Cadence Academy Preschool - Fredericksburg

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements for medication administration.

“The center had emergency medications on site and did not have a documentation of a staff with current MAT training.”

Rule 8VAC20-780-245-J-3.

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

“The center’s written record of children’s injuries was missing the time and method of parent notification.”

Rule 8VAC20-780-550-P.

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

“The record for Child #4, enrolled for more than one year, was missing the addresses for both emergency contacts.”

Rule 8VAC20-780-60-A.

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

“The Pre-K 1 classroom has an area of chipped paint on wall by the circle time area, and a lower cabinet with missing handles and peeling trim adjacent to the classroom back door.”

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

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

“On November 14, 2025, at 5:30pm, a staff member left the Pre-K 1 (ages 3-4 years) classroom to retrieve another child who ran out of the classroom, leaving the remaining children out of sight and sound supervision.”

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

The required staff-to-child ratio for children ages 3 years old to school age is 1:10.

“The PreK 1 (ages 3-4 years old) classroom attendance sheet for November 24, 2025 documented 13 children with one staff member at 8:30am and 9:00am. The PreK 2 (ages 3-4 years old) classroom attendance sheet for October 24, 2025 documented 13 children with one staff member at 8:30am. The PreK 2 attendance sheet for November 24, 2025 documented 17 children and one staff member at 8:50am.”

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

The staff-to-children ratio of 1 staff for every eight children two to three years of age is required whenever children are in care.

“In the 2A classroom, from July 1 through July 31, 2025, four out of twenty attendance records documented more than eight children with one staff member. In the 2B classroom, from July 1 through July 31, 2025, ten out of twenty attendance records documented more than eight children with one staff member.”

Rule 8VAC20-780-350-B-3. From a complaint.

The Center is required to ensure they have a written care plan from a physician for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: The record for Child #1 did not contain an allergy care plan for their diagnosed food allergy.”

Rule 8VAC20-780-60-A-8.

The Center is required to keep 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 Pre-K 1 classroom, there were 19 children present, but the written record reflected there were 18 children present.”

Rule 8VAC20-780-80-A.

(Repeat Violation) Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility.

“Evidence: The most recent licensing inspection of the facility from the inspection completed on 7/19/24 was not posted.”

Rule 22.1-289.011-F.

Based on staff interviews, the Center failed to use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts.

“Evidence: Interviews revealed that Staff #1 yells daily at the children in the Preschool 2A classroom (ages 2-3 years old) when they become frustrated with the children. The staff member has been seen and heard yelling the phrases ?sit down?, ?leave it alone?, and ?move? and sometimes will yell while getting close up to the children’s faces.”

Rule 8VAC20-780-400-B.

Based on observation, the center did not ensure that medication be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the Early Preschool 2B classroom, there were 2 packets of Ibuprofen, 2 packets of Aspirin, and 2 packets of Acetaminophen medications stored on a countertop inside an unlocked first aid kit.”

Rule 8VAC20-780-510-L.

Based on review of 3 staff records, the center did not ensure that all staff who work directly with children shall have completed annually the health and safety update course.

“Evidence: Staff A did not have documentation of the completion of the health and safety update course within the last year.”

Rule 8VAC20-790-600-F.

Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing.

“Evidence: The record for Staff A did not have documentation of a negative TB test or screening within 2 years of the last TB test. The last TB test was completed 4/20/22, and the new TB test was not completed until 5/29/2024 exceeding the 2 years.”

Rule 8VAC20-780-160-C.

(Repeat Violation) Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: Based on observation, one of the buses had a broken window that was covered with poster board and tape. Poster board could be easily pushed on. There was also broken glass observed on the bus accessible to the children. Staff interview determined that this bus was driven the week of June 17-21 for a field trip.”

Rule 8VAC20-780-270-A.

(Repeat Violation) Based on observation, the Center did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils or single-service articles and should be stored in areas physically separate from food.

“Evidence: During inspection in the Preschool 2 B classroom, there was sanitizing materials stored above paper plates.”

Rule 8VAC20-780-280-D.

Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone.

“Evidence: 1)The Preschool playground has a curved slide that is 26 inches in height with wood chips at approximately 2 inches in depth at the bottom of the left and right sides instead of the required 6 inches. 2) The School Age playground has a climbing wall that is 91 inches in height with wood chips at approximately 3-4 inches in depth at the bottom left and right sides instead of the required 9 inches.”

Rule 8VAC20-780-330-B.

Based on documentation request and staff interviews, 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.

“Evidence: The preschool 3-B and School Age classrooms were on the playground, both classroom teachers stated that they did not have their allergy lists present on the playground.”

Rule 8VAC20-780-40-M.

Based on observation, the center did not ensure that mattresses when used, were covered with a waterproof material which can be cleaned and sanitized.

“Evidence: There was a torn mattress observed in the Infant 1 classroom causing it no longer to be waterproof.”

Rule 8VAC20-780-450-E.

(Repeat Violation) Based on observation, the center did not ensure that staff and child records were treated confidentially.

“There were records posted at the center dated 2/26/24 and 3/18/24 that contained confidential information for staff and children.”

Rule 8VAC20-780-50-A.

(Repeat Violation) Based on documentation review of 14 medication authorizations, the center did not ensure that prescription and nonprescription medication is only be given to a child with written authorization from the parent.

“Evidence: Child C had medication onsite, and the center has administered this medication since 3/13/2024. The center did not have written authorization from the parent for this medication on file.”

Rule 8VAC20-780-510-E.

Based on review of 5 injury reports, the center did not ensure that the written record of children’s injuries contained all required information.

“Evidence: 1)Child A injury report dated 6/17/2024 was missing date and time when parents were notified, parent signature or two staff signatures, and documentation on how parent was notified. 2)Child B injury report dated 6/13/2024 was missing date and time when parents were notified, parent signature or two staff signatures, and documentation on how parent was notified. 3)Child B injury report dated 6/17/2024 was missing date and time when parents were notified and documentation on how parent was notified.”

Rule 8VAC20-780-550-P.

Based on observation, the center did not ensure that children were not allowed to drink or eat while walking around.

“Evidence: 1)Child D in the Preschool 3A classroom was observed walking around the classroom eating blueberries and drinking. 2)Child E in the Preschool 3A classroom was observed walking around eating a sandwich and also standing up in the chair.”

Rule 8VAC20-780-560-M.

8VAC20-780-80-A

“(Repeat Violation) Based on documentation review and staff interviews, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. Evidence: The daily attendance that was documented in the Infant 1 classroom had 12 children written on the daily the attendance, but only 11 children were present.”

Rule 8VAC20-780-80-A.

Based on interviews, the center did not ensure the care, protection and guidance of all children in care.

“Evidence: On 3/13/24, Child #1 (6 months old) was fed Child #2?s bottle containing breast milk. The child consumed approximately 2 oz of breast milk before Staff #1 was notified of the mistake by another staff member.”

Rule 8VAC20-780-340-A.

Based on review of 3 staff records, the center did not ensure that all staff who work directly with children shall have CPR training within 90 days of the date of employment or 90 days from subsidy vendor approval.

“Evidence: There was no documentation that Staff #2 has a valid CPR certification.”

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

Based on review of 3 staff records, the center did not ensure that all staff who work directly with children shall have 1st aid training within 90 days of the date of employment or 90 days from subsidy vendor approval.

“Evidence: There was no documentation that Staff #2 has a valid 1st Aid certification.”

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

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 2/19/24), did not contain documentation of a fingerprint background check completed prior to their date of hire. The Fingerprints in the file were completed on 2/20/24.”

Rule 22.1-289.035-B-2.

Based on review of 3 staff records, 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 02/19/24) did not contain documentation of a completed sworn disclosure statement prior to the date of hire. The Sworn disclosure statement in the file was completed on 2/20/24.”

Rule 8VAC20-770-60-B.

(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 kitchen area directly off the main hall where the door was open, a jug of disinfectant was stored on the floor.”

Rule 8VAC20-780-280-B.

(Repeat Violation) Based on observation, the Center did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils or single-service articles and should be stored in areas physically separate from food.

“During inspection in the Preschool 3A classrooms, there were cleaning and sanitizing materials stored together with a box of crackers.”

Rule 8VAC20-780-280-D.

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

“Evidence: During inspection in the Nursery 2 classroom (ages 11 months-18 months), there were 4 teachers sitting on the floor with 13 Infants and Toddlers who were resting on 1 side of a half wall that divides the room. On the other side of the half wall there was a sleeping infant (age 11 months) in a crib and there were no staff present in this area. The child was unable to be seen by any staff member in the classroom.”

Rule 8VAC20-780-340-F.

8VAC20-780-440-J

“Based on observation, the center did not ensure that there was thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied cribs. Evidence: In the Nursery 2 classroom, there was a sleeping infant in a crib where the service side and walkway was only 24 inches from another crib.”

Rule 8VAC20-780-440-J.

8VAC20-780-450-A

“Based on observation, the center did not ensure that cribs, cots, mats and beds used by children other than infants during designated rest periods should have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In the Preschool 3A classroom, there were 2 children sleeping on mats without a top cover or without a one-piece covering open on 3 edges.”

Rule 8VAC20-780-450-A.

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 Preschool 2B classroom on the diapering surface was stored a bag of clothing and a roll of tape.”

Rule 8VAC20-780-500-B.

(Repeat Violation) Based on staff interviews, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

Rule 8VAC20-780-350-B-2. From a complaint.

8VAC20-780-350-M

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

(Repeat Violation) Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility.

“Evidence: The most recent licensing inspection of the facility from the inspection on 12/21/2023, was not posted.”

Rule 22.1-289.011-F.

Based on review of 5 staff records, the provider did not obtain a criminal history background check report every five years from the date of the last check.

“Evidence: The record for Staff #5 did not contain documentation that a criminal history background check report had been completed every five years from the date of the last check. The last criminal history check was completed 7/3/18.”

Rule 22.1-289.035-A.

Based on review of 5 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 record for Staff #4 (date of hire 2/27/23) 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.

(Repeat Violation) 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.

“Evidence: The cabinet doors in the Preschool 3B classroom (ages 3-4 years old) were broken away from the hinge and the doors were falling forward causing them to stick out in such a way as to be a risk to snagging a child’s skin from the sharp corners and a risk that the doors may fall on a child and injury them.”

Rule 8VAC20-780-270-A.

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 2A classroom (ages 2-3 years old), a container of hand sanitizer was not locked up and sitting on a windowsill. 2)During inspection in the Preschool 3A classroom (ages 3-4 years old), there was an unlocked cabinet that contained 2 air fresheners, a container of sanitizer, and antibacterial cleaner.”

Rule 8VAC20-780-280-B.

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

“Evidence: During inspection in the Preschool 2A (ages 2-3 years old) and Preschool 3A (ages 3-4 years old) classrooms, there were cleaning and sanitizing materials stored above paper plates and eating utensils. There were cleaning and sanitizing materials stored together with food.”

Rule 8VAC20-780-280-D.

(Repeat Violation) Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

“Evidence: During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 4 children in the Toddler room where a child under the age of 16 months was present.”

Rule 8VAC20-780-350-B-1.

Based on observation, the Center did not ensure that staff and child records were treated confidentially.

“Evidence: There were records posted at the front entrance of the center dated 2/14/22, 8/22/22 and 1/5/23 that contained confidential information for staff and children.”

Rule 8VAC20-780-50-A.

(Repeat Violation) 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 2A classroom (ages 2-3 years old), children did not wash their hands with soap and running water or disposable wipes before eating as required.”

Rule 8VAC20-780-500-A.

(Repeat Violation) Based on observation the center did not ensure that the diapering surface was cleaned and sanitized after each use and that the diapering surface should only be used for diapering or cleaning children.

“Evidence: 1)In the Preschool 2A classroom (ages 2-3 years old) on the diapering surface was stored children’s artwork and art supplies. 2)In the Toddler classroom, a staff member changed a child’s diaper then sprayed a cleaner on the diapering surface and wiped it clean. No sanitizer was used as required. To properly sanitize the diapering surface, the sanitizer should be sprayed on the surface and the solution allowed to dry for at least 2 minutes.”

Rule 8VAC20-780-500-B.

(Repeat Violation) Based on review of 12 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: For medications for Child #6, Child #7, and Child #8, the duration of the parent’s authorization was not renewed after 10 workdays nor was written medication authorization given from the child’s physician and parent for a long term medication.”

Rule 8VAC20-780-510-E.

(Repeat Violation) Based on review of 12 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container.

“Evidence: The medication for Child #6 was not maintained in the original, labeled container from a pharmacy.”

Rule 8VAC20-780-510-I.

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

“Evidence: In the Preschool 2B classroom (ages 2-3 years old), there were 2 diaper creams stored on the diaper station where children have access.”

Rule 8VAC20-780-520-C.

Based on review of documentation, the center did not ensure they implement a monthly practice evacuation drill.

“Evidence: There was no documentation of an evacuation drill for December 2023.”

Rule 8VAC20-780-550-D.

(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 3A classroom (ages 3-4 years old), there were 16 children present, but the written record reflected there were 17 children present.”

Rule 8VAC20-780-80-A.

(Repeat Violation) Based on review of 1 staff record, 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 and within 30 days prior to employment.

“Evidence: The file for Staff #1 (date of hire 8/21/23) did not contain documentation of a negative tuberculosis (TB) test or screening at the time of employment. The TB screening on file was completed on 8/22/23.”

Rule 8VAC20-780-160-A.

(Repeat Violation) Based on staff interviews and documentation review, a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-A.

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: 1)The record for Staff #1 (date of hire 1/11/23) 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 3/14/23) did not contain documentation of a completed criminal history record check or 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.

(Repeat Violation) Based on review of 6 staff records, 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 #4 (date of hire 10/2/23) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

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

(Repeat Violation) Based on review of 6 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 and within 30 days prior to employment.

“Evidence: The file for Staff #1 (date of hire 1/11/23) did not contain documentation of a negative tuberculosis (TB) test or screening.”

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

Based on interviews, the center did not ensure the care, protection and guidance of all children in care.

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

Based on staff interviews and documentation review, a staff member did not use behavioral guidance that was constructive in nature, age and stage appropriate, or intended to redirect a child to appropriate behavior and resolve conflicts.

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

Based on review of 6 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 (date of hire 1/11/23) that two or more references as to character and reputation as well as competency were checked before employment.”

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

Based on observation and staff interview, the center did not ensure they post the findings of the most recent licensing inspection of the facility.

“Evidence: The most recent licensing inspection of the facility completed on 1/30/2023 was not posted as required. The posted inspection was dated 8/22/2022.”

Rule 22.1-289.011-F.

Based on observation, the center did not ensure that electrical outlets have protective covers.

“Evidence: In the Threes classroom, there were 2 outlets on a surge protector that did not have protective covers.”

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

(Repeat Violation) Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone.

Rule 8VAC20-780-330-B.

Based on review of 6 child records, 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.

“Evidence: The record for Child #2 has documentation of a dietary restriction, but the dietary restriction is not documented on the list in the child’s Nursery 2 classroom.”

Rule 8VAC20-780-40-M.

Based on observation, the center did not ensure that proper handwashing procedures were followed.

“Evidence: In the Preschool 2B classroom, children did not wash their hands with soap and running water or disposable wipes before eating snack. Children were observed playing with toys and sitting on the floor immediately before being called over to the table to eat.”

Rule 8VAC20-780-500-A.

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: In the Toddler classroom, the foot-operated storage system for disposal of diapers was not able to be operated by foot causing the staff member to have to touch the exterior surface of the trash can with their hand or a soiled diaper to open the trash can.”

Rule 8VAC20-780-500-B.

(Repeat Violation) Based on review of 11 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: 1)Medication for Child #7 and Child #8 did not contain authorization from the child’s parent or from the physician. 2)In the Toddler classroom, Child #3 had a cup of milk containing medication that he is served each day in the classroom during snack time. The center does not have documentation of authorization from the child’s parent or physician to administer the medication.”

Rule 8VAC20-780-510-E.

Based on review of 11 medications, the center did not ensure that they administer drugs that contained the prescription label identifying the child and the prescriber’s instructions pertaining to dosage, frequency and manner of administration.

“Evidence: 1)The medication for Child #9 did not contain a prescription label with the child’s name, dosage information, frequency, and manner of administration as required.”

Rule 8VAC20-780-510-I.

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

“Evidence: In the Preschool 2A classroom, there were 2 diaper creams stored under the unlocked diaper changing station where children have access.”

Rule 8VAC20-780-520-C.

Based on review of 5 staff records and staff interview, 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: The file for Staff #1 did not contain documentation of CPR and First Aid certification. Staff #1 was alone in the Preschool 3A classroom so this classroom did not have at least one staff member that had documentation of cardiopulmonary resuscitation (CPR) certification in this classroom.”

Rule 8VAC20-780-530-A.

Based on review of 6 child records, the provider did not ensure they had a written care plan for each child with a diagnosed food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: The record for Child #6 did not contain an allergy care plan for their physician diagnosed food allergy.”

Rule 8VAC20-780-60-A-8.

(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 2B classroom, there were 11 children present, but the written record reflected there were 9 children present.”

Rule 8VAC20-780-80-A.

Based on staff interview and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services immediately as required.

Rule 63.2-1509-A.

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

“Evidence: 1)On 1/10/23, at approximately 4:40pm-5:30pm during an incident involving the behavioral guidance of a Child #1, Staff #1 left Child #1 (age 7) alone in a hallway outside of the classroom to ?take a break?. 2)Based on interviews with staff and the child, the door to the classroom was closed at various times during the approximately 50 minutes the child was alone.”

Rule 8VAC20-780-340-F.

Based on documentation and staff interview, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

Rule 8VAC20-780-350-B-4.

Based on staff interview, the center failed to ensure that forbidden actions did not occur involving 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 a punishment.

“Evidence: On 1/10/23, Child #1 stated that when they became upset in the classroom, Staff #1 roughly handled Child#1 by grabbing their arm, picking them up, and placing them in the hallway to ?take a break?. There were red marks left on the child’s arm that later bruised.”

Rule 8VAC20-780-410-1.

Based on staff interview, the center failed to ensure that forbidden actions did not occur involving separation from the group so that a child is away from the hearing and vision of a staff member.

“Evidence: Child #1 was separated from their group and alone in the hallway outside the classroom for approximately 50 minutes and was not in the vision and hearing of a staff member.”

Rule 8VAC20-780-410-4.

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.

Rule 8VAC20-780-80-A.

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 5 staff records, 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 #4 (date of hire 5/31/22) did not contain documentation of a completed sworn disclosure statement prior to the date of hire.”

Rule 8VAC20-770-60-B.

Based on review of 5 child records, the provider did not obtain documentation of updated immunizations once every six months for children under the age of two years.

“Evidence: The record for Child #2 (DOB 5/13/21) and Child #4 (DOB 1/31/20) did not contain updated immunizations every 6 months up to the age of 2 years old. The last immunization update on record for Child #2 was dated 7/14/21 and the last immunization update on record for Child #4 was dated 5/5/21.”

Rule 8VAC20-780-130-E.

Based on review of Five 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.

“Evidence: The file for Staff #4 (date of hire 5/31/22) did not contain documentation of a negative tuberculosis (TB) test or screening.”

Rule 8VAC20-780-160-A.

Based on observation, the center did not ensure that it had sinks supplied with running warm water that does not exceed 120 degrees F.

“Evidence: During inspection in the Preschool 3A classroom, it was determined, using a thermometer, that the water in the sink was 125 degrees F.”

Rule 8VAC20-780-320-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.

Rule 8VAC20-780-330-B.

Based on review of 8 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.

“Evidence: 1)For medications for Child #6 and Child #7, the duration of the parent’s authorization was not renewed after 10 workdays nor was written medication authorization given from the child’s physician and parent for a long-term medication. 2)The medication for Child #6 had expired on 12/2022.”

Rule 8VAC20-780-510-E.

Based on review of 5 child records, the provider did not obtain the required annual documentation of review of the child’s record and the parent’s confirmation of the review.

“Evidence: The record for Child #2 was last reviewed by the parent on 7/15/21, the record for Child #3 was last reviewed by the parent on 7/13/21, and the record for Child #4?s was last reviewed by the parent on 9/2/21.”

Rule 8VAC20-780-60-A.

Based on review of 5 staff records, the center did not ensure at the time of employment that each staff member had documentation of a negative tuberculosis screening.

“Evidence: The record for Staff #5 (Date of Hire 8/2/21) did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

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.

“Evidence: The slide on the Toddler playground has a large crack on the side where a child could cut themselves or snag skin.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure playground equipment has enough resilient surfacing to comply with minimum safety standards as described in the American Society for Testing and Materials standard F1292-99.

Rule 8VAC20-780-330-B.

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

“Evidence: In the Early Preschool 2A and in the Early Preschool 2B classrooms, diaper cream was stored in the bottom cabinet of the diapering station where the doors were unlocked and the diaper cream was accessible to children.”

Rule 8VAC20-780-520-C.

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 Nursery 2 classroom, there were 15 children present, but the written record reflected there were 17 children present.”

Rule 8VAC20-780-80-A.

8VAC20-780-130-A

“Based on review, the facility did not ensure that they obtained documentation of children’s immunization records before the child attends the center. Evidence: Reviewed 5 children’s records and found that Child 3 did not have documentation of an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review, the facility did not ensure that each child had documentation of a physical examination within 30 days of the first day of care. Evidence: Reviewed 5 children’s records and found that Child 3 and 4 had been in care for over 30 days and did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center were maintained in a safe and operable condition. Evidence: 1) Observed in the Pre-K multipurpose/nap room, peeling paint under the window by the rear door. 2) Observed in the 3s classroom, chipping drywall and peeling paint.”

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required minimum information: Evidence: Reviewed 5 children’s records and found that Child 1 did not have documentation of 2 emergency contact addresses or parent work information (name, address and phone).”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that the areas inside and outside of the facility were maintained. Evidence: Observed in the Younger Twos classroom, peeling paint and a hole in the wall large enough for a child’s finger to get through.”

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

8VAC20-780-350-B

“Based on observation, the facility did not ensure that staff to child ratios were maintained. Evidence: Observed that the 4 year old classroom had a 1:11 ratio. Repeat violation: ratios were previously cited on 2/17/21 and 3/25/21.”

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