuse and neglect training no later than 7 days of the date of assuming job responsibilities.

Evidence: 1. The record for staff #1 (hire date 2/10/2024), staff #2 (hire date 5/13/2024), and staff #3 (hire date 5/16/2024) did not contain documentation of completed recognizing child abuse and neglect training. 2. The director verified that the training for recognizing child abuse and neglect had not been completed for staff #1, staff #2, or staff #3.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-270-A · Based on observation, the center did not ensure that all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.

Evidence: There is a wooden play kitchen set in the 4-year-old classroom with a broken door and broken metal hinge, creating a potential pinch point.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-330-B · Based on observation and interviews, it was determined that there was an insufficient amount of resilient surfacing in the use zone of the playground equipment and the area surrounding equipment did not encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use.

Evidence: 1. There is only 2 inches of mulch in the fall zones of the play structure on the school age playground, where 6 inches is required. 2. Staff confirmed that there is less than 6 inches of resilient surfacing on the playground.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-350-B-1 · Based on observation and staff interviews, the center exceeded the 1:4 staff-to-children ratio requirement for infants. Evidence: 1. On June 12, 2023, the 1:4 staff-to-children ratio was not maintained in the Infant classroom for approximately 30 minutes. 2. The director stated that there are usually 3-4 teachers in the infant classroom. Staff 3 had left to go on break.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-40-E · Based on a review of documentation and interviews, the center did not maintain compliance with their own policies and procedures required by standards.

Evidence: 1. The center's policies and procedures regarding discipline and behavior were not followed on January 2, 2023, when Staff #1 grabbed Child #1 (7 years old) by the upper right arm while the child was running around in the classroom. Staff #1 continued to tell child #1 to stop running several times before grabbing child #1. 2. The center's discipline and behavior policies state the following: "Sowing Seeds Academy Do Not spank, bite, pinch, pull, slap or otherwise physically punish the children."

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-790-600-D-1 · Based on review of staff records, the center did not ensure staff obtained current first aid training within 90 days of the date of employment.

Evidence: 1. Staff #3, hired 7/5/2022, had documentation of obtaining first aid training dated 1/2/2023, exceeding 90 days from hire.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-B · Based on record review, the center failed to provide a tuberculous (TB) test with documentation that includes the date the test was given and results of the test.

Evidence: 1. Staff #5?s tuberculous (TB) test did not provide documentation of the date when the test was given and the results of the test. Staff #5?s date of hire 10/31/2022.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-550-P · Based on review of injury reports, the center failed to include all required information on the injury reports. Evidence: Injury report dated 06/7/2022 was missing the time and date parent was notified.

Open Not marked corrected in the state record

Open / not marked corrected.

8VAC20-780-550-P · Based on record review and interview it was determined that the center did not include the following in the written record of children?s serious and minor injuries. Evidence: 5 of 5

records reviewed did not include the date or time when the parent was notified. 1 of 5 records was missing the parent?s signature or two staff signatures.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-770-60-C-2 · Based on a review of staff 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 #1, hired on 12/13/21, contained documentation of a central registry finding dated 1/20/22. 2. The record of staff #2, hired on 11/23/21, contained a central registry finding dated 1/8/22. 3. The record of staff #3, hired on 11/30/21, contained a central registry finding dated 1/10/22. 4. Administration acknowledged the central registries were late.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-150-B · Based on a review of records, the center did not ensure that immunizations received shall be signed by a physician, his designee, or an official of the local health department.

Evidence: The record of infant #1 contained documentation of immunizations that were not signed by a physician, his designee, or an official of the local health department.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

22VAC40-185-70-A · Based on a review of records, the center did not ensure that each staff record contains all required information.

Evidence: 1. The record of Staff #1 (DOH 4/20/21) contained telephone references dated 5/3/21. 2. In an interview with Administration regarding positions in the classroom, it was reported that Staff #1 is a program lead. The record of Staff #1 did not contain documentation that is required to meet program leader qualifications.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

22VAC40-185-40-E · Based on review of documentation, operational responsibilities failed to ensure that the center's own policies and procedures contained all policies and procedures that are required by the standards.

Evidence: A. Information required to be provided in writing to parents prior to the child's first day of attendance was missing the following: 1. Days and hours of operation, holidays, closings and a phone number where a message can be left. 2. Policies for picking up children after closing or when a child is not picked up for emergency situations including but not limited to weather or natural disasters. 3. A policy for communicating an emergency situation with parents. B. The following policies were not addressed: 1. The center's procedures to confirm absence of a child when the child is scheduled to arrive from another program or from an agency responsible for transporting the child to the center. 2. The center's procedures for identifying where children are at all times including before and after a field trip. 3. The center's policy for long term medication being allowed with physician and parent authorization. 4. The center's policy for methods to prevent use of outdated medication.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.