The Goddard School at Short Pump

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 1. Child #5, enrolled for six weeks, did not have documentation of immunizations in the record at the time of the inspection. 2. The record of child #7 contained documentation of immunizations dated three days after the first day of attendance.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. 1. Child #5, enrolled for six weeks, did not have a physical on file at the time of the inspection.”

Rule 8VAC20-780-140-A.

8VAC20-780-245-J-3

“Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements. Child #11 had emergency seizure medication on site. There were no staff present at the time of inspection that were trained to administer emergency seizure medication.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. There was no parent authorization for medication on site for child # 11 at the time of the inspection.”

Rule 8VAC20-780-510-F.

8VAC20-780-150-B

“Each report of immunizations shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record of child #3, child #6, and child #7, contained documentation of immunizations that were not signed by a physician.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

“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 documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician designee, or an official of the local health department. The record of staff #5 contained a tuberculosis screening dated two months prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was exceeded the annual requirement by one month.”

Rule 8VAC20-780-260-A.

8VAC20-780-60-A-8

“The center shall maintain a written care plan 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. The record of child #17, with a confirmed diagnosed food allergy, did not contain an allergy care plan.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Video footage showed nine exit doors blocked with snow on January 28, 2026, while the center was operating. Staff #1 and staff #2 stated the doors were not operable during the hours of operation.”

Rule 8VAC20-780-270-A. From a complaint.

8VAC20-780-240-A

“Repeat The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. 1. Staff #3, employed for two years and four months, did not complete the Virginia Department of Education- sponsored orientation. 2. Staff # 5, employed for three months and 27 days, did not complete the Virginia Department of Education- sponsored orientation.”

Rule 8VAC20-780-240-A.

8VAC20-780-510-P

“When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. The medication authorization for child #11 expired four months ago. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have, within 90 days of employment, current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration. Staff #5, alone with a group of children on October 6, 2025, did not have certification in CPR.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have, within 90 days of employment, current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. Staff #5, alone with a group of children on October 6, 2025, did not have certification in first aid.”

Rule 8VAC20-780-530-A-2.

22.1-289.035-B-3

Rule 22.1-289.035-B-3.

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record of staff #7, employed for 94 days did not contain documentation of completion of the Virginia Department of Education-sponsored orientation.”

Rule 8VAC20-780-240-A.

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Child 2M had a prescription emergency medication, Albuterol Inhaler, at the center. There was no medication authorization form available to staff for emergency medication for child #7. The medication had not been administered.”

Rule 8VAC20-780-510-F.

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. The record of staff #3, employed for four months, did not contain a second reference that was checked before employment. Documentation of two or more references as to character and reputation as well as competency are required to be checked before employment or volunteering.”

Rule 8VAC20-780-70.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #9, contained documentation of immunizations dated three days after the first day of attendance.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record of child #7, under two years of age, did not contain documentation of additional immunizations. The most recent immunizations were documented a year ago.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #3, who had been enrolled for five months.”

Rule 8VAC20-780-140-A.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. The record of child #3 did not contain work phone number and place of employment of each parent who has custody.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center did not ensure to request 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 by the end of the 30th day of employment for two staff as required.

“Evidence: 1. The records of staff #1 (date of employment: 1/17/2024) and staff #3 (date of employment: 2/12/2024) contained sworn statements that indicated that the staff had resided outside of Virginia within the preceding 5 years. The records did not contain an out of state central registry request. 2. Administration acknowledged that the requests had not been completed.”

Rule 22.1-289.035-B-4.

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

“Evidence: 1. On the infant/toddler playground, an area of the poured-in-place ground covering was observed that had a 10 inch wide and 4 inch deep gap that posed a tripping hazard. 2. Administration acknowledged that the areas required maintenance.”

Rule 8VAC20-780-270-A.

Based on a review of documentation and interview, the center did not ensure to operate in compliance with their medication policies and procedures as required.

“Evidence: 1. The center had an emergency long term medication for child #4 that expired 2/2024. Centers are required to have a procedure to include methods to prevent use outdated medication. The center’s handbook stated that expiration dates would be checked. The administrator stated that this procedure included a check by both staff and parents. 2. Administration acknowledged that the medication expiration date was not checked and that the medication had expired.”

Rule 8VAC20-780-40-E.

Based on a review of officer records and interview, the center did not ensure to obtain a repeat central registry finding for two (2) officers of the LLC every five (5) years as required.

“Evidence: 1. The record of officer #1 contained a central registry finding dated 3/28/18. 2. The record of officer #2 contained a central registry finding dated 11/28/2017. 3. Administration acknowledged that they had not obtained the repeat central registry finding for the officers.”

Rule 22.1-289.036-A.

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

“Evidence: 1. In a toddler classroom (ages 18-24 months) a cannister of Clorox wipes was observed in an unlocked cabinet. The wipes contained the warnings hazard and caution to humans and domestic animals. In a preschool classroom (ages three-fours) a spray bottle of bleach water was observed. 2. Administration acknowledged that the cleaners were not locked.”

Rule 8VAC20-780-280-B.

Based on a review of documentation and interview, the center did not ensure to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: 1. A snack calendar was reviewed on 5/11/2023. The menu listed am and pm snacks for the month of May. During the week labeled, 5/1-5/5, five (5) of the snacks did not contain two (2) components. Snacks are required to contain two (2) of five (5) components. The components are milk, meat/meat alternatives, vegetables, fruits, and grains. 2. Administration acknowledged that the snacks did not meet the requirements.”

Rule 8VAC20-780-560-F.

Based of a review of nine (9) staff records and interview, the center did not ensure to complete a fingerprint background check for one (1) staff prior to the first date of employment as required.

“Evidence: 1. The record of staff #9 (date of employment: 5/23/2022) contained a fingerprint background check dated 5/26/2022. 2. Administration acknowledged that the fingerprint results were received after the first date of employment.”

Rule 22.1-289.035-B-2.

Based on a review of nine (9) staff records and interview, the center did not ensure that one (1) staff had the required out of state background checks within the required time frames.

Rule 22.1-289.035-B-4.

Based on a review of nine (9) staff records and interview, the center did not ensure to obtain a central registry finding for four (4) staff by the end of the 30th date of employment as required.

“Evidence: 1. The record of staff #3 (date of employment: 9/12/2022) did not contain a central registry finding. The record of staff #6 (date of employment: 10/17/2022) contained a central registry finding dated 11/22/2022. The record of staff #8 (date of employment: 7/27/2022) contained a central registry finding dated 9/4/2022. The record of staff #9 (date of employment: 5/23/2022) contained a central registry finding dated 7/14/2022. 2. Administration acknowledged that the findings were not received by the 30th day of employment.”

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

Based on a review of nine (9) staff records and interview, the center did not ensure that nine (9) staff members submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Documentation must have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

Rule 8VAC20-780-160-A.

Based on a review of nine (9) staff records and interview, the center did not ensure that two (2) staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. The record of staff #7 (date of employment: 8/22/2022) did not contain documentation that the course had been completed. The record of staff #8 (date of employment: 7/27/2022) did not contain documentation that the course had been completed. 2. Administration acknowledged that the staff had not completed the required orientation course.”

Rule 8VAC20-780-240-A.

Based on a review of nine (9) staff records and interview, the center did not ensure that within 30 days of the first date of employment, two (2) staff completed the required orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care.

“Evidence: 1. The record of staff #3 (date of employment: 9/12/2022) did not contain documentation of CPR and first aid orientation. The record of staff #6 (date of employment: 10/17/2022) did not contain documentation of CPR and first aid orientation. 2. Administration acknowledged that the CPR and first aid orientation had not been completed within the 30 days.”

Rule 8VAC20-780-240-E.

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

“Evidence: 1. In eight (8) classrooms, rest mats were observed with rips and tears that exposed the foam cushioning. In the preschool room, two (2) children’s arm chairs were observed with torn fabric. Areas of chipped and peeling paint were observed in the toddler and toddler two classrooms. Rust was observed on the hinges of four (4) cribs in the infant room. 2. Administration acknowledged that the areas required maintenance.”

Rule 8VAC20-780-270-A.

Based on observation, a review of records and interview, the center did not ensure that in each grouping of children at least one staff member who met the qualifications of a program leader or program director was regularly present.

“Evidence: 1. In the preschool room staff #3 was observed working in single ratio with 10 children. Staff #3 was identified as an aide during interview as well as in the staff’s record. 2. Administration acknowledged that a lead was not present in the preschool room and that staff #3 regularly worked alone.”

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not ensure that at least one staff in each classroom or area where children were present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: 1. In the preschool classroom, staff #3 was observed working alone with 10 children. Staff #3 stated that she was not CPR certified. 2. Administration acknowledged that staff #3 was not CPR certified.”

Rule 8VAC20-780-530-A-1.

Based on observation and interview, the center did not ensure that at least one staff in each classroom or area where children were present had current certification in certification in first aid.

“Evidence: 1. In the preschool classroom, staff #3 was observed working alone with 10 children. Staff #3 stated that she was not first aid certified. 2. Administration acknowledged that staff #3 was not first aid certified.”

Rule 8VAC20-780-530-A-2.

Based on a review of documentation and interview, the center did not ensure to implement a monthly practice evacuation drill.

“Evidence: 1. The center’s drill logs were reviewed. An evacuation drill was not documented in November of 2022. 2. Administration stated that an evacuation drill had not been completed in November.”

Rule 8VAC20-780-550-D.

Based on a review of nine (9) staff records and interview, the center did not ensure that complete records were kept for eight (8) staff.

Rule 8VAC20-780-70.

Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of a repeat central registry for 1 staff every 5 years as required.

“Evidence: 1. The record of staff #9 (DOH:4/28/2005) contained a central registry dated 10/19/2016. 2. Administration acknowledged that the repeat central registry had not been received.”

Rule 22.1-289.035-A.

Based on a review of staff staff records and interview, the center did not ensure to obtain the results of a fingerprint background check for 1 staff prior to the first date of employment as required.

“Evidence: 1. The record of staff #4 (DOH:1/6/2022) contained a portability approval for a fingerprint check dated after hire on 1/19/2022. 2. Administration acknowledged that the background check results were received after the first date of employment.”

Rule 22.1-289.035-B-2.

Based on a review of 10 staff records and interview, the center did not ensure to obtain the results of an out of state sex offender background check from any state in which the individual has resided in the preceding five years prior to hire for 1 staff as required. Staff hired prior to 7/1/2020 had until 12/31/2020 to comply with the out of state background check requirements.

“Evidence: 1. The record of staff #7 (DOH: 8/12/2019) contained a sworn statement that indicated they had resided outside of the state within the preceding 5 years. The record did not contain and out of state sex offender check. 2. Administration acknowledged that the check was missing.”

Rule 22.1-289.035-B-4.

Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of a central registry background check for 2 staff within 30 days of employment as required.

“Evidence: 1. The record of staff #6 (DOH:9/8/2021) contained a central registry dated 12/22/2021. The record of staff #8 (DOH:10/25/2021) contained a central registry dated 12/22/2021. 2. Administration acknowledged that the background checks had not been received within the required frame.”

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

Based on a review of 10 children’s records and interview, the center did not ensure to obtain documentation that 1 child had received the immunizations required by the State Board of Health before the child’s first date of enrollment.

“Evidence: 1. The record of child #9 (DOE:9/7/2021) contained an immunization record dated 9/10/2021. 2. Administration acknowledged that the record was received after the first date of enrollment.”

Rule 8VAC20-780-130-A.

Based on a review of 10 children’s records and interview, the center did not ensure to obtain documentation of additional immunizations once every six months for children under the age of two years for 1 child as required.

“Evidence: 1. The record of child #2 (DOE:8/18/2021) contained one immunization record dated 8/11/2021. The record did not contain updated immunizations. 2. Administration acknowledged that updated immunizations had not been obtained.”

Rule 8VAC20-780-130-E.

Based on a review of 10 children’s records and interview, the center did not ensure to obtain a physical examination by or under the direction of a physician: Before the child’s attendance; or within 30 days after the first day of attendance for 1 child a required.

“Evidence: 1. The record of child #7 (DOE: 1/3/2022) did not contain documentation of a physical examination. 2. Administration acknowledged that the document had not been obtained.”

Rule 8VAC20-780-140-A.

Based on a review of 10 staff records and interview, the center did not ensure that 1 staff had a tuberculosis (TB) screening that was completed within the last 30 calendar days of the date of employment as required.

“Evidence: 1. The record of staff #1 (DOH:1/17/2022) contained a TB screening dated 1/2/2021. 2. Administration acknowledged that the screening was not completed within 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A-2.

Based on a review of 10 staff records and interview, the center did not ensure to obtain documentation of the Virginia Department of Education-sponsored orientation within 90 calendar days of employment for 5 staff as required.

“Evidence: 1. The records of staff #1 (DOH:1/17/2022), staff #2 (DOH:11/29/2021), staff #3 (DOH:1/26/2022), staff #4 (DOH:1/6/2022) and staff #8 (DOH:10/25/2021) did not contain documentation of the Virginia Department of Education-sponsored orientation course. 2. Administration acknowledged that the staff did not complete the training.”

Rule 8VAC20-780-240-A.

Based on a review of 10 staff records and interview, the center did not ensure that 3 staff annually completed 16 hours of training appropriate to the age of children in care as required.

“Evidence: 1. The records of staff #5 (DOH:5/17/2019), staff #7 (DOH:8/12/2019) and staff #9 (DOH:4/28/2005) did not contain record of 16 hours of annual training. 2. Administration acknowledged that the staff had not completed the required annual training.”

Rule 8VAC20-780-245-A.

Based on record review and interview, the center did not ensure that there was always at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: 1. Administration stated that they did not have staff with current Daily Health Observation training.”

Rule 8VAC20-780-245-L.

Based on record review and interview, the center did not ensure to obtain annual approval from the health department, or approvals of a plan of correction, for meeting requirements for: water supply; sewage disposal system; and food service, if applicable.

“Evidence: 1. The last documented health inspection was dated 12/14/2020. 2. Administration acknowledged that an annual approval report from 2021 had not been obtained.”

Rule 8VAC20-780-260-B.

Based on observation and interview, the center did not ensure to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: 1. A current dated list of children with diagnosed allergies was not observed in each room where children were present. Administration identified children in care with diagnosed food allergies. 2. Administration acknowledged that a current dated list was not kept in each room.”

Rule 8VAC20-780-40-M.

Based on record review and interview, the center did not ensure to obtain out of state background checks for one staff during the required time frames.

“Evidence: 1. The record of staff #4 (DOH: 09/29/2021) contained a sworn statement that indicated that the staff member resided outside of the state within the preceding 5 years. 2. The record did not contain the results of an out of state child abuse and neglect registry. 3. The record contained the results of an out of state criminal history name check dated after the first date of employment on 09/30/2021. 4. Administration acknowledged that the background checks were not obtained during the required time frames.”

Rule 63.2(17)-1720.1-B-4.