(Repeat Violation) The center must obtain a completed national criminal background check prior to the employee's first day of employment.

The national fingerprint background check for Staff #1 was obtained nine days after their first day of employment.

22.1-289.035-B-2 · Correction status not published

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

Video footage timestamped, August 1, 2025, at approximately 3:33pm, was reviewed on 08/14/2025. Staff #1 was supervising the three-year-old class during nap time. While children were napping Child #1 was seen on a video putting their hands under Child #2?s shorts near Child #2?s buttocks. Child #2 reported to Staff #2 that Child #1 put their hands under the child?s shorts and tried to pull down Child #1?s underwear. For approximately 10 minutes, Staff #1 was seen on the video sitting approximately 6 feet away in the middle of the doorway. There was a table between her and the children, and Staff #1 did not have site of Child #1 and Child #2. Staff #1 admitted to being distracted by the school age children transitioning to another classroom. Staff #1 also stated that she was looking down at the phone to unlock the front door from staff returning from lunch.

8VAC20-780-240-F · Correction status not published

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Staff #1 and staff #5 did not have a current certification in cardiopulmonary resuscitation (CPR) and their most recent certification expired over 4 months ago.

8VAC20-790-600-D-1 · Correction status not published

(Repeat Violation) The center is required to obtain a complete sworn statement prior to the employee's first day of employment.

The sworn statement for Staff #3, who is currently working, had a sworn statement that had not been signed or dated.

22.1-289.035-B-1 · Correction status not published

The center must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #1, who had been employed for five months, had a completed national criminal background check completed seven days after staff#1?s start date.

22.1-289.035-B-2 · Correction status not published

When staff are supervising children, they shall always ensure their care, protection, and guidance.

On October 4, 2024, staff #1 stated that a Zen Patch was placed on child #1?s shirt to calm the child down after the child was throwing chairs in the classroom. Child # 1?s parents did not give permission for this to be applied to the child. Child #1has a medical condition that could be triggered by the oils used in the Zen Patch?s.

8VAC20-780-340-A · Correction status not published

Based on record review, the center failed to ensure that staff completed a sworn disclosure prior to the first day of employment.

Evidence: The record for staff #2 (hire date 7/15/2024) did not have documentation of a completed sworn statement of affirmation.

22.1-289.035-B-1 · Correction status not published

Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for staff.

Evidence: 1. The record for staff #3 (date of employment 7/17/2023), did not contain a central registry background. 2. The director stated that a central registry background was completed for staff #3 but could not locate the document.

8VAC20-770-60-C-2 · Correction status not published

Based on review of staff records and interview, the center failed to ensure that all staff had completed a minimum of 16 hours of annual training appropriate to the age of children in care.

Evidence: 1. Staff #2, hired on 01/19/2019 completed only 8 hours of training for their 07/02/2022 -07/01/2023 training year. 2. The director verified that staff #2 had not complete the 16 hours of training.

8VAC20-780-245-A · Correction status not published

Based on record reviewed, the center did not ensure that a staff and parent signatures or two staff signatures was included for each form.

Evidence: 1. The injury reports did not contain signatures of a staff and parent or two staff signatures. 2. Injury report did not document any future action to prevent recurrence of the injury. 3. The injury report for child #1 did not contain documentation of the date and time that the parent was notified.

8VAC20-780-550-P · Correction status not published

Based on a record review the center did not ensure all sworn statements of affirmation were signed prior to staff's first date of employment.

Evidence: 1.Staff #2's sworn statement of affirmation was not signed or dated. Staff #2?s employment start date was 2/13/2023.

8VAC20-770-60-B · Correction status not published

Based on record review, 2 of 3 staff records is incomplete. The center did not ensure two of three staff records contained documentation of two or more references before employment. Evidence: 1. The records of staff #2 (employment date: 7/25/2022) and staff #3 (employment date: 7/13/2022) were missing two reference checks.

8VAC20-780-70 · Correction status not published

Based on a review of staff records and interview, the center did not obtain results of a check of the out-of-state sex offender registry prior to employment for each employee .

Evidence: The record of staff #1 (hired 6/6/22) did not contain documentation of an out-of-state sex offender search. Staff #1 indicated living in another state in the previous 5 years on the staff's sworn disclosure statement. Administration acknowledged the out-of-state background checks was not completed.

22.1-289.035-B-4 · Correction status not published

Based on interview, the center did not ensure the building was equipped with a carbon monoxide detector.

Evidence: Administration stated the center did not have a carbon monoxide detector.

22.1-289.058 · Correction status not published

Based on a review of records on August 13, 2021, the center did not obtain results of a follow-up tuberculosis screening as least every two years from the date of the first initial screening.

Evidence: 1. The record of Staff #3 (DOH 1/22/19) contained documentation of a tuberculosis screening dated 9/12/18. The record of Staff #4 (DOH 1/22/19) contained a tuberculosis screening dated 9/6/18. Administration acknowledged they did not have the follow-up tuberculosis screening for the two staff.

22VAC40-185-160-C · Correction status not published