Annandale Children’s Learning Center

The ratio for infants from birth up to 16 months is 1:4 (staff:children).

“Staff #1 was observed standing in the open gate connecting the infant and toddler classrooms to supervise all children. There was a total of 5 children, including 2 infants, which require a 1:4 ratio at all times. All children were within sight and sound supervision, however, the ratio for the youngest age group was not being followed.”

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

**REPEAT VIOLATION** Pillows and filled comforters are not be used by children under two years of age.

“Infant #1 was observed to be sleeping in a crib with a blanket completely covering the infant from head to toe. Infant #2 was observed to be sleeping in a crib with two blankets on top of the infant.”

Rule 8VAC20-780-440-L.

Areas and equipment of the center, inside and outside, are required to be maintained in a clean, safe and operable condition.

“In the Toddler classroom, there was a white cabinet under the sink area that was broken. One hinge on the left of the cabinet door was completely detached from the side of the cabinet, causing the cabinet door to fall off and hang.”

Rule 8VAC20-780-270-A.

Children under two years of age should not use pillows and filled comforters.

“Child #2 was observed sleeping in a crib with a blanket in the crib with the child.”

Rule 8VAC20-780-440-L.

The center shall maintain and keep a separate record for each child at the center that contains 2 emergency contacts with name, address and phone number.

“Child #5 was missing the name, address and phone number for 1 of 2 required emergency contacts.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, 1 out of 5 staff did not submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing.

“Evidence: 1. Staff #5’s last tuberculosis screening results were dated 7/1/2022 and they expired on7/1/2024. There was no documentation of a (current) subsequent tuberculosis screening on file at the time of the inspection.”

Rule 8VAC20-780-160-C.

Based on a review of children’s records, 1 out of 2 records reviewed did not contain the required information.

“Evidence: 1. Child #1’s last required annual updated of emergency information was dated 4/26/2023. The child record, which contains the child’s emergency information, must be updated annually.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review, the center did not ensure to obtain fingerprint-based criminal history check determination letter prior to first day of employment for one staff member. Evidence: 1) Staff #2 (doh: 2/13/2023) had a fingerprint results determination letter on file that was dated 2/21/2023.”

Rule 22.1-289.035-B-2.

Based on observation and staff interview, one staff member who works directly with children was not capable of communicating with emergency personnel.

“Evidence: 1. Staff #2 (doh: 2/13/2023) was unable to demonstrate the ability to communicate with emergency personnel, if necessary.”

Rule 8VAC20-780-180-B.

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

“Evidence: 1. The half door leading into the Toddler/Two’s classroom was not working properly during the time of the inspection. The door was dragging on the ground, not locking properly, and had peeling paint on the bottom of the door.”

Rule 8VAC20-780-270-A.

Based on observation, staff did not maintain the required staff to child ratios in the Toddler/Two’s room.

“Evidence: 1. At approximately 10:28am, it was observed that there was 1 staff member in the toddlers/twos (ages 18 months-2 years old) classroom with 8 children, until approximately 10:31am, when a second staff member came into the classroom. The classroom was out of ratio for approximately 3 minutes.”

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

Based on a review of staff records, 2 out of 2 staff did not have a central registry finding within 30 days of employment.

“Evidence: 1. Staff #1 (doh: 7/12/2022) had a central registry finding on file that was dated 8/21/2022. 2. Staff #2 (doh: 4/1/2022) had a central registry finding on file that was dated 5/6/2022.”

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

Based on a review of staff records, 1 out of 2 staff members did not submit a negative tuberculosis screening by day 1 of employment or 30 days prior to employment.

“Evidence: 1. Staff #2 (doh: 4/1/2022) had a TB screening dated 5/15/2022 on file during the inspection.”

Rule 8VAC20-780-160-A.

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

“Evidence: 1. The metal gazebo on the playground was observed to be rusted, missing nails, broken in one area, and wobbly. 2. The wooden play structure on the playground was observed to have protruding, loose nails and broken/splintering pieces of wood.”

Rule 8VAC20-780-270-A.

Based on observation, the 3 year old class was not within the allotted staff to child ratio.

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

Based on observation, bottles were used while a child was in his designated sleeping location.

“Evidence: 1. Child #2 was observed to be drinking a bottle in their crib when the inspector entered the infant classroom.”

Rule 8VAC20-780-570-B.

Based on a review of staff records, 1 of 2 staff members did not have a TB screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff #2 (doh: 4/4/2022) did not have a tuberculosis screening on file during the time of the inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. Peeling and chipped paint was observed in the Preschool classroom (multiple areas on walls by carpet areas), in the Toddler classroom (the black strip underneath the sink cabinet), and in the cafeteria (blue paint on the wall near the cabinets). 2. The cafeteria floors had multiple food stains on the tiles throughout the room.”

Rule 8VAC20-780-270-A.

8VAC20-780-70

“Based on a review of staff records and staff interview, 1 of 2 staff records did not have documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. Staff #1 (doh: 4/4/2022) did not have documentation on file of two or more references as to character, reputation, and competency being checked prior to employment. 2. The Director confirmed that they have not checked 2 out of 2 required references for Staff #1 as of the time of the inspection.”

Rule 8VAC20-780-70.