Salem Fields Learning Center

When children at the center have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center’s having been informed unless forbidden by law, except for life threatening diseases, which must be reported to parents immediately.

“On 09/02/26, the center was notified that a child was diagnosed with a communicable disease on 09/02/26. The center notified parents on 09/04/26.”

Rule 8VAC20-780-490-C. From a complaint.

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

Rule 8VAC20-780-340-A.

When a child’s clothing or diaper becomes wet or soiled, the child shall be cleaned and changed immediately.

“On 09/02/26, Child #1 (3-year-old) was dropped off at the center in a wet pull-up diaper. The child’s pull-up was not checked throughout the day. When the child was picked up, he was in the same wet pull-up.”

Rule 8VAC20-780-500-B.

(Repeat Violation) The center shall notify the parent by the end of the day of any known minor injuries.

“On 09/02/26, Child #1 (3-year-old) sustained a minor injury at the center. Child #1 notified Staff #1 of the injury, but the staff did not notify the child’s parent by the end of the day.”

Rule 8VAC20-780-550-O.

(Repeat Violation/Systemic Deficiency) The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“A written record of a minor injury Child #1 (3-year-old) sustained at the center on 09/02/26 was completed on 09/03/26.”

Rule 8VAC20-780-550-P.

(Repeat Violation/Systemic Deficiency) 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.

(Repeat Violation/Systemic Deficiency) 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/Systemic Deficiency) The following actions or threats thereof are forbidden: roughly handling a child.

Rule 8VAC20-780-410-1.

(Complaint Related) 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 04/30/26, Staff #1 attempted to redirect Child #1 to stand in line by grasping the child’s wrist. When the child dropped their weight, Staff #1 continued holding the child’s wrist and turned once while maintaining their grip. Following the incident, the child exhibited significant pain and was later evaluated by a medical provider.”

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

(Complaint Related) The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Child #1 (2-year-old) sustained an injury at the center for which the child’s parents sought medical attention. The center was made aware on 05/04/26, but the center did not inform the department’s representatives.”

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

Complaint Violation: Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.

“On 07/25/2025, staff #1 had a vape pen in their pocket while supervising children. Based on video surveillance, the vape pen dropped out of staff #1?s pocket where children found the vape pen on the floor and were in possession of the pen for approximately 35 minutes.”

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

Complaint Violation & Repeat Violation: When staff are supervising children, they shall always ensure their care, protection, and guidance.

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

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

“The central registry search for Staff #1 was requested one day late.”

Rule 22.1-289.035-B-3.

(Repeat Violation) The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“The TB screening for Staff #1 was dated one day after their first day of employment.”

Rule 8VAC20-780-160-A.

(Repeat Violation) 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.

(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) The following actions or threats thereof are forbidden: roughly handling a child.

“On 07/23/25, Staff #1 roughly moved Child #1(3-year-old) from one area of the playground to another. Documentation and video footage reviewed showed that after attempting to put shoes on Child #1, the staff picked up the child by one arm and proceeded to drag him approximately four feet before picking him up under his arms. Staff #1 took the child to the edge of the playground, dropped his shoes on the ground, and walked away.”

Rule 8VAC20-780-410-1.

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

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

If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained.

“A tube of diaper cream for Child #1 was observed, but no written parent authorization could be located at the time of the inspection. It was reported the cream had been applied to Child #1 for approximately three days.”

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

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

“On 03/12/25, Child #1 (2-year-old), was standing on a chair, lost his balance, fell, and hit his head on a chair. The child’s forehead was swollen and had a visible bump and a bruise. The center did not immediately communicate the head injury to the child’s parent. The parent was contacted approximately six and a half hours later.”

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

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 #1 was obtained 20 days after employment. A previous TB in the record expired over a month prior to the staff’s first day of employment.”

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

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. From a complaint.

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. From a complaint.

The following actions or threats thereof are forbidden: roughly handling a child.

Rule 8VAC20-780-410-1. From a complaint.

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

“Two out of three written injury reports reviewed for Child #1 (19-months-old) did not contain documentation on how the parent was notified of the child’s injuries.”

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

The center is to notify the parent by the end of the day of any known minor injuries.

“There were 21 written injury reports for Child #1 (23-month-old) ranging from 08/12/2024 through 01/21/2025 that were reviewed. Five of the injury reports were signed by the parent the day after the injury. It was determined the center did not notify the parent until the parent inquired about the injuries.”

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

The center is to maintain a written record of children’s serious and minor injuries that contains all of the required information and where entries are made the day of occurrence.

“There were 21 written injury reports for Child #1 (23-month-old) ranging from 08/12/2024 through 01/21/2025 that were reviewed. Eight reports were missing any future action to prevent recurrence of the injury; three reports were missing documentation on how parent was notified; one report was missing the time when parents were notified; and one report was completed the day after the day of occurrence.”

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

Medication authorizations shall be available to staff during the entire time it is effective.

“A prescription medication was observed on-site for Child #13, but the center did not have written authorization from the parent.”

Rule 8VAC20-780-510-F.

When any surface has been contaminated with body fluids, it shall be cleaned and sanitized.

“On October 28, Child #1’s soiled bedding, clothes, and socks were placed on a table used for serving food after the child had a toileting accident. The clothes had not been removed and the area had not been cleaned or sanitized for over an hour.”

Rule 8VAC20-780-490-E. From a complaint.

The diapering area shall have a nonabsorbent surface for diapering or changing shall be used. For children younger than three years, this surface shall be a changing table or countertop designated for changing.

“The diapering area in Room 614, where two-year-old children receive care, did not have a changing table or countertop designated for changing.”

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

8VAC20-780-410-6

“Based on review of documentation and interview, the center did not ensure that a forbidden action, verbal remarks which were demeaning to a child, did not occur. Evidence: On 6/18/24 a witness reported that they heard Staff #1 say to Child A, a seven-month-old, ?Don’t start your crap, [child’s name].? Then shortly after, ?We just sat your ass in the chair [child’s name]. Wait.?”

Rule 8VAC20-780-410-6.

8VAC20-780-550-P

“Based on review of documentation, the center did not maintain a written record of children’s serious and minor injuries that included any future action to prevent recurrence of the injury. Evidence: During the investigation, 98 accident/incident reports were reviewed. 66 of the accident/incident reports did not contain documentation of the actions the center took to prevent recurrence of the injury.”

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

8VAC20-780-245-J-3

Rule 8VAC20-780-245-J-3. From a complaint.

8VAC20-780-130-A

“REPEAT VIOLATION Based on review of six child records, the center did not obtain documentation that each child had received required immunizations before the child attended the center. Evidence: The immunizations on record for Child F, with a start date of 7/31/23, were dated 11/27/23.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination for each child by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The physical on record for Child A, with a start date of 12/14/21, was dated 3/24/22. The physical on record for Child F, with a start date of 7/31/23, was dated 11/27/23.”

Rule 8VAC20-780-140-A.

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the required ratio of one staff to eight two-year-old children was met. Evidence: On 5/15/24 at approximately 8:55am two staff were observed supervising 18 two-year-olds. At approximately 9:01am four children were transitioned back to their classroom, putting the two-year-old class back into ratio.”

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

8VAC20-780-350-B-4

“Based on observation, the center did not ensure that the required ratio of one staff to 10 three-year-old children was met. Evidence: On 5/15/24 at approximately 8:48am one staff was observed supervising 11 three-year-olds. A second staff did not enter the classroom until approximately 8:55am.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-500-A

“Based on observation, the center did not ensure that children’s hands were washed with soap and running water after toileting. Evidence: In Class #609 multiple children were observed having their diaper changed and returning to play without having their hands washed.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the center did not ensure that diaper changing surfaces were cleaned with soap and water and sanitized after each use. Evidence: In Class #609 for children 16-months through 23-months, a staff member was observed changing children’s diapers and using a sanitizer spray in between children, but no soap and water spray was used.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-160-A

“Based on review of two staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment. Evidence: The TB screening on record for Staff #2, with a re-employment date of 8/11/23, was dated 8/17/23.”

Rule 8VAC20-780-160-A.

8VAC20-780-180-C

“Based on review of two staff records and interview, the center did not ensure that staff who drive a vehicle transporting children disclose any moving traffic violation that occurred five years prior to or during employment or assignment as a driver. Evidence: Staff #1 and Staff #2 drive center buses but the staff records did not contain DMV driving records or a statement from staff regarding disclosure of moving traffic violations.”

Rule 8VAC20-780-180-C.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-130-A

Rule 8VAC20-780-130-A.

8VAC20-780-440-I

“Based on observation and interview, the center did not ensure that cribs were placed where objects outside the crib, such as cords, are not within reach of infants. Evidence: On 11/1/23 an ?Alexa Dot? device was observed in the corner of an unoccupied, but assigned, infant crib. The cord was plugged into the device and the wall outlet and the device, along with the cord, was sitting inside of the crib. Staff reported that it had been moved there the day before.”

Rule 8VAC20-780-440-I.

8VAC20-780-500-B

“Based on observation, the center did not ensure that disposable diapers were disposed of in a leakproof or plastic-lined storage system that was either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touched an exterior surface of the storage system during disposal. Evidence: On 11/1/23, disposable diapers/pull-ups were observed in an open trashcan that did not have a lid or a trash can liner and was not foot-operated.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-340-A

“Based on interview, the center did not ensure that when staff were supervising children, they always ensured their care, protection, and guidance. Evidence: On 7/19/23 the Schoolage class went on a field trip to a water park. Staff did not have the children in one group reapply their sunscreen and approximately eight children received sunburns.”

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

8VAC20-780-570-A

“Based on review of the infant room it was determined that not all children who were placed in feeding chairs utilized protective belts. Child A and Child B were observed seated in infant table chairs. The protective belts were hanging under the seat and not being utilized.”

Rule 8VAC20-780-570-A.