Winwood Children’s Center

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

“On 08/04/2026 the School Age Classroom, with 17 children and 3 staff were on a field trip to an outdoor water park from 11:40 a.m. - 3:18 p.m. Sunscreen was not applied to any of the 17 children in care. Staff reported that each of the three staff members assumed another staff member had applied the sunscreen on the children. It was reported that child A (Age 5 years) and child B (Age seven years) sustained sunburn to their arms, face, and back.”

Rule 8VAC20-780-340-A.

Each child’s record shall contain a physical exam within the first thirty days of enrollment.

“The record for child E who had been enrolled over eight months, did not have documentation of a physical on file.”

Rule 8VAC20-780-140-A.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“The medication for child B has been expired for three months.”

Rule 8VAC20-780-510-E.

When an authorization for medication expires, the parent shall pick up the medication within 14 days or renew the authorization.

“The medication authorization form for child A was expired for over one month. The medication authorization form for child B was expired for over two months. The medication authorization form for child C was expired for over three months. The medication authorization form for child D was expired for over two months.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child A, who has been enrolled for six weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff A, who has been actively working at the center for the past three months, Staff B and Staff C, who has been actively working at the center for the past two weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-440-I

“Based on observation of the infant room it was determined that cribs were not placed where they were are out of reach of outside objects such as curtains. Evidence: There were three cribs placed in front of a large window in the infant room which were within reach of curtains.”

Rule 8VAC20-780-440-I.

8VAC20-780-340-A

“Based on review of documentation it was determined that staff did not always ensure the care, protection, and guidance of children under their supervision. Evidence: Based on injury reports and incident reports for the Pre-K classroom it was determined that child A (Age 5 years) injured children and staff eight times between the dates of 02/23/24 - 03/06/2024. The behaviors that occurred in these reports include hitting, kicking, punching, and hitting with large blocks and puzzles in the classroom.”

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

8VAC20-780-245-J-2

“Based on interviews and review of medication it was determined that when the center has agreed to administer medication there was not always staff on site who were trained to administer this specific medication. Evidence: There as an authorization form on file to administer rectal medication for child D. Based on interviews there were no staff on site who were trained to administer this specific medication.”

Rule 8VAC20-780-245-J-2.

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was returned to the parent or discarded after 14 days when the authorization for medication expires. Evidence: The medication authorization form for over the counter medication on site for child A expired 02/01/24. The medication authorization form for prescription medication on site for child B expired 12/10/23. The medication authorization form for prescription medication on site for child C expired 10/12/23. The medication authorization form for over the counter medication on site for child D expired 11/20/23.”

Rule 8VAC20-780-510-P.

8VAC20-780-340-A

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

8VAC20-790-600-D-1

“Based on review of five children’s records it was determined that not all staff had completed CPR training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed CPR training.”

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

8VAC20-790-600-D-2

“Based on review of five children’s records it was determined that not all staff had completed First Aid training within the 90 days of employment. Evidence: The record for Staff A (start date: 05/30/2023) did not have documentation that staff A had completed First Aid training.”

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

8VAC20-780-240-A

“Based on review of five staff records it was determined that not all staff completed the Virginia Pre-Service Training within 90 days of employment. Evidence: The record for staff A (start date: 05/30/2023) did not contain documentation that staff A had completed Virginia Pre-Service Training.”

Rule 8VAC20-780-240-A.

8VAC20-780-245-J-3

“Based on interviews and review of documentation it was determined that there was not always someone on site who had current Medication Administration Training. Evidence: Staff B is the only person on site who has current Medication Administration Training. The facility is open from 6:30 am - 6:00 pm and staff B’s schedule does not cover the full hours that the center is in operation. Currently, there are children enrolled who require emergency medication such as epinephrine.”

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

8VAC20-780-500-A

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: After changing a child on the changing table, Staff A does not wash the child’s hand. Staff A does not wash their hands after the diaper change, leaves on their soiled gloves and begins changing another child.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on review of video footage it was determined that not all procedures regarding diapering were followed. Evidence: In the toddler classroom Staff B is observed changing a child under three years old in the bathroom instead of on the changing table as required.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-P

“Based on review of medication it was determined that not all medication was sent home within 14 days after the expiration of the medication authorization form. Evidence: The emergency authorization forms for two medications for child A expired 05/19/2023.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-D

“Based on interviews and review of documentation it was determined that practice evacuation drills were not conducted monthly. Evidence: The most recent documentation that a practice evacuation drill had taken place was conducted on 04/20/2023.”

Rule 8VAC20-780-550-D.

8VAC20-780-70

“Based on review of five staff records it was determined that not all records were complete. Evidence: The record for Staff A (start date: 05/30/2023) did not contain documentation of at least two references on file as required.”

Rule 8VAC20-780-70.

Based on record review, the center did not request a search of the child abuse and neglect central registry from all states in which staff have lived in the preceding 5 years within 30 days of employment.

“Evidence: Staff #3 (Date of Hire: 5/23/2022) has resided in New York within the last 5 years. Staff #3 did not have documentation on file of a search request from the New York child abuse and neglect central registry.”

Rule 22.1-289.035-B-4.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child #3 (Start Date: 11/7/2022) did not have immunizations on file at the time of inspection.”

Rule 8VAC20-780-130-A.

Based on record review, the center did not obtain documentation of a physical examination by a physician for all enrolled children within 30 days after first day of attendance.

“Evidence: Child #4 (Start Date: 5/9/2022) and Child #6 (Start Date 2/14/2022) did not have physical examinations on file at the time of inspection.”

Rule 8VAC20-780-140-A.

Based on record review, the center did not ensure that all staff submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing.

“Evidence: Staff #5’s most recent tuberculosis screening on file was dated 10/23/2019.”

Rule 8VAC20-780-160-C.

Based on interviews and review of the center’s video recording, it was determined a staff member engaged in the forbidden action of rough handling.

Rule 8VAC20-780-410-1.

Based on record review, the center did not obtain repeat central registry search results every 5 years as required for all staff.

“Evidence: Staff #6’s most recent central registry search results on file were completed 4/14/2017.”

Rule 22.1-289.035-A.

Based on record review, the center did not obtain documentation of all staff completing the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: Staff #3 (Date of Hire: 9/16/2021) did not have documentation of completing the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

Based on observation of the physical plant, the center did not ensure that areas and equipment of the center, inside and outside, were maintained a clean, safe, and operable condition.

Rule 8VAC20-780-270-A.