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8VAC20-780-130-E

“The center shall obtain documenatation of additional immunization once every six months for children under the age of two years. Documentation of additional immunizations for child 1 (age 1 year) is overdue by three months.”

Rule 8VAC20-780-130-E.

8VAC20-780-80-A

“For reach 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. There was no attendance record in the two’s/three’s classroom for 10/20/25 or 10/21/25.”

Rule 8VAC20-780-80-A.

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

“There were two cans of sanitizing spray in an unlocked cabinet in the hallway bathroom used by children. The cleaning materials were accessible to children in care.”

Rule 8VAC20-780-280-B.

The required ratio for children ages 16 to 24 month is one staff per five children.

“Staff 1 was observed alone in the classroom supervising seven children (youngest child 16 months old) during the transition period between lunch and nap time.”

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

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff 2 cleaned the diaper changing surface a soap and water solution but did not sanitize the surface.”

Rule 8VAC20-780-500-B.

Documentation of lockdown drills shall be maintained by the center.

“There was no documentation of a lockdown drill being practiced for the year 2024.”

Rule 8VAC20-780-550-G.

Staff shall sit with children during meal times.

“There were 3 childen in the Tots classroom eating lunch at a table and there was no staff sitting with them.”

Rule 8VAC20-780-560-L.

Repeat Violation Based on observation and interview, it was determined the center did not ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials F1292-99 (Compressed Loose Fill Synthetic Materials Depth Chart) and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

Rule 8VAC20-780-330-B.

Repeat Violation Based on record review and interview, the center did not ensure that children’s records contain all the required information.

“Evidence: 1. The record for child 1 (date of enrollment: 8/13/24) does not contain the addresses of the two designated people to call in an emergency if a parent cannot be reached. 2. The record for child 2 (date of enrollment: 12/27/22) doe not contain annual documentation of child updates and up-to-date information. 3. The center owner confirmed that the records for child 1 and child 2 are lacking all required information.”

Rule 8VAC20-780-60-A.

8VAC20-780-160-C

“Based on a record review and interview, it was determined the center did not ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1.The most recent Tb screening for staff #2 was dated 3/18/2022 and was therefore over two years old. 2.The Assistant Director confirmed the updated screening had not been completed at the time of the inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-440-E

“Repeat Violation Based on observation and interviews it was determined that the facility did not ensure that there was at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: 1. In the two-year-old classroom, there were 3 children napping on cots that were not spaced at least 12 inches apart. 2. Staff in the two-year-old room confirmed that the occupied cots did not have at least 12 inches of space between them.”

Rule 8VAC20-780-440-E.

8VAC20-780-550-D

“Based on record reviews and interviews, it was determined the center did not ensure that the facility implemented a monthly practice evacuation drill. Evidence: There was no documentation that an emergency evacuation drill was practiced in May 2024.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based on observation and interviews, it was determined that the center did not ensure that shelter in place procedures were practiced a minimum of twice per year. Evidence: 1.There was one shelter in place practice drill documented in 2023 therefore the minimum of two annual shelter in place drills were not conducted.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on observation and interviews, it was determined that the center did not ensure that lockdown procedures shall be practiced at least annually. 1.There was no documentation of lockdown drill conducted in 2023. 2. The Assistant Director confirmed a lockdown drill was not documented.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Repeat Violation Based on a review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. 1.The records for child #2 and child #5 were missing parent work phone numbers.”

Rule 8VAC20-780-60-A.

Based on observation, the center did not ensure that there shall be at least 12 inches of space between occupied cots.

“Evidence: 1.In the toddler classroom, there were 7 children napping on cots that were not spaced at least 12 inches apart. 2. Staff in the toddler classroom confirmed that the occupied cots did not have at least 12 inches of space between them.”

Rule 8VAC20-780-440-E. From a complaint.

Based on interview and record review, the center did not ensure that cribs shall be used for children under 12 months of age.

Rule 8VAC20-780-440-G. From a complaint.

Based on observation and interview, the center did not ensure that there shall be at least twelve inches of space between the sides and ends of occupied cribs.

“Evidence: 1. On 6/5/23, child 1 (age 16 months at the time) and child 2 (age 14 months at the time) were placed in cribs close enough together for child 1 to be able to reach over and pull child 2’s hair, according to child 1’s parent and center staff. 2. During the on-site inspection on 7/19/23, there were two occupied cribs in the infant classroom that had only three inches of space between the ends of the cribs, where at least twelve inches of space are required.”

Rule 8VAC20-780-440-J. From a complaint.

Based on observation, the center did not ensure that children’s hands shall be washed with soap and running water after toileting and that staff shall wash their hands with soap and running water before and after a diaper change.

“Evidence: During the inspection, the licensing inspectors observed staff 1 changing a child’s diaper in the infant classroom. Staff 1 did not wash the child’s hands or her own hands after the diaper change was complete and was observed immediately touching the top of another child’s head and touching other items in the classroom.”

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

Based on record review and interview, the center did not ensure that children’s records contain all the required information.

“Evidence: 1. The records for child 1 (date of enrollment: 8/8/22) and child 2 (date of enrollment: 3/10/22) do not contain documentation of viewing proof of the child’s identity and age. 2. The center owner confirmed that the records for child 1 and child 2 are lacking documentation of viewing proof of the children’s identity and age.”

Rule 8VAC20-780-60-A.

Based on record review and interview, the center did not ensure that documentation that each child has received the immunizations required by the State Board of Health is obtained before the child can attend the center.

“Evidence: 1. The records for child 1 (date of enrollment: 5/2/22) and child 2 (date of enrollment: 4/4/22) do not contain documentation of immunizations. 2. The center director confirmed that the records for child 1 and child 2 are lacking documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on record review and interview, the center 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 one month after attendance.

“Evidence: 1. The record for child 2 (date of enrollment: 4/4/22) does not contain documentation of a physical examination. 2. The center owner confirmed that the record for child 2 is lacking documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on record review and interview, the center did not ensure that staff records contain all the required information.

Rule 8VAC20-780-70.