Angel’s Place Daycare Center II

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The record for staff #1 did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee’s first day of employment. The record for staff #1 and staff #3 did not have a completed criminal background check prior to the employee’s first day.”

Rule 22.1-289.035-B-2.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1 and staff #2 who have been working at the center did not have central request in their record.”

Rule 22.1-289.035-B-3.

8VAC20-770-70-A

“The following staff records shall be kept for each staff person, which shall contain all required information. Staff #1 and staff #3 who has been working at the center did not have any reference verification documented, where two are required prior to employment and did not have a documented date of hire.”

Rule 8VAC20-770-70-A.

8VAC20-780-140-A

“REPEAT VIOLATION 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 #3 was missing documentation of a completed physical examination. The children have been in care for approximately eight months.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening that has been completed within the last 30 calendar days of the date of employment. The record for staff #3 and staff #5 did not have a completed tuberculosis screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“REPEAT VIOLATION At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. The tuberculosis screening in the record for staff #4 was expired for approximately ten months.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-D

“Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center’s information. The record for staff #1 and staff #3 did not have documentation of a completed staff orientation.”

Rule 8VAC20-780-240-D.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. The record for child #1 did not contain the full address of the emergency contacts and the last day of care. The record for child #2 and child #3 did not have documentation of proof of identity.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-B

“All staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff with 90 days of employment. Staff #1 and staff #4, who were working at the center, did not complete the 10-hour Virginia Preservice training.”

Rule 8VAC20-790-600-B.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The record for staff #1, staff2, staff #3, staff #4 and staff #5 did not have a completed CPR training.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. The record for staff #1, staff2, staff #3, staff #4 and staff #5 did not have a completed First Aid training.”

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

8VAC20-780-130-A

“The center shall obtain documentation that each child has received immunizations before the child can attend the center. The record for child #1 who was present at the center did not contain immunization records.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“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 was missing documentation of a completed physical examination. The children have been in care for over a year.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. The tuberculosis screening in the record for staff #1 was expired for approximately three months.”

Rule 8VAC20-780-160-C.

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff #1 was changing diapers in the bathroom and had their back facing the children in the two and three year old classroom.”

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

8VAC20-780-410-2

“The following actions or threats thereof are forbidden: enclosure in a space that the child cannot freely exit himself. Staff used a highchair for confinement outside of its intended purpose.”

Rule 8VAC20-780-410-2. From a complaint.

22.1-289.035-B-3

“REPEAT VIOLATION The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2, who had been employed for 9 months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1, 23 months old, last documented immunization was 11 months ago. Child #2, 14 months old, last documented immunization was 9 months ago.”

Rule 8VAC20-780-130-E.

8VAC20-780-160-A

“REPEAT VIOLATION Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment, and it shall be completed within the last 30 calendar days of employment prior to coming into contact with children. The record for staff #1, who has been working at the center for over a month did not have documentation of a completed tuberculosis screening. The screening for Staff #2 was completed five months before hire. The screening for Staff #3 was completed two months before hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A cabinet under a sink was unlocked, accessible to children and contained various hazardous substances with the label ?Keep out of reach of children.?”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. An outlet in the toddler room did not have a protective cover.”

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

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records shall include documentation of education. The records for Staff #1, Staff #2, Staff #4 and Staff #5, who have been actively working at the center for over 7 months months, did not documentation of education.”

Rule 8VAC20-780-70.

8VAC20-780-90-A

Rule 8VAC20-780-90-A.

Based on record review and interview, the center failed to ensure that an employee of a child day program must not be employed until the agency or home has the person’s completed sworn statement or affirmation.

“Evidence: 1. There was no sworn statement or affirmation on file for staff 4 who was observed working in the program during the inspection. 2. The sworn statement or affirmation for staff 1, staff 2, and staff 3 were not dated therefore, no determination could be made as to if each was completed at the time of employment. 3. The program director confirmed that the sworn statements were missing and / or incomplete.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment.

“Evidence: 1. Staff 2, approximate hire date of 07/2023, lacks the results of a central registry check. 2. Staff 3, approximate hire date of 03/2024, lacks the results of a central registry check. 3. Staff 4, approximate hire date of 03/05/2024, lacks the results of a central registry check. 4. The program director confirmed that central registry checks were not on file for these staff.”

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

Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. Immunization information was not on file for child 1 who has an enrollment date of 09/12/2023. 2. The program director confirmed that documentation of required immunizations were not on file for child 1.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child 1, enrollment date 09/12/2023, lacked documentation of a physical exam. 2. The program director confirmed that documentation of a physical exam was not on file for child 1.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. There was no TB screening on file for staff 3. Staff 3 was observed working in the facility during the inspection and has an approximate hire date of 03/2024. 2. There was no TB screening on file for staff 4. Staff 4 was observed working in the facility during the inspection and has an approximate hire date of 03/05/2024. 3. The program director confirmed that a TB screening was not on file for staff 3 and staff 4.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center failed to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: 1. The most recent inspection from the Norfolk Fire Marshall was conducted on 02/03/2023. 2. The program director confirmed this as the most recent inspection.”

Rule 8VAC20-780-260-A.

Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to 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: 1. In the silver classroom a spray bottle of bleach and water solution was observed stored inside of a cabinet near a container of unpropped popcorn.”

Rule 8VAC20-780-280-D.

Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. The definition of sanitized means the surface of the item is sprayed with the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes.

“Evidence: 1. The diaper changing table in the two-year old classroom was not cleaned with soap and water after completion of a diaper change at 4:05 pm. 2. The diaper changing table was not allowed to air dry for at least two minutes after the completion of 2 diaper changes at approximately 3:55 pm in the orange classroom. a. The surface of the diaper changing table was immediately wiped with a paper towel after the bleach and water solution was sprayed.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that when food is brought from home, the food container shall be clearly dated.

“Evidence: 1. 5 of 12 cans of infant formula lacked a date indicating when the formula was received into the infant classroom. 2. A bottle of juice, in the older infant classroom, was not dated.”

Rule 8VAC20-780-560-G.

Based on observation, the center failed to ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

“Evidence: 1. Six children in the orange classroom were observed sitting inside of infant table seats without the safety belt fastened.”

Rule 8VAC20-780-570-A.

Based on record review and interview, the center failed to ensure that children’s records contain all of the required elements.

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

“Evidence: 1. The employment record for staff 5 and staff 6 could not be located. 2. The employment record for staff 1, staff 2, staff 3 and staff 4 lacked documentation of the date of employment. 3. The employment record for staff 2, staff 3, staff 4 and staff 7 lacked documentation of a job title. 4. The employment record for staff 3 and staff 4 lacked documentation of completion of orientation training. 5. The employment record for staff 3 and staff 4 lacked documentation of two reference checks.”

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to ensure that a written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance. The agreement shall be signed by the parent.

“Evidence: 1. The written parent agreement was not on file for child 1 who has an enrollment date of 09/12/2013. 2. The program director confirmed that a signed parent agreement was not on file for child 1.”

Rule 8VAC20-780-90-A.

8VAC20-780-245-J-3

“Based on record review and interview the center failed to ensure that when any child for whom emergency medications have been prescribed will always be in the care of a staff member with the required medication administration training. Evidence: 1- There is emergency medication for a child in today. However, there is not any staff present who has received the required medication administration training. 2 - Staff #1 provided certificates for a medication training that is not a part of the department approved training.”

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

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-580-B

“Based on documentation review the center failed to ensure that any vehicle used by the center for the transportation of children shall meet all requirements including that the vehicle is insured with at least the minimum limits established by Virginia state statutes. Evidence: There continues to be no documentation of vehicle coverage from October 31, 220 through January 30, 2023.”

Rule 8VAC20-780-580-B.

Based on record review and interview, the center failed to ensure that documentation of orientation training shall be kept by the center in a manner that allows for identification by individual staff member and is considered part of the staff member’s record.

“Evidence: 1. There was no written documentation to demonstrate that staff 1 , hire date 08/01/2022, had completed orientation training as required within seven days of the first day of employment. 2. Administrative staff confirmed that documentation of orientation training was not on file for staff 1.”

Rule 8VAC20-780-240-I.

Based on record review, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements for medication administration (MAT) training.

“Evidence: 1. There is no documentation on file to verify that any staff have MAT certification. a. A child in care, child 1, has emergency medication on file for a diagnosed food allergy.”

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

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

“Evidence: 1. When the inspection entered the toddler/two year old nap room at approximately 12:50 pm the staff supervising the children was observed placing blankets over two children in such a way as to completely cover each child’s face and head. 2. The inspector noted that all 14 children in this group were completely covered with a blanket to include the child’s face and head. 3. This is a suffocation hazard when a child’s face and head is completed covered with a blanket.”

Rule 8VAC20-780-340-A.

Based on observation and interview, the center failed to ensure for children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the following rest period ratios are permitted: *Children 16 through 24 months of age: one staff per 10 children; *Children two years of age: One staff per 16 children; *Children of preschool age: One staff per 20 children.

Rule 8VAC20-780-350-I.

Based on observation, the center failed to ensure that when food is brought from home the food container shall be labeled in a way that identifies the owner.

“Evidence: 1. Two packets of frozen breast milk were not labeled with the child’s name. a. These packets were observed in the infant room refrigerator.”

Rule 8VAC20-780-560-G.

Based on record review, the center failed to ensure that any vehicle used by the center for the transportation of children shall meet the following requirements: The vehicle shall be insured with at least the minimum limits established by Virginia state statutes:

“Evidence: 1. There is no written documentation to indicate that both facility vans, used to transport children to and from public school, had insurance in effect from 10/31/2022 through 01/31/2023. a. Policy 1 reviewed by the inspector, for both vans, expired on 10/31/2022. b. Policy 2 reviewed by the inspector, for both vans, began coverage on 01/31/2023.”

Rule 8VAC20-780-580-B.

Based on observation, the center failed to ensure that any provisional license shall be posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility or on the facility.

“Evidence: 1. The provisional license, issued 09/07/2022, was not posted at the public entrance of the facility. a. The license was posted on the parent board which is not a prominent place near the public entrance into the facility.”

Rule 8VAC20-820-120-E-1.

Based on observation, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings of the most recent monitoring inspection on 11/07/2022 were not posted. a. The findings of the 08/22/2022 complaint inspection were posted.”

Rule 8VAC20-820-120-E-2.

Based on record review and interview, the center failed to ensure that staff must not be employed or provide volunteer service until the center has the person’s completed sworn statement or affirmation.

“Evidence: 1. Staff 2, hire date 09/28/2022, lacks a completed sworn statement or affirmation. 1. Staff 3, hire date 09/08/2022, lacks a completed sworn statement or affirmation. 2. The program director confirmed that a sworn statement or affirmation was not on file for staff 2 and staff 3.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service.

“Evidence: 1. Staff 1, hire date 08/01/2022, lacks the findings of a central registry check. 2. Staff 2, hire date 09/28/2022, lacks the findings of a central registry check. 3. Staff 3, hire date 09/08/2022, lacks the findings of a central registry check. 4. Staff 4, hire date 08/29/2022, lacks the findings of a central registry check. 5. The program director confirmed that the results of a central registry check was not on file for these four staff.”

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

Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The most recent immunizations on file for child 1, age 15 months, were administered on 10/13/2021. 2. The program director confirmed that an updated immunization record had not been obtained for child 1.”

Rule 8VAC20-780-130-E.

Based on record review and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before attendance or within 30 days after the first day of attendance.

“Evidence: 1. Child 2, enrollment date 4/6/2022, lacks documentation of a physical exam. 2. The program director confirmed that a physical exam was not on file for child 2.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center failed to ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member who meets the requirements for medication administration (MAT) training.

“Evidence: 1. The program director stated that no one on staff had current MAT certification. a. A child in care, child 3. has emergency medications on file for a diagnosed food allergy.”

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

Based on observation, the center failed to ensure that equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that the required staff-to-child ratio was maintained whenever children are in care: *Birth up to 16 months- ratio 1:4 (staff: children)

“Evidence: 1. Five (5) infants were observed on the playground with one staff at approximately 10:00 am a. The staff present with this group of 5 infants confirmed there was not a second staff present with this group of infants.”

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

Based on review, the center failed to ensure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: 1. One emergency medication for child 3 lacked any name label nor was a prescription label attached to indicate the dosage amount and the times to be given. a. The program director verified that this medication had been accepted into the facility without the prescription label or name label.”

Rule 8VAC20-780-510-G.

Based on record review, the center failed to ensure that written injury reports contain all required information.

“Evidence: 1. Three injury reports reviewed lacked documentation of “any future action to prevent recurrence of the injury.” 2. One injury report reviewed lacked documentation of the time and method the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation, the center failed to ensure that any provisional license shall be posted at each public entrance of the facility and a notice shall be prominently displayed next to the license that states that a description of specific violations of licensing standards to be corrected and the deadline for completion of such corrections is available for inspection at the facility.

“Evidence: 1. The provisional license, issued 09/07/2022, was not posted at the public entrance of the facility. a. The license was posted on the parent board which is not a prominent place near the public entrance into the facility.”

Rule 8VAC20-820-120-E-1.

Based on observation, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings of the most recent complaint inspection on 08/22/2022 were not posted. a. The findings of the 09/23/2021 monitoring inspection were posted.”

Rule 8VAC20-820-120-E-2.

Based on record review and interview, the center failed to ensure that all applicants for employment, employees, applicants to serve as volunteers, and volunteers shall undergo a background check prior to employment or beginning to serve as a volunteer.

“Evidence: 1. Staff 1, staff 2 , staff 3 and staff 4 lack the results of a fingerprint background check. a. All four staff were observed working in a classroom with children during the inspection. 2. Administrative staff confirmed that a fingerprint background check had not been obtained for these four staff who began employment on 08/22/2022.”

Rule 22.1-289.035-A. From a complaint.

Based on interview and record review, the center failed to ensure that an employee of a child day program must not be employed or provide volunteer service until the center has the person’s completed sworn statement or affirmation.

“Evidence: 1. Staff 1, staff 2, staff 3 and staff 4 , did not have a completed sworn statement or affirmation on file. a. All four staff were observed caring for children during the inspection. 2. Administrative staff stated all of these staff began employment on 08/22/2022 and confirmed they had not completed a sworn statement or affirmation.”

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

Based on record review and interview, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff 1, staff 2, staff 3 and staff 4 lack documentation of a negative tuberculosis screening. a. All four staff were observed caring for children during the inspection. 2. Administrative staff stated these staff began employment on 08/22/2022 and confirmed a TB screening had not been obtained prior to employment and contact with children.”

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

Based on record review and interview, the center failed to obtain for staff documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Evidence: 1. Documentation of two or more reference checks were not on file for staff 1, staff 2, staff 3 and staff 4. a. All four staff began employment on 08/23/2022. 2. Administrative staff confirmed that reference checks had not been obtained for any of these staff.”

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

Based on record review, the vendor failed to ensure that staff have Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: The CPR certification for staff 1 expired on 03/27/2022 according to written documentation on file at the facility.”

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

Based on record review, the vendor failed to ensure that staff have current certification in first aid appropriate to the ages of children in care.

“Evidence: The first aid certification for staff 1 expired on 03/27/2022 according to written documentation on file at the facility.”

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

Based on record review, the center failed to ensure that documentation of the required tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The TB screening for staff 1 was completed on 02/24/2022 which is more than 30 days before her hire date of 05/09/2022. 2. The TB screening for staff 2 was completed on 04/01/2022 which is more than 30 days before her hire date of 05/16/2022. The TB screening for staff 3 was completed on 04/01/2022 which is more than 30 days before her hire date of 05/10/2022.”

Rule 8VAC20-780-160-A.

Based on record review, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: 1. The most recent TB screening for staff 4 was conducted on 07/31/2020. 2. The most recent TB screening for staff 5 was conducted on 07/31/2020. 3. Administrative staff confirmed that staff 4 and staff 5 had not obtained a current TB screening.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean and safe condition.

“Evidence: The water play/sensory table, on the playground, contained approximately 4 inches of standing water, leaves and assorted debris.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that where playground equipment is provided fall zones shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. *A six foot fall zone is required around stationary equipment and equipment with moving parts.

“Evidence: The blue spring rocker airplane has been placed approximately two feet from the wooden landscaping border.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that ground supports shall be covered with materials that protect children from injury.

“Evidence: The ground supports for the blue airplane spring rocker were not covered.”

Rule 8VAC20-780-330-C.

Based on observation, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

“Evidence: 1. An infant , child 2 - age 5 months, was observed napping in a swing with a folder blanket covering her entire face. a. This is a suffocation hazard.”

Rule 8VAC20-780-340-A.

Based on observation the center failed to adhere to the required group size for each age group. *When children are in ongoing mixed age groups, the group size applicable to the youngest child in the group shall apply to the entire group.

“Evidence: 1. There were 13 infants present in the infant classroom which exceeded the maximum group size of 12 for this age group. 2. There were 16 toddler/two year old children present in the bay 2 classroom which exceeded the maximum group size of 15 for this age group.”

Rule 8VAC20-780-350-A.

Based on observation, the center failed to ensure the staff-to-child ratio are required whenever children are in care: *Birth up to 16 months : 1:4 (staff : children)

“Evidence: 1. There were 13 infants in care with 3 staff when the infant room was reviewed at 10:00 am. a. Four staff were needed.”

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

Based on observation, the center failed to ensure that the required staff-to-child ratio was maintained whenever children are in care: * 16 months up to 24 months : 1:5 (staff : children) *When children are in ongoing mixed age groups, the staff-to-child ratio to the youngest child in the group shall apply to the entire group.

“Evidence: 1. There were 16 children ranging in age from 17 months - 2 years in the bay 3 classroom with 2 staff at approximately 10:10am. 6 of the children in the group were under the age of two years. a. Four staff were needed. 2. 16 toddler/two year old children remained with 2 staff when the inspection last viewed the classroom at approximately 12:00 pm.”

Rule 8VAC20-780-350-B-2.

Based on observation, the center failed to ensure the following staff-to-child ratio was maintained whenever children are in care: *2 year olds : 1:8 (staff : children)

“Evidence: 1. There were 10 two- year old children in care with 1 staff when the two-year old classroom was reviewed at approximately 10:10 am. a. Two staff were needed. 2. The two- year old class were reviewed again at approximately 12:00 pm and there were 10 children with one staff.”

Rule 8VAC20-780-350-B-3.

Based on review, the center failed to ensure that if diaper ointment is used the product shall be labeled with the child’s name.

“Evidence: 1. One diaper ointment, in the infant classroom, was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on record review and interview, the center failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The enrollment record for child 1 lacked documentation of viewing proof of the child’s age and identity. 2. Administrative staff confirmed that proof of age and identity had not been obtained for child 1.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center failed to ensure that staff records contain documentation to demonstrate that the individual possess the education required by the job position.

“Evidence: 1. Staff 2 is listed as a program leader for the infant class however, there is no written documentation to demonstrate that staff 2 has fulfilled a high school program or equivalent. 2. Administrative staff confirmed that verification had not been obtained that staff 2 had completed high school or an equivalent program.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The findings from the most recent complaint inspection on 06/24/2022 were not posted. a. The findings from the monitoring inspection conducted on 09/23/2021 were posted.”

Rule 8VAC20-820-120-E-2.

Based on observation, the facility failed to ensure where playground equipment is provided fall zones shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. The use zone for stationary equipment is six feet on all sides of the equipment.

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

Based on interview, the center failed to ensure that when staff are supervising children, they shall always ensure their care and protection.

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

Based on observation, the center failed to ensure that play equipment used by children shall have no protrusions.

“Evidence: 1. The bolt, attached to the toddler metal fence gate, is a protrusion. The bolt protrudes outward 1 1/2 inches and has 23 threads. a. This bolt is potentially at face level for toddler and young preschool age children.”

Rule 8VAC20-780-430-C. From a complaint.

Based on interview, the center failed to maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“Evidence: 1. The facility failed to document a scratch to the face and neck of child 1 occurring on 01/06/2022. 2. The facility failed to document a scratch to the face, in addition to a red mark on the nose, of child 1 occurring on 06/03/2022. 3. Administrative staff and classroom staff, responsible for the care of child 1, confirmed that injury reports had not been written for these injuries.”

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

Based on record review and interview, the center failed ensure that staff have an original criminal history record report within 30 days of employment.

“Evidence: 1. The criminal history record report for staff 3 was obtained on 11/23/2021 after her employment date of 10/21/2021. 2. Administrative staff confirmed that the criminal history record report for staff 3 was obtained after her first day of employment.”

Rule 8VAC20-770-60-B.

Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The most recent immunizations on file for child 2 were administered on 10/30/2019. a. Child 2 is under the age of two years.”

Rule 8VAC20-780-130-E.

Based on record review, the center failed to ensure that documentation of the TB screening shall be submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1. The TB screening for staff 1, hire date 03/28/2022, was conducted on 10/01/2021.”

Rule 8VAC20-780-160-A-1.

Based on observation, the center failed to ensure that outside equipment of the center shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to: chipped or peeling paint.

“Evidence: 1. Areas of peeling paint and exposed rust was observed on the bottom areas of the merry-go-round seats.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety’s “Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground,” February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Where steps are used for accessibility, resilient surfacing is not required.

“Evidence: 1. A small plastic moveable play structure, with slide, was placed over grass. a. Grass is not considered resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that a nonabsorbent surface for diapering or changing shall be used.

“Evidence: 1. The diaper changing pads in the infant classroom and the “waddler” classroom have areas of ripped/torn plastic.”

Rule 8VAC20-780-500-B.

Based on record review and interview, the center failed to ensure there is at least one staff in each classroom or area where children are present shall have current CPR certification.

“Evidence: 1. CPR certification for all staff present has expired as of 03/27/2022. 2. Administrative staff confirmed that CPR had recently expired for all staff.”

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

Based on record review and interview, the center failed to ensure there is at least one staff in each classroom or area where children are present shall have current certification in first aid.

“Evidence: 1. First aid certification for all staff present has expired as of 03/27/2022. 2. Administrative staff confirmed that first aid had recently expired for all staff.”

Rule 8VAC20-780-530-A-2.

Based on observation, the center failed to ensure that any vehicle used by the center for the transportation of children shall meet the following requirements: The vehicle shall meet the safety standards set by the Department of Motor Vehicles.

“Evidence: 1. The Virginia State Inspection Sticker on the van used for transporting children to and from public school had expired as of March 31, 2022. 2. Administrative staff confirmed that the state inspection for this vehicle had expired.”

Rule 8VAC20-780-580-B.

Based on record review, the center failed to ensure that children’s records contain all of the required elements.

“Evidence: 1. The record for child 1 lacked the following required information: a. The name, address and phone number for a second emergency contact; b. The first emergency contact listed lacked an address.”

Rule 8VAC20-780-60-A.