Childrens Lounge - SML

Each building that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“The center was not equipped with at least one carbon monoxide detector.”

Rule 22.1-289.058.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The resilient surfacing (mulch) under the playground climbing equipment measured less than one inch and landscaping fabric was visible.”

Rule 8VAC20-780-330-B.

There shall be at least two staff members who meet CPR and first aid requirements present on the premises during the center’s hours of operation. The training shall include an in-person competency demonstration.

“The CPR training for Staff 1 and Staff 2 was online only and did not meet the requirement of an in-person competency demonstration.”

Rule 8VAC20-780-530-C.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff 1 completed a total of 14 training hours in 2025.”

Rule 8VAC20-780-245-A.

Children’s hands shall be washed with soap and running water after toileting and shall be washed with soap and water or disposable wipe before and after meals. Staff shall wash their hands with soap and running water before and after helping a child with toileting and before serving food.

“Prior to lunch, Child 1 did not wash their hands following use of the restroom. Following lunch, the classroom of 7 children (aged 2 years - 4 years) did not wash their hands. Staff 1 did not wash their hands prior to or after assisting a child in the restroom. Staff 1 and Staff 4 did not wash her hands before serving food or beverages to the children.”

Rule 8VAC20-780-500-A.

In addition to the staff required by rest period ratios, an additional staff member shall always be available on-site to offer immediate assistance. The staff required by rest period ratios shall be able to summon the additional staff members without leaving the room or area of the sleeping or resting children.

“During rest time, two staff members were in coverage with children with no additional staff on-site for approximately 5-10 minutes.”

Rule 8VAC20-780-350-K. From a complaint.

When centers choose to provide meals or snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA)

“At lunchtime, Class 1 received a meal missing one component.”

Rule 8VAC20-780-560-F. From a complaint.

The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Center did not have a written consistent care policy and procedure.”

Rule 8VAC20-780-350-F.

Lockdown procedures shall be practiced at least annually.

“Center did not conduct a practice drill for the previous year.”

Rule 8VAC20-780-550-F.

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

“Staff 1, the only staff member providing supervision in the infant room, was observed exiting the room while 2 children, ages 5 months- 16 months, were left unattended and out of actual sight and sound of staff.”

Rule 8VAC20-780-340-F.

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 1 documented the first date of attendance as 05/20/2024. The immunization record was obtained 05/22/2024.”

Rule 8VAC20-780-130-A.

Based on observations, the center failed to ensure that 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.

“Evidence: In the school age room, a spray bottle of bleach water and a spray bottle of soap water was in an unlocked desk drawer.”

Rule 8VAC20-780-280-B.

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 3 was the only staff supervising children in the gathering room. Staff 3 was observed exiting the gathering room while 3 children, ages 4years-5 years, were left unattended and out of actual sight and sound of staff.”

Rule 8VAC20-780-340-F.

Based on record review and staff interviews, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1. The record for Child 3 documented the first date of attendance as 10/19/2023. There was not documentation of a physical examination in the record for Child 3. Staff 2 confirmed there was not documentation of a physical examination available for review. 2. The record for Child 4 documented the first date of attendance as 10/16/2023. There was not documentation of a physical examination in the record for Child 4. Staff 2 confirmed there was not documentation of a physical examination available for review.”

Rule 8VAC20-780-140-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 and the documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record for Staff 1 contained a documented hire date of 09/15/2023. The date on the tuberculosis screening in the record was 10/15/2021. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment. 2. The record for Staff 4 contained a documented hire date of 11/21/2023. The date on the tuberculosis screening in the record was 9/15/2022. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on observations, the center failed to ensure that 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.

“Evidence: A spray bottle labeled ?bleach water? and a spray bottle of ?Clorox Clean up? were located on a top shelf of a double door storage cabinet. Child 4, age 2, was observed opening the cabinet.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers.

“Evidence: There was a total of 3 uncovered electrical outlet in the ?Pre-K? classroom: 1 next to the cubbies and 2 next to the block area. The children, ages 2 years to 3 years, were observed in those areas.”

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

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacle.

“Evidence: The height of the play structure with slides measured approximately 3 feet 5 inches tall. The resilient surfacing (mulch) under the play structure equipment was unmeasurable. Landscaping fabric was visible. The required amount of resilient surfacing is 6 inches.”

Rule 8VAC20-780-330-B.