Chesterbrook Academy #816

After the first license, annual approval from the health department shall be provided for meeting requirements for water supply and sewage disposal system.

“Documentation provided by the center indicated that the most recent sanitation inspection was completed over two years ago.”

Rule 8VAC20-780-260-B.

High chairs, infant carrier seats, or feeding tables shall be used for children under 12 months who are not held while being fed.

“Child #8 (age: 11 months) was observed laying on a nursing pillow while drinking a bottle.”

Rule 8VAC20-780-570-A.

No child shall be allowed to drink or eat while walking around.

“Child #8 (age: 2 years) was observed getting up from a table with a graham cracker in their hand and walking over to the carpet area. Child #8 then put the graham cracker in their mouth and began running around in circles. Staff #7 was made aware that the child had food in their mouth. Staff #7 also alerted the other staff in the classroom.”

Rule 8VAC20-780-560-M.

Repeat violation

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis (TB) screening. Staff #3’s subsequent TB screening is overdue by 12 days.”

Rule 8VAC20-780-160-C.

Repeat violation/ systemic deficiency

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies. Documentation in Child #2’s record, provided at the time of enrollment, indicates a food allergy. At the time of inspection, Child #2 was not listed on the allergy lists (dated 01/05/26) posted in the center’s classrooms. Child #2 has been enrolled for 17 days.”

Rule 8VAC20-780-40-M.

Repeat violation/ systemic deficiency

Rule 8VAC20-780-510-P.

Repeat violation/ systemic deficiency

“Each center shall maintain a record for each child enrolled which shall include a written care plan for each child with a diagnosed food allergy. Child #1’s (age: 3 years) record indicates a food allergy. Staff #1 confirmed that they were notified of the child’s allergy upon enrollment. The center does not have a written care plan on file. Child #1 has been enrolled for 11 months.”

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

Notice of the superintendent’s intent to revoke the license of a child day program shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations.

“A Notice of Intent to Revoke the License was issued to the center on February 5, 2026. At the time of inspection, the Notice of Intent was not posted.”

Rule 8VAC20-821-270-6-c.

Systemic deficiency

Rule 22.1-289-036-B-4.

Once at least half of the children in the resting room or area are awake and off their mats or cots, the staff-to-children ratio shall meet the ratios as required in subsection B of this section.

“On January 20, 2026, from approximately 2:45 p.m. to 2:50 p.m., 10 children were observed awake and off of their cots in Classroom #1. There were a total of 20 children, ages 2 years old, with 2 staff exceeding the required 1:8 ratio.”

Rule 8VAC20-780-350-L.

There shall be at least 12 inches of space between occupied cots.

“Cots occupied by Child #6, Child #7 and Child #8 were placed less than 12 inches apart, touching at one end. Cots occupied by Child #9 and Child #10 were placed 4 1/2 inches apart.”

Rule 8VAC20-780-440-E.

Repeat violation/ systemic deficiency

Rule 8VAC20-780-510-P.

Repeat violation/ systemic deficiency

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child’s identity and age. Child #3’s record did not contain documentation of viewing proof of the child’s identity and age. Child #3 has been enrolled for five months.”

Rule 8VAC20-780-60-A.

Repeat violation

“Each center shall maintain a record for each child enrolled which shall include a written care plan for each child with a diagnosed food allergy. Child #4’s (age: 2 years) physical examination dated August 13, 2025, indicates a diagnosed food allergy. The center does not have a written care plan on file. Child #4 has been enrolled for 2 years.”

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

The following staff records shall be kept for each staff person: documentation of orientation.

“Staff #1’s record did not contain documentation of orientation that included facility specific topics. Staff #1 has been employed for 15 days.”

Rule 8VAC20-780-70.

Repeat violation

Rule 8VAC20-780-40-M.

Medication shall be labeled with the dosage amount and the time or times to be given.

“A medication belonging to Child #3 was not labeled with the dosage amount and the time or times to be given.”

Rule 8VAC20-780-510-G.

Repeat violation

Rule 8VAC20-780-510-P.

Repeat violation/ systemic deficiency

Rule 22.1-289.035-B-3.

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed a training course developed or approved by the Department of Education in consultation with the Department of Health and the Board of Nursing.

“Child #6 (age: 13 months) has been prescribed an emergency medication that is kept at the center. No staff at the center have satisfactorily completed a training course to administer the emergency medication.”

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

Repeat violation/systemic deficiency

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child’s identity and age. Child #1’s record did not contain documentation of viewing proof of the child’s identity and age. Child #1 has been enrolled for three months.”

Rule 8VAC20-780-60-A.

Repeat violation

Rule 8VAC20-780-340-A.

Repeat violation

Rule 8VAC20-780-340-F.

Repeat violation/ systemic deficiency

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. On September 23, 2025, Staff #2, Staff #3 and Staff #4 worked together on the playground with a group of children. Staff #2, Staff #3 and Staff #4 do not have current certification in CPR and first aid.”

Rule 8VAC20-780-530-A.

The center shall maintain a written record of children’s minor injuries which shall include the following: time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures.

“Documentation of an injury received by Child #1 did not contain time of injury, staff present, any future action to prevent recurrence of the injury, and staff and parent signatures or two staff signatures.”

Rule 8VAC20-780-550-P. From a complaint.

Repeat violation/ systemic deficiency

“The child day center must request a copy of the results of a search of the child abuse and neglect registry prior to employment and staff must be supervised at all times by an individual with all required background checks until they have received all required results. On September 15, 2025, Staff #2 worked with a group of children and was not supervised at all times by an individual with all background checks. Staff #2 has been employed for over 5 months.”

Rule 22.1-289.035-B-3.

When staff are supervising children, they shall always ensure their care, protection and guidance.

“On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised. Staff #1 and Staff #2 were not aware that Child #1 was missing until the children got seated for lunch. At that time, Staff #5 was already returning Child #1 to the classroom.”

Rule 8VAC20-780-340-A.

Repeat violation

“In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. On September 15, 2025, starting at 9:16 a.m., Classroom #1 was staffed with teachers who do not meet lead teacher qualifications. Staff #1, Staff #2 and Staff #4 worked at various times in the classroom together and alone throughout the remainder of the day.”

Rule 8VAC20-780-340-D.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On September 15, 2025, Staff #3 found Child #1 (age: 13 months) alone in the hallway, unsupervised.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures.

Rule 8VAC20-780-40-E.

Repeat violation

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid. On September 15, 2025, Staff #1, Staff #2 and Staff #4 worked in Classroom #1 at various times during the day and do not have current certification in CPR and first aid.”

Rule 8VAC20-780-530-A.

Repeat violation

Rule 22.1-289.035-B-3.

Repeat violation/ systemic deficiency

Rule 22.1-289.035-B-4.

Repeat violation/ systemic deficiency

“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 center did not obtain documentation of immunizations for Child #7 before the child could attend the center. Child #7 has been attending the center for five months.”

Rule 8VAC20-780-130-A.

Repeat violation/ systemic deficiency

“Each child shall have a physical examination within 30 days after the first day of attendance. Child #1 does not have a physical examination on file. Child #1 has been enrolled for ten months. Child #3 does not have a physical examination on file. Child #3 has been enrolled for over two years. Child #7 does not have a physical examination on file. Child #7 has been enrolled for five months.”

Rule 8VAC20-780-140-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #3 did not complete the Virginia Department of Education-sponsored orientation course. Staff #3 has been employed for five months. Staff #5 did not complete the Virginia Department of Education-sponsored orientation course. Staff #5 has been employed for four months.”

Rule 8VAC20-780-240-A.

Staff shall complete orientation training no later than seven days of the date of assuming job responsibilities.

“Staff #4 completed orientation training 17 days after employment. Staff #5 completed orientation training 10 days after employment.”

Rule 8VAC20-780-240-B.

Orientation training shall include all of the following facility specific topics: job responsibilities and to whom they report, policies and procedures listed in 8VAC20-780-420 A and the standards that relate to the staff member’s responsibilities, the center’s playground safety procedures, confidential treatment of personal information about children in care and their families, the center’s policies and procedures on the administration of medication, emergency preparedness and response planning for emergencies, prevention of sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, prevention of and response to emergencies due to food and other allergic reactions, and prevention and control of disease.

“Staff #2 and Staff #6’s orientation training did not include all required facility specific topics. Staff #2 has been employed for three months. Staff #6 has been employed for one month.”

Rule 8VAC20-780-240-C.

Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR).

“Staff #2 did not complete orientation training in first aid and CPR. Staff #2 has been employed for three months. Staff #3 did not complete orientation training in first aid and CPR. Staff #3 has been employed for five months.”

Rule 8VAC20-780-240-E.

Repeat violation

“Areas and equipment of the center, inside, shall be maintained in a safe condition. There was chipped and peeling paint in multiple areas in two classrooms, within reach of children.”

Rule 8VAC20-780-270-A.

In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present.

“At the time of inspection, Staff #1, Staff #2 and Staff #6 were working together in a classroom. Staff #1, Staff #2 and Staff #6 do not meet the qualifications of a program leader. At the time of inspection, Staff #7 was working alone in a classroom. The assigned lead teacher for the classroom was assisting in a different classroom. Staff #7 does not meet qualifications of a program leader.”

Rule 8VAC20-780-340-D.

Repeat violation

“The written list of children’s allergies and dietary restrictions shall be kept confidential. Written lists of children’s allergies and dietary restrictions in two classrooms were not kept confidential.”

Rule 8VAC20-780-40-M.

At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and current certification in first aid.

“Classroom #1, #2, and #3 did not have at least one staff present who has current certification in CPR and first aid. There were children present at the time of inspection.”

Rule 8VAC20-780-530-A.

Repeat violation/ systemic deficiency

Rule 8VAC20-780-60-A.

At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis (TB) screening.

“Staff #4’s follow-up TB screening is overdue by two weeks. Staff #5’s follow-up TB screening is overdue by 17 months.”

Rule 8VAC20-780-160-C.

Areas of the center, inside, shall be maintained in a safe condition.

“There was chipped paint on walls in four classrooms. Two of the four classrooms also had peeling paint on walls within reach of children.”

Rule 8VAC20-780-270-A.

The center shall maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“The allergy lists posted in each classroom were outdated. Child #4 is listed as having a food allergy, however Staff #4 confirmed that the child has outgrown the allergy. Child #7 is listed as having a food allergy, however Staff #4 confirmed that the child does not have an allergy. Child #8 is listed as having a food allergy, however Staff #4 confirmed that the child is no longer enrolled.”

Rule 8VAC20-780-40-M.

Documentation shall be maintained of emergency evacuation drills.

“At the time of inspection, there was no documentation of evacuation drills for December 2024 or January 2025.”

Rule 8VAC20-780-550-G.

Each center shall maintain a record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy.

“Child #’1’s record indicates multiple food allergies. Child #1 has been enrolled for over two months and does not have a written care plan on file. Child #9’s record indicates multiple food allergies. Child #9 has been enrolled for over two years and does not have a written care plan on file.”

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

Repeat violation/systemic deficiency

“The staff-to-children ratios for children ages birth up to 16 months are required whenever children are in care. On November 21, 2024 at approximately 9:01 a.m., the younger infants classroom had 9 infants present with 2 staff, exceeding the 1:4 ratio. At approximately 9:11 a.m., the older infants classroom had 6 infants present with 1 staff exceeding the 1:4 ratio. At approximately 9:27 a.m., the Toddlers classroom had 10 children present, including Child #1 (age:15 months), with 2 staff, exceeding the 1:4 ratio.”

Rule 8VAC20-780-350-B-1. From a complaint.

Systemic deficiency

“The staff-to-children ratios for children ages 2 years old are required whenever children are in care. On November 21, 2024, at approximately 8:36 a.m., the Beginners classroom (two year old classroom) had 11 children present with 1 staff, exceeding the 1:8 ratio.”

Rule 8VAC20-780-350-B-3. From a complaint.

Repeat violation/systemic deficiency

“The staff-to-children ratios for children ages 3 years old to school age eligible are required whenever children are in care. On November 21, 2024, at approximately 9:02 a.m., the Intermediates classroom (three year old classroom) had 15 children present with 1 staff, exceeding the 1:10 ratio. At approximately 9:05 a.m., the Pre-K classroom (ages: 4 to 5 years) had 23 children present with 2 staff, exceeding the 1:10 ratio.”

Rule 8VAC20-780-350-B-4. From a complaint.

Repeat violation/ systemic deficiency

“The center is required to have employees undergo a background check every five years. The central registry check for Staff #3 is overdue by 12 weeks. The central registry check for Staff #5 is overdue by 8 months.”

Rule 22.1-289.035-A.

The center must request a search of the central registry prior to the employee’s first day of employment.

“The center did not have documentation showing that a central registry search was requested for Staff #2, who has been employed for two months.”

Rule 22.1-289.035-B-3.

Repeat violation/ systemic deficiency

“The center is required to request background checks from any state in which the individual has resided in the preceding five years. The center did not have documentation that a search of the child abuse and neglect registry and sex offender registry was requested from one state for Staff #2, who has been employed for two months.”

Rule 22.1-289.035-B-4.

Repeat violation

“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 center did not obtain documentation of immunizations for Child #2 and Child #3. Child #2 has been attending the center for 10 days and Child #3 has been attending for one year.”

Rule 8VAC20-780-130-A.

Repeat violation

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days of the first day of attendance. Child #3 and #6 did not have a physical examination on file. Child #3 has been attending the center for one year and Child #6 has been attending for 42 days.”

Rule 8VAC20-780-140-A.

Documentation of orientation training shall be kept by the center.

“The center did not have documentation of Staff #1?s Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-I.

Repeat violation

“The staff-to-children ratios are required whenever children are in care. There were 1 staff and 5 children, including Child #1 (age: 14 months), present in the Toddlers classroom, exceeding the required ratio of 1 staff to 4 children for children ages birth up to 16 months.”

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

The staff-to-children ratios are required whenever children are in care.

“There were 2 staff and 13 children, including Child #7 (age: 23 months), present in the Beginners classroom, exceeding the required ratio of 1 staff to 5 children for children ages 16 months up to 24 months.”

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

The staff-to-children ratios are required whenever children are in care.

“There were 2 staff and 23 children (ages: 4 to 5 years) present in the PreK-2 classroom, exceeding the required ratio of 1 staff to 10 children for children ages 3 years old up to school age eligible.”

Rule 8VAC20-780-350-B-4.

Repeat violation

Rule 8VAC20-780-510-P.

Repeat violation

“Each center shall maintain a separate record for each child enrolled which shall contain documentation of viewing proof of the child’s identity and age. Child #1 and #2?s records did not contain documentation of viewing proof of the child’s identity and age. Child #1 has been enrolled for 11 months and Child #2 has been enrolled for 10 days.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members. Evidence: 1. Staff #2’s most recent fingerprint results were dated 04/27/2018. 2. Staff #2’s most recent central registry results were dated 07/03/2018. 3. Staff #5?s most recent fingerprint results were dated 02/26/2018.”

Rule 22.1-289.035-A.

Repeat violation

“Based on record review, the center did not obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry record check for a staff member, from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #3?s (Hire Date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years. 2. Staff #3?s record did not contain results of out-of-state search of the child abuse and neglect registry.”

Rule 22.1-289.035-B-4.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center for 1 out of 6 children.

“Evidence: Child #5 (start date: 3/12/2024) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on record review, 2 out of 6 children did not 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.

“Evidence: 1. Child #4 (start date: 01/02/2024) did not have documentation of a physical examination. 2. Child #5 (start date: 03/12/2024) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on record review, the center did not ensure that immunization reports for 1 out of 6 children were be signed by a physician, his designee, or an official of a local health department.

“Evidence: Child #4’s (start date: 01/02/2024) immunization report was not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Based on record review, the center did not obtain a follow-up tuberculosis (TB) screening at least every two years from the date of the first initial screening or testing for 1 out of 5 staff.

“Evidence: Staff #5’s follow up TB screening was dated 05/09/2024. The previous TB screening was dated 09/03/21.”

Rule 8VAC20-780-160-C.

Repeat violation

Rule 8VAC20-780-270-A.

Based on observation of children in care, the center did not follow the maximum group size limitations of 12 for children between the ages birth up to 16 months.

“Evidence: The Toddler classroom had 13 children in care. The youngest child in care (Child #3) was 15 months old.”

Rule 8VAC20-780-350-A.

Based on observation, the center did not follow the required ratio of 1:4 (staff:children) for children aged between birth up to 16 months, whenever children are in care.

“Evidence: The toddler classroom had 13 children, including Child #3 (age: 15 months), in care during nap time with one staff member, exceeding the 1:4 ratio.”

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

Repeat violation

“Based on review of records, the daily records posted for each infant did not contain all the required information. Evidence: Child #5’s (age: 4 months) daily records on 05/16/2024, 05/17/2024, and 05/20/2024 did not contain the amount of time the child spent on their stomach.”

Rule 8VAC20-780-420-E-1.

Based on observation and record review, when an authorization for medication expired, 3 medications that were not picked up within 14 days were not disposed of by the center.

“Evidence: 1. The authorization for a medication belonging to Child #7 expired on 07/13/2023. The center did not dispose of the medication. 2. The authorization for a medication belonging to Child #8 expired in July 2023. The center did not dispose of the medication. 3. The authorization for a medication belonging to Child #9 expired on 08/22/2023. The center did not dispose of the medication.”

Rule 8VAC20-780-510-P.

Repeat violation

“Based on observation, over-the-counter skin products were kept beyond the expiration date of the product. Evidence: A diaper cream that expired in February 2024 was kept in the Toddler room.”

Rule 8VAC20-780-520-A.

Repeat violation

“Based on record review, 2 out of 6 children’s records did not contain all information. Evidence: 1. Child #2’s most recent documented annual update was dated 02/06/2023. 2. Child #6’s most recent documented annual update was dated 09/19/2022.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to obtain updated background checks every five years for 2 out of 5 staff members.

“Evidence: 1. Staff #4?s most recent fingerprint results were dated 06/05/2018. 2. Staff #5?s most recent fingerprint results were dated 04/11/2018. 3. Staff #5?s most recent sworn disclosure statement was dated 03/16/2018.”

Rule 22.1-289.035-A.

Based on record review, the center failed to obtain a copy of the results of a criminal history record check for a staff member, from any state in which the individual has resided in the preceding five years, prior to employment.

“Evidence: 1. Staff #2?s (hire date: 06/13/2023) sworn disclosure statement indicates that the staff member has resided out of state in the preceding five years. 2. Staff #2?s record did not contain results of out-of-state criminal history record checks.”

Rule 22.1-289.035-B-4.

Based on record review, the center did not have a central registry finding within 30 days of employment for 1 out of 5 staff members.

“Evidence: Staff #1?s (hire date: 03/27/2023) record did not contain a central registry finding.”

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

Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #3?s (age: 17 months) most recent immunization record was dated 05/09/2022.”

Rule 8VAC20-780-130-E.

Based on observation, over-the-counter skin products were kept beyond the expiration date of the product.

“Evidence: 1. A sunscreen belonging to Child #7 expired June 2023. 2. A sunscreen belonging to Child #8 expired December 2022. 3. A healing ointment belonging to Child #9 expired August 2022. 4. A diaper cream belonging to Child #9 expired June 2023. 5. A healing ointment belonging to Child #10 expired May 2023.”

Rule 8VAC20-780-520-A.

Based on record review, not all requirements for sunscreen were met.

“Evidence: The center did not have written parent authorization for sunscreens belonging to Child #11 and Child #12.”

Rule 8VAC20-780-520-B.

Based on record review, not all requirements for diaper ointment or cream were met.

“Evidence: The center did not have written parent authorization for a diaper cream belonging to Child #7.”

Rule 8VAC20-780-520-C.

Based on record review, the center did not ensure that all information was included on 5 out of 5 injury reports reviewed.

Rule 8VAC20-780-550-P.

Based on record review, the center did not ensure that all employees submit to fingerprinting and obtain results prior to employment.

“Evidence: At the time of inspection, Staff #2 (start date: 01/30/2023) did not have documentation of fingerprinting results on file.”

Rule 22.1-289.035-B-2.

Based on record review, not all staff members submitted documentation of a negative tuberculosis screening at the time of employment.

“Evidence: At the time of inspection, Staff #1 (start date: 12/19/2022) did not have documentation of a negative tuberculosis screening on file.”

Rule 8VAC20-780-160-A.

Based on observation, areas of center, inside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. There was chipped paint on the wall of the Pre-K 2 bathroom. 2. There was chipped paint and torn drywall by the calendar, circle time sign and closet in the Pre-K 2 classroom. 3. There was chipped floor tiling by the exit door in the Intermediates classroom. 4. There was chipped paint by the calendar and under the bulletin board in the Pre-K 1 classroom. 5. There was chipped paint and torn drywall above the soap dispenser in the Pre-K 1 bathroom.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies.

“Evidence: 1. Child #6 has a peanut allergy and Child #7 has a sunflower seed allergy. 2. The allergy lists posted in the classrooms (dated: 10/14/2022) did not list Child #6?s allergy or Child #7?s sunflower seed allergy.”

Rule 8VAC20-780-40-M.

Based on staff interview, daily records for each infant did not contain all required information.

“Evidence: Staff #3 stated that they had not been documenting, for infants who are awake and cannot turn over by themselves, the amount of time spent on their stomachs.”

Rule 8VAC20-780-420-E-1.

Based on record review and staff interview, the center did not implement practice evacuation drills monthly.

“Evidence: 1. The most recent evacuation drill was dated 10/24/2022. 2. Staff #1 stated that staff were re-trained on emergency drills and will begin implementing them monthly.”

Rule 8VAC20-780-550-D.

Based on record review and staff interview, the center did not obtain all information for children’s records.

“Evidence: 1. Staff #1 stated that Child #6 has a peanut allergy. 2. The record for Child #6 did not include a written allergy care plan.”

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

Based on interview and review of the center’s video footage, when staff were supervising children, they did not always ensure their care and protection.

Rule 8VAC20-780-340-A.

Based on interview and review of the center’s video footage, a child under 10 years of age was not within actual sight and sound supervision of staff at all times.

Rule 8VAC20-780-340-F.

Based on attendance record review and staff interview, the staff-to-children ratios were not always maintained whenever children were in care.

“Evidence: 1. After reviewing the paper and electronic attendance records, it was determined that on 09/27/2022 the Pre-K 1 (3 year old classroom) had a ratio of one staff member with eleven children, leaving the classroom out of ratio. 2. Staff #1 stated that they were the only teacher in the classroom with 11 children.”

Rule 8VAC20-780-350-B-4.

Based on staff interview and policy review, staff failed to follow the center’s own policies and procedures on Face-to-Name transition.

“Evidence: 1. The center has a Face-to-Name Transition and Attendance procedure that states ?a Face-to-Name Transition must be conducted and documented for all group and individual transitions.? Staff #1 signed a copy of this written procedure on 11/25/2019. 2. Staff #1 lined up their children to transition them from Pre-K 1 to the Intermediate classroom for nap time. 3. Staff #1 stated that they did not conduct the Face-to-Name transition prior to moving the children from the Pre-K 1 classroom to the Intermediate classroom.”

Rule 8VAC20-780-40-E.

8VAC20-780-440-B

“Based on observation, not all cots are identified for use by a specific child. Evidence Cots located in the Intermediates and Beginners classrooms were not all labeled for individual use.”

Rule 8VAC20-780-440-B.

8VAC20-780-500-B

“Based on observation the diapering surface was not cleaned with soap and at least room temperature water and sanitized after each use. Evidence The diapering surface was sanitized after each use, but was not cleaned first.”

Rule 8VAC20-780-500-B.