8VAC20-780-350-I · For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, rest period ratios are permitted to double if staff required by rest period ratios is within sight and sound at all times in the same space as the resting or sleeping children.

One Staff Member was observed sitting in the hallway between two classrooms during rest period. There were ten 2-year old children in one classroom and ten 3-year old children in the classroom directly across the hallway. Staff Member was not within sight and sound of either classroom and was not in the same space as the resting or sleeping children.

Open Not marked corrected in the state record

Category: ratio. Open / not marked corrected.

8VAC20-780-160-A · Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

Staff 3 TB was dated six months prior to date of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-160-A · Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

Evidence: The record for Staff 1 contained a documented hire date of 05/31/2024. The date on the tuberculosis screening in the record was 06/13/2024. The documentation was not received at the time of employment.

Open Not marked corrected in the state record

Category: health medication. Open / not marked corrected.

8VAC20-780-280-B · Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence: In the infant room, there was (1) spray bottle labeled ?bleach and water? and (1) aerosol container of Febreze located on the changing table.

Open Not marked corrected in the state record

Category: physical safety. Open / not marked corrected.

22.1-289.036-A · Based on record review, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter.

Evidence: The most recent search of the central registry on record for Agent 1 was dated 07/25/2017. There was not a repeat search of the central registry obtained in 2022.

Open Not marked corrected in the state record

Category: background checks. Open / not marked corrected.

8VAC20-780-80-A · Based on document review and discussion with staff, the center failed to ensure that 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.

Evidence: 1. The attendance record in the ?Pre-K? room indicated 14 children present. There were 18 children present at the time of inspection. The attendance did not document the arrival as it occurred. 2. The attendance record in the ?16 month-24 month? room indicated 5 children present. There were 6 children present at the time of inspection. The attendance did not document the arrival as it occurred. 3. The attendance record in the ?Infant? room indicated 8 children present. There were 9 children present at the time of inspection. The attendance did not document the arrival as it occurred. 4. The attendance record in the ?2 year old? room indicated 11 children present. There were 12 children present at the time of inspection. The attendance did not document the arrival as it occurred.

Open Not marked corrected in the state record

Category: recordkeeping. Open / not marked corrected.