Based on interviews, the center failed to implement a monthly practice evacuation drill.

Evidence: 1. 10 of the 10 staff interviews confirmed that the center was not implementing monthly practice evacuation drills.

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

Based on observation and confirmation with staff, in one classroom a staff member was supervising children by herself and she did not meet the qualifications to be a program leader.

Evidence: 1. Staff #5 was supervising four children in Classroom A all by herself and she did not meet the qualifications to be a program lead. 2. Staff #2 confirmed that the job title for Staff #5 was an assistant and that she did not meet program lead qualifications.

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

Based on four staff interviews, the times staff clocked out, and confirmation from the director, the center failed to have a staff member that met program leader qualifications in one grouping of children.

Evidence: 1. On 07/19/2021, Staff Member A and Staff Member B were in Classroom A from approximately 5:19pm to 5:30pm. Neither staff member met program leader qualifications. 2. Staff Member C, the program leader for Classroom A, had left for the day at 5:19pm. 3. The director confirmed that the was not a program leader in Classroom A for during that time.

22VAC40-185-340-D · Correction status not published

Centers shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

Child #1 received outside medical treatment for an injury sustained while in care at the center on 3/09/2026. The center was notified of the outside medical treatment on 3/9/2026 and did not notify the Department.

8VAC20-780-80-B-2 · Correction status not published

REPEAT VIOLATION

Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in clean, safe, and operable condition. Evidence: 1. In the Toddler B classroom, in the back of the classroom on the wall, there was an approximately 1.5 inch long gash in the wall that exposed drywall and chipped, peeling paint. 2. In the School Age classroom, there were three different areas of chipped, flaking paint. On the back wall, the corner of the wall had four areas of chipped, flaking paint. On the window area, there was one large patch of missing, chipped, flaking paint on the right and there were two large patches of missing, chipped, flaking paint approximately six inches to eighteen inches long.

8VAC20-780-270-A · Correction status not published

Based on review of documentation, the center failed to ensure that central registry background check results were obtained within 30 days of employment.

Evidence: A completed report was not sent within 7 days to request the central registry finding for staff #3, hired on 10/02/2023. The results were not obtained within 30 days of employment and had not been obtained as of the date of the inspection.

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

Based on review of documentation, the center failed to obtain documentation of a physical exam within 30 days of attendance. Evidence: The record for Child #1, first day of attendance 11/7/2022, did not contain documentation of a physical exam.

8VAC20-780-140-A · Correction status not published

Based on review of children?s records, not all records contained documentation of immunizations by the first day of attendance.

Evidence: 1. The record for Child #6, first day of attendance 12/19/2022, did not have documentation of immunizations in the record.

8VAC20-780-130-A · Correction status not published

COMPLAINT RELATED

Based on observation and interview, the center failed to maintain areas and equipment in a clean, safe and operable manner. Evidence: 1. In the toddler room, there was visible dirt on the inside and the outside of the refrigerator. The handle of the refrigerator was sticky to touch.(CDC-1105994(06-09-2023)P1, CDC-1105994(06-09-2023)P2) 2. In the PreK 2 classroom, there was visible dirt on and around the light switch (CDC-1105994(06-09-2023)P3) and in toy bins (CDC-1105994(06-09-2023)P4). There was visible dirt and dried substance on the tables (CDC-1105994(06-09-2023)P5) and on and around the trash can (CDC-1105994(06-09-2023)P6). 3. In the Two?s classroom, there was visible dirt on the toys (CDC-1105994(06-09-2023)P7.jpg, CDC-1105994(06-09-2023)P8.jpg) and on the rug (CDC-1105994(06-09-2023)P9.jpg). 4. In the PreK 1 room, there was visible dirt and dried substance on the counter (CDC-1105994(06-09-2023)P10.jpg) and on the tables (CDC-1105994(06-09-2023)P15) and there was visible dirt in the toy bins (CDC-1105994(06-09-2023)P11.jpg) and on the toys (CDC-1105994(06-09-2023)P12.jpg, CDC-1105994(06-09-2023)P13.jpg, CDC-1105994(06-09-2023)P14.jpg).

8VAC20-780-270-A · Correction status not published

Based on interview, the center failed to notify parents by end of the day of any known minor injuries.

Evidence: 1. Interview with Staff #1 on 3/22/2023 confirmed that Child #1 had fallen and hit their head on the floor and then vomited on 03/14/2023 and that the parents were not notified on the day of the injury. 2. Interview with Staff #2 on 3/15/2023 confirmed that the parents of Child #1 were not notified of the injury until 03/15/2023.

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

Based on observation, the licensee failed to ensure that the center?s activities, services and facilities were maintained in compliance with the center?s own policies and procedures that are required by these standards.

Evidence: 1. In Infant Room A, one child was observed asleep in a bouncy seat with a blanket covering the infant?s body and another child was observed asleep in a crib, wrapped in a blanket, and laying on a Boppy pillow. 2. The center?s safe sleep policy states ?Infants are placed in a crib on their backs as recommended by the American Academy of Pediatrics.?

8VAC20-780-40-E · Correction status not published

Based on review of records and interview, the center failed to ensure that out of state criminal history name checks were completed before the first day of employment and out of state abuse and neglect search requests were sent by the end of the 30th day of employment

Evidence: 1. Staff #1?s start date was 9/26/2022. Staff #12 confirmed that Staff #1 had lived in Maryland within the last five years. Staff #12 confirmed there was no out of state criminal history name check for Staff #1. 2. Staff #1 had a West Virginia driver?s license on file. Staff #12 confirmed that Staff #1 had lived in West Virginia within the last five years. There was no out of state child abuse and neglect search on file for Staff #1. Staff #12 confirmed that the out of state abuse and neglect search had not been sent. 3. Staff #2?s start date was 8/22/2022. Staff #2 had a West Virginia driver?s license on file. Staff #12 confirmed that Staff #2 had lived in West Virginia within the last five years. There was no out of state child abuse and neglect search on file for Staff #1. Staff #12 confirmed that the out of state abuse and neglect search had not been sent.

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

Based on review of records and interview, the center failed to ensure that Central Registry results were received by the end of the 30 days of employment.

Evidence: 1. Staff #1 start date on file was 3/24/2022. 2. The record showed the central registry was sent on 4/21/2022. Staff #6 confirmed the central registry check had been sent within 7 days of employment.

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

Based on review of records and interview, the center failed to ensure that all staff members had current cardiopulmonary resuscitation (CPR) certification within 90 days of hire.

Evidence: 1. Staff #7?s start date was 1/31/22. There was no record of CPR certification on file. 2. Staff #6?s start date was 2/24/22. There was no record of CPR certification on file. 3. Staff #9 confirmed that neither staff member had completed CPR certification within 90 days of employment.

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

The center failed to complete an out-of-state abuse and neglect registry check within 30 days of employment.

Evidence: 1. Staff #1?s start date was 3/24/22. Staff #1 indicated on the sworn statement that they had resided in another state within the past 5 years. 2. Staff #9 confirmed that the out-of-state background check was sent and that it had not been sent within 30 days of employment.

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

Based on observation, the center failed to ensure that all personal items were individually labeled with the child's name.

Evidence: 1. In classroom #3, there was one cup in the refrigerator not labeled with the child's name. 2. In classroom #4, there were eight cups in the refrigerator not labeled with the children's names. 3. Staff verified that the cups were not label with the children's names.

8VAC20-780-430-I · Correction status not published

Based on review of three children's records and verification from the director, the center did not obtain the results of a physical examination for one child within one month of enrollment.

Evidence: 1. The record for Child #2 contained the results of a physical examination dated 02/24/2022. Date of enrollment for Child #2 was 08/30/2021. 2, The director confirmed that a physical exam report was not obtained within a month of enrollment.

8VAC20-780-140-A · Correction status not published

Based on the review of three children's records and discussion with the director, the center failed to obtain all of the required enrollment information for two children.

Evidence: 1. The record for Child A did not contain a physical address for one of the emergency contacts for the center to call in case of an emergency and the child's parent can't be reached. 2. The record for Child B did not contain the name, address or phone number for a second emergency contact for the center to call in case of an emergency and the child's parent can't be reached. 3. The director verified that the information was not in the children's records.

22VAC40-185-60-A · Correction status not published