Crystal City Children’s Center

Each child shall have a physical examination by or under the direction of a physician.

“Child 5 did not have documentation of an physical examination, and has been in care for approximately 4 years.”

Rule 8VAC20-780-140-A.

At least every two years from the date of the first initial screening or testing, staff must submit follow-up screenings.

“Staff 1’s most recent TB screening/test was dated 3/25/2024.”

Rule 8VAC20-780-160-C.

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

“Room 3 had a powerstrip with 3 uncovered electrical outlets.”

Rule 8VAC20-780-290-3.

The diapering area shall have the following: a nonabsorbent surface.

“Room 1 and 3 has several tears in the diapering surface, creating access to the absorbent material.”

Rule 8VAC20-780-500-B.

If diaper ointment or cream is used, the following requirements shall be met: labeled with the child’s name.

“Room 5 had 2 diaper cream containers that were not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Each center shall maintain and a separate record for each child enrolled containing the following information: parent work and work telephone number.

“Child 1 did not have work information for either parent listed on their enrollment records.”

Rule 8VAC20-780-60-A.

Current certification in CPR appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff 1 and 2 have been employed for over 90 days and neither has current CPR training.”

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

Current certification in first aid appropriate to the ages of children in care.

“Staff 1 and 2 did not have current certification in first aid.”

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

The center shall implement a monthly practice evacuation drill.

“There was no documentation of an evacuation drill conducted in March of 2025.”

Rule 8VAC20-780-550-D.

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

“There was no shelter-in-place drill practiced within the past 12 months.”

Rule 8VAC20-780-550-E.

Lockdown procedures shall be practiced at least annually.

“There was no lockdown drill practiced within the past 12 months.”

Rule 8VAC20-780-550-F.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: date and time parents were notified.

“2 injury reports reviewed had “at pick-up” and not the time in which parents were notified.”

Rule 8VAC20-780-550-P.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: 2 emergency contacts with name, number, and address.

“Child 1 did not have a full address for either of their emergency contacts. Child 5 did not have documentation of a second emergency contact.”

Rule 8VAC20-780-60-A.

The following staff records shall be kept for each staff persons: 2 references completed prior to employment.

“Staff 1 did not have documentation of a second reference.”

Rule 8VAC20-780-70.

An individual assessment completed within six months before the child’s attendance or 30 days after the first day of attendance shall be maintained for each child.

“Child 3 did not have documentation of a health assessment in their file.”

Rule 8VAC20-780-110-A.

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

“Room 1 had cleaning supplies accessible to children in an unlocked cabinet. Room 3 had disinfectant spray and Lysol spray accessible in an unlocked cabinet. Room 5 had bleach water and Lysol spray in an unlocked cabinet.”

Rule 8VAC20-780-280-B.

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.

“Room 1 had cleaning agents stored above food in an upper cabinet.”

Rule 8VAC20-780-280-D.

The diapering area shall have the following: a nonabsorbent surface for diapering or changing shall be used.

“In room 6 there was a tear in the diaper changing pad.”

Rule 8VAC20-780-500-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: name, telephone number, addresses of emergency contacts, and parent work name, telephone number and address.

“Child 2 did not have full addresses for their emergency contacts. Child 3 did not have complete work information for one parent/guardian. Child 4 did not have work information for both parents/guardians.”

Rule 8VAC20-780-60-A.

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

“Child 5, is under two years of age, and did not have an updated immunization within the last 6 months. Last documented immunization occurred on 12/29/2023.”

Rule 8VAC20-780-130-E.

Staff to child ratios for children birth to 16 months is 1:4 (staff:children)

“Room 1 had 8 children and 1 staff member. The youngest child in the classroom was 14 months old.”

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

Records and reports on children and staff required by this chapter shall be maintained and made accessible.

“Staff records were not accessible at the time of the inspection, due to the director taking the cabinet key out of the country.”

Rule 8VAC20-780-50-B.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed disinfectants in an unlocked cabinet in the Toddler 2 room. 2) observed Lysol, Clorox, disinfectants in an unlocked cabinet in the Pre K room. 3) observed Clorox wipes in an unlocked cabinet in the Twos room.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-L

“Based on observation, the facility did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: observed that the children’s medication was kept in a backpack with ziploc bags, and not locked in any way to prevent access by children.”

Rule 8VAC20-780-510-L.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments or creams were labeled with the child’s name. Evidence: observed that there was diaper cream in the Toddler 1 classroom that was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

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 2 did not have documentation of addresses for their emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations every 6 months for children under 2 years of age. Evidence: Child #2’s last recorded immunization was 12/2022. Child #3’s last recorded immunization was 11/2022 Child #4’s last recorded immunization was 5/2023.”

Rule 8VAC20-780-130-E.

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method. Evidence: 2 upper cabinets containing bleach bottles were unlocked in Two’s-1 and 3’s classrooms.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“Based on observation, the center allergy was not kept confidential. Evidence: The allergy list was not kept confidential in the Pre-K, Infant and Toddler-1 classrooms as it was not covered up or kept inside a cabinet.”

Rule 8VAC20-780-40-M.

8VAC20-780-245-J

“Based on administrative staff statement, a child with an emergency medication is not always in the care of a MAT trained staff member. Evidence: A child with 2 emergency medications usually arrives by 7:30 am and a trained MAT staff person does not arrive until 8:00 am.”

Rule 8VAC20-780-245-J.

8VAC20-780-280-G

“Based on observation and staff statement, a substitute container was not labeled with the contents. Evidence: A bottle of bleach solution was not labeled with the contents. Administrative staff verified contents as being bleach solution.”

Rule 8VAC20-780-280-G.

8VAC20-780-40-M

“Based on observation, the center did not maintain a confidential list of all children’s allergies, dietary preferences and sensitivities. Evidence: The list was posted in multiple classrooms with no cover sheet to protect confidentiality.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-L

“Based on observation, an over the counter supplement and a child’s medication were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A supplement was stored in an unlocked cabinet in Room Two’s-2 2. The emergency bag containing emergency medication was unlocked in the Three’s classroom.”

Rule 8VAC20-780-510-L.

8VAC20-780-40-M

“Based on observation and administrative staff statement, the center does not have a written list of all children’s allergies, sensitivities, and dietary restrictions posted in a confidential area in each room where children are present. Evidence: The two’s classroom had the allergy list posted in a visible place in the classroom. Other classrooms do not have a listing of sensitivities or dietary restrictions as stated by the staff.”

Rule 8VAC20-780-40-M.

22.1-289.035-B-2

“Based on administrative statement and record review, a Board Officer (BO) did not submit to fingerprinting within 30 days of obtaining the position. Evidence: BO #3 was missing a completed fingerprint letter (assumed the position September 2021).”

Rule 22.1-289.035-B-2.

22.1-289.035-B-4

“Based on administrative statement and record review, the center did not background checks within the required timeframe. for individuals who resided out of state within the past 5 years. Evidence: Staff #1 was missing a criminal history and sex offender registry check prior to employment (11/2021). Staff #2 was missing a criminal history prior to employment (5/2022) Staff #13 was missing criminal history check prior to employment (5/2022)”

Rule 22.1-289.035-B-4.

8VAC20-770-60-B

“Based on administrative statement, the center did not have completed Sworn Disclosure Statements (SDS) for Board Officers within 30 days of assuming the position. Evidence: BO # 1-9 assumed the position September 2021 and the center could not find the SDS forms.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on administrative statement, the center did not obtain central registry findings within 30 days of assuming the Board Office position. Evidence: BO #1 and #3 were missing a completed CPS letter by October 2021.”

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

8VAC20-780-160-A

“Based on record review, staff did not obtain a TB screening prior to employment. Evidence: Staff #1 was hired 11/2021 and does not have a TB record. Staff #13 was hired 5/2-22 and does not have a TB record.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on record review and administrative statement, staff have not obtained a follow-up TB screening every two years. Evidence: Staff #5,6,7,10,11,12,14,16 and 17 have TB documentation that is older than 2 years.”

Rule 8VAC20-780-160-C.

8VAC20-780-160-C

“Based on record review and administrative statement, staff have not obtained a follow-up TB screening every two years. Evidence: Staff #5,6,7,10,11,12,14,16 and 17 have TB documentation that is older than 2 years.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-J-3

“Based on administrative statement and record review, a child was not in the care of a staff member who has current Medication Administration Training (MAT) certification. Evidence: 2 children have emergency medication on-site and no staff has current MAT certification as it expired 5/2/2022.”

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

8VAC20-780-280-B

“Based on observation, cleaning materials were not kept in a locked place using a safe locking method to prevent access by children. Evidence: Cleaning materials were on a high shelf in Pre-K classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-E

“Based on observation, the center did not a procedure to prevent use of outdated medication, Evidence: Prescription medication for Child #1 expired 3/2022.”

Rule 8VAC20-780-510-E.

8VAC20-780-520-A

“Based on observation, over the counter (OTC) products were kept beyond the expiration date. Evidence: Two OTC were expired in the Pre-K classroom.”

Rule 8VAC20-780-520-A.

8VAC20-780-530-A

“Based on administrative staff statement, not all classrooms have a staff with current certification in first aid and CPR. Evidence: Infant 2 and Pre-K classrooms do not have a staff member with first aid and CPR from 7:00-9:00 am.”

Rule 8VAC20-780-530-A.