Fontanelle Academy of Early Learning

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 #5, who had been enrolled for over 1 year.”

Rule 8VAC20-780-140-A.

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

“The tuberculosis screening for Staff #8 (employed 3 months) was dated 10 months prior to date of employment.”

Rule 8VAC20-780-160-A.

The staff-to-children ratio from birth up to 16 months is 1:4.

“During the inspection, the ratio requirements were not followed when Staff #5 was alone with 8 infants waiting in strollers in the indoor play area. Staff #6 returned 2 minutes later and stated they had to go back to the classroom. The center was approved for a ratio waiver of 1:5 for ages birth to 16 months.”

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

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. This list must be dated and confidential.

“An allergy list was not posted in Classroom #7. The classroom teachers stated it was removed because there are no children with allergies in the room.”

Rule 8VAC20-780-40-M.

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

“On April 29, 2026, Child #1 (16 months old) had been climbing up a slide and was picked up and redirected three times prior by Staff #2. When Child #1 began climbing the slide again, Staff #2 told them not to climb up the slide, but did not physically redirect. Child #1 fell, causing an injury to their mouth which resulted in breaking a tooth. Staff #1 and Staff #2 did not witness the fall, as documented in the child’s file.”

Rule 8VAC20-780-340-A.

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 April 29, 2026, Child #1 (16 months old) was redirected three times from climbing up a slide on the playground. As Child #1 began climbing up a slide, Staff #2 told them not to climb up the slide instead of physically redirecting the child to another area. Child #1 fell, causing an injury to their mouth, as documented in the child’s file.”

Rule 8VAC20-780-400-B.

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.

“On April 27, 2026, Child #2 (3 years old) was exiting the bathroom when they bumped into another student and fell, causing an injury that required outside medical attention. The department’s representative was not notified until April 30, 2026.”

Rule 8VAC20-780-80-B-2.

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

“The sworn statement for Staff #1 (employed over 9 months), was dated two weeks after their first day of employment.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“-The national criminal background check for Staff #2 (employed over 4 years), was dated over 20 days after their first day of employment. -The national criminal background check for Staff #4 (employed over 2 years), was dated over 60 days after their first day of employment.”

Rule 22.1-289.035-B-2.

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

“The immunization record for Child #5 (enrolled over 10 months) was overdue by 5 months.”

Rule 8VAC20-780-130-E.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #4 (employed over 2 years) completed this course over 8 months after employment, which was overdue by more than 5 months.”

Rule 8VAC20-780-240-A.

REPEAT VIOLATION Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“-Classroom #6 had hand sanitizer unlocked and within reach of children on a teacher’s desk and 3 full bottles within reach inside of a cubby. -An unlocked bin of cleaning supplies was present on top of the children’s cubby area in the hallway outside of Classroom #6.”

Rule 8VAC20-780-280-B.

The center may administer prescription medication if dispensed from a pharmacy and maintained in the original, labeled container.

“Medication #2 and #3 were not in the original container with the prescription label.”

Rule 8VAC20-780-510-I.

REPEAT VIOLATION When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“The lunch container for Child #2 was not dated or labeled in a way that identified the owner, and the lunch container for Child #3 was not dated.”

Rule 8VAC20-780-560-G.

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 #5 (enrolled for over 10 months), was missing the name, address, and phone numbers of two designated people to call in an emergency if a parent cannot be reached, and documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

REPEAT VIOLATION Each staff record will contain documentation of health information on a staff’s physical and mental health.

“The records for Staff # 2, 3, and 4 did not contain health information.”

Rule 8VAC20-780-70.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The center’s license issued 1/22/2025 was not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Sunscreen shall be inaccessible to children under five years of age.

“One sunscreen in Classroom #7 was present on a table in an area accessible to children.”

Rule 8VAC20-780-520-B.

The following nonmedical emergency supplies shall be required: One working, battery-operated radio in each building used by children.

“The center did not the required nonmedical emergency supply of a working, battery-operated radio at the time of the inspection.”

Rule 8VAC20-780-540-E.

When food is brought from home the food container must be clearly labeled in a way that identifies the owner.

“Four lunch containers in Classroom #6 were not labeled in a way that identified the owner.”

Rule 8VAC20-780-560-G.

The center is required to have annual approval from the health department for meeting the requirements for water supply, sewage disposal system, and food service, if applicable.

“The center did not have an annual health inspection.”

Rule 8VAC20-780-260-B.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The upstairs Pre-K classroom door was left open leading to the staff lounge, which was used for children to walk through to go to the restroom. The staff lounge contained a paper cutter.”

Rule 8VAC20-780-270-A.

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

“-The staff lounge, which children walked through to use the restroom, contained hand sanitizer which was found unlocked and within reach of children. -The upstairs Pre-K classroom had Clorox wipes on the desk, found unlocked and within reach of children. -The indoor play area contained hand sanitizer, found unlocked and within reach of children.”

Rule 8VAC20-780-280-B.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“-There were no written lists in the classrooms or areas where children were present that stated allergies, sensitivities, and dietary restrictions. -The Early Toddler classroom had a child with a known allergy and a written allergy list was not kept.”

Rule 8VAC20-780-40-M.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“-One lunch container in the Mature Toddler 2 classroom was not labeled or dated. -Three lunch containers in the Mature Toddler 1 classroom were not dated. -Six lunch containers in the Pre-K classroom were not dated.”

Rule 8VAC20-780-560-G.

When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

“-Two children in the Infant 2 classroom were not buckled into the feeding table. -Seven children in the Infant 3 classroom were not buckled into the feeding table.”

Rule 8VAC20-780-570-A.

Each staff record will contain documentation to demonstrate that an individual possesses the education, certification, training required as well as health information of a staff’s physical and mental health.

“-The record for Staff #6 (employed for over one year and nine months) did not contain documentation of education or certification. -The records for Staff # 1, 2,3,4,5, and 6 did not contain health information.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Based on records reviewed, 1 of 7 staff records did not include documentation of the VDOE health and safety update course (subsidy 3 hours) annually. Evidence: Staff #4 completed the Virginia Preservice Course in September 2020 and there is no documentation that the annual health and safety course has been taken annually since then.”

Rule 8VAC20-790-600-F.

22.1-289.011-F

“Based on observations made, the findings from the most recent inspection were not posted in the center. Evidence: The Violation Notice from the 3/27/24 inspection were not posted. The 5/11/23 inspection report was posted.”

Rule 22.1-289.011-F.

Based on records reviewed, 3 of 6 children’s records did not include immunization updated every 6 months until the age of 2 years old.

“Evidence: 1. Child #1-The immunizations on-file were dated May 2022, when the child was 4 months old. 2. Child #4-The immunizations on-file were dated December 2022, when the child was 17 months old. 3. Child #5-The immunizations on-file were dated December 202, when the child was 5 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-240-C

“Based on records reviewed, the documentation of orientation training did not include required facility specific topics. Evidence: The documentation for all staff records reviewed did not include the following procedural training topics: preventing food exposures and cross-contamination of foods; and first aid and CPR orientation.”

Rule 8VAC20-780-240-C.

Based on records reviewed, there was no documentation of 6 of 7 staff completing orientation training that included specific training topics, training delivery method, the entity/individual providing the training and the date(s).

“Evidence: 1. The following staff had signed a document titled “Policy Handbook Receipt” which the inspector was told is the documentation for watching the orientation training video. The document did not include the required details of said training. Staff #1, #2, #3, #6 and #7. 2. The record for Staff #4 had no documentation of orientation training. ,”

Rule 8VAC20-780-240-I.

8VAC20-780-280-B

“Based on observations made, hazardous substances were not kept in a locked place. Evidence: Cleaning supplies, sprays and disinfectant wipe type products, were found to be stored on open shelves and counter tops in classrooms, bathrooms and hallways throughout the center.”

Rule 8VAC20-780-280-B.

Based on records reviewed, there were either no written polices and procedures for the following areas/topics, as required by these standards, or the written policy and procedure did not include required components.

“Evidence: 1. The medication policies stated that medications should be stored in a locked place or on a high shelf, which is not consistent with State standards. 2. The medication policies did not include the labeling requirements of medications. 3. The staff TB testing policy stated that they would accept a TB test completed within in 6 months of the date of hire, which is not consistent with State standards. 4. There was no written policy for preventing exposure to specific food and other substances, and preventing cross contamination.”

Rule 8VAC20-780-40-E.

8VAC20-780-40-K

“Based on records reviewed, there was no documentation that the center has written procedures for shaken baby syndrome and coping with crying babies. Evidence: Policy and procedure documents given to the inspector did not include these required topics.”

Rule 8VAC20-780-40-K.

Based on records reviewed, 4 of 6 children’s records did not include annual documentation of the parent’s confirmation that the child’s record is up to date. [Note: Previously cited under 60.A.]

“Evidence: 1. Child #1-The parent last signed the child’s record June 2022. 2. Child #3-The parent last signed the child’s record December 2021. 3. Child #4-The parent last signed the child’s record December 2022. 4. Child #5-The parent last signed the child’s record September 2021.”

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

Based on observations made, 5 occupied cribs in infant rooms did not have at least 30” of space between service sides and other furniture.

Rule 8VAC20-780-440-I.

Based on observations made, 3 of 5 medications were not labeled with the child’s name, dosage amount and times to be given.

“Evidence: 1. Child #2 - An over-the-counter medication was not labeled. 2. Child #3 - An over-the-counter medication was not labeled. 3. Child #7 - An over-the-counter medication was not labeled.”

Rule 8VAC20-780-510-G.

8VAC20-780-510-I

“Based on records reviewed, 1 of 5 medications did not include an acceptable written authorization. Evidence: Child #3 - The medication authorization signed by the parent exceeded 10-days, and was dated 12/2/22-12/2/23. The center did not obtain a renewed parent authorization every 10-days, or a physicians authorization for a long-term medication. The medication remains on-site.”

Rule 8VAC20-780-510-I.

Based on records reviewed, the written authorization for 2 of 5 medications had expired and the medications remained on-site over 14-days from the date of expiration.

“Evidence: 1. Child #3 - The written medication authorization expired 12/2/23, and the medication itself expired April 2024 and to-date the medication was on-site. 2. Child #7 - The written medication authorization expired 5/1/24 and to-date the medication was on-site.”

Rule 8VAC20-780-510-P.

8VAC20-780-520-C

“Based on observations made, 1 of 4 diaper creams was not labeled as required. Evidence: A diaper cream belonging to Child #8 was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on records reviewed, the center’s written emergency preparedness plan did not include documentation of required information.

Rule 8VAC20-780-550-A.

8VAC20-780-550-D

“Based on records reviewed, the center did not practice monthly evacuation drills. Evidence: The emergency drill records did not include documentation of an evacuation drill for February 2024 and April 2024.”

Rule 8VAC20-780-550-D.

Repeat violation. Based on records reviewed, written injury reports did not include required documentation. [Note: Injury reports reviewed were dated after the last inspection 3/27/24.]

Rule 8VAC20-780-550-P.

Based on observations made, food that children brought from home for their lunch was not labeled with their name and date.

“Evidence: 1. Most food/beverage products brought by the children for their lunch today was not labeled with their name, a few items had a first name. There was no name on the lunch bags or the food items inside the bags, or food/beverage items removed from the lunch bags and placed in the refrigerators. 2. None of the food/beverage products brought by the children for their lunch today were labeled with the date.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-C

“Repeat violation. Based on records reviewed, 1 of 6 children’s records did not include documentation of verification of the child’s proof of identity and age. [Note: Previously cited under 60.A.] Evidence: Child #1-There was no documentation that the proof of identity and age had been verified. Child enrolled May 2022.”

Rule 8VAC20-780-60-C.

Repeat violation. Based on records reviewed, 6 of 7 staff records did not include documentation of required information.

Rule 8VAC20-780-70.

8VAC20-780-240-A

“Based on review, the facility did not ensure that staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: reviewed 3 staff records and found that Staff 1 did not have documentation of the VA Dept of Education sponsored orientation course, and has been employed for over 90 days.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-C

“Based on review, the facility did not ensure that documentation of orientation training included the required topics. Evidence: reviewed 3 staff records and found that there was no documentation of staff completing the following: 1) prevention of sudden infant death syndrome and use of safe sleep practices; 2) prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children;”

Rule 8VAC20-780-240-C.

8VAC20-780-240-I

“Based on review, the facility did not ensure that documentation of orientation training shall include: name of staff, training topics, training delivery method, the entity or individual providing the training, and the date of the training. Evidence: reviewed 3 staff records and found that the documentation of orientation training did not have documentation of the training delivery method and the entity or individual providing the training.”

Rule 8VAC20-780-240-I.

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 hand sanitizer receptacles easily accessible to children, at child height, mounted on walls in each classrooms, allowing for free access to the children in each room.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-H

“Based on observation, the facility did not ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. Evidence: observed that there was a staff purse accessible to children in the 4s & 5s classroom with cosmetics accessible to children on a desk/cabinet.”

Rule 8VAC20-780-280-H.

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets have protective covers that cannot be swallowed by children. Evidence: observed that the outlets in the girls, boys, and unisex bathrooms were non safety outlets and were not covered with outlet covers.”

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

8VAC20-780-40-J

“Based on review, the facility did not ensure that the injury prevention procedures are updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: reviewed the facility’s records and found that they did not have documentation of an annual review of the injury prevention procedures.”

Rule 8VAC20-780-40-J.

8VAC20-780-440-E

“Based on observation, the facility did not ensure that there is 12 inches of space between occupied cots, beds, and rest mats. Evidence: observed that in the Early Toddler room 4 cots were within 12 inches of each other.”

Rule 8VAC20-780-440-E.

8VAC20-780-520-B

“Based on observation, the facility did not ensure that sunscreen’s labeled with the child’s name. Evidence: observed that there were 2 sunscreen bottles in the 4s & 5s classroom that did not have names on them.”

Rule 8VAC20-780-520-B.

8VAC20-780-550-F

“Based on review, the facility did not ensure that lockdown procedures are practiced at least annually. Evidence: reviewed the emergency drill log and found that the last lockdown drill was conducted on 2/16/23.”

Rule 8VAC20-780-550-F.

8VAC20-780-550-P

“Based on review, the facility did not ensure that they maintained a written record of children’s injuries with the required information. Evidence: reviewed 5 injury reports and found that the form used did not have a place to document “any future action to prevent reoccurrence of the injury”.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were maintained with the required minimum information, and that reference checks taken over the phone contained dates of contact, names of contacted person(s), firms contacted, results, and the signature of the person making the call. Evidence: reviewed 3 staff records and found that all 3 records were missing complete documentation of reference checks (only documented the date references were checked)”

Rule 8VAC20-780-70.

Based on record review, a sex offender search was not conducted for staff whom live outside of Virginia within the last 5 years.

“Evidence: A sex offender search was conducted for Staff A and Staff B.”

Rule 22.1-289.035-B-4.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: Cleaning supplies were located in a cabinet located on the wall of each room.”

Rule 8VAC20-780-280-B.

Based on record review, the record of medication administration was missing required information.

“Evidence: The record of medication administration was incomplete for two children.”

Rule 8VAC20-780-510-N.

Based on record review, documentation of the emergency drills was not maintained.

“Evidence: Documentation for emergency drills conducted in 5/2021, 6/2021 and 7/2021 were missing from the document provided to the inspector.”

Rule 8VAC20-780-550-G.

Based on observation, the findings of the most recent inspection were no posted.

“Evidence: The findings of the most recent inspection were not posted.”

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