Reggio’s Treehouse

The child day center shall initiate out-of-state background checks for each state the employee has resided in in the preceding five years prior to the first date of employment.

Rule 22.1-289.035-B-4.

Staff shall submit the results of a subsequent tuberculosis (TB) screening every two years from the date of the initial screening.

“Staff #1’s most recent TB screening is dated 5/19/2024. The TB screening has been expired for approximately 3 weeks.”

Rule 8VAC20-780-160-C.

Staff and childrens records shall be treated confidentially.

“The supplemental page of the most recent inspection, containing staff and childrens names, was observed posted on the wall of the facility. The supplemental page clearly states “Confidential” and “Do not post”.”

Rule 8VAC20-780-50-A.

Staff shall sit with children during meal times.

“Children were observed eating an afternoon snack in the Alberllo II classroom and Foligia II classroom. The staff were not sitting with the children during snack.”

Rule 8VAC20-780-560-L.

Staff records shall contain documentation of two references.

“1. Staff #6s record does not contain references. 2. Staff #7s record does not contain references.”

Rule 8VAC20-780-70.

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

“Center management confirmed that Staff #1 was found asleep in the Foglia classroom during the children’s rest period on 03/26/2026. Staff #1 was the only staff providing supervision to the group at this time. There were six children in attendance, one of which was awake. The children in this group were two years old.”

Rule 8VAC20-780-340-A.

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

“On 3/26/26, at approximately 2:10pm, Center Management confirmed that Staff # 1 was observed sleeping in the Foglia classroom during the children’s rest period. There were six children present in the classroom, aged 2 years old, with Staff member #1. One child was awake on their cot at the time of the observation.”

Rule 8VAC20-780-340-F.

Documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises.

“The most recent inspection of the child day center is not posted on the licensed premises.”

Rule 22.1-289.011-F. From a complaint.

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

“Staff #1 did not ensure care and protection of the children in the classroom when they were observed sleeping in the classroom while children were in care.”

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

SYSTEMIC DEFICIENCY Children 10 years of age and older shall be within actual sight and sound supervision of staff.

“1. Photographic evidence shows staff #1 sitting on the floor of the Radici (older infant) classroom, asleep, on 10/23/2025 at approximately 11:12 AM. Attendance records indicate that there were 3 infants in the classroom while staff #1 was asleep. 2. Staff #1 was observed sitting in a rocking chair with their eyes closed in the Radici classroom on 2/12/2026 at approximately 2:15 PM. There were 2 infants in the classroom.”

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

Prepared bottles shall be dated.

“A bottle for child #1 was observed in the refrigerator dated 1/8/2026, which was approximately 5 weeks prior. The staff in the classroom stated the bottle was brought in new that morning and the parent had not been updating the date.”

Rule 8VAC20-780-570-E. From a complaint.

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

“1. Child #1 (9 months) most recent immunizations are from when the child was 2 months old. 2. Child #2 (19 months) most recent immunizations are from when the child was 12 months old.”

Rule 8VAC20-780-130-E.

REPEAT VIOLATION Areas and equipment of the center shall be maintained in a clean, safe and operable condition.

“1. There are two areas of peeling paint under the window at child-level in the Radici classroom. 2. There was a large wooden panel, approximately 4 feet by 4 feet, observed leaning against the bathroom stall wall in the Alberello II classroom.”

Rule 8VAC20-780-270-A.

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

“Several cleaning agents were observed in a low, unlocked cabinet in the Fittone classroom.”

Rule 8VAC20-780-280-B.

Hazardous substances not kept in original containers shall clearly indicate their contents.

“1. An unlabeled spray bottle was observed in the cabinet above the sink in the Alberello I classroom. 2. Two unlabeled spray bottles were observed in the cabinet above the sink in the Alberello II classroom.”

Rule 8VAC20-780-280-G.

Cots used by children shall have linens consisting of a top cover and a bottom cover.

“Child #4 was observed napping on a cot without a bottom linen.”

Rule 8VAC20-780-450-A.

REPEAT VIOLATION Over-the-counter skin products shall not be used or kept beyond the expiration date of the product.

“Child #6s diaper cream expired 8/2025 and was observed in the classroom.”

Rule 8VAC20-780-520-A.

Documentation of drills shall be maintained.

“There is no drill documented for the month of September 2025.”

Rule 8VAC20-780-550-G.

Children’s records shall contain all required information.

“Child #7s physical exam confirms that the child has a diagnosed food allergy. The child’s record does not contain an allergy action plan with actions to take in the event of an accident ingestion of an allergen.”

Rule 8VAC20-780-60-A.

Staff members shall submit a subsequent tuberculosis (TB) screening every two years from the date of the initial screening.

“Staff member 5s most recent TB screening is dated 3/8/2023. The TB screening is overdue by approximately 3 months.”

Rule 8VAC20-780-160-C.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“There is a large area of resilient surfacing at the bottom of the playground slide that has deteriorated down to the cement. The surface is no longer resilient for potential falls.”

Rule 8VAC20-780-270-A.

Repeat violation

“In inside areas occupied by children, the temperature shall be maintained no lower than 68?F. The thermostat in the Radici classroom was set to 65?F during the inspection.”

Rule 8VAC20-780-270-C.

Over-the-counter skin products shall not be used or kept beyond the expiration date of the product.

“A topical sunscreen for child #6 was observed in the Alberillo classroom.”

Rule 8VAC20-780-520-A.

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

“On 4/21/2025 at approximately 2:00 PM, staff #1 was observed sleeping in the alberello 1 classroom. There were 10 children present between the ages of 3-5 years of age. All children were sleeping. Staff #1 confirmed that they had fallen asleep for approximately 10 minutes.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures.

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.

“Staff #1 stated that after child #1 threw a block at a classmate and started crying, they placed child #1s backpack outside of the classroom door because they knew they were attached to their backpack, and thought that taking the backpack away would get their attention. Staff #1s behavioral guidance was not constructive or age appropriate.”

Rule 8VAC20-780-400-B.

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

“Staff #1 stated that after child #1 threw a block at a classmate and started crying, they placed child #1s backpack outside of the classroom door because they knew they were attached to their backpack, and thought that taking the backpack away would get their attention. Staff #1s behavioral guidance was not constructive or age appropriate.”

Rule 8VAC20-780-400-B.

If hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents.

“There were two unlabeled bottles containing cleaning agents located in the “cleaning supplies” closed in the Foglia classroom.”

Rule 8VAC20-780-280-G.

22.1-289.035-B-4

“Based on record review and interview, the center did not obtain and out-of-state central registry background check for each employee that resides or has resided outside of the state of Virginia in the last five years. Evidence: Staff #2’s sworn disclosure statement states that they currently reside in the state of West Virginia. The staff’s record does not contain a central registry background check for West Virginia. Center management confirmed that a West Virginia central registry search had not been completed.”

Rule 22.1-289.035-B-4.

8VAC20-780-130-E

“Based on record review, the center did not obtained additional immunizations once every six months for children under the age of two years. Evidence: Child #1 (9 months) most recent immunizations are dated from when the child was 2 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“Based on record review, the center did not obtained a physical exam for each child within the first 30 days of attendance. Evidence: Child #4 (date of enrollment: 4/11/2024) record did not contain a physical exam.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: 1. There are several areas of peeling paint in the Alberello 3 classroom. 2. The half-wall in the Alberello 3 classroom is dirty with stained streaks running down the wall. 3. There is an area of peeling paint in the indoor gym. 4. There is a toilet with a broken seat in the children’s bathroom of the Alberello 2 classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-270-A

“Based on observation, the center did not maintain areas inside the center in a clean, safe and operable condition. Evidence: There was a large patch of peeling paint, approximately 6?x 18? in the Aberello 3 classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Based on observation of the center, disposable towels were not in the diapering area. Evidence: There were no disposable paper towels located in the Gambo room.”

Rule 8VAC20-780-320-B.

8VAC20-780-500-B

“Based on observation of the center, there was not a nonabsorbent surface for diapering or changing. Evidence: The diaper changing mat in the Radici room had holes in it.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-P

“Based on a review of medication, medication was not picked up by the parent or disposed of within 14 days of an authorization to administer had expired. Evidence: Child #7 authorization to administer orajel was signed by the parent on 08/07/2023. The authorization expired on 08/21/2023. The medication was observed on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-520-A

“Based on observation, over the counter skin products were kept beyond the expiration date of the product. Evidence: The diaper ointment of child #6 expired on 11/2023 and was observed on-site.”

Rule 8VAC20-780-520-A.

8VAC20-780-60-A

“Based on record review, the center did not have a written care plan for each child with a diagnosed food allergy. Evidence: Child #8 and #9 were on center documents as having allergies, but a review of their records did not reveal a care plan.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Based on a review of staff records, the center did not maintain a complete record of required documentation for each staff member. Evidence: Staff #4s record contained one reference check.”

Rule 8VAC20-780-70.

8VAC20-780-270-A

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

8VAC20-780-270-D

“Based on observation and interview, temperatures of inside areas occupied by children exceeded 80 degrees. Evidence: During the investigation, classroom temperatures were 84 degrees. The hallway temperature was 95 degrees.”

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

8VAC20-790-600-D-1

“Based on record review, all staff who work directly with children have not obtained within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #7 (date of hire: 8/2/2021) does not have current CPR certification. 2. Staff #9 (date of hire: 2/6/23) does not have current CPR certification.”

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

8VAC20-790-600-D-2

“Based on record review, all staff who work directly with children have not obtained within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #7 (date of hire: 8/2/2021) does not have current first aid certification. 2. Staff #9 (date of hire: 2/6/23) does not have first aid certification.”

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

22.1-289.011-F

“Based on observation, the findings of the most recent inspection of the facility was not posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection findings were not posted.”

Rule 22.1-289.011-F.

8VAC20-780-270-C

“Based on observation inside areas occupied by children, the temperature was not maintained above than 68?F. Evidence: The thermostat in the Radici classroom was set at approximately 58?F. Infants were observed in the classroom during the inspection.”

Rule 8VAC20-780-270-C.

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were stored next to food equipment, utensils and/or single-serve articles. Evidence: Bleach cleaners were observed stored on the same shelf next to food equipment in a cabinet in the Gambo classroom.”

Rule 8VAC20-780-280-D.

8VAC20-780-490-E

“Based on observation, surfaces that become contaminated with body fluids cannot be cleaned and sanitized. Evidence: There were tears observed on the surface of the diaper changing mat in the Gambo classroom. The inner foam pad of the mat cannot be cleaned and sanitized.”

Rule 8VAC20-780-490-E.

8VAC20-780-570-E

“Based on observation, infant bottles were not dated with todays date. Evidence: Two bottles in the infant classroom were observed with the date labeled on the bottles.”

Rule 8VAC20-780-570-E.

8VAC20-780-70

“Based on record review and interview, staff records did not contain all required information. Evidence: 1. Staff #8’s record does not contain documentation of education. 2. Staff #9’s record only contains one professional reference. 3. Staff #10’s record only contains one professional reference. 4. Staff #11’s record only contains one professional reference.”

Rule 8VAC20-780-70.

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a tuberculosis (TB) screening that was completed within 30 days prior to the first date of employment. Evidence: 1. Staff #1 (date of hire: 12/12/2022) TB screening is dated 4/30/2022. 2. Staff #4 (date of hire: 11/7/2022) TB screening is dated 3/4/2021.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: The padded mat underneath the slide in the indoor playroom has long tears along the edges, exposing the inner foam material.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-G

“Based on observation and interviews, hazardous substances are not kept in original containers, the substitute containers were not clearly indicate their contents. Evidence: There were 3 unidentified spray bottles in the toddler classroom, 1 unidentified spray bottle in the young twos classroom and 1 unidentified spray bottle in the older twos classroom. Staff in each classroom confirmed that the contents of the spray bottles was a bleach/water solution used for sanitizing surfaces.”

Rule 8VAC20-780-280-G.

8VAC20-780-400-A

“Based on observation, staff did not interact with children to promote intellectual, emotional and social well being and growth. Evidence: In the toddler classroom, a child was disciplined for taking their shoes off in the classroom. The child became upset and began crying for “mommy”. Staff #4 began mocking the child, saying “You want your mommy? Should I cry for my mommy? Mommy!””

Rule 8VAC20-780-400-A.

8VAC20-780-510-G

“Based on observation and interview, medication was not labeled with the child’s name. Evidence: A box of Benadryl was observed without a child’s name. Center management confirmed that the medication belonged to Child #4.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-P

“Based on record review and observation, medication was not returned or disposed of within 14 days of an authorization to administer the medication had expired. Evidence: Child #2’s medication authorization for emergency medication was signed by the parents on 10/12/2022 and expired on 10/22/2022. The medication was observed on site during the medication.”

Rule 8VAC20-780-510-P.

8VAC20-780-550-D

“Based on record review and interview, the center did not implement an evacuation drill each month. Evidence: There was no drilled documented for December 2022. Center management confirmed that the drill must have been forgotten.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: Several children were observed licking sunbutter off of plastic knives while walking around the 4 year old classroom after making bird feeders with sunbutter and bird seed.”

Rule 8VAC20-780-560-M.

8VAC20-780-560-N

“Based on observation, food was not maintained in a clean and sanitary manner. Evidence: Several children were observed making bird feeders with sunbutter and bird seed. The children were observed sticking plastic knives inside of one jar, licking the sunbutter off the knives and sticking it back into the jar to get more sunbutter and then licking the knives again. All the children were eating sunbutter from the same jar.”

Rule 8VAC20-780-560-N.

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: Child #2 and Child #3’s records did not contain an allergy action plan that was signed by the children’s physician.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review, staff records did not contain all required information. Evidence: Staff #4’s record did not contain documentation of two reference checks.”

Rule 8VAC20-780-70.

22VAC40-185-60-A

“Based on record review and interview, children’s records did not contain all required information. Evidence: Child #3 (date of enrollment: 7/1/2021) record did not contain documentation that the child’s age and identity had been reviewed within the first seven days of enrollment.”

Rule 22VAC40-185-60-A.