Winwood Children’s Center - Brm 2

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

“The center did not obtain additional immunzations every 6 months for Child #1 who is under the age of 2 years. The record for Child #1 contained immunizations dated June 2025 and June 2026.”

Rule 8VAC20-780-130-E.

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

“The record for Child #2 contained a physical examination that was dated 44 days after their first day of attendance.”

Rule 8VAC20-780-140-A.

If a child has had a physical examination prior to attendance, it shall be within 3 months prior to attendance for children aged 7 months through 18 months.

“The record for Child #1, age 16 months at the time of enrollment, contained a physical examination that was completed 11 months prior to attendance.”

Rule 8VAC20-780-140-B.

If diaper ointment or cream is used, the following requirements shall be met: written parent authorization noting any known adverse reactions shall be obtained; products shall be in the original container and labeled with the childs name.

“The written parent authorization for over-the-counter diaper cream for Child #3 and Child #4 had been expired since March and April 2026. Staff confirmed the creams had been used as needed after the authorizations had expired. Two over-the-counter creams were not labeled with a childs name.”

Rule 8VAC20-780-520-C.

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

“The record for Child #1, enrolled for 8 months, and Child #2, enrolled for 10 months, did not contain complete employment information for each parent.”

Rule 8VAC20-780-60-A.

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 4 months, did not contain results of an out of state central registry ( CPS ) search. The center submitted a request prior to hire but did not follow up when results were not received.”

Rule 22.1-289.035-B-4.

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

“The center did not obtain written authorization from the parent of Child #1 for a long-term, nonprescription medication intended to be administered per the childs allergy care plan.”

Rule 8VAC20-780-510-B.

Long-term prescription drug use and over-the-counter medication may be allowed with written authorization from the childs physican and parent.

“Child #1 has a long-term nonprescription medication on-site to be administered in case of an allergic exposure. The medication has been onsite for over 6 months with no physician authorization.”

Rule 8VAC20-780-510-E.

The center shall implement a monthly practice evacuation drill.

“The center did not implement a monthly practice evacuation drill for the month of December 2025 and January 2026.”

Rule 8VAC20-780-550-D.

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

“The center did not practice a minimum of two shelter in place drills in 2025.”

Rule 8VAC20-780-550-E.

Lockdown procedures shall be practiced at least annually.

“The center did not practice a lockdown drill in 2025.”

Rule 8VAC20-780-550-F.

Each child shall have a physical examination by or under the direction of a physician: Before the child’s attendance; or within 30 days after the first day of attendance.

“The record for Child #1, enrolled for more than 30 days, did not contain a physical examination.”

Rule 8VAC20-780-140-A.

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

“The sink in the toddler bathroom, which is accessible to children, is loose and coming unattached from the wall.”

Rule 8VAC20-780-270-A.

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

“The record for Child #1, enrolled for more than 30 days, did not contain complete employment information for each parent.”

Rule 8VAC20-780-60-A.

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

“A child in the Preschool 3 classroom was observed cleaning up from nap and joining the snack table without handwashing.”

Rule 8VAC20-780-500-A.

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

“The record for Child #1, 19 months of age, contained immunizations dated 10 months ago.”

Rule 8VAC20-780-130-E.

The center shall maintain a current written list of all childrens known allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present.

“Two out of five classrooms observed had an allergy chart without a cover sheet, exposing childrens confidential information.”

Rule 8VAC20-780-40-M.

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

“In Classroom #1, a bottle of fuel system cleaner was found in an unlocked cabinet under the sink of the changing table.”

Rule 8VAC20-780-280-B.

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

“The record for Child #1, enrolled for more two months, did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on a staff written statement and review of an injury report, the licensee did not ensure compliance with the center’s own policy on playground safety. Evidence: 1. The center’s playground safety policy requires staff to spread out in zones where there is playground equipment.

“2. On 04/25/2024 at approximately 4:25pm, Staff #1 and #2 were positioned in two different zones, when Staff #1 left the playground and entered the center, which left one zone without staff. 3. While Staff #1 was inside, Child #1 fell off a climbing structure which caused a serious injury. The climbing structure was located in the zone that Staff #1 had left from.”

Rule 8VAC20-780-40-E.

8VAC20-780-340-A

“Based on interviews with Center Management and staff, when staff are supervising children, they did not always ensure their care, protection, and guidance. Evidence Staff #1 took child #1 by the wrist, pulling them over to their own cot, abruptly placing them face down on their stomach. Staff #1 stated when child #1 continued to be rambunctious, I pressed them down and spanked them once.”

Rule 8VAC20-780-340-A.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

8VAC20-780-410-1

Rule 8VAC20-780-410-1.

8VAC20-780-500-A

“Based on observation, staff did not wash the child’s hands or their own hands with warm running water and liquid soap after assisting a child with toileting. Evidence A diaper change was observed in the Infant 1 classroom. After the diaper change staff did not wash their own hands or the child’s hands with warm water and liquid soap.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, after a diaper change, the diapering surface was not cleaned with soap and water. Evidence In the Infant 1 classroom after a diaper change, staff was observed sanitizing the diapering surface, but not cleaning it first.”

Rule 8VAC20-780-500-B.

8VAC20-780-520-A

“Based on observation, over the counter skin products were kept beyond the expiration date of the product. Evidence In the Toddler classroom, three sunscreens were kept beyond their expiration date.”

Rule 8VAC20-780-520-A.

8VAC20-780-520-C

“Based on observation, diaper cream was observed not labeled and accessible to children. Evidence In the 2,s classroom, diaper cream was observed not labeled with a child’s name and was located in a drawer that is accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-790-600-D-1

“Based on review of staff cardiopulmonary resuscitation (CPR) records, not all staff have been certified in CPR within 90 days of first day of employment. Evidence Staff #1, 2, 3, and 4 are not current in the CPR training.”

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

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place, leaving them accessible to children. Evidence Soap powder was located on the floor in the unlocked laundry room, with the top not secured leaving it accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“Based on observation electrical outlets do not all have protective covers. Evidence One electrical outlet in the 2’s and in the 3’s room do not have protective covers.”

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

8VAC20-780-330-B

“Based on observation, there is not enough mulch on the playground to create a resilient surface in the fall zone. Evidence Under the fall zones there is not enough mulch creating a nonresilent surface.”

Rule 8VAC20-780-330-B.

8VAC20-780-370

“Based on review of infant daily sheets, 30 minutes of tummy time is not being recorded for each child that requires it. Evidence Pictures of infants doing tummy time are being sent to the parent, but the amount of time is not being required.”

Rule 8VAC20-780-370.

8VAC20-780-440-B

“Based on observation, rest mats were not identified for use by a specific child. Evidence The rest mats in the PreK classroom were not labeled with a child’s name to identify it for a specific child.”

Rule 8VAC20-780-440-B.

8VAC20-780-520-C

“Based on observation, not all diaper ointment or cream is labeled with a child’s name. Evidence Diaper cream located in the 2’s room was not labeled with a child’s name.”

Rule 8VAC20-780-520-C.