Meadowbrook Child Development Ctr

(Systemic Violation) The Center is required to obtain documentation of a completed Sworn Disclosure Statement prior to date of hire.

“The record for Staff #1, Staff #2, Staff #3 and Staff #4 did not contain a complete sworn disclosure statement prior to hire.”

Rule 22.1-289.035-B-1.

(Systemic Violation) The Center is required to obtain documentation of the results of a national fingerprint background check prior to date of hire.

“The record for Staff #3 contained a fingerprint background check completed 4 weeks after hire.”

Rule 22.1-289.035-B-2.

(Systemic Violation) The Center is required to request a Central Registry check prior to employment.

“The record for Staff #1, Staff #2 and Staff #3 did not contain documentation that the Central Registry check had been requested prior to hire.”

Rule 22.1-289.035-B-3.

(Systemic Violation) The Center is required to request a check of the criminal history record, the central registry record and the sex offender registry record from all states in which staff members have resided within the last five years prior to employment.

“The record for Staff #2 did not contain documentation that a criminal history record check, a central registry check or a sex offender registry clearance from all states where they resided within the last five years was requested prior to employment. All background checks should have been requested over 11 weeks ago.”

Rule 22.1-289.035-B-4.

(Systemic Violation) Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“The TB screening for Staff #1 was completed 3 weeks after hire. The TB screening for Staff #2 was completed 1 day after hire. The TB screening for Staff #3 was completed 5 weeks after hire. The TB screening for Staff #4 was completed 2 weeks after hire.”

Rule 8VAC20-780-160-A.

At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening.

“A TB test for Staff #5 was due over 7 weeks ago.”

Rule 8VAC20-780-160-C.

(Systemic Violation) Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“1)The files for Staff #2 and Staff #4 did not contain documentation of orientation as required. 2)The file for Staff # 1 contained an orientation completed over 7 weeks after hire and the file for Staff #3 contained an orientation completed 10 days after hire.”

Rule 8VAC20-780-240-B.

(Systemic Violation) Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“CPR orientation for Staff #3 did not contain documentation of a completed First Aid and CPR orientation within 30 days of employment.”

Rule 8VAC20-780-240-E.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

(Repeat Violation/Systemic Violation) The diapering area shall have a sink with running warm water not to exceed 120?F.

“The Infant classroom did not have a sink with running warm water in the diapering area.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

Rule 8VAC20-780-70.

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.

“During inspection in the School Age classroom, there were 12 children present, but the written record reflected there were 11 children present.”

Rule 8VAC20-780-80-A.

The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children.

“During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years.”

Rule 8VAC20-780-245-L.

The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children.

“During inspection in the infant classroom, 1 container of bleach wipes and 1 container of disinfectant spray were stored on an open shelf next to the changing table in an unlocked area.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area.

“The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

Rule 8VAC20-780-500-B.

The Center is required to implement a monthly practice evacuation drill.

“There was no documentation of an evacuation drill for the months of June 2025, July 2025, August 2025 and September 2025.”

Rule 8VAC20-780-550-D.

(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name.

“In the Infant classroom, there was a bottle stored in the refrigerator that was not dated or labeled with the child’s name.”

Rule 8VAC20-780-570-E.

The Center is required to obtain documentation for child records that documentation of viewing proof of the child’s identity and age and parent authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.

“1)The file for Child #1, Child #2 and Child #3 does not contain documentation of proof of birth. 2)The file for Child #4 does not contain parent authorization for emergency medical care.”

Rule 8VAC20-780-60-A.

The Center is required to obtain a criminal history background check every five years from the date of the last criminal history background check.

“The record for Staff #1 contained a subsequent fingerprint background check completed 5 months after the due date.”

Rule 22.1-289.036-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area.

“Evidence: The Infant room, Toddler room and Twos classrooms do not have a sink with running warm water in the diapering area.”

Rule 8VAC20-780-500-B.

(Repeat Violation) The Center is required to ensure that prepared infant formula was dated and labeled with the child’s name.

“In the Infant classroom, there were 3 bottles that were not dated.”

Rule 8VAC20-780-570-E.

(Repeat Violation) The Center is required to ensure the care, protection and guidance of all children in care.

“Evidence: During inspection in the infant classroom, Child #1 (10 months old) was sleeping in a crib where the sheets were loosely wrinkled around and under the child. Child #2 (4 months old) was sleeping in a crib with a sherpa blanket covering their face. Safe sleep guidelines require no loose bedding where babies are sleeping due to the risk of suffocation.”

Rule 8VAC20-780-340-A.

The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth up to 16 months old whenever children are in care.

“Evidence: During the inspection, the center did not maintain the required supervision ratio in the infant room. A staff member left the infant classroom to answer the door and use the restroom leaving 1 staff with 5 infants.”

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

The Center is required to maintain the required supervision ratio of 1 staff for every 5 children for children ages 16 months up to 24 months old.

“Evidence: During the inspection, the center did not maintain the required supervision ratio in the Twos classroom. There was 1 staff member and 8 children and the youngest child was age 23 months old.”

Rule 8VAC20-780-350-B-2.

(Repeat Violation) The Center is required to have a sink with running warm water in the diapering area.

“Evidence: The Toddler room and Twos classrooms did not have a sink with running warm water in the diapering area.”

Rule 8VAC20-780-500-B.

(Repeat Violation) The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: 1)During inspection in the infant classroom, there were 5 children present, but the written record reflected there were 7 children present. 2)During inspection in the threes classroom, there were 5 children present, but the written record reflected there were 3 children present.”

Rule 8VAC20-780-80-A.

Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

(Repeat Violation) Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone.

Rule 8VAC20-780-330-B.

(Repeat Violation) Based on observation, the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff.

“Evidence: During inspection while the Threes and Fours classrooms were on the playground, Child #1 left the playground and went inside the building without a staff member. Staff did not escort the child into the building to maintain sight and sound supervision and staff did not notice the child was missing until the child returned to the group on their own.”

Rule 8VAC20-780-340-F.

(Repeat Violation) Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

“Evidence: In the Infant classroom, there were 14 containers of food from home that were stored on a shelf that did not have a child’s name on them clearly identifying the owner.”

Rule 8VAC20-780-560-G.

(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: 1)During inspection on the playground where the Threes and Fours classrooms were playing, there were 19 children present, but the written record reflected there were 22 children present. 2)During inspection in the Toddler classroom, the written record reflected no documentation of departure for the month of May 2024.”

Rule 8VAC20-780-80-A.

(Repeat Violation) Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing.

“Evidence: The record for Staff #2 did not have documentation of a negative TB test or screening within 2 years of the last TB test. The most recent TB test on file was dated 12/7/21.”

Rule 8VAC20-780-160-C.

Based on observation, the center did not ensure that electrical outlets have protective covers.

“Evidence: In the Twos classroom, there were 4 outlets that did not have protective covers.”

Rule 8VAC20-780-290-A-3.

Based on observation, the center did not ensure that staff wash their hands with soap and running water after a diaper change and after contact with body fluids.

“Evidence: In the Twos classroom, staff did not wash their hands after changing a child’s diaper and before touching other surfaces and children in the classroom.”

Rule 8VAC20-780-500-A.

Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use.

“Evidence: In the Twos classroom, a staff member changed a child’s diaper then sprayed a cleaner on the diapering surface and wiped it clean. No sanitizer was used as required. To properly sanitize the diapering surface, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes.”

Rule 8VAC20-780-500-B.

(Repeat Violation) Based on observation, the center did not ensure that prepared infant formula was refrigerated, dated and labeled with the child’s name.

“Evidence: In the Infant classroom, there was a bottle of infant formula that was stored on top of the refrigerator and was not dated.”

Rule 8VAC20-780-570-E.

Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs.

“Evidence: 1)During inspection in the Infant classroom, there were 7 children present, but the written record reflected there were 4 children present. 2)During inspection in the Twos classroom, there were 6 children present, but the written record reflected there were no children present.”

Rule 8VAC20-780-80-A.

Based on review of 6 child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years.

Rule 8VAC20-780-130-A.

Based on review of 4 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing.

“Evidence: The record for Staff #1 did not have documentation of a negative TB test or screening within 2 years of the last TB test. The most recent TB test on file was dated 11/21/2017.”

Rule 8VAC20-780-160-C.

Based on staff interviews, the center failed to ensure that cosmetics, medications, or other harmful agents were not stored in areas, purses or pockets that are accessible to children.

“Evidence: A bottle of Acetaminophen (650mg) and a bottle of Antacid were stored in Staff #2?s backpack and left in an area accessible to children. The children ages 19 months to 2 years old accessed the backpack and spilled the medications in the playground mulch where they were able to pick up the medications and possibly ingest some of the pills.”

Rule 8VAC20-780-280-H.

Based on interviews, the center failed to ensure the care, protection and guidance of all children in care.

Rule 8VAC20-780-340-A.

Based on staff interviews, the center failed to ensure that children under 10 years of age always be within actual sight and sound supervision of staff.

“Evidence: On 8/23/23, 6 children (ages 19 months-2 years old) were playing on the Toddler playground. Staff stated that there was a backpack containing 2 adult medications on the playground. The children carried the backpack approximately 10 feet from where it had been stored. The backpack was unzipped and two medications were removed by the children, spilled in the mulch inside the playhouses, and possibly ingested by multiple children before any staff saw what had occurred or before the staff intervened to stop the children.”

Rule 8VAC20-780-340-F.

8VAC20-780-420-E-3

“Based on review of 6 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date. Evidence: The files for Child #1, Child #2, Child #4 and Child #6 did not have documentation that the parent had confirmed the updated record annually. The last update for Child #1 was 8/20/21, the last updated for Child #2 was 8/1/22, the last update for Child #4 was 1/10/21, and the last update for Child #6 was 6/16/22.”

Rule 8VAC20-780-420-E-3.

Based on observation, the center failed to ensure that medication be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: On the Toddler playground there were 2 staff medications (Acetaminophen 650mg and an Antacid) that were not stored in a locked place preventing access by children.”

Rule 8VAC20-780-510-L.

Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone.

“Evidence: On the large playground there is a 4 seat ride-on spring toy that is 15 inches in height with rubber mulch at 3 inches in depth under the seat instead of the required 6 inches.”

Rule 8VAC20-780-330-B.

Based on observation, the center did not ensure that food brought from home was clearly dated and labeled in a way that identifies the owner.

“Evidence: In the Infant classroom, there were 6 containers of food brought from home that were stored in the refrigerator and not labeled for each child with a name or date.”

Rule 8VAC20-780-560-G.

Based on observation, the center did not ensure that prepared infant formula was dated and labeled with the child’s name.

“Evidence: In the Infant classroom, 5 bottles were stored in the refrigerator and not dated and there were 3 bottles stored in the refrigerator that were not labeled with the name of the child as required.”

Rule 8VAC20-780-570-E.

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

“Evidence: 1)On the Big playground there was a broken fence panel and the wood was splintering causing a sharp area on the fence that could snag skin. 2)On the Big playground, there was a fence panel separating from the support beam. There were 3 nails protruding from the board that were 1 ? inches in length that could snag skin.”

Rule 8VAC20-780-270-A.

Based on observation and inspection of the playground, the center did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone.

Rule 8VAC20-780-330-B.

Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

“Evidence: During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the infant classroom. A staff member left the infant classroom to use the restroom leaving 1 staff with 6 infants.”

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

Based on review of documentation and interview with the staff, the center did not maintain a confidential, current and dated written list of children’s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area.

“Evidence: 1)In the Infant classroom, Toddler classroom, Two’s classroom and Preschool/School age classroom, there was no dated list of children’s allergies, sensitivities and dietary restrictions posted for the staff. 2)The list of children’s allergies, sensitivities and dietary restrictions that was posted in the kitchen was not dated. The list was not confidential because the details on the list could be viewed easily from the entrance to the facility.”

Rule 8VAC20-780-40-M.

Based on observation, the Provider did not ensure cribs meet the U.S. Consumer Product Safety Commission standards at the time they were manufactured.

“Evidence: In the Infant classroom, 7 out of the 8 cribs have manufacture dates of 3/10/2011 while the U.S. Consumer Product Safety Commission requires cribs to have a manufacture date of 6/28/2011 or later.”

Rule 8VAC20-780-440-H.

Based on observation and staff interview, the center did not ensure that prepared infant formula was dated and labeled with the child’s name.

“Evidence: In the Infant classroom, there were 2 bottles of infant formula that staff stated belonged to Child #4, that were stored in the refrigerator that were not labeled with the child’s name and were not dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-270-A

“Based on observation, not all of the areas inside the facility were maintained in a safe condition. Evidence: The plexi-glass on the wall of the lobby area had several screws sticking out creating a scratching hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Based on observation, the center did not ensure that the diapering surface was nonabsorbent. Evidence: The changing pad in the toddler classroom had several small tears in the surface making it absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-270-A

“Based on observation, not all of the areas and equipment inside the center were maintained in a clean, safe and operable condition. Evidence: The children’s coats and belongs placed on the steps leading to the upstairs classrooms upon their return inside from recess, creating a tripping hazard. The upstairs bathroom was not clean. The door knob to the half-door of the closet in the 4’s classroom was broken and inoperable. The vents in the infant room had a great deal of debris and cobwebs on them.”

Rule 8VAC20-780-270-A.