Foundations Learning Academy at Midlothian

When an infant is placed in his crib, he shall be placed on his back (supine).

“In the infant classroom, an infant was observed being put to sleep on their stomach while lying in a crib.”

Rule 8VAC20-780-370-1.

Pillows and filled comforters shall not be used by children under two years of age.

“In the infant classroom, an infant was observed sleeping in a crib with a blanket in the crib with the child.”

Rule 8VAC20-780-440-L.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

“Staff changed a child’s diaper in the toddler room and did not wash the child’s hands with soap and water.”

Rule 8VAC20-780-500-A.

Staff shall wash hands with soap and running water before and after a diaper change.

“Staff did not wash hands before or after changing a child’s diaper.”

Rule 8VAC20-780-500-A.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #1, who had been employed for eight days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #5, who had been employed for 11 months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The record for staff#1, did not contain a tuberculosis (TB) screening. Staff #1 has been employed for eight days and has been working in the classroom.”

Rule 8VAC20-780-160-A.

The center is required to ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“On bus #1, there were six seats torn with the inside cushion material exposed.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The outdoor playground’s mulch was measuring approximately 2 to 3 inches in depth.”

Rule 8VAC20-780-330-B.

Infant bottles are to be dated and labeled with the child’s name.

“Three bottles in the infant room were not labeled with the child’s name and date.”

Rule 8VAC20-780-570-E.

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

“On August 20, 2025, the inspector observed on the hallway floor leading to the cafeteria where children ages 16 months to school age eat, a collection of insect remains.”

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

Food shall be prepared, stored, and transported in a clean and sanitary manner.

“On 4/29/2025, an outside agency observed expired food that was stored in the same refrigerator that housed other perishable food items that were served to children.”

Rule 8VAC20-780-560-N. From a complaint.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was a physical examination in the record of child #1, dated three months after the enrollment date. There was a physical examination in the record of child #4 that was dated two months after the enrollment date.”

Rule 8VAC20-780-140-A.

Staff are to complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff #1, who is working with children, has not yet completed orientation training which is overdue by 14 days.”

Rule 8VAC20-780-240-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 can of disinfectant with warning labels, ?Keep out of reach of children,? were unlocked in the toddler classroom, within reach of children.”

Rule 8VAC20-780-280-B.

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

“On 03/13/2025 Staff #1 left a child unsupervised in the gym to use the restroom. No other staff was alerted to the teacher being indisposed. The child was able to exit the gym, leave through the front doors of the center, exited through an open gate in the parking lot, and into the road before staff were able to secure the child again. The opening in the parking lot gate is approximately 50 feet from the road where the child was found by a police officer.”

Rule 8VAC20-780-340-A.

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

Rule 8VAC20-780-340-F.

(Repeat violation) The center shall ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“The record for staff #1 did not have documentation that orientation training was completed.”

Rule 8VAC20-780-240-B.

The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In the Early toddler classroom, an outlet cover plate was missing from an electrical outlet in the back of the classroom near the door.”

Rule 8VAC20-780-270-A.

The center will ensure that the medication authorization shall be available to staff during the entire time it is effective.

“A medication authorization, for a prescription medication, was observed for Child #6. The center did not have written authorization from the child’s physician and parent for a long-term medication.”

Rule 8VAC20-780-510-F.

(Repeat Violation) 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 required information.

“An injury report dated 10/01/2024, did not include the time of the incident, the date and time that the parent was notified, and the method in which the parent was notified.”

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.

“1. The record for child #1 (enrolled for two months) was missing the parents work number. 2. The record for child # 3 (enrolled for two months) was missing the parent’s work contact number. 3. The record for child #4 and child #5, did not contain documentation of child updates and confirmation of up-to-date information.”

Rule 8VAC20-780-60-A.

22.1-289.035-A

“Based on record review, the center failed to ensure that all employees shall undergo background checks every five years. Evidence: 1. The record for staff #1 contained a national criminal background check dated 3/2/2018. Staff #2 should have undergone a criminal background check on or before 3/2/2023.”

Rule 22.1-289.035-A.

(Repeat Violation) Based on review of five (5) staff records, the center did not ensure that two staff members had a completed tuberculosis (TB) test within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: 1. The record for staff #2, contained a tuberculosis (TB) test dated for 3/23/2024. Staff #2?s hire date was 3/12/2024. 2. The record for staff #3, contained a tuberculosis (TB) test dated for 4/1/2024. Staff #3?s hire date was 3/25/2024.”

Rule 8VAC20-780-160-A.

(Repeat Violation) Based on record review and interview, the center did not ensure that staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. The record for staff #2 and staff #3 contained documentation of a signed orientation training but were not dated. 2. Staff #1 confirmed that the orientation completion date was not documented.”

Rule 8VAC20-780-240-B.

(Repeat Violation) Based on observation, the center did not ensure that 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.

“Evidence: 1. In classroom #3 in an unlocked cabinet under the changing table, there was a can of Lysol Disinfectant Spray stored in the back of the cabinet.”

Rule 8VAC20-780-280-B.

Based on review of injury reports, the center failed to ensure that all required information was documented.

“Evidence: 1. There were 3 injury reports dated for 3/26/2024 that did not have the time the parent was notified and how the parent was notified. 2. 1 of 3 injury reports did not have the date in which the parent was notified.”

Rule 8VAC20-780-550-P.

Based on documentation review and staff interviews, the licensee did not ensure that 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.

“Evidence: 1. The attendance sheet in classroom #1 listed 10 children, 9 were observed but only 4 children were marked present on the class attendance sheet. 2. There were 3 separate classes playing in the gym. There was no attendance sheet for either of the classes who were being supervised.”

Rule 8VAC20-780-80-A.

8VAC20-770-60-C-2

“(Repeat violation) Based on a review of staff records and interview, the center failed to ensure that each staff record contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired August 14, 2023, contained documentation of a central registry finding dated October 11, 2023. 2. The director acknowledged that the central registry was not completed within 30 days of employment.”

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

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on record review, the center failed to ensure staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. The record of Staff #3 (DOH 07/12/2023) did not have documentation of orientation. 2. The director stated that orientation for staff #3 has been completed but had not been documented.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

“Based on observation, the center did not ensure that equipment of the center, inside and outside, was maintained in a safe and operable condition. Evidence: 1. In classroom #1, the changing pad at the diapering station was torn on two corners exposing the foam filling making the surface absorbent.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-H

“Based on a review of medications, prescription medication was not kept in the original container. Evidence: Child #1 has one prescription emergency medications kept on site in case of a potential ingestion of an allergen. The medication was not in the original container.”

Rule 8VAC20-780-510-H.

8VAC20-780-510-P

“Based on record review, the center did not ensure that when an authorization for a medication expires that the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #2 had a medication on site and the parent’s authorization for the medication expired on 9/2023.”

Rule 8VAC20-780-510-P.

8VAC20-790-600-D-1

“Based on record review, the center failed to ensure that staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Evidence: 1. Staff #5?s (DOH 1/3/2023) record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). 2. The director verified that staff #5 had not completed cardiopulmonary resuscitation (CPR) training.”

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

8VAC20-790-600-D-2

“Based on record review, the center failed to ensure that staff obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #5?s record does not contain documentation first aid certification. 2. The director stated that first aid certification had not been obtained for staff #5.”

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

22.1-289.035-B-2

“Based on review of five staff records and staff interview, the center failed to ensure that one staff obtained fingerprint background check results prior to employment. Evidence: 1. Staff #2?s record contained fingerprint background check results that were dated 5/19/2023. Staff #2?s hire date was 4/17/2023.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and interview, the center did not ensure to obtain the results of a central registry background check within 30 days of employment for 2 staff as required. Evidence: 1. The record of staff #3 (DOH: 3/31/2023) did not contain the results of a central registry background check. 2. The record of staff #4 (DOH: 4/17/2023) did not contain the results of a central registry background check. 2. Administration acknowledged that the background checks were not received within the required time frame.”

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

8VAC20-780-130-A

“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. The record for child #3 (DOE 11/21/2022) did not contain documentation of immunizations. 2. The record for child #4 (DOE 11/21/2022) contained documentation of immunizations that were dated for 12/2/2022. 3. The director verified that immunizations had not been received for child #3.”

Rule 8VAC20-780-130-A.

Based on a review of 5 children’s records and interview, the center did not ensure that 2 children’s physical examinations were completed within the required time period.

“Evidence: 1. The record of child #3 (DOE:11/21/2022) did not contain documentation of a physical examination. 2. The record of child #4 (DOE: 11/21/2022) did not contain documentation of a physical examination. 3. The director acknowledged that physical was not received for child #3 and #4.”

Rule 8VAC20-780-140-B.

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Early Head Start I classroom there was a can of Lysol Disinfect Spray in an unlocked drawer that was accessible to children. 2. In the toddler classroom under the changing table in an unlocked cabinet, there was a can of Lysol Disinfect Spray. 3. The warning label stated, “keep out of reach of children, caution, and flammable.””

Rule 8VAC20-780-280-B.

8VAC20-780-510-P

“Based on review of three medications and staff interview it was determined that the center did not follow procedures to prevent the use of outdated medication. Evidence: A child has emergency medication on site which expired 11/2022.”

Rule 8VAC20-780-510-P.

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

“Evidence: Injury report #2 dated 4//2023 did not contain information regarding the date, time, and how the parent was notified. The injury report did not contain any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

22.1-289.035-B-2

“Based on record review and interview the center failed to ensure each staff has fingerprint background on file as required. Evidence: 1. The record for staff #4 does not contain documentation of fingerprint background check requested or results. 2. Staff #4 has a documented date of hire as 10/28/2021. 3. Staff #4 was observed on duty with the preschool class during the inspection but did not have fingerprints on file. 4. Center director confirmed that staff #4?s fingerprints were completed, but could not be located.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-C

“Based on record review, the center failed to document an updated (TB) Tuberculosis At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit. Evidence: 1. Staff # 5?s file did not contain a current TB screening. Last TB test was documented, 2/19/2020. 2. Staff # 3?s file did not have documented (TB) Tuberculosis results.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-B

“Based on record review, the center failed to have staff complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff # 1 (DOH: 1/30/19) and Staff # 3?s (DOH: 10/30/17) file did not contain documentation of a completed orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-260-A

“Based on record review, the center failed to document an annual fire inspection report from the appropriate fire official. Evidence: 1. The center did not have documentation of a current fire inspection. 2. Last documented fire inspection 7/14/21.”

Rule 8VAC20-780-260-A.

8VAC20-780-510-P

“Based on record review, the center failed to notify the parent when an authorization for medication expired, the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: Child #3?s file did not contain authorization for medication being kept at the center.”

Rule 8VAC20-780-510-P.

Based on record review, the center did not obtain the department’s health and safety update course for each staff member.

“Evidence: 1. The record for staff #3 did not contain the updated Health and Safety training for 2022 (training date 4/02/19). 2. The record for staff #4 (hire date 3/17/02) did not have annual health and safety update training.”

Rule 22VAC40-665-580-H.

Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: The record for staff #4 (date of last TB screening 05/03/19) did not have an updated TB. screening/test”

Rule 8VAC20-780-160-C.

Based on review of staff records, the center did not ensure all staff received required training by the end of their first day of assuming job responsibilities.

“Evidence: The record for staff #1 (date of hire 04/25/22) does not have documentation of required training.”

Rule 8VAC20-780-240-B.

Based on record review, the center did not ensure annually that staff have a minimum of 16 hours of training appropriate to age of children in care.

“Evidence: 1. The records for staff #2 (date of hire 9/20/10), staff #3 (date of hire 10/30/17) and staff #4 (date of hire 03/17/02) did not have documentation of 16 hours of annual training.”

Rule 8VAC20-780-245-A.

Based on observation and interview the center failed to ensure that children under 10 years of age always are within actual sight and sound supervision of staff.

“Evidence: 1. In class #2, there were seven toddlers napping alone in the classroom when the inspector entered the classroom. The inspector did not observe any staff supervising the children in class #2. 2.In class #4, there were eight two year old’s napping alone in the classroom when the inspector entered the classroom. Staff A stated, ?I just ran up there for a second? when returning to class #4 after approximately one minute.”

Rule 8VAC20-780-340-F.

Based on review of policies and procedures, observation and interviews, the center failed to ensure that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“Evidence: 1. In class #2 and class #4 children were napping on cots without the supervision of a staff member. 2. The centers policies state that a staff member’s job description includes ?Makes sure children are supervised when using any of the toys and equipment? and ?leaving children unattended for any reason any length of time will be grounds for immediate termination”.”

Rule 8VAC20-780-40-E.

Based on record review, the center did not ensure that one of three staff records contained all of the required information.

“Evidence: The record of staff #1 (start date: 4/25/22) did not have the required reference checks.”

Rule 8VAC20-780-70.