The Goddard School - Woodlake

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.

“Staff #6 had a TB test that was that was completed and submitted to the center one day after the start of employment.”

Rule 8VAC20-780-160-A.

Repeat violation

“The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with these standards and the center’s own policies and procedures that are required by these standards. Child #11 had one medication with a current authorization on site that has been expired for over three months. The center’s policy to prevent use of outdated medication states that they will check expiration dates on all medication.”

Rule 8VAC20-780-40-E.

Repeat violation

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 10/07/2025, Child #1, age 2, was left unsupervised on the playground for less than one minute during a transition from the playground to the classroom.”

Rule 8VAC20-780-340-F.

Repeat violation

Rule 8VAC20-780-40-E.

There shall be at least 12 inches of space between occupied cots, beds, and rest mats.

“In a two year old classroom, there were three children on rest mats during nap time that were spaced less than 12 inches from other occupied mats.”

Rule 8VAC20-780-440-E.

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration.

“Staff #8 had a current CPR certification that was obtained online and did not include the hands on competency demonstration. Administration stated that staff #8 has supervised a group of children independently in the afternoon.”

Rule 8VAC20-780-530-A-1.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information.

“Child #4 and child #5 had injury reports that were missing any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

A record shall be kept for each staff member that contains the required information.

“The record of staff #11, employed as a program leader over three months ago, was missing documentation to demonstrate that the individual possessed the education required by the job position.”

Rule 8VAC20-780-70.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“Child #1, age 2, left the classroom and entered the hallway where the child was unsupervised for approximately 1-2 minutes.”

Rule 8VAC20-780-340-F.

The center shall ensure their activities and services are maintained in compliance with their own policies and procedures that are required by these standards.

“The center’s supervision policy requires that children must be supervised by sight and sound at all times. At no time is a teacher to leave a child unsupervised. Child #1 was unsupervised in the hallway on 5/8/2025 for approximately 1-2 minutes.”

Rule 8VAC20-780-40-E.

Repeat violation

“The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with these standards and the center’s own policies and procedures that are required by these standards. Child #12 and child #15 each had one medication on site that has been expired for 24 days. The center’s policy to prevent use of outdated medication states that they will check expiration dates on all medication. Administration stated that the medication expiration review had not been conducted.”

Rule 8VAC20-780-40-E.

REPEAT VIOLATION 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 documentation of a physical examination in the record of child #2 , who had been enrolled for one month and 11 days.”

Rule 8VAC20-780-140-A.

If diaper ointment or cream is used, the following requirements shall be met: written parent authorization noting any known adverse reactions shall be obtained and the products shall be in the original container and labeled with the child’s name.

“In a toddler classroom, staff applied diaper ointment to two children without written parent authorization. One of the diaper ointment containers was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

The center shall implement a monthly practice evacuation drill.

“An evacuation drill was not conducted in September of 2024.”

Rule 8VAC20-780-550-D.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“A total of seven undated bottles of prepared infant formula belonging to three children were observed in the refrigerator in the infant classroom.”

Rule 8VAC20-780-570-E.

Based on a review of 10 child records and interview, the center did not ensure that one child had a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“Evidence: 1. The record of child #1 (date of enrollment: 4/8/2024) did not contain a physical record. 2. Administration acknowledged that they had not obtained the physical record.”

Rule 8VAC20-780-140-A.

Based on a review of documentation and interview, the center did not ensure to annually update their injury procedures based on documentation of injuries and a review of the activities and services as required.

“Evidence: 1. An annual injury prevention plan was not available during the inspection. 2. Administration acknowledged that the plan was not updated.”

Rule 8VAC20-780-40-J.

Based on a review of 10 child records and interview, the center did not ensure that one child’s record contained the required information.

“Evidence: 1. The record of child #6 (date of employment: 1/2/2024) was missing one emergency contact. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the record was incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of documentation and interview, the center did not ensure that when staff are supervising children, they always ensure their care and protection.

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

Based on review of documentation and interview, the center did not ensure that the center’s activities and services were maintained in compliance with the center’s own policies and procedures that are required by the standards.

Rule 8VAC20-780-40-E. From a complaint.

Based on a review of documentation and interview, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behavior.

“Evidence: 1. In interview, staff reported that staff #1 was frustrated with child #1 because he was running around the room and wouldn’t listen. Staff #1 was observed placing tape over child #1?s legs to keep him on his nap mat. Child #1 was observed crying. 2. Administration acknowledged that the actions taken by staff #1 were not constructive or age and stage appropriate. They reported that staff #1 was terminated on 12/21/23 for her actions.”

Rule 8VAC20-780-400-B. From a complaint.

Based on a review of documentation and interview, the center did not ensure that the action of restricting movement through binding or tying was forbidden as required.

Rule 8VAC20-780-410-1. From a complaint.

Based on observation, review of documentation and interview, the center did not ensure that a suspected incident of child abuse was reported in accordance with ? 63.2-1509 of the Code of Virginia.

“Evidence: 1. On 12/21/2023, staff #1 placed tape over child #1?s legs to keep him on his nap mat. Multiple staff to include three classroom staff and two management staff were aware of the situation the day it occurred. A report was not made within 24 hours as required for mandated reporters. 2. In interview, three staff stated that they believed the incident to be abusive. Administration also acknowledged that the incident was abusive and they failed to report.”

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

Based on a review of 10 staff records and interview, the vendor did not ensure that two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment as required.

“Evidence: 1. The record of staff #1 (date of employment: 8/21/2023) did not contain documentation of a current CPR certification. The record of staff #3 (date of employment: 8/17/2023) did not contain documentation of a current CPR certification. 2. The vendor acknowledged that the staff were not CPR certified.”

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

Based on a review of 10 staff records and interview, the vendor did not ensure that two staff had current certification in first aid appropriate to the ages of children in care within 90 days of employment as required.

“Evidence: 1. The record of staff #1 (date of employment: 8/21/2023) did not contain documentation of a current first aid certification. The record of staff #3 (date of employment: 8/17/2023) did not contain documentation of a current first aid certification. 2. The vendor acknowledged that the staff were not first aid certified.”

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

Based on observation and interview, the center did not ensure that when a child is placed in an infant seat or high chair, the protective belt is fastened securely.

“Evidence: 1. Three children were observed in infant seats that did not have the protective belts fastened. 2. Administration acknowledged that the protective belts were not fastened.”

Rule 8VAC20-780-570-A.

Based on a review of 10 staff records and interview, the center did not ensure to obtain out of state background checks for two (2) staff within the required time frames.

Rule 22.1-289.035-B-4.

Based on a review of 10 staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff by the end of the 30th day of employment as required.

“Evidence: 1. The record of staff #5 (date of employment: 12/12/2022) contained a central registry finding dated 1/23/2023. 2. Administration acknowledged that the finding was received late.”

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

Based on a review of 20 staff records and interview, the center did not ensure to obtain the results of a fingerprint background check prior to the first date of employment for five (5) staff as required.

Rule 22.1-289.035-B-2.

Based on a review of 20 staff records and interview, the center did not ensure that three (3) staff had the required out of state background checks.

Rule 22.1-289.035-B-4.

Based on a review of 20 staff records and interview, the center did not ensure that 1 staff had a completed sworn statement prior to the first date of employment as required.

“Evidence: 1. The record of staff #12 (date of employment: 10/17/2022) did not contain a sworn statement. 2. Administration acknowledged that the sworn statement was not completed.”

Rule 8VAC20-770-60-B.

Based on a review of 20 staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff within 30 days of employment as required.

“Evidence: 1. The record of staff #7 (date of employment: 8/29/2022) did not contain a central registry finding. 2. Administration acknowledged that the findings were not obtained within the required time frame.”

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

Based on a review of 10 children’s records and interview, the center did not ensure to obtain documentation that three (3) children had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1. The record of child #1 (date of attendance: 08/29/2022) contained an immunization record dated 9/19/2022. The record of child #3 (date of attendance: 8/29/2022) contained an immunization record dated 9/26/2022. The record of child #8 (date of attendance: 8/29/2022) did not contain an immunization record. 2. Administration acknowledged that the documentation had not been obtained prior to the first date of attendance.”

Rule 8VAC20-780-130-A.

Based on a review of 10 children’s records and interview, the center did not ensure that two (2) children had a physical examination by or under the direction of a physician: 1. before the child’s attendance; or 2. within 30 days after the first day of attendance as required.

“Evidence: 1. The record of child #8 (date of attendance: 8/29/2022) did not contain a physical record. The record of child #10 (date of attendance: 8/29/2022) did not contain a physical record. 2. Administration acknowledged that the physical reports were not obtained.”

Rule 8VAC20-780-140-A.

Based on a review of 20 staff records and interview, the center did not ensure that 11 staff submitted documentation of a negative tuberculosis (TB) screening at the of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

Rule 8VAC20-780-160-A.

Based on interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children.

“Evidence: 1. On 10/24/2022, a classroom of nine (9) toddlers were observed with two (2) staff. In interview, both staff stated that they did not have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. 2. Administration acknowledged that there was not a CPR certified staff in the classroom.”

Rule 8VAC20-780-530-A-1.

Based on interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in certification in first aid.

“Evidence: 1. On 10/24/2022, a classroom of nine (9) toddlers were observed with two (2) staff. In interview, both staff stated that they did not have current certification in first aid. 2. Administration acknowledged that there was not a first aid certified staff in the classroom.”

Rule 8VAC20-780-530-A-2.

Based on a review of 10 children’s records and interview, the center did not ensure to maintain a separate record for four (4) children that contained the required information.

Rule 8VAC20-780-60-A.

Based on a review of 20 staff records and interview, the center did not ensure that 19 records contained the required information.

Rule 8VAC20-780-70.

Based on observation and interview, the applicant did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. Ten classrooms and an exploratory room were inspected on 07/20/2022. Areas of chipped and peeling paint were observed in each room. Areas of rust were observed in the two year old and school age bathroom stalls. 2. The passenger seats on the center’s bus were inspected. Several areas were observed where the vinyl was cracked and torn, exposing the foam cushioning. 3. Administration acknowledged that the areas required repair.”

Rule 8VAC20-780-270-A.