Childrens Lounge

At least 6 inches of resilient surfacing shall be under equipment with moving parts or climbing structures to create a fall free zone.

“Repeat Violation: The depth of the resilient surfacing measured less than one inch.”

Rule 8VAC20-780-330-B.

At least 6 inches of resilient surfacing (mulch) for playground equipment shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The resilient surfacing (mulch) underneath and surrounding the outdoor playground equipment measured less than 1 inch.”

Rule 8VAC20-780-330-B.

The physical examination shall be within the time period prescribed: within 12 months prior to attendance for children two years of age through five years of age.

“The physical examination for Child 3, 4 years old, was completed 18 months prior to attendance.”

Rule 8VAC20-780-140-B.

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who meets the requirements of medication administration training.

“On 04/23/2025 for over 3 hours, Child 1, who has been prescribed emergency medication, was not in the care of a staff member that meets the requirements of medication administration training.”

Rule 8VAC20-780-245-J-3.

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 records for Child 1 and Child 2, enrolled over two weeks, were each missing several of the required components.”

Rule 8VAC20-780-60-A. From a complaint.

Based on record review and interviews with staff, the center failed to obtain a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 2 contained documentation that Staff 2 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 2. The hire date for Staff 2 was 07/22/2023. Staff 1 confirmed this information was not available for review.”

Rule 22.1-289.035-B-4.

Based on observations, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: Staff 4 was the only staff supervising the 9 children in the large classroom; the children were determined to be 3-5 years of age. Approximately 4 times, Staff 4 was observed leaving the room, closing the ?half door?, and assisting children at the water fountain while the reminder of the children were in the classroom. The remaining children were not within actual sight and sound supervision of a staff member. During one occurrence, the inspector had to inform Staff 4 that several children were fighting.”

Rule 8VAC20-780-340-F.

Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: Children, ages 2 years- 4 years, were observed participating in self-directed activities and immediately going to tables to eat breakfast. The children did not wash hands with soap and running water or disposable wipes before eating.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“Evidence: Children, ages 2 years- 4 years, were observed were observed during breakfast. The children were served fruit cocktail that contained whole grapes; whole grapes are considered to be potential choking hazards.”

Rule 8VAC20-780-560-F-4.

THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Rule 8VAC20-780-60-A.

Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

Rule 8VAC20-780-70.

Based on observation and record review, the center failed to ensure during stated hours of operation, there shall always be on premises and on field trip when one or more children are present one staff member who meets the qualification of a program leader or program director and an immediately available staff member, or volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

“Evidence: 1. Upon the inspector’s arrival to the center on 10/17/2023 at approximately 7:25 am, Staff 1 was the only staff member present and there were 7 children in care, ages 18 months ? 4 years old. Staff 1 confirmed the first child in care arrived at approximately 7:00 am on 10/17/2023. 2. There were a total 11 children in care ages 18 months ? 4 years old, when Staff 2 and 3 arrived at approximately 7:55 am.”

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

Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 16 months up to 24 months.

“Evidence: There were 11 children observed with 1 staff member. The youngest child was 18 months old. The required staff ratio for this group of children was 1:5. Three staff would be required.”

Rule 8VAC20-780-350-B-2. From a complaint.

Based on observation, the center failed to ensure that there shall be at least two people who are currently certified in CPR and First Aid on the premises during the center’s hours of operation, on fieldtrips and wherever children are in care.

“Evidence: Staff 1 was the only staff on premises with a current certification in CPR and First Aid from approximately 7:00 am until approximately 7:55 am on 10/17/2023.”

Rule 8VAC20-780-530-C. From a complaint.

REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

“Evidence: 1. The record for Child 1 did not contain the following information: first and last day of attendance. 2. The record for Child 2 did not contain the following information: first day of attendance. 3. The record for Child 3 did not contain the following information: first day of attendance.”

Rule 8VAC20-780-60-A. From a complaint.

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The sworn statement was dated 01/05/2023.”

Rule 8VAC20-770-60-B.

Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

“Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The search of the central registry was dated 03/22/2023. The search of the central registry was not obtained within 30 days of employment.”

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

Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 2 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 05/25/2022.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record for Staff 5 contained a documented hire date of 03/16/2023. The tuberculosis screening in the record was dated 04/21/2023.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Rule 8VAC20-780-60-A.

8VAC20-780-500-A

“Repeat Violation Based on observation, the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change. Evidence: Staff 1 was observed changing a child’s diaper. Staff 1 did not wash their hands after completing the diaper change.”

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

8VAC20-780-80-A

“Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: As of approximately 8:00 am on 04/12/2023, the daily attendance for the only group of children in care had not been taken. There was a total of 7 children in care. The daily attendance record did not document the arrival of each child as it occurred.”

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

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change. Evidence: Staff 1 was observed changing a child’s diaper. Staff 1 did not wash their hands after completing the diaper change.”

Rule 8VAC20-780-500-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review and interview with staff, the center failed to ensure that staff record contain all of the elements as required by the standards. Evidence: The record for staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed the information was not available.”

Rule 8VAC20-780-70.

Based on review of staff files and discussions with administration the facility failed to maintain compliance with this standard as required relating to employee background checks.

“Evidence: Staff file #4 did not have a completed Central Registry Clearance on file. Administration stated it had been mailed off, not within 7 days of employment, was returned for an error and as of the inspection had not been resubmitted as required. The allowed 30 days to obtain this had since expired. The staff member had been actively working with the children for more than 30 days.”

Rule 8VAC20-770-40-D-1-b.

Based on review of children records the facility failed to maintain compliance with this standard as required related to immunization verification.

“Evidence: Child record #2 did not have immunization documentation on file as required, the child has been in attendance.”

Rule 8VAC20-780-130-A.

Based on review of children records the facility failed to maintain compliance with this standard as required related to a physical.

“Evidence: Child records #1 and #2 did not have proof of physical as required. Both children have been in attendance.”

Rule 8VAC20-780-140-A.

Based on review of staff records the facility failed to maintain compliance with this standard as required relating to proof of orientation.

“Evidence: Staff records #1 did not have proof of orientation as required. The staff was actively working with the children, within the facility.”

Rule 8VAC20-780-240-C.

Based on inspection of the facility the required compliance with this standard was not met regarding locking of hazardous materials.

“Evidence: Under the diaper station, in the toddler-2year old area, there were cleaning agents that were not locked as required. Children within the area also had access.”

Rule 8VAC20-780-280-B.

Based on inspection of the facility the required compliance with this standard was not met regarding ratios.

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

Based on inspection of the facility the required compliance with this standard was not met regarding variety of daily activities.

“Evidence: The children in the preschool area and the toddler/2year old area were not engaged in a variety of activities as required. During the inspection, both classes had self-directed free play only. Children were not engaged in any teacher lead activities, or group activities.”

Rule 8VAC20-780-360-A.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to moving a child who cannot move/relocate on their own.

“Evidence: A child who cannot move on their own from one position/place, as stated by staff, was not moved by staff every 30 minutes as required. The child was sitting in a special chair at the start of the inspection and remained there for approximately 45 minutes. The child was asleep for approximately 20 minutes of the 45 minutes.”

Rule 8VAC20-780-360-B.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to labeling of cots.

“Evidence: The cots the children napped on were not labeled as required.”

Rule 8VAC20-780-440-B.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to handwashing.

“Evidence: The children’s hands were not washed after lunch as required. The children’s hands were not washed after diapering as required.”

Rule 8VAC20-780-500-A.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to running water and diaper disposal.

Rule 8VAC20-780-500-B.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to storage of sunscreen.

“Evidence: A basket of sunscreen was under the preschool diapering table on the bottom open shelf, accessible to the children.”

Rule 8VAC20-780-520-B.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to meal requirements.

“Evidence: Milk was not served with lunch as required. Children were given juice only with lunch.”

Rule 8VAC20-780-560-F.

Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to food service.

“Evidence: After the children in the toddler-2year old class had gotten up from the lunch table, staff handed the children sippy cups, the children were allowed to move around the classroom while drinking from the cups. Children are to be seated while drinking or eating.”

Rule 8VAC20-780-560-M.

Based on review of children records the facility failed to maintain compliance with this standard as required related to emergency contact information, parent employment information, allergies/chronic physical problems, and enrollment dates.

“Evidence: 1. Child record #1 did not have a start date, emergency contact addresses, no addressing of any allergies/chronic physical problems, no employment phone number for the mother, and did not have required information addressed for the father of the child. 2. Child record #2 did not have a second emergency contact listed.”

Rule 8VAC20-780-60-A.

Based on review of children records the facility failed to maintain compliance with this standard as required related to proof of birth verification.

“Evidence: Child record #2 did not have verification of review of proof of birth as required.”

Rule 8VAC20-780-60-C.

Based on review of staff records the facility failed to maintain compliance with this standard as required related to references, proof of education, job title, and hire date.

“Evidence: Upon review of staff records the following non-compliance was noted: 1. Staff records #1-#4 did not have a hire date, references, proof of education/qualifications, or job description. 2. Staff record #5 did not have a hire date, job description, or references.”

Rule 8VAC20-780-70.