Cadence Academy Preschool

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

“The immunizations in the record of Child #6 (16-month-old), who has been enrolled for over nine months, did not have documentation of additional immunizations since the child was enrolled.”

Rule 8VAC20-780-130-E.

(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

“The repeat TB for Staff #7 was obtained a month late.”

Rule 8VAC20-780-160-C.

(Repeat Violation) The center is required to ensure the center’s own policies and procedures that are required by these standards are in compliance.

“The center’s procedures on methods to prevent use of outdated medication states: “All medication must be checked monthly to provide advanced notice t parents if the medication is expiring and must be replaced. Carefully follow licensing regulations regarding dispensing and storing medication.” During the inspection, two medications were observed on site for Child #12. One medication had expired on 08/2025 and the second medication on 09/2025. The medication had been reviewed and logged, there was in error in the documentation of the expiration date of the medications.”

Rule 8VAC20-780-40-E.

(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

“The repeat TB for Staff #1 was due 2 months ago. The updated screening had not yet been completed.”

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

(Complaint Related/Repeat Violation/Systemic Deficiency) When staff are supervising children, they shall always ensure their care, protection, and guidance.

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

Once at least half of the children in the resting room or area are awake and off their mats or cots, the staff-to-children ratio shall meet the ratios as required in subsection B of this section.

“On 03/26/26 at 2:31pm, during the designated rest period in the Two’s classroom, Staff #1 was the only staff member present with 14 children. Video footage reviewed shows that at least 12 children were awake and off their cots. A second staff member arrived approximately five minutes later. The required staff-to-child ratio for two-year-olds is one staff to eight children.”

Rule 8VAC20-780-350-L. From a complaint.

(Repeat Violation) Children’s hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water before and after a diaper change.

“On 03/26/26, Staff #1 changed five diapers, the children’s hands were not washed after diapering and the staff did not wash their hands with soap and water before and after each diaper change.”

Rule 8VAC20-780-500-A. From a complaint.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“On 03/26/26, Staff #1 changed five diapers, but the diapering surface was not cleaned or sanitized after each use.”

Rule 8VAC20-780-500-B. From a complaint.

(Complaint Related) The center is to maintain a written record of children’s serious and minor injuries that contains all of the required information.

“An injury report dated 03/26/26 did not contain a parent signature or a second staff signature.”

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

A tuberculosis (TB) screening is required every two years from the last screening.

“The repeat TB for Staff #8 was due 24 days ago. The updated screening had not yet been completed.”

Rule 8VAC20-780-160-C.

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

Rule 8VAC20-780-340-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Video footage reviewed and interviews conducted revealed that on 12/01/25, some of the children in the Twos classroom did not wash their hands after morning snack.”

Rule 8VAC20-780-500-A.

The center is required to ensure the center’s own policies and procedures that are required by these standards are in compliance.

Rule 8VAC20-780-40-E.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Documentation and video footage reviewed showed that on 10/20/25, Staff #1 grabbed Child #1 (3-years-old) by the wrist, lifted him, pulled him toward her, and then set him down when the child was “not listening and being stubborn.” Staff #1’s interactions with Child #1 were not constructive in nature and were not intended to redirect the child to appropriate behavior.”

Rule 8VAC20-780-400-B.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff #4 was dated ten days after their first day of employment.”

Rule 22.1-289.035-B-1.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years prior to employment.

“The documentation in the record of Staff #9 indicated the out-of-state sex offender registry search and the out-of-state child abuse and neglect registry search were requested nine days after the staff started employment.”

Rule 22.1-289.035-B-4.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The TB in the record of Staff #2 was completed 41 days prior to employment and the TB in the record of Staff #7 was completed 47 days prior to employment.”

Rule 8VAC20-780-160-A.

The center shall maintain a record of the dates of the practice drills for one year.

“The center did not have documentation of the monthly practice evacuation drill that was conducted in January 2025.”

Rule 8VAC20-780-550-H.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #4 began employment two days prior to when their references were obtained.”

Rule 8VAC20-780-70.

Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report the matter immediately to the local department’s toll-free child abuse and neglect hotline.

“Staff became aware of a reportable offense on 04/11/25, and did not report it to the local department until 04/14/25.”

Rule 63.2-1509-A. From a complaint.

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

“On 04/11/25, the center was made aware of an allegation of suspected inappropriate behavior between Child #1, Child #2, and Child #3, while riding the center’s bus. On 04/14/25, the children were permitted to ride the bus together and interact without additional supervision. Child #1 became upset and started crying on the bus because Child #2 accused the child of telling on them. The center acknowledged additional supervision measures had not been put in place prior to allowing the children to ride together after the allegations were made.”

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

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment, if a reference is taken over the telephone it shall include the required information.

Rule 8VAC20-780-70.

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

“On August 26, 2024, at approximately 8:00am, Staff #1 left nine, four-year-old, children out of sight and sound supervision for less than one minute to walk Child #1 into another classroom.”

Rule 8VAC20-780-340-F.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On August 26, 2024, Child #1 (4-years-old) was not following Staff #1’s directions to say, “good morning” and to take their hat off when they were dropped off in the morning. Staff #1 pulled Child #1’s hat off and walked him out of the classroom. While walking him into another classroom, Staff #1 was observed pulling Child #1 by the arm and saying: “Here. I am not dealing with him” and leaving him with another staff member and the child’s parent.”

Rule 8VAC20-780-400-B.

Based on a review of 33 staff records, the vendor did not ensure one staff member who works directly with children shall complete the Virginia Preservice Training for Child Care Staff within 90 days of employment.

“Evidence: Staff #27, date of employment 05/30/19, completed the Virginia Preservice Training for Child Care Staff on 07/17/24. For staff employed prior to October 13, 2021, and approved as subsidy vendors, the Virginia Preservice Training for Child Care Staff was required to be completed within the first 90 days of employment.”

Rule 8VAC20-790-600-B.

Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The CPR certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The CPR certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The CPR certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in CPR within 90 days of the date of employment.”

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

Based on a review of 33 staff records and interview, the vendor did not ensure three staff members had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The first aid certification in the record of Staff #15, date of employment 03/08/24, was completed on 07/20/24. 2) The first aid certification in the record of Staff #28, date of employment 01/29/24, was completed on 07/20/24. 3) The first aid certification in the record of Staff #32, date of employment 01/15/24, was completed on 07/20/24. 4) During interview, management confirmed the staff members did not have current certification in first aid within 90 days of the date of employment.”

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

Based on a review of 33 staff records and interviews, the vendor did not ensure seven staff members who work directly with children completed the department’s health and safety update course annually.

Rule 8VAC20-790-600-F.

Based on a review of 33 staff records and interviews, the center did not ensure that two staff members shall undergo background checks every five years.

Rule 22.1-289.035-A.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain a national fingerprint-based criminal record search for seven staff members prior to employment.

Rule 22.1-289.035-B-2.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not obtain the required out-of-state background checks from any state in which five staff members had resided in the preceding five years within the required timeframe.

Rule 22.1-289.035-B-4.

(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members had a completed sworn statement or affirmation prior to employment.

“Evidence: 1. The sworn statement in the record of Staff #3, date of employment 02/19/24, was completed on 04/18/24. 2. The sworn statement in the record of Staff #29, date of employment 01/28/24, was completed on 01/29/24. 3. During interviews, management acknowledged the sworn statements on file for Staff #3 and Staff #29 were completed after employment.”

Rule 8VAC20-770-60-B.

(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that five staff members had a central registry finding within 30 days of employment.

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

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that eleven staff members had a tuberculosis (TB) screening within the required timeframe.

Rule 8VAC20-780-160-A.

(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that one staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing.

“Evidence: The most recent TB screening in the record of Staff #4, date of employment 09/21/21, was completed on 01/31/24. The previous TB screening was completed on 01/14/22 and expired on 01/14/24. During interviews, management acknowledged the TB for Staff #4 was not obtained within the required timeframe.”

Rule 8VAC20-780-160-C.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that three staff members completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. Staff #7, date of employment 04/03/23, completed the Virginia Department of Education-sponsored orientation course on 07/19/24. 2. Staff #20, date of employment 10/03/22, completed the Virginia Department of Education-sponsored orientation course on 07/16/24. 3. The record of Staff #21, date of employment 02/19/24, did not contain documentation that the staff completed the Virginia Department of Education-sponsored orientation course. 4. During interview, management reported Staff #21 is working on the course.”

Rule 8VAC20-780-240-A.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure four staff members 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.

Rule 8VAC20-780-240-B.

(REPEAT VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care, within 30 days of the first day of employment.

“Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained documentation that the staff completed orientation training in first aid and CPR on 07/18/24. 2. The record of Staff #12, date of employment 08/14/23, contained documentation that the staff completed orientation training in first aid and CPR on 01/04/24. 3. During interview, management reported the center did not have documentation to verify Staff #7 and Staff #12 completed the training within 30 days of the first day of employment.”

Rule 8VAC20-780-240-E.

Based on a review of 33 staff records and interviews, the center did not ensure that two staff members completed annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1. The record of Staff #7, date of employment 04/03/23, contained 7 hours of annual training from 04/04/23 ? 04/03/24. 2. The record of Staff #13, date of employment 06/05/23, contained 6 hours of annual training from 06/06/23 ? 06/05/24. 3. During interviews, management reported this is the documentation that was obtained from each staff to date.”

Rule 8VAC20-780-245-A.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on observations and interviews, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable 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.

“Evidence: During the walk-through of the facility on 07/29/24, the inspector observed four areas of chipped and peeling paint in the Pre-K 2 classroom. During interviews, management acknowledged the peeling paint was in areas accessible to the children in care.”

Rule 8VAC20-780-270-A.

(REPEAT VIOLATION/SYSTEMIC VIOLATION) Based on a review of 33 staff records and interviews, the center did not ensure that four staff records contained the required information.

Rule 8VAC20-780-70.

(REPEAT VIOLATION) 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 documentation shall have been completed within the last 30 calendar days of the date of employment.

“The screening for Staff #1 was completed seven months after employment and the screening for Staff #2 was completed three months prior to the date of employment.”

Rule 8VAC20-780-160-A.

The center shall ensure that the center’s own policies and procedures that are required by these standards are be maintained in compliance.

Rule 8VAC20-780-40-E.

(REPEAT VIOLATION) Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B.

(REPEAT VIOLATION) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #1, who had been actively working at the center for over one year, did not have a second reference verification on file.”

Rule 8VAC20-780-70.

Based on review of six staff records, the center did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment.

“Evidence: The fingerprint results on record for Staff #3, with an employment date of 3/18/24, were dated 3/22/24.”

Rule 22.1-289.035-B-2.

Based on review of six staff records, it was determined that the center did not request the results of an out of state central registry background check within 30 days of employment for staff that has resided outside of Virginia in the preceding five years.

“Evidence: Staff #5, with an employment date of 1/29/24, has resided in the state of Pennsylvania within the last 5 years, as indicated on the signed Sworn Disclosure Statement dated 1/24/24. There was no documentation of an out of state central registry request for Pennsylvania.”

Rule 22.1-289.035-B-4.

Based on review of six staff records, the center did not obtain documentation of a completed sworn disclosure statement for each staff prior to date of employment.

“Evidence: The record for Staff #3 with an employment date of 3/18/24, did not contain documentation of a sworn disclosure statement.”

Rule 8VAC20-770-60-B.

Based on review six staff records; the center did not obtain results of a Virginia central registry search within 30 days of employment for all staff members.

“Evidence: The record for Staff #5, with an employment date of 1/29/24, did not contain the results of a central registry search.”

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

Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children.

“Evidence: The record for Staff #3, with an employment date of 3/18/24, did not contain documentation of a negative TB screening.”

Rule 8VAC20-780-160-A.

Repeat Violation

“Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file. Evidence: The record for Staff #1, with a title of teacher, did not contain documentation of education.”

Rule 8VAC20-780-210-A.

Repeat Violations

“Based on a review of six staff files, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff # 1, with an employment date of 1/2/24, did not have documentation of completing the Preservice orientation course on file.”

Rule 8VAC20-780-240-A.

Repeat Violation

Rule 8VAC20-780-240-B.

Repeat Violation

“Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the mulch measured two inches in depth in the fall zones of the composite play structure including slide exits and stairs. Six inches of resilient surfacing is required.”

Rule 8VAC20-780-330-B.

Based on staff interviews, the facility failed to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“Evidence: In the Infant 2 classroom, Child #2 had a diagnosed allergy to peanuts and milk, requiring emergency medication. Staff were unaware of Child #2?s allergy to peanuts.”

Rule 8VAC20-780-40-L.

Based on observation and interview, it was determined that the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Evidence: In the Infant 2 classroom, Child #2, had a diagnosed food allergy to peanuts and milk and was not listed on the allergy list.”

Rule 8VAC20-780-40-M.

Repeat Violation

“Based on observation, review of documentation, and interview the center did not ensure that when an authorization for medication expired, that the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization and medications that were not picked up by the parent within 14 days were disposed of by the center. Evidence: Child #8 had an emergency medication on site at the time of inspection and the corresponding parental medication authorization form expired on 1/30/24.”

Rule 8VAC20-780-510-P.

Repeat Violation

Rule 8VAC20-780-70.

Based on review of the written attendance record, the center did not maintain a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

“Evidence: 1. In the Infant 1 classroom, there were nine children present however, only eight children were signed in on the written attendance. 2. In the two-year classroom, there were 20 children present, however, only 17 children were signed in on the written attendance.”

Rule 8VAC20-780-80-A.

Based interviews and documentation, the center failed to report a suspected incident of child abuse or neglect to Child Protective Services immediately as required.

“Evidence: On 1/19/24, center staff contacted the licensing office to report a head injury a three-year-old sustained from a teacher pulling a blanket out from underneath a child while they were jumping on a cot. The incident occurred on 1/18/24, at least three staff members were aware of the injury, and that it was caused by center staff, but the incident was not reported to the local department until the licensing inspector advised them to do so.”

Rule 63.2-1509-A.

Repeat Violation

“Based on observed evidence and interviews, staff did not ensure the care, protection, and guidance of children in care. Evidence: On 1/18/24, at approximately 12:56 p.m., Child #1 sustained a head injury from falling and hitting their head, after a teacher pulled a blanket out from under them. Staff #2, sitting next to Child #1 at the time of the incident, failed to administer first aid to the injured child and did not report the incident to management until approximately 3:20 p.m.”

Rule 8VAC20-780-340-A.

Repeat Violation

Rule 8VAC20-780-400-B.

Based on review of documentation and interview, the center did not maintain a written record of children’s serious and minor injuries in which entries were made the day of occurrence.

“Evidence: On 1/18/24, a three-year-old child received a head injury in the classroom at approximately 12:56 p.m. An interview with staff confirmed the center did not create a written report of the injury.”

Rule 8VAC20-780-550-P.

Repeat Violation

“Based on staff interviews and review of documentation, staff did not clean and change a child immediately when the child’s diaper became soiled. Evidence: On the morning of 4/27/23, Child #1, two-years-old, was observed with feces in their hand, coming from the back of the diaper and on the carpet. An interview with staff revealed, they were instructed by administration to photograph the incident and send to the parent through the parent portal. Staff confirmed photographic documentation of the incident was obtained before they cleaned the child.”

Rule 8VAC20-780-500-B. From a complaint.

Based on staff interviews and review of documentation, the center failed to inform the department’s representative withing two business days of any injury to a child that occurs while under the supervision of the center and requires outside medical attention.

“Evidence: On 4/27/23 at approximately 11:00 a.m. Child #1, two-years-old, sustained an injury to their fingers requiring outside medical attention. This incident was not reported by the facility to the Office of Child Care Health and Safety.”

Rule 8VAC20-780-80-B-2. From a complaint.

Repeat Violation

“Based on a review of two staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: The record for Staff #1, with a start date of 07/01/23 and Staff 2, with a start date of 11/01/22, did not contain documentation of a tuberculosis screening at the time of inspection.”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the center did not ensure that all program leaders had documentation of high school program completion or equivalent on file.

“Evidence: The record for Staff 1 and Staff #2, with a title of teacher, did not contain documentation of education.”

Rule 8VAC20-780-210-A.

Based on a review of two staff files, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The record for Staff #1, with a start date of 07/01/23, did not have documentation of completing the Preservice orientation course on file.”

Rule 8VAC20-780-240-A.

Based on review of two staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff #2, with a start date of 11/01/22, did not contain documentation of completed orientation training at the time of inspection.”

Rule 8VAC20-780-240-B.

Repeat Violation

“Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe condition. Evidence: In the preschool bathroom there were screws that extended from approximately 15 thread lengths on both sides of the toilet.”

Rule 8VAC20-780-270-A.

Repeat Violation

“Based on observation, the center did not ensure that where playground equipment was provided, resilient surfacing was maintained in fall zones. Evidence: On 10/18/23 at approximately 11:00 a.m. Child #1 fell from the middle point of the slide breaking their collarbone. The fall zone that had less than one inch of mulch, Six inches of mulch is required for the fall zone.”

Rule 8VAC20-780-330-B.

Repeat Violation

“Based on observation it was determined that not all procedures for diapering were followed Evidence: In the two’s class, art work was observed on top of the diapering surface.”

Rule 8VAC20-780-500-B.

Repeat Violation

Rule 8VAC20-780-400-B. From a complaint.

Repeat Violation

“Based on a review of video footage, children’s hands were not always washed with soap and running water after toileting. Evidence: In the three-year-class Staff #2 was observed sending a child to the group after changing a soiled diaper without washing the child’s hands with soap and running water.”

Rule 8VAC20-780-500-A. From a complaint.

Repeat Violation

“Based on a review of five staff records, the center did not obtain all required documentation for staff records. Evidence: 1. The record for Staff #2 did not contain documentation of an emergency contact. 2. The record for Staff #2, with a start date of 06/19/23, and Staff #3, with a start date of 10/03/23, did not contain documentation of two or more references at the time of inspection.”

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

Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming into contact with children and the documentation of TB screening/test was not within the last 30 calendar days of the date of employment .

“Evidence: 1. The record for Staff #3, with a start date of 8/6/21, contained documentation of a tuberculosis screening dated 9/2/21 2. The record for Staff # 6, with a start date of 6/5/23, contained documentation of a tuberculosis screening dated 1/19/23.”

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

Repeat Violation

“Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe and operable condition. Evidence: In the school age bathroom the toilet tank was split in half, approximately a quarter of the broken toilet tank cover had been removed and the larger portion was left in place. The remaining piece had sharp edges creating an impalement and scratch hazard.”

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

Based on interviews, it was determined that the center failed to ensure the care, protection, and guidance of three, three-year-old children.

“Evidence: On 1/26/23 at approximately 7:40 a.m. Staff #1 placed child #1, child #2, and child #3, three-years-old, on the wrong public school bus. It was not known until approximately five minutes later when a second bus arrived asking for child #1, child #2, and child #3.”

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

Based on interviews, the center failed 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.

“Evidence: At the time of inspection there were no staff members that met the qualifications of program leader in the Infant room since 8/4/2023, Toddler room since 8/11/2023, Preschool 2 room since 8/11/2023 and Pre-K2 room since 8/14/2023.”

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

Based on interviews, the center did not ensure behavioral guidance was constructive in nature, age and stage appropriate.

“Evidence: An interview with the administration and staff revealed when Child #1 displayed challenging behaviors, Child #1 would be moved to other classrooms or taken to the office”

Rule 8VAC20-780-400-B. From a complaint.

Based on documentation and interviews, it was determined that parents were not always informed when persistent behavior problems were identified and disciplinary steps taken in response.

“Evidence: An interview with the administration confirmed behavior notices are given to parents when children display challenging behavior. Child #1, with a start date of 7/18/22, was identified as a child with challenging behaviors and in response to these behaviors the child was moved to other classrooms or the office. No documentation of behavior notices were in the child’s record.”

Rule 8VAC20-780-420-B. From a complaint.

Repeat Violation

“Based on observation, the facility did not have a foot-operated disposal system for disposable diapers. Evidence: In the two-year classroom, the foot operated disposal system was not working.”

Rule 8VAC20-780-500-B. From a complaint.

Based on review of six staff records, the center did not obtain documentation of the results of a national fingerprint background check prior to date of hire.

“Evidence: The record for Staff #2, with a start date of 8/7/23, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

Rule 22.1-289.035-B-2.

Repeat Violation

Rule 8VAC20-780-270-A.

Repeat Violation

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s class an unlocked cabinet contained pre-moistened sanitizing wipes, sanitizing spray, and a chemical to remove adhesives, gum and crayon. All containers had a warning label that stated, ?Keep out of Reach of Children? and ?Caution?.”

Rule 8VAC20-780-280-B.

Repeat Violation

“Based on observation and measurement, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: On the ?big? playground the composite play structure’s mulch measured three inches in depth, four feet away from the fall zone of the slide exits and three inches around the stairs and fall zones of the play structure.”

Rule 8VAC20-780-330-B.

Repeat Violation

“Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: A metal canopy frame was observed on the ?little? playground, no covering was installed over the frame to offer shade. Children were observed playing on the playground at the time of the inspection.”

Rule 8VAC20-780-330-F.

Based on observation and interview, the center did not ensure the required ratio of staff to children was met.

“Evidence: At the time of inspection, in the Two’s class there were two staff members present with 17 children ages 2-years-old. The required ratio with two-year-olds present is 1 staff to 8 children.”

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

Repeat Violation

“Based on observation and interview, the facility did not ensure that all diapering areas were provided a leak-proof covered receptacle for a foot-operated disposal system. Evidence: In the Infant classroom, ages six weeks to 12 months, a foot-operated disposal system was observed with the lid up. When interviewed, staff revealed that the lid to the foot-operated disposal system has not worked for three months.”

Rule 8VAC20-780-500-B.

Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The record for Staff #5, with a start date of 4/3/23, did not contain documentation of two references at the time of inspection.”

Rule 8VAC20-780-70.

(Repeat Violation)

“Based on observation, children’s hands were not always washed with soap and running water after toileting. Evidence: In the Infant 2?s class, staff was observed using running water to clean a child’s hands after diapering, no soap was used”

Rule 8VAC20-780-500-A. From a complaint.

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 2 classroom, a broken “krankle” toy with missing pieces, a “princess kitty” toy that had a large crack and a sharp edge.”

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

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: observed 3 bottles of shaving cream, marked “keep out of reach of children” on low shelves, accessible to children in the Preschool 1 classroom. Observed in the Pre-K2 classroom, 7 bottles of shaving cream, marked “keep out of reach of children” accessible to children on a low shelf.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years from the date of hte first initial screening or testing, or more frequently if recommended, staff members shall obtain and submit results of a follow-up TB screening. Evidence: reviewed 4 staff records and found that Staff 3 and 4 did not have TB tested completed within 2 years of the first initial screening.”

Rule 8VAC20-780-160-C.

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 the following: 1) in the Twos classroom, observed two holes in the wall at the far end of the room. 2) in the Toddler classroom, observed tears and cracks in the carpet and flooring causing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-790-550-2-d

“Based on review, the facility did not ensure that staff had current sworn statements on file. Evidence: Reviewed 4 staff files and found that Staff 4 did not have documentation of a current sworn statement. It was last signed on 1/5/2018.”

Rule 8VAC20-790-550-2-d.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) peeling paint and a small hole in the wall in the Twos classroom 2) peeling paint and a hole in the drywall in the Junior Preschool classroom 3) peeling paint and a broken cabinet handle in the Preschool classroom”

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

8VAC20-780-280-B

“Based on observation, the facility did not ensure that that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed in the School-Age classroom, bleach water and disinfectant spray, accessible to children in an unlocked cabinet. 2) observed in the Preschool classroom, bleach water and air freshener accessible to children. 3) observed in the Pre-K 1 classroom, Lysol, air freshener, and bleach water accessible to children.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets have protective covers. Evidence: observed in the toddler classroom, 1 uncovered electrical outlet accessible to children.”

Rule 8VAC20-780-290-A-3. From a complaint.

8VAC20-780-520-B

“Based on observation, the facility did not ensure that sunscreen was kept inaccessible to children. Evidence: observed in the Preschool 2 classroom, sunscreen in a lower cabinet, accessible to children.”

Rule 8VAC20-780-520-B. From a complaint.

22VAC40-185-500-B

“Based on observation, the facility did not ensure that the diaper disposal system is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: observed that the step can in the 2s classroom was not operating properly and staff needed to use their hands to open.”

Rule 22VAC40-185-500-B.

8VAC20-780-160-C

“Based on review, the facility did not ensure that at least every two years of the first initial screening or testing, staff members shall obtain and submit results of a follow-up tuberculosis screening. Evidence: reviewed 3 staff records and found that Staff 3 did not have documentation of an updated TB screening or test.”

Rule 8VAC20-780-160-C.

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 preschool classroom that the dramatic play table had a broken leg.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-H

“Based on observation, the facility did not ensure the staff purses with cosmetic items stored inside, were not accessible to children. Evidence: observed in the Infant 2 classroom, a staff purse was stored low to the ground and accessible to children in the room. Identified through the staff member that owned the purse, that there were cosmetic items stored inside of the purse.”

Rule 8VAC20-780-280-H.

8VAC20-780-330-B

“Based on observation, the facility did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: observed on the “big” playground, the mulch was at approximately 2 inches in depth around the slide, stairs and the fall zones.”

Rule 8VAC20-780-330-B.

8VAC20-780-330-F

“Based on observation, the facility did not ensure that shady areas were provided on playgrounds during the months of June, July and August. Evidence: observed that there was no shade provided on the “little” playground.”

Rule 8VAC20-780-330-F.

8VAC20-780-500-A

“Based on observation, the facility did not ensure that children washed their hands prior to eating. Evidence: observed in the Junior Preschool room, a child that was playing in the dramatic play area run over to the table and eat snack without washing their hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-P

“Based on observation, the facility did not ensure that when authorization for medication expires, the parent shall be notified to pick up the meds within 14 days, or renew the authorization. If meds are not picked up within 14 days, then meds must be disposed of. Evidence: Reviewed medication authorizations and found that Child 1 and Child 2 had expired medication authorization forms on site, and meds that had expired on site more than 14 days after their expiration dates.”

Rule 8VAC20-780-510-P.

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 senior school-age room a whole in the wall, along the far left wall.”

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

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets were covered with protective covers. Evidence: observed the following uncovered electrical outlets: 1 - 1 uncovered outlet in the bathroom in the junior preschool room and 2 in the “circle time” area. 2 - 2 uncovered electrical outlets in the toddler bathroom.”

Rule 8VAC20-780-290-A-3. From a complaint.