Winwood Children’s Center- 856

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

“On 7/13/2026, Staff #1 and Staff #2 did not follow center procedures for name to face tracking during a transition which resulted in Child #1, age 2 years, being left alone in a vacant classroom for 10 minutes.”

Rule 8VAC20-780-340-A.

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

“Video footage revealed on 7/13/2026, during a transition from the playground to the classroom, Child #1, age 2 years, was left alone in a vacant classroom for 10 minutes. Staff #1 and Staff #2 were not aware the child had been left behind. Child #1 was discovered by Staff #3 who is not part of the classroom.”

Rule 8VAC20-780-340-F.

The following staff records shall be kept for each staff person: documentation that 2 or more references as to character and reputation were checked before employment.

“The record for Staff #1, employed for 45 days, contained 1 complete reference check. The second reference check form was blank.”

Rule 8VAC20-780-70.

The center is required to obtain background checks from any state in which the individual has resided in the preceding 5 years.

“The record for Staff #1, employed for almost 1 month, did not have documentation of requesting a search of the child abuse and neglect registry for each state the staff had resided in the preceding 5 years.”

Rule 22.1-289.035-B-4.

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

“On the date of the inspection, the center did not have documentation of a current environmental sanitiation inspection to check the water supply and sewage disposal system.”

Rule 8VAC20-780-260-B.

The sponsor shall maintain public liability insurance for bodily injury for each center site.

“Evidence of liability insurance had expired 3/23/2026. The effective date on the renewed policy was 5/15/2026.”

Rule 8VAC20-780-40-H.

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.

“Child #1 had emergency medication intended to be used for allergen exposure. On the date of the inspection, the allergy action plan and medication authorization had been expired for more than 30 days. The medication was on-site and had been expired since February 2026.”

Rule 8VAC20-780-510-P.

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

“4 out of 6 classrooms observed had rugs that were rippling and curling at the edges, posing a trippling hazard. The red couch in the School Age classroom had multiple rips that exposed the inner padding.”

Rule 8VAC20-780-270-A.

Staff shall always ensure the care, protection, and guidance of children.

“Child #1, age 5 years, has an Epi-Pen for a confirmed allergy. During the inspection, Staff #1 and #2 could not find the Epi-Pen in the childs classroom for review. The Epi-Pen was later found in the child’s previous classroom they had transitioned from approximately 2 months prior.”

Rule 8VAC20-780-340-A.

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

Rule 8VAC20-780-340-A.

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

“Based on video footage, Staff #1 did not maintain actual sight of two children, ages 6 and 8 years, in the library area of the school age classroom for approximately 13 minutes. Staff #1 was not aware the two children were engaging in inappropriate physical contact.”

Rule 8VAC20-780-340-F.

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 for Child #1, enrolled for almost one month, did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician prior to the first day of attendance or within 30 days after the first day of attendance.

“The record for Child #2, enrolled for almost two months, did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information.

“The record for Child #3, enrolled for three weeks, did not contain a second emergency contact.”

Rule 8VAC20-780-60-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.

“The Name to Face roster for Classroom #1 indicated there were 12 children in attendance but only 10 children were present. Staff #1 stated 2 children were moved to Classroom #2. The Name to Face roster for Classroom #2 did not document the arrival of the 2 children. For approximately 20 minutes, the record indicated there were 15 children in attendance when there were 17 present.”

Rule 8VAC20-780-80-A.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“REPEAT VIOLATION Based on interviews, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence On June 27, 2024, at approximately 10:00am staff #1 and #2, staff in the Preschool 2 classroom, and staff #3, staff in the Toddler classroom, exited the classroom leaving child #1 (age 32 months) alone in the room out of actual sight and sound supervision for approximately 60-90 seconds. Child #1 was left alone in the classroom.”

Rule 8VAC20-780-340-F.

8VAC20-780-240-E

“Based on review of staff records, the center did not ensure within 30 days of the first day of employment that staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence Staff #3, first day of employment 1/9/24, does not have documentation of completing orientation training in first aid and cardiopulmonary resuscitation (CPR).”

Rule 8VAC20-780-240-E.

8VAC20-780-420-E-3

“Based on review of children’s records, the center did not request at least annually parent confirmation that the required information in the child’s record is up to date. Evidence The record for child #1 did not have documentation at least annually of parental confirmation that the required information in the child’s records is up to date. Last annual update was 10/12/2022.”

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

8VAC20-780-520-C

“Based on observation, diaper ointment was not inaccessible to children. Evidence A tub of diaper ointment was located on the floor of the Pre K bathroom, making them easily accessible to the children.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-P

“Based on review of written record of children’s serious and minor injuries, not all records contained the required documentation. Evidence Not all written records of children’s serious and minor injuries contained when and how the parent was notified, or a plan to prevent the accident from occurring in the future.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Based on review of 5 staff records, not all records were complete. Evidence The record for staff #1 contained documentation of only 1 or the required 2 reference checks. The record for staff #2 did not contain documentation of 2 required reference checks.”

Rule 8VAC20-780-70.

Based on a review of staff records, the center did not ensure that one of three staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

“Evidence: Staff #2, first day of employment, 6/21/2023, did not have documentation on file of completing the Virginia Department of Education sponsored orientation course.”

Rule 8VAC20-780-240-A.

REPEAT VIOLATION Based on interviews with staff, the center did not ensure when staff are supervising children, they ensure their care, protection and guidance.

Rule 8VAC20-780-340-A.

Based on interviews with staff, the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

REPEAT VIOLATION Based on staff interviews, the licensee did not ensure that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards, resulting in a child being left unattended

Rule 8VAC20-780-40-E.

Based on interviews with staff, for each group of children, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence:

“Staff #1 and staff #2, the supervising staff in the Preschool 3 classroom stated that on the morning of 3/7/2024, there wasn’t an attendance sheet for the group documenting when children arrived or left the group. At approximately 10:10am, a staff member brought them an attendance sheet.”

Rule 8VAC20-780-80-A.

Based on interviews with staff, when staff was supervising children, they did not always ensure their care and protection. Evidence 1. On January 12, 2024, staff #1 used approximately one ounce of child #1’s bottle of breast milk to mix with child #2’s cereal.

“2. Staff #1 fed child #2 approximately 4 teaspoons of the cereal mixed with child #1’s breast milk. 3. Staff #2 observed child #2 bottle still in the bottle warmer and stopped staff #1 from feeding child #2 any more of the cereal. 4. Staff #1 did not always ensure the care and protection of child #2.”

Rule 8VAC20-780-340-A.

8VAC20-780-40-E

“Based on discussion with staff and review of employee handbook, the operational responsibilities of the licensee did not always ensure that the center’s own policies and procedures were maintained. Evidence Staff #1 used her cell phone in the classroom to take a picture of herself. Blurred pictures of children were observed in the background.”

Rule 8VAC20-780-40-E. From a complaint.

8VAC20-790-600-D-1

“Based on review of staff records, current certification in cardiopulmonary resuscitation (CPR) was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of CPR in their record for review.”

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

8VAC20-790-600-D-2

“Based on review of staff records, current certification in first aid was not available for review for all staff within 90 days of first day of employment. Evidence Staff #1 (date of hire 11/2022) does not a current certification of first aid in their record for review.”

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

8VAC20-780-130-A

“Based on review of 4 children’s records, 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. Evidence The record for child #2, first day of attendance 3/27/2023, does not contain documentation that the child has received the immunizations required by the State Board of Health.”

Rule 8VAC20-780-130-A.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence The hallway laundry closet door has a lock that is broken, making cleaning material accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-B

“Based on observations, hazardous substances such as cleaning supplies and other items were not kept in a locked place using a safe locking method that prevents access by children. Evidence Two closets in the hallway: the laundry room and the art closet were not locked using a safe locking method that prevented access by children. Cleaning supplies were accessible to the children in the laundry room. Supplies stating “keep out of reach of children” were accessible to children in the art closet.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“Based on review of 4 children’s records, the center did not maintain a complete record for each child enrolled. Evidence The record for child #1, first day of enrollment 9/2022, does not contain documentation of proof of identity.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

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

8VAC20-780-340-A

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-340-F

Rule 8VAC20-780-340-F. From a complaint.

8VAC20-780-280-B

“Based on observation hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence A hazardous substance, (cleaning supply), was accessible to children in an unlocked closet in the hallway.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“Based on review of 7 children’s records, 2 did not contain all the required documents. Evidence The record for child #1 did not contain documentation that the original proof of identity was reviewed. The record for child #2 did not contain information regarding a second emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of 7 staff records, 3 records did not contain documentation that two or more references as to character and reputation as well as competency were checked prior to employment. . Evidence The record for staff #1, #2, and #3 did not contain documentation that two or more references were checked prior to employment.”

Rule 8VAC20-780-70.

8VAC20-780-550-P

“Based on interview with center director, the center did not have available a written record of children’s serious and minor injuries in which entries are made the day of occurrence for review by the inspector. Evidence The center director confirmed there were incidents that have occurred in January-February involving child #1 and child #2, but a written record of children’s serious and minor injuries was not available for review by the inspector.”

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

8VAC20-780-240-A

“Based on review of ten staff records, one staff record did not contain documentation of completion of The Virginia Department of Education sponsored orientation course. Evidence The record for staff #1 did not contain documentation of completion of The Virginia Department of Education sponsored orientation course within 90 calendar days of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and out, are not being maintained in a clean, sate and operable condition. Evidence The plastic storage bin located on the playground has a lid that is broken, it does not stay on or lock. The rubber mat tiles on the middle playground are moving and separating to create space between that is creating a tripping hazard.”

Rule 8VAC20-780-270-A.