Sons & Daughters, Inc.

8VAC20-790-550-5

“Staff records shall be kept for each staff that contain documentation that training required for orientation has been completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization. The record for staff #1 did not contain documentation that orientation was completed.”

Rule 8VAC20-790-550-5.

8VAC20-790-700-A

“Behavioral guidance shall be constructive in nature and age and stage appropriate and shall be intended to redirect children to appropriate behavior and resolve conflicts. A three-year-old child who was being aggressive was placed in a backpack with a leash. The child cried upon seeing the device and continued to cry for approximately three minutes before another staff removed the backpack.”

Rule 8VAC20-790-700-A.

8VAC20-790-530-B

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. In the Cubs classroom five children were signed in but only four children were in the class.”

Rule 8VAC20-790-530-B.

8VAC20-790-540-B

“The child’s record shall include the following: Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached. The record for child #4 did not contain an emergency contact that was not the parent.”

Rule 8VAC20-790-540-B.

8VAC20-790-560-A

Rule 8VAC20-790-560-A.

8VAC20-790-810-C-1

“The food container shall be clearly labeled in a way that identifies the owner. A child’s sippy cup was not labeled with the child’s name in the Cubs room.”

Rule 8VAC20-790-810-C-1.

22.1-289.031-A-4

“REPEAT VIOLATIONS/SYSTEMIC DEFICIENCY Each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Staff 4’s staff health report is dated six weeks after the start date. Staff 5’s staff health report is dated two weeks after the start date.”

Rule 22.1-289.031-A-4.

8VAC20-790-820-B

“When a child is placed in an infant high chair the protective belt shall be fastened securely. A one-year-old child was placed in a high chair and the protective belt was not securely fastened as the straps were not tightened to secure the child. The child fell out of the highchair and hit their head on the floor, which caused a bump on the child’s head.”

Rule 8VAC20-790-820-B.

22.1-289.031-B-5

“The center is to ensure that all areas of the premises accessible to children are free of obvious injury hazards. A one-year-old child was placed in a high chair and the protective belt was not securely fastened as the straps were not tightened to secure the child. The child fell out of the highchair and hit their head on the floor, which caused a bump on the child’s head.”

Rule 22.1-289.031-B-5.

Based on a review of the staff handbook and interview, the center staff failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards.

“Evidence: A highchair was placed on top of a table. A fifteen month old child pulled the highchair off of the table and it fell on him leaving red marks on his forehead and head.”

Rule 22.1-289.031-B-5. From a complaint.

Based on a review of a video and interviews, the center failed to ensure areas and equipment of the center were kept in safe conditions which includes items that a child could pull down on themselves.

“Evidence: A highchair was placed on top of a table. A fifteen month old child pulled the highchair off of the table and it fell on him leaving red marks on his forehead and head.”

Rule 8VAC20-790-630-A. From a complaint.

Based on record review and interview, the center failed to obtain all the required information for a child’s record.

“Evidence: The record for child 1 did not contain emergency contacts.”

Rule 8VAC20-790-540-B.

Based on record review and interview, the center failed to obtain results of child protective services central registry check ( CPS ) within 30 days of beginning work for new staff.

“Evidence: The record for staff 5, start date 1/24/24, did not contain a completed CPS check. The director verified the center did not have a completed CPS check for staff”

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

Based on record review and interview, the center failed to ensure within the last 30 calendar days of the date of employment staff were evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children.

“Evidence: The records for staff 2, employment date 1/29/24, and staff 4, employment date 5/7/24, do not have TB results. The director verified they do not have TB results for staff 2 and 4.”

Rule 8VAC20-790-560-A.

Based on record review and interview, the center failed to ensure staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence:”

Rule 8VAC20-790-600-B.

Based on record review and interview, the center failed to ensure staff members who work alone with children and within seven days of the date of employment complete orientation training.

“Evidence: The record for staff 4, start date 5/7/24, did not contain documentation regarding completing orientation training. Staff 4 was unable to answer questions regarding emergency evacuations.”

Rule 8VAC20-790-600-C.

Based on record review and interview, the center failed to ensure all staff obtained certification in CPR within 90 days of the date of employment.

“Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for CPR. The director verified staff 2 and staff 3 do not have certification in CPR.”

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

Based on record review and interview, the center failed to ensure all staff obtained certification in first aid certification within 90 days of the date of employment.

“Evidence: The record for staff 2, date of employment 1/29/24, and staff 3 date of employment 1/31/24, did not contain certificates for first aid. The director verified staff 2 and staff 3 do not have certification in first aid.”

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

Based on record review and interview, the center failed to ensure each staff member has been certified by a physician, physician assistant, or nurse practitioner to be free from any disability which would prevent him from caring for children under his/her supervision.

“Evidence: The record for staff 4, hire date 5/7/24, did not contain a staff health report. The director verified the center did not obtain a staff health report for staff 4.”

Rule 22.1-289.031-A-4.

Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment.

“Evidence: The record for staff 5, start date 1/24/24, did not contain a central registry background check. The director verified the center did not have a completed central registry background check.”

Rule 8VAC20-770-40-D-2.

Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children less than two years of age.

“Evidence: 1. The record for child 2 documents the birth date as 1/27/22. The immunizations in the record are dated 3/28/22 and 6/2/22. 2. Staff 6 verified the center does not have any other immunization records for child 2.”

Rule 8VAC20-790-580-B.

Based on record review and interview, the center failed to ensure staff completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence: 1. The record for staff 5 documents the employment date as 1/14/22. The date of the preservice training is documented as 5/27/22. 2. Staff 6 verified staff 5’s employment date and date of preservice training.”

Rule 8VAC20-790-600-B.

Based on record review and interview, the center failed to ensure staff received orientation training prior to staff working alone with children and within seven days of the date of employment.

“Evidence: 1. The record for staff 3 documents the employment date as 7/25/22. The orientation date is documented as 9/23/22. 2. Staff 6 verified staff 3’s start date and orientation date.”

Rule 8VAC20-790-600-C.

Based on observation, the center staff did not wash their hands with soap and running water after changing a diaper.

“Evidence: In the room a staff member was observed changing two children’s diapers. The staff member did not wash hands between changing diapers.”

Rule 8VAC20-790-760-A-3.

Based on observation, the center failed to keep prescription in a locked place using a safe locking method to prevent access by children.

“Evidence: 1. In the Fawn’s room a prescription diaper cream was found on an open shelf. 2. In the Pups room a prescription diaper creams and a prescription diaper powder was found on an open shelf.”

Rule 8VAC20-790-770-D.

Based on observation and interview, the center failed to have a working, battery-operated flashlight.

“Evidence: 1. The flashlight did not work. 2. Staff 6 stated the center did not have extra batteries.”

Rule 8VAC20-790-780-C-1.

Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure all children in the center are in compliance with immunization provisions of ? 32.1-46.

“Evidence: 1. The record for child 2 documented the firs date of attendance as 8/19/22 and the child’s birth date as 1/27/22. The documentation of immunizations are dated 3/28/22 and 6/2/22. 2. Staff 6 stated the center does not have updated immunizations for child 2.”

Rule 22.1-289.031-B-4.

Based on record review and interview, the center failed to request a search of central registry background check within the first 30 days of employment and a criminal history name check prior to the first day of employment for any state in which a staff member resided in the preceding five years.

“Evidence: 1. The record for staff 5 documented the employment date as 1/14/22. The sworn statement documents staff 5 lived in Arkansas within five years prior to hire. The record for staff 5 did not contain documentation of a central registry background check or criminal history record being completed in Arkansas. 2. Staff 6 verified out-of-state background checks were not completed for staff 5.”

Rule 22.1-289.035-B-4.

Based on interview, the center failed to maintain ratios of one staff to four children for ages zero to 16 months.

Rule 22.1-289.031-A-3-a. From a complaint.

22.1-289.031-A-3-b

Rule 22.1-289.031-A-3-b. From a complaint.

22.1-289.031-A-3-c

“Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months. Evidence: The director stated she thought they were allowed to double ratios during outside play.”

Rule 22.1-289.031-A-3-c. From a complaint.

Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years.

“Evidence: The director stated she thought they were allowed to double ratios during outside play.”

Rule 22.1-289.031-A-3-d. From a complaint.

8VAC20-790-670-C-1

Rule 8VAC20-790-670-C-1. From a complaint.

Based on interview, the center failed to maintain ratios of one staff to five children for ages 16 months to 24 months.

Rule 8VAC20-790-670-C-2. From a complaint.

Based on interview, the center failed to maintain ratios of one staff to eight children for ages 24 months to 36 months.

“Evidence: The director stated she thought they were allowed to double ratios during outside play.”

Rule 8VAC20-790-670-C-3. From a complaint.

Based on interview, the center failed to maintain ratios of one staff to 10 children for ages 36 months to five years.

“Evidence: The director stated she thought they were allowed to double ratios during outside play.”

Rule 8VAC20-790-670-C-4. From a complaint.

Based on interviews, the center failed to allow infants to sleep when needed.

Rule 8VAC20-790-690-D. From a complaint.

Based on record review and interview, the center failed to obtain a statement determining new staff are free of communicable tuberculosis (TB) at the time of employment and prior to coming into contact with children.

“Evidence: 1. Per the director, staff 3’s hire date was 3/7/22. There was no documentation of TB results in staff 3’s file. 2. The director contacted staff 3. Staff 3 stated she had not obtained a TB yet due to difficulty with her doctor.”

Rule 22VAC40-665-540-A.

Based on record review and interview, the center failed to obtain immunization records prior to the first date of attendance for two out of three children’s records reviewed.

“Evidence: 1. Child 2’s first date of attendance, per the director, was 1/25/22. There was no immunization record in child 2’s file. 2. Child 3’s first date of attendance, per the director, was 12/1/21. There was no immunization record in child 3’s file. 3. The director verified the center did not have immunization records for child 2 and child 3.”

Rule 22VAC40-665-560-A.

Based on observation, the center failed to maintain all areas of the center in a clean, safe and operable condition.

“Evidence: The diapering pad in the changing room is torn exposing the absorbent sponge.”

Rule 22VAC40-665-610-A.

Based on observation, the center failed to ensure children’s hands were washed after diapering.

“Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old’s diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”

Rule 22VAC40-665-740-A.

Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the qualifications of personnel.

“Evidence: The director stated the parent handbook does not contain the qualifications of personnel.”

Rule 22.1-289.031-A.

Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date.

“Evidence: 1. Staff 3’s date of hire was 3/4/22. The record of staff 3 did not contain a staff health report. 2. The director contacted staff 3 who verified she had not obtained a staff health report.”

Rule 22.1-289.031-A-4.

Based on observations, a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the health requirements of staff and public liability insurance.

“Evidence: The director verified the information required is not posted for the public or provided in writing for parents.”

Rule 22.1-289.031-A-6.

Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure for hand washing by children after diapering.

“Evidence: 1. A teacher in the Fawn classroom was observed changing a two year old’s diaper. The child did not wash their hands after diapering. 2. The director stated the center policy for handwashing after diaper is for children to wash their hands if they are capable of washing their own hands.”

Rule 22.1-289.031-B-1.

Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions.

Rule 22.1-289.031-B-4.