Proverbs Place Childcare & Learning Center

(REPEAT VIOLATION) The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff A, who is identified as a board member and was on-site during inspection, did not have a completed sworn statement on file.”

Rule 22.1-289.035-B-1.

Prescription and nonprescription medication shall be given to a child only with written authorization from the parent.

“The medication authorization on file for Child A, was not signed by parent. Medication was on-site.”

Rule 8VAC20-780-510-B.

The center shall implement a monthly practice evacuation drill.

“There were no monthly evacuation drills for the months of April and July 2026.”

Rule 8VAC20-780-550-B.

Lockdown procedures shall be practiced at least annually.

“The last lockdown drill was conducted over one year and six months ago.”

Rule 8VAC20-780-550-D.

The center shall maintain a written record with all required information for children’s serious and minor injuries in which entries are made the day of occurrence.

“3 out of 6 written injury reports were incomplete. 2 were missing how, date and time parent was notified. 1 was missing date and time parent was notified.”

Rule 8VAC20-780-550-P.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #1, who has been regularly present on-site for several weeks in the month of April 2026 and identified as a board member, did not have a completed sworn statement on file.”

Rule 22.1-289.035-B-1. From a complaint.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #1, who has been regularly present on-site for several weeks in the month of April 2026 and identified as a board member, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2. From a complaint.

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

“Staff #1, who has been regularly present on-site for several weeks in the month of April 2026 and identified as a board member, did not have a central registry search requested.”

Rule 22.1-289.035-B-3. From a complaint.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“Staff #1, who has been regularly present on-site for several weeks in the month of April 2026 and identified as a board member, did not submit documentation of a negative tuberculosis screening prior to coming into contact with the children.”

Rule 8VAC20-780-160-A. From a complaint.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B. From a complaint.

The following actions or threats thereof are forbidden: Physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment.

“1. On one instance in the Preschool classroom, Child A started to shove their peers and Staff A shoved Child A to the corner of the room while speaking in a stern tone. When Child A tried to leave, Staff A shoved them back to the corner.”

Rule 8VAC20-780-410-1. From a complaint.

The documentation for Tuberculosis Screening shall 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.

“Staff A, employed for 3 months, completed their TB screening 2 months prior to employment.”

Rule 8VAC20-780-160-A.

(Repeat Violation) The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Staff A, employed for 3 months only had one reference completed.”

Rule 8VAC20-780-70.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“1. Staff A, employed for 1 month, did not have documentation of a sworn statement. 2. Staff B, employed for 1 month, did not have documentation of a sworn statement.”

Rule 22.1-289.035-B-1.

The center is required to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child A (Age 3), had not had additional immunizations once every 6 months under the age of two. The last immunization record was over 1 year 5 months ago.”

Rule 8VAC20-780-130-E.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“In classroom 115, the medication for Child A was unlocked and located on top of an upper cabinet in a bin.”

Rule 8VAC20-780-510-L.

8VAC20-780-70

“(REPEAT VIOLATION) Documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 1. Staff A, employed for 1 month did not have documentation that two or more references as to character and reputation. 2. Staff B, employed for 1 month was missing 1 reference as to character and reputation.”

Rule 8VAC20-780-70.

(REPEAT VIOLATION) 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.

“1. In classroom 100, there were 9 children present, but only 1 child was signed in for the day. 2. In classroom 113, there were 7 children present, but only 6 children were signed in for the day.”

Rule 8VAC20-780-80-A.

8VAC20-780-140-A

“Each child shall have a physical examination before the child’s attendance or within 30 days after the first day of attendance. 1. There was no physical exam in the record for Child A, who had been enrolled for over 12 months. 2. There was no physical exam in the record for Child B, who had been enrolled for over 6 months.”

Rule 8VAC20-780-140-A.

The centers procedures for administering long term prescription and over-the-counter medication require written authorization from the child’s parent and physician.

“There was not written parent and/or physician authorization to administer long term medications to Child C. The medication has been onsite for over 1 month.”

Rule 8VAC20-780-510-E.

The center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“The emergency medication for Child C was not in the original box with the child identified on the prescription label.”

Rule 8VAC20-780-510-I.

The center shall implement a monthly practice evacuation drill.

“An evacuation drill was not conducted for November 2024.”

Rule 8VAC20-780-550-D.

Shelter in place procedures shall be practiced a minimum of twice per year.

“There were no shelter in place procedures conducted in 2024.”

Rule 8VAC20-780-550-E.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“1. Staff A, who has been actively working at the center for the past 5 months, did not have any completed reference verifications on file. 2. Staff B, who has been actively working at the center for over 1 month, did not have any completed reference verifications on file.”

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.

“There were 10 children present in the Toddlers Classroom, but there were 11 children marked present on the written attendance.”

Rule 8VAC20-780-80-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.

“Child #1, who had been attending for 35 days, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-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.

“Child #1, who had been attending for 35 days, did not have documentation of a physical examination on file.”

Rule 8VAC20-780-140-A.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In the Preschool and Toddler classroom bathrooms there were wet jet mops with all purpose cleaner attached and accessible to children.”

Rule 8VAC20-780-280-B.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.

“There was no documented monthly emergency evacuation drill for August 2024. There were no documented shelter-in-place drills for over 1 year.”

Rule 8VAC20-780-550-G.

Based on review of documentation, 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 where children are present.

“Evidence: In the Infant and Preschool classrooms the posted allergy list was hanging on the front of a cabinet where the information was not kept confidential.”

Rule 8VAC20-780-40-M.

(Repeat Violation) 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.

“Evidence: During inspection in the Prekindergarten classroom, there was a cabinet with an open door that contained 1 container of sanitizer, 1 bottle of air freshener, 3 containers of disinfecting wipes and a container of whiteboard wipes.”

Rule 8VAC20-780-280-B.

8VAC20-780-420-E-3

“Based on review of 2 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 file for Child #2 did not have documentation that the parent had confirmed the updated record annually.”

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

Based on review of 2 child records, the center did not obtain parent authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.

“Evidence: The record for Child #2 did not contain parent authorization for emergency medical care in case of an emergency when the parent cannot be reached.”

Rule 8VAC20-780-90-A.

(Repeat Violation)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.

“Evidence: 1)During inspection in the Preschool classroom, there were 12 tubes of toothpaste that were not stored in a locked area. 2) During inspection in the Pre-Kindergarten classroom, there were 13 tubes of toothpaste that were not stored in a locked area.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“(Repeat Violation)Based on observation, the center did not ensure that the diapering surface should only be used for diapering or cleaning children. Evidence: In the Toddler classroom on the diapering surface a cot with sheets had been placed there for storage.”

Rule 8VAC20-780-500-B.

(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 Preschool classroom, there was a bag of chips and a bag of gummy snacks that had been brought from home that were not labeled with a child’s name or date.”

Rule 8VAC20-780-560-G.

Based on review of 5 child records, the Center did not ensure they obtain all of the required documentation for child records.

“Evidence: 1)The record for Child #3 did not contain authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. 2)The record for Child #2 did not contain a written care plan for 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.”

Rule 8VAC20-780-60-A.

(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: During inspection in the Preschool classroom, there were 13 children present, but the written record reflected there were 12 children present.”

Rule 8VAC20-780-80-A.

Based on review of 7 staff files and interview with staff, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment.

“Evidence: The record for Staff #5 and Staff #7 did not contain documentation that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file. The director stated the staff in question had been in their positions for at least a year.”

Rule 8VAC20-770-40-D-1-a.

(REPEAT VIOLATION) Based on review of 7 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children. Documentation should be completed within the last 30 calendar days of the date of employment.

“Evidence: 1)The file for Staff #2 (date of hire 6/20/23) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment and prior to contact with children. The TB screening on record was dated 6/21/23. 2)The file for Staff #3 (date of hire 6/1/23) had documentation that the most recent TB screening was completed on 4/21/22 and not within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on review of 7 staff records and interview with staff, the center did not ensure that staff complete orientation prior to the staff member working alone with children and no later than 7 days from the date of assuming job responsibilities.

“The files for Staff #2 (date of hire 6/20/23) and Staff #4 (date of hire 2/27/23) did not contain documentation of orientation as required.”

Rule 8VAC20-780-240-B.

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.

Rule 8VAC20-780-270-A.

(REPEAT VIOLATION) Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1)In the Toddler classroom there was a gallon of bleach stored on the top of a shelf. 2)In the hall bathroom that was unlocked, there was a container of disinfectant stored on a shelf. 3)In the Toddler classroom, there was a bottle of disinfectant hanging next to the changing table in the bathroom.”

Rule 8VAC20-780-280-B.

(REPEAT VIOLATION) Based on review of 7 staff records and interviews, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.

“Evidence: The records for Staff #1 and Staff #2 who were working in the Infant classroom together, did not contain documentation that either staff member had met the qualifications of program leader or program director. The Director stated that neither staff member in the Infant classroom was qualified as a program leader or program director.”

Rule 8VAC20-780-340-D.

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

Rule 8VAC20-780-40-M.

(REPEAT VIOLATION) Based on observation, the center did not ensure that the diapering surface should only be used for diapering or cleaning children.

“Evidence: In the Toddler classroom on the diapering surface was stored 4 bags of toys and children’s cot sheets.”

Rule 8VAC20-780-500-B.

(REPEAT VIOLATION) Based on review of 2 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: The medication for Child #4 did not contain authorization from the child’s parent or physician.”

Rule 8VAC20-780-510-E.

Based on observation, the center did not ensure that sunscreen was kept inaccessible to children under 5 years of age.

“Evidence: On the cubby shelves in the Preschool classroom, there were 7 sunscreens stored that were accessible to children.”

Rule 8VAC20-780-520-B.

Based on observation, the center did not ensure that diaper cream was kept inaccessible to children.

“Evidence: On the cubby shelves in the Preschool classroom, there were 2 diaper creams stored that were accessible to children.”

Rule 8VAC20-780-520-C.

Based on documentation review, the center did not have at least one staff member in each classroom or area where children are present that had obtained first aid and cardiopulmonary resuscitation (CPR) certification.

“Evidence: 1)Staff #1 did not have a valid CPR and 1st Aid certification because the training certificate provided did not contain a date the certification was given. 2)Staff #2 and Staff #3 did not have a valid CPR and 1st Aid certification because the training program did not contain an in-person demonstration.”

Rule 8VAC20-780-530-A.

Based on observation, the center did not ensure that children ages 3 years old and under were not offered food that is considered to be a potential choking hazard.

“Evidence: In the Preschool classroom, there were 3 children aged years old who were offered whole grapes for lunch.”

Rule 8VAC20-780-560-F-4.

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 Preschool classroom, a child had brought a probiotic drink from home that was stored in their cubby and was not dated.”

Rule 8VAC20-780-560-G.

(REPEAT VIOLATION) Based on review of five staff records, the center did not obtain all of the required documentation for staff records.

“Evidence: The center did not have documentation for Staff #1, Staff #2, Staff #3, or Staff #4 that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

(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: The Toddler group had 5 children present, but did not have a written record of children in attendance while they were in the gym.”

Rule 8VAC20-780-80-A.

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

“Evidence: 1.The bathroom in the infant and toddler classroom was unlocked and the sanitizing spray was on the changing table accessible to children. 2. In the staff lounge there is no door and there were disinfectant wipes on the table accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation the center did not ensure that play equipment that met the requirement that openings above the ground which allow a 3.5 inch by 6.25 inch rectangle to fit through should also allow a 9 inch circle to fit through.

“Evidence: On the play structure, under a platform above the ground there is a rectangular gap in the equipment that measures 5.5 inches by 32 inches. A 9-inch circle cannot fit through the opening which could lead to an entrapment of a body part or risk of strangulation.”

Rule 8VAC20-780-430-C.

Based on review of two medications and interview with staff the center did not ensure that they followed the policy for administration of medication.

“Evidence: The medication for Child #1 did not contain an authorization from a physician or parent as required”

Rule 8VAC20-780-510-E.

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

“Evidence: In the Preschool classroom there were eleven children present and the written record reflected there were ten children present.”

Rule 8VAC20-780-80-A.

Based on review of 6 staff records and 2 volunteer records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire or volunteering.

“Evidence: 1)The record for Staff #1 (Date of Hire 8/2/21), did not contain documentation of a fingerprint background check completed prior to their date of hire. The fingerprint background check in the record was dated 8/10/21. 2)The record for Volunteer #1 (start of volunteering 1/3/22), did not contain documentation of a fingerprint background check completed prior to their date of volunteering.”

Rule 22.1-289.035-B-2. From a complaint.

Based on review of 6 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment.

“Evidence: The record for Staff #1 (date of hire 8/2/21) did not contain documentation of a completed criminal history record check from all states where they resided within the last five years prior to employment. 2)The record for Staff #1 (date of hire 8/2/21) did not contain documentation of a completed central registry record check from all states where they resided within the last five years prior to employment.”

Rule 22.1-289.035-B-4. From a complaint.

Based on review of 6 staff records and 2 volunteer records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire or volunteering.

“Evidence: 1)The record for Staff #4 (date of hire 2/6/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire. 2)The record for Volunteer #1 (start of volunteering 1/3/22) and Volunteer #2 (start of volunteering 1/3/22) did not contain documentation of a completed sworn disclosure statement prior to the start of volunteering.”

Rule 8VAC20-770-60-B. From a complaint.

Based on review of 6 staff records and 2 volunteer records, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment or volunteering.

Rule 8VAC20-770-60-C-2. From a complaint.

Based on review of 6 child records, the center did not obtain documentation of immunizations for a child prior to the first day of attendance.

“Evidence: The record for Child #2 (Start date 1/1/22) did not contain documentation of immunizations prior to the first day of attendance.”

Rule 8VAC20-780-130-A. From a complaint.

Based on review of 6 child records, the center did not obtain documentation of a physical examination under the direction of a physician for a child prior to the first day of attendance or within 30 days after the first day of attendance.

“Evidence: 1)The record for Child #2 (Start date 8/22/22) and Child #6 (Start date 11/16/22) did not contain documentation of a physical prior to the first day of attendance or within 30 days after the first day of attendance. The record for Child #5 (Start date 8/22/22) did not contain documentation of a physical prior to the first day of attendance or within 30 days after the first day of attendance. The physical on file was dated 5/18/22.”

Rule 8VAC20-780-140-A. From a complaint.

Based on review of 6 staff records and 2 volunteer records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff or volunteer at the time of employment and prior to contact with children.

Rule 8VAC20-780-160-A. From a complaint.

Based on review of 6 staff records and interview with staff, the center did not ensure that they have a qualified program director or back up program director who meets one of the director qualifications who is regularly on site at least 50% of the center’s hours of operation.

“Evidence: Based on staff interview, the Center Director’s last day of employment was 1/3/2023. During interview, Staff #4 (date of re-hire 2/6/2023) confirmed they are the backup director. Their file does not contain documentation that they are qualified for the program director position.”

Rule 8VAC20-780-200-A. From a complaint.

Based on review of 6 staff records, the center did not ensure that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.

“Evidence: The records for Staff #6 (date of hire 8/1/2022) did not contain documentation that the Virginia Department of Education-sponsored orientation course was completed within 90 calendar days of employment.”

Rule 8VAC20-780-240-A. From a complaint.

Based on interviews, and review of 6 staff records and 2 volunteer records, the center did not ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.

“Evidence: Staff #5 (Date of hire 9/8/21) was alone with the children in the older infant classroom at 3:00pm-6:30pm and does not have documentation on file that they meet the qualifications of program leader or program director.”

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

Based on observation, the center did not ensure that children wash their hands with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: In the Preschool classroom, when the last 2 children who were eating finished their snack, the 2 children began playing and did not wash their hands with soap and running water or disposable wipes after eating as required.”

Rule 8VAC20-780-500-A. From a complaint.

Based on observation, the center did not ensure that disposable diapers were disposed in a storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: During inspection in the older infant classroom, an open plastic trash bag of soiled disposable diapers were stored on top of the trash can.”

Rule 8VAC20-780-500-B. From a complaint.

Based on review of 6 staff records and 2 volunteer records, the center did not obtain all of the required documentation for volunteer records.

“Evidence: 1)The center did not have documentation for Volunteer #1 (start of volunteering 1/3/22) and Volunteer #2 (start of volunteering 1/3/22) that two or more references as to character and reputation as well as competency were checked before volunteering. 2) The center did not have documentation for Volunteer #1 (start of volunteering 1/3/22) and Volunteer #2 (start of volunteering 1/3/22) of address, verification of age requirement, and name, address, and phone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70. From a complaint.

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: In the Preschool and Prekindergarten classrooms, there was no documentation of departure for any of the children on 2/6/23 through 2/10/23.”

Rule 8VAC20-780-80-A. From a complaint.

Based on review of 6 child records, the center did not obtain parent authorization for emergency medical care should an emergency occur when the parent cannot be located immediately.

“Evidence: The record for Child #3 (Start date 1/9/23) and Child #4 (start date 10/11/22) did not contain parent authorization for emergency medical care in case of an emergency when the parent cannot be reached.”

Rule 8VAC20-780-90-A. From a complaint.

Based on review of 3 staff records, the provider did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

“Evidence: The record for Staff #1 (Date of Hire 11/9/22), did not contain documentation of a fingerprint background check completed prior to their date of hire. The Fingerprint results were dated 11/22/22.”

Rule 22.1-289.035-B-2.

Based on review of 3 staff records, the center did not obtain the results of a criminal history record check and a central registry check from all states in which staff members have resided within the last five years prior to employment.

“Evidence: 1)The record for Staff #1 (date of hire 11/9/22) did not contain documentation of a completed Central registry check from all states where they resided within the last five years prior to employment. 2)The record for Staff #2 (date of hire 9/15/22) did not contain documentation of a completed Criminal History Record check or a Central Registry record check from all states where they resided within the last five years prior to employment.”

Rule 22.1-289.035-B-4.

Based on observation and staff interview, the center did not ensure that the building was equipped with at least one working carbon monoxide detector.

“Evidence: There was no carbon monoxide detector in the building.”

Rule 22.1-289.058.

Based on review of 3 staff records and staff interview, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of hire.

“Evidence: The record for Staff #1 (date of hire 11/9/22) did not contain documentation of a completed sworn disclosure statement prior to the date of hire. The sworn disclosure in the file was dated 11/22/22.”

Rule 8VAC20-770-60-B.

Based on review of 3 staff files, the center did not obtain documentation that a central registry search was completed by the end of the 30th day of employment.

“Evidence: The record for Staff #2 (date of hire 9/15/22) did not contain documentation that a central registry search was completed within 30 days of employment. There were no Central registry results in the file. No documentation of follow up was in the file.”

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

Based on review of 3 staff records and interview with staff, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children.

“Evidence: 1)The file for Staff #1 (date of hire 11/9/22) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment and prior to contact with children. The negative TB test or screening in the file was dated 11/23/22. 2)The file for Staff #2 (date of hire 9/15/22) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment and prior to contact with children. The negative tuberculosis (TB) test or screening in the file was dated 9/29/22.”

Rule 8VAC20-780-160-A.

Based on review of documentation, the center did not ensure they have an annual fire inspection report from the appropriate fire official.

“Evidence: The last fire inspection report on file at the center was completed on 8/17/21.”

Rule 8VAC20-780-260-A.

Based on documentation and staff interview, the center did not ensure that they receive 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: The center did not have an inspection completed from the health department within the last year.”

Rule 8VAC20-780-260-B.

Based on observation and inspection of the playground, the licensee 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.

“Evidence: On the playground, 2 slides that were 53? high, had 2? of shredded rubber in the 6 foot fall zone area surrounding the equipment. The required depth for shredded rubber is 6 inches.”

Rule 8VAC20-780-330-B.

8VAC20-780-140-A

“Based on review, the facility did not ensure that they obtained documentation of a physical examination for each child in prior before the child’s first day of attendance, or within 30 days of the first day of care. Evidence: Reviewed 4 children’s records and found that Child 2 did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets accessible to children have protective covers. Evidence: observed an uncovered electrical outlet in the hallway accessible to children.”

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

8VAC20-780-510-L

“Based on observation, the facility did not ensure that all medication was kept in a locked place, using a safe locking method that prevents access by children. Evidence: observed that there was over the counter pain medications (aspirin, acetaminophen) in an emergency bag, inside of a first aid kit, that was not locked.”

Rule 8VAC20-780-510-L.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required minimal information. Evidence: Reviewed 4 children’s records and found that Child 1, 3 and 4 did not have complete emergency contact information (2 emergency contacts with name, phone and address).”

Rule 8VAC20-780-60-A.