Children of America- Manassas Bull Run

Documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member, is considered part of the staff member’s record, and shall include: name of staff; training topics; training delivery method; the entity or individual providing training; and the date of training.

“The file for Staff #1 and Staff #2 did not contain documentation of an orientation on the required topics.”

Rule 8VAC20-780-240-I.

The Center is required to ensure that it has sinks supplied with running warm water that does not exceed 120 degrees F.

“During inspection, it was determined with a thermometer that the hot water faucet at the child sink located in the classroom labeled as Pre-K B is 144.4 degrees F.”

Rule 8VAC20-780-320-B.

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

“In the Twos B classroom, there was a small plastic fan placed on top of a cubby and the cord was hanging at child height causing a risk that a child could pull it down on top of them.”

Rule 8VAC20-780-340-A.

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

“Both the small playground and the large playground have many large dips and voids in the resilient surfacing causing peaks and valleys covering the majority of the playground. These areas are a tripping hazard.”

Rule 8VAC20-780-270-A.

(Repeat Violation) For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“During inspection in the Preschool 2A classroom (age 3), there were 10 children present, but the written record reflected there were 9 children present.”

Rule 8VAC20-780-80-A.

(Repeat Violation) The Center is required to ensure that all staff who work directly with children shall have completed annually the health and safety update course.

“Staff #1 did not have documentation of the completion of the health and safety update course within the last year. The last documentation on file was dated 10/19/23.”

Rule 8VAC20-790-600-F.

The Center is required to post the license and the findings of the most recent licensing inspection of the facility in a conspicuous place on the licensed premises.

“1)The Provisional license was not posted. 2)The inspection completed on 2/2/26, which was the most recent licensing inspection of the facility, was not posted.”

Rule 22.1-289.011-F.

(Repeat Violation)The Center is required to maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present.

“The list did not contain Child #1`s food restrictions.”

Rule 8VAC20-780-40-M.

The Center is required to treat staff and child records confidentially.

“There were records posted at the center dated 11/24/25 that contained confidential information for staff and children.”

Rule 8VAC20-780-50-A.

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.

“During inspection in the Infant classroom, there were 3 children present, but the written record reflected there were 2 children present.”

Rule 8VAC20-780-80-A.

The Center is required to obtain a criminal history background check and a central registry background check report every five years from the date of the last check.

“The record for Staff #3 contained documentation that a criminal history background check report had been completed 3 months after it was due and documentation that a central registry background check report had been completed 2 1/2 months after it was due.”

Rule 22.1-289.035-A.

(Repeat Violation) The Center is required to obtain documentation of a completed Sworn Disclosure Statement prior to date of hire.

“The record for Staff #4 contained a sworn disclosure statement completed 2 weeks after hire.”

Rule 22.1-289.035-B-1.

The Center is required to ensure that they have completed the required potable water remediation for lead if results show above 15ppb.

“The Center did not complete the required lead remediation or submit a plan for remediation as instructed by the department of drinking water 5 months ago.”

Rule 22.1-289.057-C.

The Center is required to obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing.

“A TB test for Staff #4 was completed 11 weeks after it was due.”

Rule 8VAC20-780-160-C.

The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children.

“During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years. The Daily Heatlh Observation training for Staff #3 was overdue by over 2 years, and no other proof of training for other staff was able to be located in other staff files.”

Rule 8VAC20-780-245-L.

(Repeat Violation) The Center is required to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.

“Staff #1 who is the program leader in the Twos classroom and Staff #2 who is the program leader in the Infant classroom do not have documentation on file that they meet the qualifications for program leader.”

Rule 8VAC20-780-340-D.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-510-E

Rule 8VAC20-780-510-E.

The Center is required to ensure that medication be kept in a locked place using a safe locking method that prevents access by children.

“A medication was stored in the open director’s office on a shelf where it was not in a locked container.”

Rule 8VAC20-780-510-L.

The Center is required to ensure that all staff who work directly with children shall have completed annually the health and safety update course.

“There was no documentation on file that the health and safety update course had been completed within the last year for Staff #2 and Staff #3. The last documentation on file for Staff #3 was over 2 years ago and there was no documentation for Staff # 2 that they had completed any health and safety update trainings.”

Rule 8VAC20-790-600-F.

The Center is required to ensure that the written record of children’s injuries contained the staff present, the date and time when parents were notified; any future action to prevent recurrence of the injury; and staff and parent signatures or two staff signatures.

“After reviewing 3 injury reports for Child #1, it was determined that one of the injury reports written for Child #1 was missing documentation of the staff present and a second signature. 2 reports were missing the date and time the parents were notified and any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P. From a complaint.

(Repeat Violation) The Center is required to 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 that is signed by a physician, a physician’s designee or an official of the local health department.

“The file for Staff #1 contained a TB test or screening that was completed 4 days after hire, and for Staff #2 a TB test or screen that was completed 7 days after hire.”

Rule 8VAC20-780-160-A.

(Repeat Violation) The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children.

“During inspection in the Infant room and Toddler room, a container of sanitizer was stored in the bottom cabinet of each of the changing stations in an unlocked area.”

Rule 8VAC20-780-280-B.

The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth to 16 months old whenever children are in care.

“During inspection in the Toddler classroom the youngest child was 14 months old and there were 5 children in the classroom with one staff member.”

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

(Repeat Violation) The Center is required to have written medication authorization from the child’s physician and parent for a long term medication.

“The medication for Child #1 had expired on 2/22/25.”

Rule 8VAC20-780-510-E.

The Center is required to ensure that diaper cream is kept inaccessible to children.

“In the Infant and Toddler classrooms there were diaper ointments stored in an unlocked cabinet under the changing station where children have access.”

Rule 8VAC20-780-520-C.

The Center is required to ensure that they have staff on duty who are medication administration training (MAT) certified to administer medication to children in care.

“Evidence: There was not a staff member on site that was certified to administer a medication for Child #1.”

Rule 8VAC20-780-245-J-1.

The Center is required to ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member who meets the requirements of medication training.

“Evidence: There was no MAT trained staff member present on the bus to pick up Child #2 from their school.”

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

The Center is required to maintain a current and dated written list of children’s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present.

“Evidence: The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1 or Child #2?s food allergies.”

Rule 8VAC20-780-40-M.

(Repeat Violation) The Center is required to ensure that cots used by children 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 2B classroom, there were 3 children sleeping on cots without a bottom cover or without a one-piece covering open on 3 edges.”

Rule 8VAC20-780-450-A.

The Center is required to ensure they have written authorization from the parent to administer prescription and nonprescription medications.

“Evidence: There was no documentation of written authorization from the parent for the medications for Child #1.”

Rule 8VAC20-780-510-B.

Based on review of 5 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: Staff #2 (start date 5/28/24) did not have documentation of CPR certification.”

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

Based on review of 5 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: Staff #2 did not have documentation of 1st Aid certification.”

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

Based on review of 5 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 did not contain documentation of a fingerprint background check completed prior to their date of hire.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“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 #1 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 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 4/28/23) did not contain documentation of a negative tuberculosis (TB) test or screening dated prior to hire.”

Rule 8VAC20-780-160-A.

(Repeat Violation) Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

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

“Evidence: Staff stated that Staff #2 is the designated lead teacher and does not meet program lead qualifications.”

Rule 8VAC20-780-340-D.

Based on review of 2 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication that requires the duration of the parent authorization be renewed after 10 workdays and written medication authorization should be given from the child’s physician and parent for a long term medication.

“Evidence: For a medication for Child #1, there was no parent authorization and no authorization was given from the physician.”

Rule 8VAC20-780-510-E.

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

“Evidence: There was no documentation for evacuation drills for March 2024 and April 2024.”

Rule 8VAC20-780-550-D.

Based on review of documentation, the center did not ensure they implement a practice shelter in place drill twice per year.

“Evidence: There was no documentation for Shelter in place drills since 8/23/23.”

Rule 8VAC20-780-550-E.

Based on review of documentation, the center did not ensure they implement an annual practice lockdown drill.

“Evidence: There was no documentation for a lockdown drill since 7/12/23.”

Rule 8VAC20-780-550-F.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: observed in the Pre-K classroom, peeling paint on the wall and accessible to children.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: observed cabinet with a safety lock that was not properly engaged in preschool 2a which had 1 cleaning agent and 1 disinfectant.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-D

“Based on observation, the facility did not ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single service articles and shall be stored in areas physically separate from food. Evidence: observed in the Pre-K classroom, an unlocked cabinet with a cleaning spray and a disinfectant spray next to a bag of snacks for children.”

Rule 8VAC20-780-280-D.

8VAC20-780-450-A

“Based on observation, the facility did not ensure that cribs, cots, mats and beds shall have linens consisting of a top cover and a bottom cover and a one-piece covering which is open on three edges. Evidence: observed in the Pre-K room, a child sleeping on a cot without a bottom cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-540-B

“Based on observation, the facility did not ensure that the first aid kit is easily accessible to staff and not to children. Evidence: observed that the first aid kit was in the bathroom, accessible to preschoolers to school-agers during the morning session.”

Rule 8VAC20-780-540-B.

8VAC20-780-550-D

“Based on review, the facility did not ensure that evacuation drills were practiced monthly. Evidence: reviewed the facility’s emergency evacuation drill log and found that they did not conduct an emergency evacuation drill in October 2023.”

Rule 8VAC20-780-550-D.

8VAC20-780-150-B

“Based on review, the facility did not ensure that children’s immunizations records were signed by a physician or their designee. Evidence: reviewed 5 children’s records and found that Child 5’s immunization record was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-210-A

“Based on review, the facility did not ensure that program leaders had documentation of meeting one of the required qualifications. Evidence: Reviewed 9 program leader staff files and found that 8 Staff members (1, 2, 3, 4, 6, 7, 8, and 9) did not have documentation of having program leader qualifications.”

Rule 8VAC20-780-210-A.

8VAC20-780-240-C

“Based on review, the facility did not ensure that orientation training was complete. Evidence: reviewed the orientation forms of 9 staff members and found that 6 staff members (1, 2, 3, 6, 8 and 9) did not have documentation of updated orientation training, and 2 staff members (4 and 5) did not have documentation of orientation training.”

Rule 8VAC20-780-240-C.

8VAC20-780-40-J

“Based on documentation, the facility did not ensure that they had documentation of an injury prevention procedures that were updated annually based on documentation of injuries and a review of the activities and services. Evidence: reviewed the facility’s records and found that they did not have documentation of an annually reviewed injury prevention plan.”

Rule 8VAC20-780-40-J.

8VAC20-780-440-E

“Based on observation, the facility did not ensure that there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: observed that 4 of the cots were within 12 inches of each other.”

Rule 8VAC20-780-440-E.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-60-A

“REPEAT VIOLATION Based on review, the facility did not ensure that children’s records were maintained with the required documentation. Evidence: Reviewed 5 children’s records and found: 1) Child 5 did not have documentation of a second emergency contact and the first emergency contact did not have an address. 2) Child 3 did not have documentation of viewing the original proof of identity Previously cited on 6/28/2023”

Rule 8VAC20-780-60-A.

63.2-1509-A

“Based on interview and observation, the center failed to report any suspected incident of child abuse as required. Evidence: The center self-reported a rough handling incident to the licensing office but failed to notify the local department of social services as required. Documentation reviewed revealed the center labeled the incident as alleged child abuse.”

Rule 63.2-1509-A.

8VAC20-780-410-1

“Based on review of documentation and interviews, it was determined that a staff engaged in a forbidden action of rough handling when caring for children. Evidence: Staff #1 was observed by Staff #2 roughly handing Child #1, 4 years old. Staff #1 grabbed Child #1 by the right arm and sat Child #1 in their seat. Child #1 said ?ouch? and grabbed their arm. Staff #2 observed red marks on Child #1?s arm. Child #1 reported that Staff #1 ?had a grumpy face? when Staff #1 grabbed their arm.”

Rule 8VAC20-780-410-1.

8VAC20-780-130-A

“Based on review of documentation, the center failed to obtain immunizations for each child enrolled by the first day of attendance. Evidence: Child #1, enrolled 6/12/2023, Child #2, enrolled 6/12/2023, Child #4, enrolled 1/5/2023 did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“Based on review of documentation, the center did not obtain documentation of additional immunizations every six months for children under the age for two years old. Evidence: Child #5, age 10 months, most recent immunizations were dated 8/2/2022. Child #7, age 10 months, most recent immunizations were dated 10/12/2022.”

Rule 8VAC20-780-130-E.

8VAC20-780-245-J-3

“Based on review of medication, review of documentation and interview with staff, the center did not ensure there was a staff current in required Medication Administration Training (MAT) for AuviQ injector. Evidence: Child #9 has an AuviQ medication on site as of 6/6/2023 and no staff were currently trained in AuviQ MAT.”

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

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, not all potentially hazardous substances such as cleaning materials were kept in a locked place. Evidence: In the preschool 2 b classroom, there was a container of disinfectant spray on the counter behind the sink faucet and in the under the sink cabinet, the sanitizer was unlocked. In the toddler classroom, there were sanitizing tablets that were labeled keep out of reach of children/irritant in a high unlocked cabinet.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-40-L

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

“Based on review of documentation, the center failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions. Evidence: On June 28, 2023, the center’s allergy list was not current and did not include the allergies of Child #8, the allergy of Child #9, Child #10’s egg allergy or Child #11’s walnut allergy”

Rule 8VAC20-780-40-M.

8VAC20-780-500-B

“Based on observation, not all diapering requirements were met including a disposal system that has a foot operated and the diapering surface only being used for diapering. Evidence: In the Preschool 2B classroom, disposable diapers were observed in an open trash can in the bathroom. In the toddler room, there were two boxes of gloves, a box of plastic bags, a container of blocks and clothing stored on the diapering pad.”

Rule 8VAC20-780-500-B.

8VAC20-780-520-C

“Based on observation, the center did not follow requirements for diaper ointments. Evidence: In the two’s classroom, in the diaper changing table, the doors are removed and there are eight diaper ointments accessible to children in care. There were two diaper ointments that were not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-F

“Based on review of documentation, the center did not ensure lockdown procedures were practiced at least annually. Evidence: There was no documentation of a lockdown drill for 2022.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Based on review of documentation, the center failed to maintain a complete record with all required information. Evidence: Child #1, enrolled 6/12/2023, did not have full addresses for two emergency contacts. Child #3, no start date recorded, did not have a second emergency contact, phone number and full address. Child #4, enrolled 1/5/2023, did not have a full address for a second emergency contact. Child #6, enrolled 1/23/2023, did not have two emergency contacts, telephone numbers and addresses.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

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

8VAC20-780-80-A

“Based on observation, not all children were recorded on the attendance record. Evidence: In the infant room, there were three infants but only two were on the attendance sheet. In the two’s room during outdoor play, there were seven children on the attendance sheet and eight children present.”

Rule 8VAC20-780-80-A.

8VAC20-790-570-2

Rule 8VAC20-790-570-2.

8VAC20-780-340-A

“Based on interviews it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: On 2/10/2023, there were approximately 17 children on the playground ages three and four years old with two staff supervising, who were reportedly grouped together in conversation. Interviews revealed that Child A sustained an injury to their nose which caused swelling and bleeding but staff could not determine the exact cause of the injury.”

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

8VAC20-780-40-N

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

8VAC20-770-60-C-2

“Based on review of documentation, it was determined that the center did not obtain central registry background checks within 30 days of employment. Evidence: Staff #4, start date 3/2/2022, did not have documentation of a central registry background check in the file. Staff #5, start date 10/17/2022, was dated 11/28/2022.”

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

8VAC20-780-130-A

“Based on review of children’s records, the center did not obtain immunizations before the child attended the center. Evidence: Child #2, first day of attendance 3/12/22, immunizations were dated 11/19/2022.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of children’s records, the center did not obtain documentation of a physical exam within 30 days of attendance. Evidence: Child #2, start date 3/12/22, physical was dated 11/19/2022. Child #3, start date 10/26/22, had no documentation of a physical in the record. Child #5, start date 6/20/22, did not have documentation of a physical in the record.”

Rule 8VAC20-780-140-A.

8VAC20-780-500-B

“Based on observation, not all diapering surfaces were nonabsorbent. Evidence: In the toddler classroom, the diapering pad was crack at the end and no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

8VAC20-780-570-E

“Based on observation, not all prepared infant bottles were dated and labeled with the child’s name. Evidence: In the infant classroom, individual bottles in the fridge were not labeled and dated as required and were kept in a basket labeled for child #7.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on review of children’s records, the center did not ensure children’s records contained required information. Evidence: Child #2, start date 3/12/22, did not have documentation of two emergency contacts in the record.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on review of documentation, it was determined that the center failed to obtain documentation of national fingerprint background check results by the first day of employment. Evidence: Staff #2, start date 5/9/2022, did not have documentation of fingerprint background check in the record.”

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

8VAC20-770-60-B

“Based on review of documentation, it was determined that the center failed to obtain a completed sworn statement by the 1st day of employment. Evidence: Staff #2, start date 5/9/2022, sworn statement was dated 5/13/2022.”

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

8VAC20-770-60-C-2

“Based on review of documentation, it was determined that the center failed to obtain central registry background check results within 30 days of employment. Evidence: Staff #2, start date 5/9/2022, did not have documentation of central registry background check results in the record.”

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

8VAC20-780-160-A

“Based on review of documentation, it was determined that the center failed to obtain Tuberculosis (TB) screening by the 1st day of employment. Evidence: Staff #2, start date 5/9/2022, did not have documentation of a TB screening in the record.”

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

8VAC20-780-550-O

Rule 8VAC20-780-550-O. From a complaint.

8VAC20-780-550-P

Rule 8VAC20-780-550-P. From a complaint.

8VAC20-780-70

“Based on review of documentation, it was determined that the center failed to obtain two references for each staff prior to employment. Evidence: Staff #2, start date 5/9/2022, did not have documentation of two references in the record.”

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

22VAC40-185-280-B

“Based on observation, not all potentially hazardous substances were kept in a locked place. Evidence: In the older infant classroom, a can of “Rid home, lice, bed bug, dust mite” spray was in a high unlocked shelf above the counter.”

Rule 22VAC40-185-280-B.

8VAC20-770-60-B

“Based on review of documentation, it was determined that the center did not obtain sworn statement before the first day of employment. Evidence: Staff #2, start date 5/31/2022, sworn statement was dated 6/15/2022. Staff #3, start date 3/31/2022, did not have documentation of a sworn statement in the record. Staff #4, start date 6/13/2022, did not have documentation of a sworn statement in the record.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of documentation, it was determined that the center did not obtain central registry background checks within 30 days of employment. Evidence: Staff #1, start date 5/3/2022, did not have documentation of a central registry background check in the file. Staff #3, start date 3/31/2022, was dated 5/7/2022. Staff #6, start date 3/22/2022, did not have documentation of a central registry background check in the record.”

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

8VAC20-780-140-A

“Based on review of documentation, it was determined that the center did not obtain documentation of physical exam within 30 days of attendance for all children. Evidence: Child #3, enrolled 5/6/2022, did not have a physical in the file.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on review of documentation, the center did not obtain documentation of a negative Tuberculosis (TB) screening for all staff before coming into contact with children. The TB screening shall be conducted within the last 30 calendar days before hire. Evidence: 1. Staff #2, hired 5/27/2022, Staff #4, hired 6/13/2022, Staff #6, hired 3/22/2022 did not have documentation of a TB screening in the record. 2. Staff #3, hired 3/31/2022, TB was dated 6/6/2022. 3. Staff #5, hired 3/1/2022, TB was dated 5/24/2021.”

Rule 8VAC20-780-160-A.

8VAC20-780-290-A-3

“Based on observation, not all outlets were equipped with child protective covers. Evidence: In City Place, there were five toddlers observed playing and three uncovered outlets. In the fours class, there was one uncovered outlet in the back of the room.”

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

8VAC20-780-500-A

“Based on observation and staff interview, not all children’s hands were washed after diapering. Evidence: In the older infant room, after diapering a child’s hands were not washed. Interview revealed that the staff member did not know that hand washing was a requirement.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview with staff, it was determined that diapering requirements were not followed. Evidence: In the older infant classroom, after a child was diapered, the diapering surface was not cleaned and sanitized after.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on review of documentation and medications, the center failed to follow it’s procedures for administering medication. Evidence: Child #8 has ephinephrine on site and there was no authorization from the parent or physician.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-L

“Based on observation, medication was not kept in a locked place. Evidence: Medication was kept in an orange Children of America bag on top of a bookshelf in the director’s office.”

Rule 8VAC20-780-510-L.

8VAC20-780-70

“Based on review of documentation, the center failed to ensure staff records contained required information. Evidence: Staff #2, hired 5/31/2022, did not have references in the file and no documentation of orientation. Staff #3, hired 3/31/2022, references were dated 4/1/2022. Staff #4, hired 6/13/2022, did not have documentation of two references in the file. Staff #6, hired 3/22/2022, did not have documentation of two references in the file.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“Based on review of documentation, it was determined that the center did not ensure a written record of daily attendance for each group of children was completed. Evidence: In the two’s classroom, there were 10 children present and three children recorded as present on the attendance sheet.”

Rule 8VAC20-780-80-A.

8VAC20-780-160-A-1

“Based on review of documentation, the facility failed to obtain documentation of Tuberculosis (TB) screening for staff prior to coming into contact with children. Evidence: Staff #1, start date 3/1/2022, did not have documentation of a TB screening in the file.”

Rule 8VAC20-780-160-A-1. From a complaint.