Winwood Children’s Center

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

“On 5/27/2026, Staff #1 sent Child #1, age 4, back into an empty classroom to use the bathroom while the teachers and children were on the playground. Staff #1 was positioned in ratio by the outside door and would not have been able to offer immediate assistance to the child. Child #1 was inside the classroom/bathroom for 4 minutes.”

Rule 8VAC20-780-340-A.

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

“On 5/27/2026, during a teacher transition on the playground, Staff #1 sent Child #1, age 4, back inside to use the bathroom. Staff #1 was positioned by the outside door from 11:06-11:08am. When Staff #1 left, Staff #2, #3, and #4 were not aware the child was in the bathroom. The child was alone inside from 11:08-11:10am and was discovered by Staff #5 who is not part of the classroom.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the centers activities and services are maintained in compliance with licensing standards and the centers own policies and procedures required by these standards.

“On 5/13/2026, Staff #1 did not follow the centers playground safety procedures that includes provisions for active supervision, positioning of staff in strategic locations, and circulating among children. Interviews revealed Staff #1 was sitting at the playground picnic table for over 30 minutes while wearing ear buds and checking their personal cell phone while in ratio with the PreK classroom.”

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

Staff shall wash their hands with soap and running water: before and after a diaper change; after any contact with body fluids.

“On the date of the inspection, Staff #1 was observed changing two childrens diapers in the Infant 2 classroom. Staff #1 wore gloves during each change but did not wash their hands until after the second child was changed. Staff #1 was observed assisting another child and completing classroom tasks before removing the used gloves and washing their hands.”

Rule 8VAC20-780-500-A.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff #1 was observed using one spray bottle on the diapering surface. A two step cleaning and sanitizing process was not followed.”

Rule 8VAC20-780-500-B.

All over-the-counter skin products shall be used in accordance with the manufacturers recommendations and shall not be kept or used beyond the expiration date of the product.

“Child #1 in the Infant 2 classroom had an over-the-counter skin product that had expired in July 2025. Staff #1 confirmed the product had been used since expiration.”

Rule 8VAC20-780-520-A.

The center shall implement a monthly practice evacuation drill.

“The center did not practice an evacuation drill in November 2025.”

Rule 8VAC20-780-550-D.

Staff who work directly with children shall annually attend at least 16 hours of training to include the departments health and safety update course.

“The record for Staff #2 did not contain documentation of completing the departments health and safety update course in 2024.”

Rule 8VAC20-790-600-F.

COMPLAINT RELATED The required ratio for children ages 3 years up to school age eligible is 1 staff per 10 children.

“The Name to Face document for the PreK classroom showed on 1/20/2026, when PreK and Junior K were combined, a ratio of 1 staff with 12-16 children from 7:57-8:20am. The document showed a ratio of 2 staff with 26-27 children from 9:15-9:30am, a ratio of 2 staff with 27-29 children from 9:32-10:19am, and a ratio of 2 staff with 27 children from 10:20am-1:00pm.”

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

COMPLAINT RELATED During the designated rest period, when children are resting or in an inactive state, the ratio of 1 staff per 20 children is permitted for preschool age children.

Rule 8VAC20-780-350-I. From a complaint.

Staff who work with children shall complete the departments health and safety update course annually.

“On the date of the inspection, Staff #1 had not completed the departments health and safety update course for 2025.”

Rule 8VAC20-790-600-F. From a complaint.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following: work phone number and place of employment of each parent who has custody.

“The record for Child #1, enrolled for 1 month, and Child #2, enrolled for 6 months, did not contain complete employment information for each parent.”

Rule 8VAC20-780-60-A.

A shady area shall be provided on playgrounds during the months of June, July, and August.

“The playground used for children ages two years and younger does not provide shade. The center submitted a work order in Feburary 2025 requesting that a shade structure be installed. On the date of the inspection, the work order had not been completed.”

Rule 8VAC20-780-330-F. From a complaint.

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 #2, enrolled for more than 15 days, did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

REPEAT VIOLATION 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, enrolled for almost 2 months, did not have documentation of having a physical.”

Rule 8VAC20-780-140-A.

The center shall provide to the licensing representative an annual fire inspection report.

“The center did not have documentation of the most current fire inspection.”

Rule 8VAC20-780-260-A.

Annual approval from the health department shall be provided for meeting requirements for water supply, sewage disposal system, and food service.

“The center did not have documentation of a complete health inspection.”

Rule 8VAC20-780-260-B.

Based on record review and interview, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of the children in care.

“Evidence: Staff #1’s CPR expired 7/6/2024 and had not been renewed at the time of the inspection.”

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

Based on record review and interview, all staff who work directly with children did not have current certification in first aid appropriate to the ages of the children in care.

“Evidence: Staff #1’s first aid expired 7/6/2024 and had not been renewed at the time of the inspection.”

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

Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence: Child #1, date of enrollment 3/28/2024, did not have a physical examination on file.”

Rule 8VAC20-780-140-A.

Based on record review and interview, when an authorization for medication expired, the center did not obtain a renewed authorization.

“Evidence: Child #2 had a medication authorization for an EpiPen and Benadryl that expired 3/20/2024. Child #3 had a medication authorization for Benadryl that expired 3/11/2024.”

Rule 8VAC20-780-510-P.

REPEAT VIOLATION Based on record review, children’s serious and minor injury records did not contain all of the required information.

“Evidence: 23 out of 36 injury records for the month of May were missing the time the parent was notified and/or staff signatures.”

Rule 8VAC20-780-550-P.

Based on observation, vehicles used by the center for the transportation of children did not meet all requirements.

“Evidence: 1 out of 3 buses had a safety inspection that expired 8/2024.”

Rule 8VAC20-780-580-B.

Based on record review and interview, a written care plan was not obtained for each child with a diagnosed food allergy, to include instructions from a physician and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: Child #2 has an EpiPen and Benadryl for a suspected allergy, but no written care plan. Child #3 has Benadryl for an allergy, but no written care plan.”

Rule 8VAC20-780-60-A.

8VAC20-780-550-P

“Based on review of a written record of children’s serious and minor injuries, the record did not contain all the required documentation. Evidence The written record of an injury for child #1, did not contain the required documentation of date and time when the parent was notified or how the parent was notified.”

Rule 8VAC20-780-550-P.

22.1-289.035-A

“Based on review of staff records, the child day center did not complete a central registry search every five years for staff who have live outside the state of Virginia. Evidence Staff #1, who lives outside the state of Virginia, did not have an out of state central registry search completed every five years.”

Rule 22.1-289.035-A.

8VAC20-780-140-A

“Based on review of children’s records, each child does not have a physical examination within 30 days of their first day of attendance (10/10/23).”

Rule 8VAC20-780-140-A.

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence The cots in the Pre-K classroom were not identified for use by a specific child.”

Rule 8VAC20-780-440-B.

8VAC20-780-240-E

“Based on review of staff records, not all staff were trained within 30 days of the first day of employment, in first aid and cardiopulmonary resuscitation (CPR). Evidence Staff #1 (DOH 1/7/23) does not have documentation of being trained within 30 days of their first day of employment in first aid and CPR.”

Rule 8VAC20-780-240-E.

22.1-289.035-B-4

“Based on review of 5 staff records, the provider did not obtain a copy of the results of a criminal history record information check from a state which an individual has living in within the past 5 years before first day of employment. Evidence An out of state back ground check was not obtained before first day of employment, from a state staff #3 has lived in within the past 5 years.”

Rule 22.1-289.035-B-4.

Based on review of 5 staff records, the provider did not have a central registry finding within 30 days of employment.

“A central registry finding was not obtained for staff # 1 & 2, within 30 days of employment, 11/21 and 1/22 respectively. Follow up on missing central registry did not occur until 1/22.”

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