The Gingerbread House, Inc.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #3, who had been employed for over a year, did not have a central registry search.”

Rule 22.1-289.035-B-3.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #4 has not completed this course which is overdue by four months.”

Rule 8VAC20-780-240-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, 5 infants were observed napping in cribs and they were not within actual sight of staff based on their placement in the room.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-B-1

“The required ratio for children infant to 16 months is one staff per four children. Two staff were observed supervising ten children in the infant room.”

Rule 8VAC20-780-350-B-1.

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. On 8/18/2026, there were 10 children present in the infant room, but 11 were marked present on the attendance record. There were 13 children present in a preschool room, but only 11 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-780-60-A

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #3, who has been enrolled for over a year, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records are to have documentation of job title. The records for Staff #1, Staff #4 and Staff #5 did not have job title noted.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“The programis required to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. The record for staff #4 did not contain results of a sex offender registry search for one state where the employee resided within 5 years of hire. The results of the sex offender registry search were more than 2 years overdue.”

Rule 22.1-289.035-B-4.

8VAC20-780-260-A

“The center is required to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. The last fire inspection conducted was dated 7/13/2025. The annual fire inspection is dated 7/13/2025 and is overdue by 2 months.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, two disinfectant sprays, an everyday cleaner and bleach water solution were on the shelf above the sink, out of reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. There was no documentation of two shelter in place drills for 2024.”

Rule 8VAC20-780-550-H.

Repeat Violation Based on review, facility did not ensure 2 of 5 staff are certified in CPR within 90 days of beginning employment.

“Evidence: The records for staff #1 (start date 11/29/2022) and staff #2 (start date 4/17/2024) did not have current CPR certification.”

Rule 8VAC20-790-600-D-1.

Repeat Violation Based on review, facility did not ensure 2 of 5 staff are certified in first aid within 90 days of beginning employment.

“Evidence: The records for staff #1 (start date 11/29/2022) and staff #2 (start date 4/17/2024) did not have current first aid certification.”

Rule 8VAC20-790-600-D-2.

Repeat Violation Based on review and interview, facility did not ensure 1 of 5 staff complete the Virginia Department of Education (VDOE) sponsored orientation training within 90 days of employment.

“Evidence: The record for staff #1 (start date 11/29/2022) did not have documentation of completing the required VDOE training. Director confirmed training has not been completed.”

Rule 8VAC20-780-240-A.

Based on observation, facility did not ensure areas and equipment of the center are maintained in a clean, safe and operable condition.

“Evidence: The bottom of the half door in the infant room separating the napping area from the open play area had splintered edges that were within reach of the children in care.”

Rule 8VAC20-780-270-A.

Based on observation, facility did not ensure diapering surfaces are non absorbent.

“Evidence: The diapering pad in the infant room had a 2” x 2” tear in the cover causing it to be absorbent.”

Rule 8VAC20-780-500-B.

Based on review and interview, facility did not ensure 1 of 5 staff have documentation of required information.

“Evidence: The record for staff #1 (start date 11/29/2022) did not have documentation of 2 references and orientation training. Director stated it had been done previously but confirmed it could not be located during inspection.”

Rule 8VAC20-780-70.

Based on review, facility did not ensure 3 of 5 staff have CPR certification within 90 days of employment.

“Evidence: The records for staff #1 (start date 10/24/2022), staff #2 (start date 6/12/2023) and staff #3 (start date 9/2023) did not have CPR certification. Information was confirmed by Director.”

Rule 8VAC20-790-600-D-1.

Based on review, facility did not ensure 3 of 5 staff have first aid certification within 90 days of employment.

“Evidence: The records for staff #1 (start date 10/24/2022), staff #2 (start date 6/12/2023) and staff #3 (start date 9/2023) did not have first aid certification. Information was confirmed by Director.”

Rule 8VAC20-790-600-D-2.

Based on review, facility did not ensure 1 of 5 staff have a completed central registry search within 30 days of beginning employment.

“Evidence: The record for staff #2 (start date 6/12/2023) did not have a complete central registry search background check.”

Rule 8VAC20-770-60-C-2.

Based on review, facility did not ensure 2 of 5 staff have a negative tuberculosis (TB) test or screening prior to beginning employment and dated within 30 days.

“Evidence: The following was found in record review: 1. The record for staff #2 (start date 6/12/2023) had a TB test dated 1/19/2024. 2. The record for staff #3 (start date 9/2023) had a TB test dated 1/19/2024.”

Rule 8VAC20-780-160-A.

Based on review, facility did not ensure 3 of 5 staff complete the VDOE sponsored orientation course within 90 days of beginning employment.

“Evidence: The records for staff #1 (start date 10/24/2022), staff #2 (start date 6/12/2023) and staff #3 (start date 9/2023) did not have documentation of completing the VDOE sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on review, facility did not ensure the written emergency preparedness plan addressed required components.

“Evidence: The written emergency preparedness plan did not address shelter-in-place and lockdown sounding of alarms, inside assembly points and facility containment procedures.”

Rule 8VAC20-780-550-B.

Based on review, facility did not ensure evacuation drills are practiced monthly.

“Evidence: There was not documentation of an emergency evacuation drill conducted in November 2023.”

Rule 8VAC20-780-550-D.

Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“Evidence: The following was observed during inspection: 1. Portions of the wood border on the path leading to the infant toddler playground are decaying with missing sections and splintered edges. 2. A red plastic tricycle seat was broken with missing section leaving sharp edges.”

Rule 8VAC20-780-270-A.

Based on observation, facility did not ensure there is sufficient resilient surfacing in fall zones under and around play equipment on the playground that have moving parts or are climbing equipment.

“Evidence: A green and brown plastic slide was observed sitting on approximately 2” depth of sand outside the bordered play structures on the playground.”

Rule 8VAC20-780-330-B.

Based on observation, facility did not ensure there is required resilient surfacing under and around climbing equipment and equipment with moving parts in the fall zones on the playground.

“Evidence: The following was observed: 1. There is approximately 4” depth of sand at the foot of the blue slide on the toddler playground. 2. There is approximately 3” depth of sand under the swings on the toddler playground. 3. There is approximately 3” depth of sand at the foot of the green and brown plastic slide on the side of the larger center playground.”

Rule 8VAC20-780-330-B.

Based on observation and review, facility did not ensure 3 of 5 classrooms have a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The following was found: 1. In the 2’s room, 9 children were observed however the attendance showed 7 children present. . 2. In the 3’s room, 9 children were observed however the attendance showed 10 children present. 3. In the 4’s & 5’s room, there was no documentation of attendance for the group.”

Rule 8VAC20-780-80-A.

Based on review, facility did not ensure 4 of 5 staff complete the department’s health and safety update course annually.

“Evidence: The records for staff #1, staff #2, staff #3 and staff #5 did not have documentation of completing the department’s health and safety update course in 2022.”

Rule 8VAC20-790-600-F.

Based on review, facility did not ensure required out of state background checks are completed for staff that have lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #4 (start date 11/28/2022) did not have a completed child abuse and neglect registry search for the state the individual has lived in within the past 5 years.”

Rule 22.1-289.035-B-4.

Based on observation and interview, facility did not ensure children have a protective belt fastened securely when sitting in a high chair.

“Evidence: In the infant room, 1 of 4 infants observed eating in a high chair did not have a protective belt securely fastened. Staff stated that the belt did not work.”

Rule 8VAC20-780-570-A.