8VAC20-780-80-A · For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

At approximately 1:45 PM on 4/01/25, there were 15 children present in the center, but only 13 were marked present on the attendance record. The administrator confirmed that two of the 15 children were not signed in on the correct date.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.

8VAC20-780-280-B · Based on observation, the center did not ensure all hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

Evidence: Two cabinets in the hallway were not locked. Cabinet #1, the lock was broken and had two containers of Clorox cleaner, one container of comet, one container of glass cleaner. Cabinet #2, the lock was not fastened and had two Clorox cleaners, one container of Lysol, two containers of glass cleaner, and two containers of disinfecting wipes.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

8VAC20-780-340-A · Based on interviews, the care, protection, and guidance of a child was not ensured by supervising staff.

Evidence: During lunch on 12/05/2023, Staff #1 placed a hot cup of ramen noodles within reach of child #1 (3 years old). Staff #1 directed the child not to touch the hot noodles and began to walk away to get a bowl when child #1 began screaming and crying. Staff #1 reported that the child knocked over the cup and the contents spilled over onto the table and the child. 2. Child #1 was transported to a local hospital, admitted, and treated for second degree burns on his left calf and thigh. 3. Staff #1 and staff #3 stated that the child was transported to the hospital for burns sustained at the center.

Open Not marked corrected in the state record

Category: supervision. Open / not marked corrected.

8VAC20-780-130-A · Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for child #4 (enrolled: 7/18/2023) had documentation of immunizations on 7/19/2023. Documentation of immunizations must be received before the child can attend the center.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-550-P · Based on a review of the center's injury reports, all required information was not

documented. Evidence: Injury reports for the month of June and July were reviewed; Five injury reports did not have any future action to prevent recurrence of the injury, two injury reports did not have time the parent was notified, and two injury reports did not have staff and parent signatures or two staff signatures.

Open Not marked corrected in the state record

Open / not marked corrected.