The Children’s School Inc.

The diapering area shall have a non-absorbent surface for diapering or changing.

“In one classroom, the diapering surface was found to be absorbent. A wood surface with visual stains was being used.”

Rule 8VAC20-780-500-B.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“An infant bottle in one infant classroom was observed to not be labeled with the date and child’s name.”

Rule 8VAC20-780-570-E.

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

Rule 8VAC20-780-340-A.

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

“On 6/18/26, Child #1, a 4-year-old, was not in the sight and sound supervision of staff for a period of 35 minutes. Staff #1 left the child alone and unsupervised on the 3rd floor outdoor play deck when she took the other children to Staff #2’s classroom and then left the center for the day.”

Rule 8VAC20-780-340-F.

Repeat and systemic violation. The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, and the center’s own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E.

Repeat violation. In order to promote the child’s physical and emotional well-being, staff shall interact with the child and one another to provide needed help, comfort and support.

“On 6/3/26, Staff #14 interacted with Child #1 in a physical manner that did not ensure the child’s physical well-being. When the staff person grabbed and pulled the arm of the child it did not demonstrate an effort to provide help, comfort and support to the child.”

Rule 8VAC20-780-400-A.

Repeat violation. Rough handling of a child is a forbidden action.

“On 6/3/26, Staff #14 roughly handled Child #1, a 5 year-old, when removing the child from a line of walking children. The staff person grabbed the child mid-arm and roughly pulled them out of the line.”

Rule 8VAC20-780-410-1.

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

“Cleaning supplies were in an unlocked cabinet located over a toilet in a classroom bathroom.”

Rule 8VAC20-780-280-B.

Repeat violation. The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the date, time and how the parent was notified of the child’s injury.

“An injury report reviewed did not include documentation of the date, time and how the parent was notified. This information was left blank on the report.”

Rule 8VAC20-780-550-P.

Repeat violation. Staff records shall be kept for each staff person and include documentation of 2 or more reference checks before employment.

“The record for Staff #4 was missing 2 of 2 reference checks. Employed since August 2023.”

Rule 8VAC20-780-70.

Complaint related. In order to promote the child’s physical and emotional well-being, staff shall interact with children to provide needed help, comfort and support.

“On 3/9/26, Staff #6 was yelling in a harsh tone of voice at Child #1, a 12-month old, who was crying, while trying to put the child in a bouncy seat.”

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

Complaint related. Roughly handling of a child is a forbidden action.

“On 3/9/26, Staff #6 roughly handled Child #1, a 12-month old, when attempting to put the child in a bouncy seat. The safety buckle was buckled on the bouncy seat making the seat leg openings tight causing one of the child’s legs to not bend appropriately through the opening. The staff person made repeated attempts of lifting and lowering the child with force in an effort to put the child’s legs through the openings causing the child to cry.”

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

Repeat violation. A record for each child enrolled shall be kept at the center and include documentation of the child’s proof of identity.

“The record for Child #1 did not include documentation of the proof of identity. Child #1 enrolled June 2025.”

Rule 8VAC20-780-60-A. From a complaint.

Repeat violation. Staff records shall be kept for each staff person and include documentation of 2 or more reference checks before employment.

“The record for Staff #6 was missing 1 of 2 reference checks. Staff #6 has been employed since August 2002.”

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

Repeat violation. Staff who work directly with children shall annually complete the department’s health and safety course (3 hours).

“Staff #4 last completed the 3 hour annual health and safety training course October 2024. Staff #10 last completed the 3 hour annual health and safety training course January 2024. .”

Rule 8VAC20-790-600-F.

At least every 2 years from the date of the first initial TB screening/testing staff members and individuals from independent contractors shall obtain and submit the results of a follow-up TB screening.

“The most recent TB test for Staff #1 was completed 8/10/23.”

Rule 8VAC20-780-160-C.

Repeat violation. Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Cleaning supplies were found to be in unlocked cabinets in 2 of 8 classrooms.”

Rule 8VAC20-780-280-B.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Electrical outlets in 3 of 8 classrooms and 1 bathroom used by children did not have protective safety covers.”

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

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Children did not was hands after eating snack in one classroom. Children went from eating snack to a circle time activity.”

Rule 8VAC20-780-500-A.

Current certification in CPR as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

“The CPR course completed by Staff #4 did not include an in-person competency component. It was an online only course.”

Rule 8VAC20-780-530-A-1.

Repeat violation. High chairs, infant carrier seats, or feeding tables shall be used for children under 12 months who are not held while being fed and the protective belt shall be fastened securely.

“An infant that was being fed at a feeding table was not fastened into the seat. The safety belt was hanging down unfastened.”

Rule 8VAC20-780-570-A.

Materials and equipment available shall be age and stage appropriate for the children.

Rule 8VAC20-780-430-B.

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

“On 11/5/25, staff were unaware that they had left Child #1 (a 3 year-old) alone and unsupervised on the 3rd floor outdoor play deck for approximately 6 minutes. The perimeter barrier of the play deck is approximately 6’ in height and included 32” of concrete barrier base which holds the chain link fence. At one point, while unsupervised, the child was standing on top of a plastic dome toy and looking over the concrete portion of the barrier.”

Rule 8VAC20-780-340-A.

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

“On 11/5/25, Child #1 (a 3-year-old), was not in the sight and sound supervision of staff for a period of 6 minutes. Staff #1, #3, #5 and #9 left the child alone and unsupervised on the 3rd floor outdoor play deck.”

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 these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“On 11/5/25, staff failed to implement the head counting policy to ensure that all children are accounted for before leaving the outdoor play deck or when returning to the classroom.”

Rule 8VAC20-780-40-E.

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“There was no documentation of Staff #1 completing the departments health and safety update course within 12 months of the previous training completion date, which was January 2024.”

Rule 8VAC20-790-600-F.

The center shall obtain documentation of additional immunizations once every 6 months for children under the age of 2 years.

“Immunizations on-file for Child #3 were dated as completed in May 2023, when the child was 15 months old.”

Rule 8VAC20-780-130-E.

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

“The rubber resilient surfacing tiles are buckling, not level and presenting as trip hazards on both outdoor play areas. Safety straps were missing in the seats of a feeding table and feeding chairs in a older infant/toddler classroom serving children over 12 months of age.”

Rule 8VAC20-780-270-A.

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

“In 4 of 6 classrooms observed by the inspector, hazardous substances such as cleaning supplies were not kept in a locked place preventing access by the children. Spray and aerosol cleaning products and household cleaning wipes were found to be in unlocked cabinets (upper and lower level cabinets), in unlocked lower level drawers and on counter tops and tables.”

Rule 8VAC20-780-280-B.

The center shall develop written procedures for injury prevention.

“The written injury prevention procedures provided to the inspector for review were limited to the outdoor playground safety procedures and did not include general injury prevention at the center.”

Rule 8VAC20-780-40-I.

There shall be at least 30” of space between service sides of occupied cribs and other furniture.

“A crib in one classroom was placed in the corner of the nap room with walls on 2 sides and another unoccupied crib was measured to be 16” away on the service side of the crib.”

Rule 8VAC20-780-440-J.

The center’s procedures for administering medication shall include parent and physician written authorization for long-term medications and be consistent with the manufacturer’s instructions for non-prescription medicine.

“Staff did not follow the center’s procedures for obtaining written authorization for long-term medications on-site for Child #6. No written authorizations were on-file. According to the manufacturer’s instructions for a medication on-site for Child #1, it is to be administered to children ages 2 years of age and older. Child #1 is 13 months old.”

Rule 8VAC20-780-510-E.

All nonprescription over-the-counter skin products shall be used in accordance with the manufacturer’s recommendations.

“There was no documentation of when the product should be administered, which child the product belonged too and if administration was consistent with manufacture’s recommendations.”

Rule 8VAC20-780-520-A.

The center shall implement a monthly practice evacuation drill.

“There was no documentation of a monthly evacuation drill for March 2025 and staff stated a drill was not practiced that month.”

Rule 8VAC20-780-550-D.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include how the parent was notified and the time the parent was notified.

“2 of 10 written injury reports did not include the time the parent was notified, and 1 of 10 reports did not include how the parent was notified.”

Rule 8VAC20-780-550-P.

Feeding chairs and feeding table seats shall be used for children under 12 months who are not held while being fed. When a child is placed in an infant seat the protective belt shall be fastened securely.

“Two feeding table seats in one classroom were missing the safety straps and when asked staff stated they place children in the seats without the safety straps.”

Rule 8VAC20-780-570-A.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“A total of 12 bottles/bags of prepared infant formula were not dated and 1 did not have the name of the child it belonged to in one classroom. The milk formula that was not labeled with the child’s name and date was sitting on a shelf in the refrigerator and was not in a labeled bin.”

Rule 8VAC20-780-570-E.

The center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing the child’s proof of identity.

“The record for Child #2 did not include documentation of viewing the child’s proof of identity.”

Rule 8VAC20-780-60-A.

Repeat violation. The following staff records shall be kept for each staff person: Name, address, age, job title, date of employment, written reference checks, documentation of education and experience for the job position, First Aid/CPR, TB screening, health problems and background checks.

“There was no staff record available for review for Staff #9 who was observed working in a Co-Lead Teacher role today.”

Rule 8VAC20-780-70.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“The record for Staff #6 did not include documentation of CPR certification. The staff person has been employed for over 1 year.”

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

All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid (FA) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“The record for Staff #6 did not include documentation of FA certification. The staff person has been employed for over 1 year.”

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

Staff shall complete background checks every 5 years.

“There was no documentation of a child abuse and neglect search) CPS ) in the last 5 years for Staff #9. The previous CPS search was completed 12/9/19.”

Rule 22.1-289.035-A.

Out-of-state criminal record checks ( CRC ) and out-of-state child abuse and neglect searches ( CPS ) shall be completed by the end of the 30th day of employment.

“1. There was no documentation of an out of state CRC for Staff #8 who began employment over 30 days ago. 2. There was no documentation of multiple out of state CRC ‘s and CPS searches for Staff #5 who began employment over 1 year ago.”

Rule 22.1-289.035-B-4.

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

“A spray cleaning solution was found to be sitting on top of a soap dispenser and accessible to 3-4 year old children in one classroom.”

Rule 8VAC20-780-280-B.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Such sharing of information shall be documented.

“The record for Child #10 did not include documentation of the parents annual review that required information was up to date. The most recent review was completed in August 2023.”

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

Staff shall wash their hands with soap and running water after a diaper change.

“A staff person in an infant classroom did not wash their hands after changing a child’s diaper.”

Rule 8VAC20-780-500-A.

Staff records shall include documentation that the individual possesses the education/certification required by the job position.

“The record for Staff #5 did not include the education diploma/transcripts or certifications needed for a Lead Teacher position.”

Rule 8VAC20-780-70.

22.1-289.035-A

“Repeat violation and systemic deficiency. Based on records reviewed, 1 of 6 staff records reviewed did not include documentation of a required background check every 5 years. Evidence: Staff #13-The sworn disclosure statement was dated as completed on 10/18/17.”

Rule 22.1-289.035-A.

22.1-289.035-B-3

“Repeat violation and systemic deficiency. Based on records reviewed, 1 of 6 staff records did not include documentation of a child abuse + neglect search (CRS) by the end of the 30th day of employment. Evidence: Staff #18-There was no documentation of a completed CRS, or documentation of the CRS being submitted or subsequent follow-up with the Central Registry. Employment began in April 2024.”

Rule 22.1-289.035-B-3.

8VAC20-780-200-A

“Based on interviews conducted, the center does not have a qualified program director working in the director position. Evidence: Staff #4, who was working as an Interim Director, returned to the classroom on 8/26/24 and since that date has been working as a Lead Teacher.”

Rule 8VAC20-780-200-A.

8VAC20-780-240-I

“Repeat violation. Based on records reviewed, 1 of 6 staff record did not include documentation of orientation training being completed in the first 7-days of employment. Evidence: Staff #18-There was no documentation of orientation training for the positions which she has been working. Employment began in April 2024.”

Rule 8VAC20-780-240-I.

8VAC20-780-70

“Repeat violation. Based on records reviewed, 1 of 6 staff records did not include required information. Evidence: Staff #18-0 of 2 reference checks were documented prior to employment. Employment began in April 2024.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Based on records reviewed, 1 of 9 staff did not include documentation of the department’s annual health and safety course (Virginia Health + Safety, 3 hours). Evidence: Staff #5-There is no documentation that required childcare subsidy training has been completed since June 2022.”

Rule 8VAC20-790-600-F.

Based on records reviewed, 2 of 6 individuals listed as board officers of the corporation, a registered agent of the corporation, and a designated contact person, as listed on the State license renewal application and SCC website, have not completed a required background check.

“Evidence: 1. There was no documentation that Board officer #1 has completed an out-of-state child abuse + neglect search and a out-of-state criminal record check. 2. There was no documentation that Staff #14 has completed an out-of-state child abuse + neglect search and a out-of-state criminal record check.”

Rule 22.1-289-036-B-4.

22.1-289.035-A

“Repeat violation and systemic deficiency. Based on records reviewed, 1 of 9 staff did not include documentation of required background checks every 5 years. Evidence: Staff #13-The sworn disclosure statement was dated as completed 10/18/17, and the criminal record check was dated as completed 4/19/18.”

Rule 22.1-289.035-A.

Repeat violation. Based on records reviewed, 3 of 9 staff have not completed a child abuse + neglect search (CRS) by the end of the 30th day of employment.

“Evidence: 1. Staff #5-There was no documentation of a completed CRS. Employment began in January 2022. 2. Staff #11-There was no documentation of a completed CRS. Employment began in August 2023. 3. Staff #18-There was no documentation of a completed CRS. Employment began in April 2024. There was no documentation of follow-up with the Central Registry regarding the status of the check reportedly submitted.”

Rule 22.1-289.035-B-3.

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

“Based on records reviewed, 1 of 6 individuals listed as board officers of the corporation, a registered agent of the corporation, and a designated contact person, as listed on the State license renewal application and SCC website, has not completed a required background check. Evidence: There is no documentation that Board officer #3 has completed a sworn disclosure statement.”

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

8VAC20-780-160-A

“Repeat violation. Based on records reviewed, 1 of 9 staff records did not include documentation of a negative TB test/screening submitted at the time of employment and prior to coming into contact with children that was completed within 30-days prior to employment. Evidence: Staff #14-The TB test on-file was dated as completed in June 2023, approximately 8 months prior to employment in February 2024.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Repeat violation. Based on records reviewed, 1 of 9 staff records did not include documentation of a TB test/screening at least every 2 years. Evidence: Staff #15-The previous TB test was dated as completed in 2020.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-I

“Based on records reviewed, 1 of 9 staff records did not include documentation of orientation training being completed in the first 7-days of employment or prior to working alone with children. Evidence: Staff #18-There was no documentation of orientation training for the positions which she has been working (both in the classroom ratios and out of the classroom ratios). Employment began April 2024.”

Rule 8VAC20-780-240-I.

8VAC20-780-280-B

“Repeat violations and systemic deficiency. Based on observations made, hazardous substances were not kept in a locked place. Evidence: Cleaning supplies, including multiple spray cleaning products, household sanitizing wipes and detergent, in 3 classrooms were found to be in unlocked cabinets. Children in these classrooms ranged in age from 18 months-5 years old.”

Rule 8VAC20-780-280-B.

Repeat violation. Based on records reviewed, 6 of 10 written injury reports did not document required information.

“Evidence: 1. 5 of 10 reports did not document the date and time the parent was notified. 2. 2 of 10 reports did not document how the parent was notified. 3. 2 of 10 reports did not document future actions to prevent recurrence of injury. 4. 1 of 10 reports did not include a minimum of 2 signatures (staff + parent signatures or 2 staff signatures). 1 staff signature was the only signature on the report.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Based on records reviewed, 1 of 9 staff records did not include required information. Evidence: The record for Staff #18 did not include documentation of a minimum of reference checks completed prior to employment. 0 of 2 reference checks were documented as completed. Employment began in April 2024.”

Rule 8VAC20-780-70.

22.1-289.011-F

“Repeat violation. Based on observations made, the findings from the most recent inspection were not posted on the licensed premises. Evidence: The violation notice from the 12/20/23 inspection was not posted.”

Rule 22.1-289.011-F.

Repeat violation. Based on records reviewed, 2 of 3 staff records did not include required background checks every 5 years.

“Evidence: 1. The most recent criminal record check for Staff #1 was dated 4/18/18. 2. The most recent criminal record check for Staff #2 was dated 4/19/18; and the most recent sworn disclosure statement was dated 10/18/17.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

“Based on records reviewed, 1 of 3 staff records did not include required out-of-state background checks within the first 30-days of employment. Evidence: There was no out-of-state criminal record check and central registry search for Staff #3 who began employment on 2/5/24, and as of the date of this investigation not initiated.”

Rule 22.1-289.035-B-4.

Based on interviews conducted and records reviewed, teachers and other persons employed by the child day program did not report incidents of potential child abuse, prior to 3/6/24, that occurred in the last year and for a period of up to 15 years. [63.2-1509-A.5]

Rule 63.2-1509-A.

8VAC20-770-60-C-2

“Repeat violation and systemic deficiency. Based on records reviewed, 1 of 3 staff records did not include a central registry search within the first 30-days of employment. Evidence: There was no documentation of a central registry search for Staff #3 who began employment on 2/5/24.”

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

Based on interviews conducted and records reviewed, staff in one of the 2 year-old classrooms did not interact with the children and one another in a manner that promoted the children’s well-being and growth, or provide needed help, comfort and support.

Rule 8VAC20-780-400-A.

Based on interviews conducted and records reviewed, rough handling and restricting movement of a child occurred on an ongoing basis in a 2 year-old classroom. Evidence:

Rule 8VAC20-780-410-1.

22.1-289.011-F

“Based on observations made, the findings from the most recent inspection were not posted in a conspicuous place on the licensed premises. Evidence: The violation notice from the 6/15/23 inspection report was not posted. The inspection summary page was posted but did not also post a statement as to where the inspection findings were located and available for viewing.”

Rule 22.1-289.011-F.

Repeat violation and systemic deficiency. Based on records reviewed, 3 of 12 staff records did not include a completed child abuse and neglect central registry search by the end of the staff person’s 30th day of employment.

“Evidence: 1. Staff #5-There was no documentation of a completed central registry search. The staff person began employment in January 2022. 2. Staff #8-There was no documentation of a completed central registry search. The staff person began employment in September 2021. 3. Staff #11-There was no documentation of a completed central registry search. The staff person began employment in August 2023.”

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

8VAC20-780-240-A

“Based on records reviewed, 1 of 3 staff records (hired after October 2021) did not include documentation of VDOE 10-hour orientation course within the first 90-days of employment. Evidence: Staff #11 was hired in August 2023 and to-date there is no training certificate on-file.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Based on observations made, a piece of equipment (furniture) was not maintained in a clean condition. Evidence: Multiple items were observed sitting on top of a cot and directly on the bottom sheet where the assigned child will lay for naptime. Items included gift bags, cell phone, toys and other supply items.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat violation. Based on observations made, hazardous substances were not kept in a locked place that prevents access by children in one classroom. Evidence: In a 2-3 year-old classroom a spray bottle of bleach and water solution was found in an unlocked cabinet.”

Rule 8VAC20-780-280-B.

Based on records reviewed, the licensee failed to ensure that 4 of 8 staff records included documentation of completed criminal record checks (fingerprinting) within 5 years of the previous criminal record check.

“Evidence: 1. Staff #1 - The most recent criminal record check was dated 4/19/18. 2. Staff #3 - The most recent criminal record check was dated 4/17/18. 3. Staff #4 - The most recent criminal record check was dated 4/30/18. 4. Staff #6 - The most recent criminal record check was dated 4/19/18.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

“Based on records reviewed, it was determined that 1 of 4 staff records did not include a required background check due within the first 30-days of employment. Evidence: Staff #2 ? An out-of-state sex offender registry check has not been completed. Date of hire 8/21/19.”

Rule 22.1-289.035-B-4.

Based on records reviewed, the licensee failed to ensure that 2 of 8 staff records included documentation of a completed child abuse and neglect central registry search by the end of the staff person’s 30th day of employment.

“Evidence: 1. Staff #5 - There was no completed central registry search on-file. The staff person began working in January 2022. 2. Staff #8 - There was no completed central registry search on-file. The staff person began working in September 2021.”

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

Based on records reviewed, the licensee failed to ensure that 2 of 4 children’s records included documentation of immunizations every 6 months until the age of 2 years old.

“Evidence: 1. Child #5 - The most recent immunizations were dated September 2022, when the child was 5 months old. 2. Child #6 - The most recent immunizations were dated November 2022, when the child was 4 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-160-A

“Based on records reviewed, the licensee failed to ensure that 1 of 8 staff record included documentation of a negative TB screening at the time of employment and prior to coming into contact with children. Evidence: Staff #5 - There was no documentation of a TB screening on-file; and the staff person began working in January 2022.”

Rule 8VAC20-780-160-A.

Based on records reviewed, it was determined that 2 of 4 staff records did not include a TB test/screening at least every 2 years.

“Evidence: 1. Staff #1 ? The previous TB test was dated 7/31/17. 2. Staff #3 ? The previous TB test was dated 4/3/19.”

Rule 8VAC20-780-160-C.

Based on records reviewed, the licensee failed to ensure that 3 of 8 staff records included documentation of a negative TB screening at least every 2 years.

“Evidence: 1. Staff #2 - The most recent TB screening was dated 4/3/19. 2. Staff #4 - The most recent TB screening was dated 3/6/21. 3. Staff #6 - The most recent TB screening was dated 12/3/20.”

Rule 8VAC20-780-160-C.

Based on observations made, staff did not ensure that hazardous substances were kept in a locked place that prevents access by children.

“Evidence: 1. In a classroom with 3-4 year old children (room 219), a container of adhesive remover was found on a counter top and within reach of children. 2. In a 2 year-old classroom (room 112), a container of hair oil was found in a plastic box on a low-level shelf. The box did not have a locking mechanism and it was at a level where children could access it.”

Rule 8VAC20-780-280-B.

8VAC20-780-550-P

“Based on records reviewed, the licensee failed to ensure that written injury reports included required documentation. Evidence: 1 of 4 written child injury reports did not include any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-570-E

“Based on observations made, staff failed to ensure that prepared infant formula was not dated and labeled with the child’s name. Evidence: In the infant room (room 107), 9 of 11 infant bottles were not labeled with the date, and 1 of 11 bottles was not labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Based on records reviewed, the licensee failed to ensure that 3 of 8 staff records included required documentation.

“Evidence: 1. Staff #5 - There was no educational diploma(s) on-file to qualify the staff person for the Lead Teacher position she was working. 2. Staff #7 - There was no educational diploma(s) on-file to qualify the staff person for the Lead Teacher position she was working. 3. Staff #8 - There was no documentation of a name, address and phone number of an emergency contact for the staff person.”

Rule 8VAC20-780-70.

Based on observation, the center did not ensure that all areas and equipment of the center, were maintained in a safe and operable condition.

“Evidence: 1. Eleven classrooms were observed with the blinds pulled up, and the blind cords were hanging low which presents a head entrapment hazard. 2. The carpeting in the stairwell leading to the second floor and the third floor was loose and rolling up creating a tripping hazard. 3. In the indoor playground classroom, the blue tub full of balls had a large crack in the material creating a sharp edge and a pinch point.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure that cleaning materials were not stored above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food.

“Evidence: In the Owls classroom and the Cranes classroom, cleaning supplies were stored above food.”

Rule 8VAC20-780-280-D.

Based on review of emergency supplies, a first aid kit was incomplete.

“Evidence: The first aid kit locate on the second floor of the facility was missing two triangular bandages.”

Rule 8VAC20-780-540-C.

Based on a review of posted information and emergency procedures, the center did not post procedures or maps on each floor of the building to include all evacuation and shelter-in-place information.

“Evidence: The maps observed during the inspection did not designate evacuation and shelter-in-place assembly points, primary and secondary exit routes and primary and secondary means of access and egress for shelter-in-place scenarios.”

Rule 8VAC20-780-550-C.

Based on observation and interview, emergency phone numbers were not posted in a visible place at each telephone.

“Evidence: Emergency phone numbers were not posted by each telephone in the classrooms.”

Rule 8VAC20-780-550-I.

Based on record review, a staff member did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least two years from the date of the last screening or testing.

“Evidence: Staff #2’s record contains a TB screening/test that was last updated on 9/28/2019.”

Rule 8VAC20-780-160-C.

Based on documentation review and interview, the center did not develop and implement a written policy and procedures that describe how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Evidence: There was no documentation at the center to verify that they have a written policy and procedures that describe how the center will ensure that each group of children receives care by consistent staff or team of staff members.”

Rule 8VAC20-780-350-F.

Based on review of documentation and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

“Evidence: There was no documentation at the center to verify that the center has written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.

Based on record review, one child’s record does not contain required documentation.

“Evidence: Child #1’s record does not contain documentation of an allergy care plan for a diagnosed food allergy, to include instructions forma 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-8.