Groomed for Greatness Learning Center II

8VAC20-780-140-A

“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 no physical examination in the record of Child #1, enrolled for more than 30 days.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Repeat Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #2 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean and safe condition. In the infant/toddler room there were three children sleeping in cribs that had loose, bunched up crib sheets posing a potential suffocation hazard. A child was sleeping on a blue crib sheet that was soiled.”

Rule 8VAC20-780-270-A.

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. In the infant/toddler room one staff was observed supervising 5 children, youngest of whom was 7 months old during a rest period.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots and rest mats. The space between two occupied cots was less then the required 12 inches. The space between the cots measured 3 1/2 inches.”

Rule 8VAC20-780-440-E.

8VAC20-780-440-G

“Cribs shall be used for children under 12 months of age. There were 3 toddlers between the ages of 17 months to 20 months observed sleeping in cribs.”

Rule 8VAC20-780-440-G.

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a storage system that 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. The lid of the diaper pail did not open when the foot mechanism was stepped on.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person, that includes all required information. The record for Staff #1, who has been working at the center for eight weeks, did not contain documentation of the required experience and training hours for the documented job title. The record for Staff 2, employed for more than three weeks, did not include documentation that the required orientation training was completed.”

Rule 8VAC20-780-70.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe condition. There was a staple gun in a plastic drawer, approximately 3 feet high in a preschool room.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. In a two year old bathroom, there were two cans of air freshener labeled ?keep out of reach of children? on the floor next to a potty chair, accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-C

“Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. A toilet chair in a preschool bathroom was not emptied after use. There was dried urine in the potty bowl.”

Rule 8VAC20-780-500-C.

8VAC20-780-550-G

“Repeat Violation Documentation shall be maintained of shelter-in-place and lockdown drills that includes all of the required information. The drill logs for the shelter in place and lockdown drills conducted in 2025 did not include the number of children and staff that had participated.”

Rule 8VAC20-780-550-G.

8VAC20-780-160-A

“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 results for staff #1 was dated eleven months prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. The crib for child #4 sat uneven on the floor. A wheel was broken off one of the crib legs. The evacuation crib had a loose bolt causing the crib foot and sides to shake when moved.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. In the school age classroom there was an unlocked closet with cans of latex paint and pesticide spray. In an unlocked space under the Directors desk there were cleaning products and laundry detergent.”

Rule 8VAC20-780-280-B.

8VAC20-780-420-E-3

“Repeat Violation Up-to-date information is required to be requested from the parent for each child’s record at least annually. The information in the record of child #1, child #2 and child #3 had not been updated in over 14 months.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-550-P

“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 and include all of the required information. The injury records for three children did not contain all of the required information.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for ten months, was missing a parent work phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and contain all the required information. The staff records for staff #1 and staff #2 did not contain all of the required information.”

Rule 8VAC20-780-70.

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The records for Child #1 and Child #2 did not contain documentation of additional immunizations once every six months. Updated immunizations for Child #1 and Child #2 were due one month ago.”

Rule 8VAC20-780-130-E.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #1 obtained 12.5 of the 16 required hours in 2024. Staff #2 obtained 15 of the required hours in 2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. There was an uncovered outlet within children’s reach in the two year old room.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-450-C

“Repeat Violation Crib sheets shall be clean and washed daily. The Director stated the crib sheets used in the infant room were washed weekly.”

Rule 8VAC20-780-450-C.

8VAC20-780-450-E

“Repeat Violation Mattresses when used shall be covered with a waterproof material which can be cleaned and sanitized. Three crib, assigned to enrolled infants, had mattresses that were not covered in a non absorbent surface. The mattresses were soiled and stained.”

Rule 8VAC20-780-450-E.

8VAC20-780-500-C

“Repeat Violation Toilet chairs shall be emptied promptly and cleaned and sanitized after each use. There was dry urine on the seat and bowl of a toilet chair in the bathroom.”

Rule 8VAC20-780-500-C.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. There were six bottles of unrefrigerated formula in the infant room. One of the bottles did not have a name on it.”

Rule 8VAC20-780-570-E.

8VAC20-780-570-K

“Staff shall feed semisolid food with a spoon unless written instructions from a physician or physicians designee state differently. The bottle for Child #2 contained a semisolid food mixed into the formula.”

Rule 8VAC20-780-570-K.

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for 18 months, was missing the following required components: mother and fathers work phone numbers. The record for Child #2, enrolled for 8 months, was missing the mother and fathers work phone numbers and previous child day care or schools attended. The record for Child #5, enrolled for 5 months, was missing previous child day care or schools attended.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. A hinge on the half door between two classrooms was no longer secure. The hinge and the screws had pulled out of the door. Children were observed walking through the door. There was broken plaster and rusting metal on a corner of the wall in a classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-430-F

“The climbing portions of indoor slides and climbing equipment over 18 inches shall not be over bare flooring. A slide in a classroom was over bare tile. A child was observed on the slide.”

Rule 8VAC20-780-430-F.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries that includes all of the required information. Two injury records (month of September) for Child #2 did not include the date, time and how the parent was notified of the injury. An injury record for Child #6 (month of August) did not contain the date, time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. The following items were not labeled with a name and date: A bottle containing formula, a water bottle and a bottle of orange juice.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1 was missing the parent business phone number. The record for Child #2 (enrolled for 12 months) was missing the parent business phone number and the name, address and phone numbers of two emergency contacts who are not the parents.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records shall be kept for each staff person that contain all the required information. The records for Staff #2 (employed for 2 months) and Staff #3 (employed for 3 months) did not have the following required components: Addresses of each staff members emergency contact.”

Rule 8VAC20-780-70.

8VAC20-780-140-A

“Based on record review and interview, it was determined that the facility did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for child #4 (date of enrollment 1/3/2024) did not contain documentation of a physical. 2.The record for child #5 (date of enrollment 1/3/2023) did not contain documentation of a physical. 3.The owner confirmed the physical was not in the record.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the kitchen there were containers of Ajax scrub and dish soap in a low cabinet and Clorox and a can of Lysol were on the floor. These substances were labeled ?Keep out of reach of children?. The kitchen door was not locked and was adjacent to the two-year-old classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-1

“Repeat Violation Based on observation, record review and interviews it was determined that the facility failed to ensure that the staff-to-child ratio of 1:4 for children ages birth to 16 months was maintained. Evidence: 1.Upon entering the infant and toddler classroom there were 8 children ages 6 months to 24 months and 1 staff member. The number and ages of the children required two staff to be present. 2.Staff #4 entered the classroom and stated she had taken the trash out.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-420-E-3

“Based on observation and interviews it was determined that the facility did not ensure that staff shall request at least annually parent confirmation that the required information is the child’s record is up to date. Evidence: 1.The record for Child #5 (start date of 1/3/2023) did not contain documentation that the parent confirmed the information in the record was up to date. 2.The owner confirmed the record did not have documentation of an update.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-450-E

“Based on observation and interviews, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: 1. Four crib mattresses in the infant room did were not covered with a waterproof material that could be cleaned and sanitized. 2.The mattresses had a cloth covering that had stains on it.”

Rule 8VAC20-780-450-E.

8VAC20-780-500-B

“Based on observation and interviews, it was determined the center did not ensure that the diapering surface shall only be used for diapering or cleaning children. Evidence: 1.In the two-year-old classroom, there was a container of toys placed on the diaper changing table. 2.The owner confirmed the toys were on the changing table.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

“Based on record review and interviews, it was determined the facility failed to ensure a that a written daily record of children’s daily attendance, including arrival and departure times, was maintained. 1.In the two-year-old classroom there were 8 children however, only three children’s arrival times were documented on the written daily record. 2.In the Infant-Toddler classroom there were no children’s arrival times documented on the written daily record. There were 8 children in the classroom.”

Rule 8VAC20-780-80-A.

8VAC20-780-90-A

“Based on record review and interview, it was determined that the facility did not ensure a written and signed agreement between the parent and the center shall be in the child’s record by the first day of attendance. 1. The authorization for child #5 was not signed for the following: emergency medical care, notification of parent for an ill child and a statement that the parent will inform the center within 24 hours of a communicable disease. 2. The owner confirmed the authorizations were not signed.”

Rule 8VAC20-780-90-A.

8VAC20-780-420-E-3

“Based on interviews and record review it was determined the center did not ensure that parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment and needs. Evidence: 1. The record for Child #1 did not include documentation that semiannual information was given to the parent. 2. The Director confirmed the center did not provide this information to the parent.”

Rule 8VAC20-780-420-E-3. From a complaint.

8VAC20-780-245-H

“Based on observation, record review and interview it was determined the facility did not ensure staff received training on the recommended care requirements related to the care and development of children with special needs. Evidence: 1. Child #6 had documentation of special needs and ASD. 2. Staff #3 and Staff #6 who worked directly with the child stated the center had not provided training related to the care and development of child #6. 3.The Director confirmed staff had not received training related to the care and development of child #6.”

Rule 8VAC20-780-245-H.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-350-B-2

“Based on observations, record review and interviews it was determined that the facility did not ensure that the staff-to-child ratio of 1:5 for children ages 16-24 months was maintained. Evidence: 1.From 9:50am to 10:00am on 7/27/023, Staff #5 was caring for 7 children ages 16 ? 24 months old alone. The number and ages of the children required two staff to be present. The Director confirmed the classroom ratio was not maintained.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-40-M

“Based on observation and interview it was determined the center did not ensure that the current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan was dated. Evidence: 1 The posted allergy lists in four classrooms was not dated. 2. The Director confirmed a date was not on the allergy lists.”

Rule 8VAC20-780-40-M.

8VAC20-780-400-A

Rule 8VAC20-780-400-A.

8VAC20-780-440-I

“Based on observation and interviews it was determined that the facility did not ensure that cribs are placed where objects outside the crib are not within reach of children. Evidence: 1, A plastic gate/fence system used to divide two classrooms(approximately 12? long) was secured with packing tape to a crib. 2.Tape was stretched between 2-3 of the crib spindles inside the crib and within reach of children, creating a suffocation/choking hazard. 3.Staff # 1 confirmed the crib is used for Child #5 who was present during the inspection.”

Rule 8VAC20-780-440-I.

8VAC20-780-500-A

“Based on observation it was determined that the facility did not ensure that children’s hands are washed before and after meals and snacks. Evidence: In the toddler room a child came into the center with food. The child was seated at the table to eat without having washed hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interviews it was determined that the facility did not ensure that diapers were disposed of in a storage system that is either foot operated or used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the disposal system. Evidence: 1.In the infant room the lid of the foot operated diaper pail did not lift. Staff #1 confirmed that the system was not operating properly and that the lid would not lift unless a hand was used.”

Rule 8VAC20-780-500-B.

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. 1. Staff #2 (date of hire 7/20/22) did not contain documentation of a completed child abuse and neglect registry check. 2. Staff #1 confirmed that there was no CPS registry check for Staff #2.”

Rule 22.1-289.035-B-4. From a complaint.

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #2 (date of hire 7/20/22) did not contain two required reference checks to their record. 2. Staff #1, Director, confirmed there were no references to Staff #2’s record.”

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

Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days.

“Evidence: 1. The record for staff #4(date of hire 7/1/22) contained documentation of a negative tuberculosis screening that was dated 7/5/22. 2. Staff #6 (Program Director) reviewed the record for staff #4, and confirmed that the tuberculosis screening had not been completed prior to employment”

Rule 8VAC20-780-160-A.

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

“Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 4/7/21. 2. Staff #6 (Program Director) confirmed that the annual approval from the health department had not been received”

Rule 8VAC20-780-260-B.

Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a clean, safe and operable condition.

“Evidence: 1. There were two plastic chairs on the playground that had areas where the plastic was split and cracked. 2. There was damaged floor tiles that provided a possible tripping hazard in the Infant classroom. 3. There was dirt and debris under the diaper changing pad in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the items listed above were not in a clean, safe and operable condition.”

Rule 8VAC20-780-270-A.

Based on observation and interview, it was determined that the facility did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.

“Evidence: 1. There was an unlabeled bottle with a clear liquid in the cabinet over the sink in the Two year old classroom. 2. When asked what the liquid was, staff #6 (Program Director) stated it was the sanitizer used during the cleaning process, and confirmed that it was not labeled.”

Rule 8VAC20-780-280-G.

Based on observation and interviews, it was determined that the facility did not ensure that for children the ratio of one staff member for every four children is maintained at all times children are in care.

“Evidence: 1. When the Licensing Inspector arrived at the facility at 10:15am, there were 15 children in care with three staff present in the Infant/Toddler classroom. 2. When staff #3 was asked the age of the youngest child, she stated two months. 4. Staff #6 (Program Director) confirmed that the facility did not maintain the required staff-to-child ratio in the Infant/Toddler classroom.”

Rule 8VAC20-780-350-B-1.

Based on observation and interview, it was determined that the licensee did not ensure that shall be a posted daily schedule that allows for flexibility as children’s needs require.

“Evidence: 1. The daily schedule for the Preschool classroom was not posted anywhere in the classroom. 2. Staff #1 confirmed that the daily schedule was not posted anywhere in the classroom.”

Rule 8VAC20-780-380-A.

Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child.

“Evidence: 1. Only three of eight cribs present were identified for use by a single child. 2. Staff #3 confirmed that all of the cribs were not labeled for use by a specific child.”

Rule 8VAC20-780-440-B.

Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering.

“Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

Rule 8VAC20-780-500-B.

Based on observation and interview it was determined that the licensee did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Medication (Epi-Pen) for child #6 was found in an unlocked cabinet in the Two’s classroom. 2. Medication (Pro-Air Inhaler) for child #7 was found in an unlocked cabinet in the Two’s classroom. 3. Staff #6 (Program Director) confirmed the medication was stored in an unlocked cabinet.”

Rule 8VAC20-780-510-L.

Based on observation and interview, it was determined that the licensee did not ensure that topical ointments are labeled with the child’s name.

“Evidence: 1. There was a container of Destin and a container of A & D ointment in the cabinet over the sink in the Two’s classroom that did not have a child’s name on either container. 2. Staff #6 (Program Director) confirmed that the two containers of diaper ointment were not labeled with a child’s name.”

Rule 8VAC20-780-520-C.

Based on a review of the facility’s first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility’s vehicle used for transporting children that contain all of the required items.

“Evidence: 1. The first aid kit for white van that used for transporting the children to and from field trips did not contain a thermometer, scissors, tweezers and triangle bandages. 2. Staff #6 (Program Director) confirmed that the first aid kit for the white van used for transporting the children did not contain all of the required items.”

Rule 8VAC20-780-540-C.

Based on a review of the emergency supplies at the center, it was determined that the licensee did not ensure that there is one working battery-operated radio in each building used by children.

“Evidence: 1. There was not a working battery-operated radio available during the inspection. 2. Staff #6 (Program Director) could not find batteries during the inspection to demonstrate that the battery-operated radio was working.”

Rule 8VAC20-780-540-E.

Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. The Licensing Inspector observed two cups in the refrigerator in the Toddler/Infant classroom that were not labeled with the child’s name or date. 2. Staff #3 confirmed that the two cups were not labeled with the child’s name or date.”

Rule 8VAC20-780-560-G.

Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child’s feeding schedule and brand of formula.

“Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula”

Rule 8VAC20-780-570-C.

Based on observation and interview, it was determined that the licensee did not that a one-day’s emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center.

“Evidence: 1. There was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection. 2. Staff #3 confirmed that there was not a one day’s emergency supply disposable bottles, nipples, and commercial formulas at the center during the inspection”

Rule 8VAC20-780-570-I.

Based on a review of five children’s records and interview, it was determined that the facility did not ensure that they maintain and keep at the center a complete record for each child enrolled that contains all required information.

“Evidence 1. The record for child #1 did not contain the address and phone number for the first emergency contact and the address for the second emergency contact. 2. The record for child #4 did not contain name, address and phone number for two emergency contacts. 3. Staff #6 (Program Director) confirmed the records for child #1 and child #5 did not contain all of the required items.”

Rule 8VAC20-780-60-A.

Based on observation and interview, it was determined that the facility did not ensure that the findings of the most recent inspection of the facility were posted on the premises.

“Evidence: 1. The results from the most recent inspection (1/20/22) was not posted anywhere in the facility. 2. When asked if the results from the most recent inspection were posted, staff #6 (Program Director) confirmed that the results were not posted.”

Rule 8VAC20-820-120-E-2.

Based on a review of our staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment.

“Evidence: 1. The record for staff #2 (date of hire 9/10/21) did not contain documentation of a completed search of the central registry finding. 2. Staff #5 (Program Director) reviewed the record for the staff #2, and confirmed that the search of the central registry finding has not been received.”

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

Based on observation and interviews, it was determined that the facility did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition.

“Evidence: 1. There were areas of peeling paint on the door and door frame located in the Two’s classroom that provides entry to the playground. 2. There were multiple floor tiles that were damaged and provided possible tripping hazard in the Infant classroom and the Two’s classroom. 3. Staff #5 (Program Director) confirmed the items listed above were not in a safe and operable condition.”

Rule 8VAC20-780-270-A.

Based on observation and interviews, it was determined that the licensee did not ensure that for children, 16 months up to 24 months, a ratio of one staff member for every five children is maintained at all times children are in care.

Rule 8VAC20-780-350-B.

Based on observation it was determined that the licensee did not ensure that that a crib shall be provided for children in care and identified for use by a specific child.

“Evidence: 1. There were 7 children present in the Infant classroom and only 6 cribs present. 2. None of the 6 cribs present were identified for use by a single child. 3. The staff in the Infant classroom confirmed that there were less cribs than children present and none of the cribs were labeled.”

Rule 8VAC20-780-440-B.

Based on observation and interview, it was determined that the licensee did not ensure that a nonabsorbent surface is used for diapering.

“Evidence: 1. Both diaper changing pads in the Infant classroom had a tear. 2. The Infant room staff confirmed that the diaper changing surface was not nonabsorbent due to the tear in the changing pad.”

Rule 8VAC20-780-500-B.

Based on a review of the facility’s first aid kits, it was determined that the facility did not ensure that there is a first kit on the facility’s vehicle used for transporting children that contain all of the required items.

“Evidence: 1. There was no first aid kit for either of the vehicles used for transporting the children to and from school on a daily basis. 2. Staff #5 (Program Director) confirmed that neither vehicle used for transporting the children contained a first aid kit.”

Rule 8VAC20-780-540-A.

Based on a review of the documents contained on the bus used to transport children daily to and from public school, it was determined that the licensee did not ensure that the center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center.

“Evidence: 1. Neither of the facility’s vehicles used for transporting children contained the required emergency document. 2. Staff #5 (Program Director) confirmed that the facility’s vehicles did not contain the required emergency document.”

Rule 8VAC20-780-550-K.

Based on interviews, it was determined that the licensee did not ensure that when food is brought from home it is labeled with the child’s name and date.

“Evidence: 1. The Licensing Inspector observed two cans of formula on top of the refrigerator in the Toddler/Infant classroom that were not labeled with the date that they were opened. 2. The staff present in the classroom acknowledged that the two cans of formula were not labeled with the date.”

Rule 8VAC20-780-560-G.

Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child’s feeding schedule and brand of formula.

“Evidence: 1. There was no documentation of a feeding schedule for each child and the brand of formula. 2. The staff present in the Infant classroom confirmed that there was not documentation of a feeding schedule for each child who is on formula and the name brand of the formula.”

Rule 8VAC20-780-570-C.