The Goddard School - Alexandria Old Town

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“During the inspection, it was confirmed that Staff #3 is the only staff member on duty who holds a current daily health observation certification. This staff member’s shift only covers the hours of 7:45 am to 4:45 pm. The center’s operating hours are 7:00 am to 6:00 pm, leaving them uncovered for two hours each day. Staff #1 confirmed that no other staff had a current daily health observation training.”

Rule 8VAC20-780-245-L. From a complaint.

When children at the center have been exposed to a communicable disease listed in the Department of Health’s current communicable disease chart, the parents shall be notified within 24 hours or the next business day of the center’s having been informed.

“The center was informed of a case of Hand, Foot, and Mouth Disease in writing from Child #1’s parent on Sunday, 9/13/2026 but did not inform the parents of children exposed to the communicable disease until 9/18/2026. On 9/29/26, a verbal notification of communicable disease was received by the program from Child #6’s parent. Following receipt of this information, there was no notice sent to parents within 24-hours informing them of exposure to that child within the same classrooms/age group. This timeline was confirmed by Staff #1 and Staff #4.”

Rule 8VAC20-780-490-C. From a complaint.

Repeat violation:

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 8/06/2026, were not posted on the premises at the time of the inspection.”

Rule 22.1-289.011-F.

Repeat violation/systemic deficiency:

“The center must request a search of the central registry prior to the employee’s first day of employment and that staff shall be supervised at all times by an individual with all required background checks until they receive all required results. Staff #6, who has been employed for over four months, did not have documentation of a central registry search requested and was not working under the supervision of someone with all required background checks.”

Rule 22.1-289.035-B-3.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

Repeat violation:

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1 (age 13-months) did not contain documentation of additional immunizations. The additional immunizations were past due by four months.”

Rule 8VAC20-780-130-E.

Repeat violation / systemic deficiency

“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 #1 had no documentation of a negative TB screening and had been employed for over six months. Staff #1 confirmed that they were working with children on the date of the reported incident.”

Rule 8VAC20-780-160-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“The record for Staff #2 did not contain documentation of an updated TB screening. The updated screening was due 8 weeks ago.”

Rule 8VAC20-780-160-C.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“There were two uncovered outlets in the multipurpose room, which is used as an indoor activity space and throughway to the outdoor playgrounds for all children within the school, and was accessible to children ages 12-24 months at the time of inspection.”

Rule 8VAC20-780-290-3.

Repeat violation / systemic deficiency:

Rule 8VAC20-780-340-A.

Repeat violation / systemic deficiency:

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1, who did not meet lead teacher qualifications, was alone with a group of two-year-old children at the time of a self-reported allergy incident on 9/1/2026. Staff #1 and Staff #3 confirmed that Staff #1 was working alone with children on 9/1/2026. Staff #2, confirmed that Staff #1 is not program leader qualified.”

Rule 8VAC20-780-340-D.

Repeat violation/systemic deficiency:

Rule 8VAC20-780-340-D.

Repeat violation / systemic deficiency:

Rule 8VAC20-780-340-F.

There shall be at least twelve inches of space between the sides and ends of occupied cribs.

“The cribs occupied by Child #2 and #3 were spaced approximately four inches apart. The cribs occupied by Child #4 and #5 were also spaced approximately four inches apart.”

Rule 8VAC20-780-440-J.

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 date and time when parents were notified.

“The written record for the self-reported allergic reaction incident that occurred on 9/01/2026, did not include the date and time of parent notification.”

Rule 8VAC20-780-550-P.

The notice of the superintendent’s intent to revoke the license of a child day program provided by the department shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations.

“The Notice of Intent to Revoke the License, issued on 8/26/2026, was not posted in a prominent place at each public entrance of the facility as the posting was observed incomplete, covered by a tall plant, and only posted by one of the two public entrances at the time of the inspection.”

Rule 8VAC20-821-270-6-c.

Repeat violation / systemic deficiency:

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment and staff shall be supervised at all times by an individual with all required background checks until they receive all required results. Staff #1, employed for 3.5 months, did not have documentation of results from a criminal history background search from one state. Staff #1 was observed working alone with children at the time of the reported incident.”

Rule 22.1-289.035-B-4.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Repeat violation:

“Areas and equipment of the center, inside, shall be maintained in a clean and safe condition. During the inspection, chipping paint and drywall was observed on the wall in Classroom #5’s library center, within the reach of children (age 2 years).”

Rule 8VAC20-780-270-A.

Repeat violation:

Rule 8VAC20-780-380-A-2.

Repeat violation:

“The following actions or threats thereof are forbidden: roughly handling a child. Camera footage shows that on 7/22/2026, Staff #1 roughly pulled Child #1 (age 3 years) by the arm twice to have the child line up to go inside.”

Rule 8VAC20-780-410-1.

There shall be at least 12 inches of space between occupied cots.

“During the inspection, occupied cots in Classroom #10 were not spaced at least 12 inches apart. Cots occupied by Child A and Child B were measured to be only 7.5 inches apart. Cots occupied by Child C and Child D were measured to be only 7.5 inches apart. Cots occupied by Child D and Child E were measured to be only 5.0 inches apart.”

Rule 8VAC20-780-440-E.

Repeat violation:

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: Documentation of child updates and annual confirmation of updated information in the child’s record. The documentation in the record for Child #1 had not been updated or confirmed in over 2 years.”

Rule 8VAC20-780-60-A.

Repeat violation/systemic deficincy:

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for over seven weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Staff shall be of good character and reputation.

“Based on interviews, it was confirmed that the documentation provided to the parent of a child who sustained a bump to the face on 4/15/2026 was altered to omit the details of how the incident actually occured.”

Rule 8VAC20-780-180-A.

Repeat violation/systemic deficiency:

“When staff are supervising children, they shall always ensure their care and protection. On 4/15/2026, Witness A and Witness B observed Staff #1 strike Child #1 (age 8 months) on the bottom while the child was crawling, causing the child to fall and bump their face on the floor instead of moving the child in a way that ensured their care and protection.”

Rule 8VAC20-780-340-A.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“Witness A and Witness B confirmed that on 4/15/2026, Staff #1 hit Child #1 (age 8 months) on the bottom while the child was crawling, in order to move the child out of the storage space. This caused the child to fall and sustain a bump to their face.”

Rule 8VAC20-780-400-B.

Striking or rough handling a child is forbidden.

“Witness A and Witness B confirmed that on 4/15/2026, Staff #1 was observed striking Child #1 (age 8 months) on the bottom while the child was crawling, causing the child to fall and sustain a bump to their face.”

Rule 8VAC20-780-410-1.

Repeat Violation/Systemic Deficiency

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Staff #1 confirmed that they did not ensure the care and protection of Child #1 (age 5) when they allowed a group of fellow classmates to verbally reprimand the child for their behavior without intervening. Witness #1 and #2 confirmed that this occurred in their presence on May 18, 2026.”

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

Punishment by another child or threats thereof are forbidden.

“Staff #1 confirmed that they had allowed a child in their care to be verbally reprimanded by fellow classmates. Witness #1 and #2 confirmed this had occurred in their presence on May 18, 2026 at approximately 4:30 pm.”

Rule 8VAC20-780-410-3. From a complaint.

Repeat violation/systemic deficiency:

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The record for Staff #2, who has been employed for over nine months, did not contain a completed sworn statement.”

Rule 22.1-289.035-B-1.

Repeat violation/systemic deficiency:

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #15, who has been employed for one week, had a completed national criminal background check which was requested and received by another provider/entity.”

Rule 22.1-289.035-B-2.

Repeat violation/.systemic deficiency:

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #15, who had been employed for one week, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

Repeat violation:

Rule 8VAC20-780-270-A.

The required ratio for children ages 3 years up to school-age eligible, is one staff per ten children.

“On 07/07/26, Staff #8 was observed supervising 12 children (youngest child 3 years old) from approximately 2:30 pm-2:50 pm.”

Rule 8VAC20-780-350-B-4.

Repeat violation/systemic deficiency:

“Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. There were eight over-the-counter medications for children stored onsite that were not labeled with the dosage amount and time or times to be given.”

Rule 8VAC20-780-510-G.

The license and any other documents required by the superintendent shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 05/06/26, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

Repeat violation/systemic deficiency:

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #2 was completed approximately five days after their first day of employment.”

Rule 22.1-289.035-B-1.

Systemic deficiency:

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #2?s national criminal background check was dated four days after their first day of employment. Staff #3, who had been employed for 19 months, does not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

Repeat violation/systemic deficiency:

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #6, who has been employed for one day, did not have documentation of a central registry search requested.”

Rule 22.1-289.035-B-3.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

Repeat violation:

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The center did not have personalized documentation of immunizations received for Child #8. Child #8 has been enrolled for 15 months.”

Rule 8VAC20-780-130-A.

Repeat violation:

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The center did not obtain documentation of additional immunizations once every six months for Child #6 (age: 1 year) which was overdue by seven weeks, and Child #10 (age: 11 months) which was overdue by three months.”

Rule 8VAC20-780-130-E.

Repeat violation:

“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. The center did not have documentation of a physical examination for Child #8. Child #8 has been enrolled for 15 months.”

Rule 8VAC20-780-140-A.

Systemic deficiency:

Rule 8VAC20-780-160-A.

Repeat violation:

“Staff shall complete orientation training as outlined in subsection C of 8VAC20-780-240 no later than seven days of the date of assuming job responsibilities. Staff #2, #3, #4, #7, and #8 completed orientation training more than seven days after the date of assuming job responsibilities.”

Rule 8VAC20-780-240-B.

Systemic deficiency:

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The records for Staff #3 and #9 did contain documentation of completing 16 hours of annual training.”

Rule 8VAC20-780-245-A.

Repeat violation:

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

Repeat violation:

“Areas of the center, inside, shall be maintained in a clean, safe and operable condition. Chipped and peeling paint was observed on walls in Classroom #7, within the reach of children aged 2-3 years old.”

Rule 8VAC20-780-270-A.

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

“Spray bottles containing sanitizing solution and soapy water solution were not kept in a locked place and were accessible to children in Classroom #2 (ages 3-4 years) and in Classroom #8 (ages 16-24 months).”

Rule 8VAC20-780-280-B.

Repeat violation/systemic deficiency:

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. At the time of the inspection, Classroom #1, #3 , #6, #7, did not have at least one staff member who meets the qualifications of a program leader or program director present.”

Rule 8VAC20-780-340-D.

Centers operating five or more hours per day shall have a designated rest period for at least one hour but no more than two hours.

“The posted daily schedule and Staff #11, #12, #13, and #14 confirm that 15 children, between the ages of three and five year of age, who are participating in an accelerated pre-k program located in Classroom #5, do not have a designated rest period of at least one hour but no more than two hours.”

Rule 8VAC20-780-380-A-2.

Repeat violation:

“Staff shall request at least annually, parent confirmation that the required information in the child’s record is up to date. The annual parent confirmation of required information is overdue by 23 months for Child #3, 2 years for Child #4, and 3 months for Child #8.”

Rule 8VAC20-780-420-E-3.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Medication for Child #4, #7 and #11 was not labeled with the dosage amount, and the time or times to be given. Medication for Child #5 was not labeled with the child’s name, dosage amount, and the time or times to be given.”

Rule 8VAC20-780-510-G.

Over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Over-the-counter skin products belonging to Child #8 and Child #16 expired in April 2026.”

Rule 8VAC20-780-520-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 these products shall be inaccessible to children.

“Two diaper ointment or cream products in Classroom #1 were not accompanied by written parent authorization. Fourteen diaper ointment or cream products in Classroom #8 were stored in an unlocked cabinet accessible to children.”

Rule 8VAC20-780-520-C.

Repeat violation/systemic deficiency:

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

Shelter in place procedures shall be practiced a minimum of twice per year.

“Staff #11 confirmed that shelter in place drills were not practiced in 2025.”

Rule 8VAC20-780-550-E.

When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identifies the owner.

“In classrooms #1, #2, and #3, food brought from home for seven children was not dated. In classrooms #4, #5, and #8, food from home for three children was not dated or clearly labeled in a way that identifies the owner.”

Rule 8VAC20-780-560-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #8 did not contain the address of one designated person.”

Rule 8VAC20-780-60-A.

Repeat violation / systemic violation:

Rule 8VAC20-780-70.

All staff who work directly with children shall have within 90 days of the date of employment, a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“The record for Staff #4, employed for over five months, contained documentation of an online CPR certification that did not include an in-person competency demonstration as part of the training.”

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

Repeat violation/systemic deficency:

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. Staff #12’s sworn statement was provided five days after the start of employment. Staff #14’s sworn statement was provided three days after the start of employment.”

Rule 22.1-289.035-B-1. From a complaint.

Repeat violation/systemic deficiency:

Rule 22.1-289.035-B-3. From a complaint.

Repeat/systemic deficency:

Rule 22.1-289.035-B-4. From a complaint.

Systemic deficiency:

Rule 8VAC20-780-160-A. From a complaint.

Areas of the center, inside, shall be maintained in a clean and safe condition.

Rule 8VAC20-780-270-A. From a complaint.

Repeat violation:

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. On 04/16/2026, classrooms A, B, C, D, and E did not have at least one staff member who meets the qualifications of a program leader or program director regularly present.”

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

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

“Staff #2 confirmed that they work alone in a classroom where children were present. Staff #2 does not have current certification in CPR. Staff #3 was observed working alone in a classroom where children were present. Staff #3 does not have current certification in CPR. Staff #7 was observed working alone in a classroom where children were present. Staff #7 does not have current certification in CPR.”

Rule 8VAC20-780-530-A-1. From a complaint.

At least one staff in each classroom or area where children are present shall have current certification in first aid.

“Staff #3 was observed working alone in a classroom where children were present. Staff #3 does not have current certification in first aid.”

Rule 8VAC20-780-530-A-2. From a complaint.

Repeat violation/systemic violation:

Rule 8VAC20-780-70. From a complaint.

Repeat violation / systemic deficiency:

Rule 22.1-289.035-B-4.

Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who has satisfactorily completed a training course developed or approved by the Department of Education in consultation with the Department of Health and the Board of Nursing.

“Child #1 (age 19 months) has been prescribed an emergency medication that is kept at the center. No staff at the center have satisfactorily completed an approved training course to administer the emergency medications.”

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

Repeat violation:

“When staff are supervising children, they shall always ensure their care and protection. On 3/30/26, While under the supervision of Staff #1 and Staff #2, Child #1 (age 19 months) drank out of a bottle that belonged to Child #2, ingesting a known allergen. Child #1 had an allergic reaction which included vomiting, wheezing, and coughing. Child #1 required emergency medication and was transported to the hospital.”

Rule 8VAC20-780-340-A.

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

“According to attendance reports recorded every 15-minutes, on 3/30/26 from approximately 9:00 am to 10:00 am, Staff #1 and Staff #3 were supervising between 11 and 13 children. During the time the classroom was out of ratio, Child #1 (age 19 months), ingested a known allergen, that led to an allergic reaction, administration of an emergency medication and being transported to a hospital.”

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

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the medication is administered by a staff member who has satisfactorily completed a training course developed or approved by the Department of Education in consultation with the Department of Health and the Board of Nursing.

“On 3/30/26, Staff #4 administered two prescription emergency medications to Child #1. Staff #4 did not satisfactorily complete a training program for medication administration approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, nurse practitioner, physician assistant, doctor of medicine or osteopathic medicine, or pharmacist.”

Rule 8VAC20-780-510-I.

Repeat violation:

“The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #1 (employed for six months) and Staff #3 (employed for eight months) did not have documentation of references on file at the time of the inspection. Staff 2?s (employed for eight months) documentation of references did not include the signature of the person making the call or date of contact.”

Rule 8VAC20-780-70.

Repeat violation/systemic deficency:

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. Staff #4’s sworn statement was dated nine days after the first day of employment.”

Rule 22.1-289.035-B-1.

Repeat violation /systemic deficency:

“The center must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #2’s record contained a completed national criminal background check dated three days after their first day of employment. Staff #4’s record contained a completed national criminal background check dated 32 days after their first day of employment.”

Rule 22.1-289.035-B-2.

Repeat violation/systemic deficiency:

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1’s record had results of a central registry search dated over four months after their first day of employment.”

Rule 22.1-289.035-B-3.

Repeat violation/systemic deficency:

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment and staff shall be supervised at all times by an individual with all required background checks until they receive all required results. Staff #3, employed for six months, did not have documentation of requesting a search of out of state central registry from one state. Staff #3 confirmed that they have worked alone with children.”

Rule 22.1-289.035-B-4.

Systemic deficiency:

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening prior to employment. Staff #2’s TB screening was dated 54 days after their first day of employment.”

Rule 8VAC20-780-160-A.

Repeat violation/systemic deficiency:

Rule 8VAC20-780-340-A.

Repeat violation/systemic deficiency:

Rule 8VAC20-780-340-A.

Repeat violation/systemic deficiency:

Rule 8VAC20-780-70.

Repeat violation/systemic deficiency:

Rule 22.1-289.035-B-4. From a complaint.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“At the time of inspection, there was no documentation of immunizations for Child #1, who has been attending for 15 months.”

Rule 8VAC20-780-130-A. From a complaint.

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.

“At the time of inspection, there was no documentation of a physical examination under the direction of a physician in the student record for Child #1, who has been attending for 15 months.”

Rule 8VAC20-780-140-A. From a complaint.

The staff to children ratios are required whenever children are in care.

“On 3/27/26 from approximately 12:03 pm to 12:30 pm, Staff A and Staff B were observed supervising thirteen children (youngest child, 22-months-old), exceeding the required ratio of one staff to five children for children ages 16-months to 24-months.”

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

Repeat violation:

“The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff C did not have any completed reference documentation on file. Staff C has been employed for 23 months.”

Rule 8VAC20-780-70. From a complaint.

Staff who work directly with children shall annually complete the department’s health and safety update course.

“Staff B and Staff Cs annual health and safety update training was overdue by six months.”

Rule 8VAC20-790-600-F. From a complaint.

Repeat violation:

Rule 8VAC20-780-340-A.

Repeat violation:

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

Rule 8VAC20-780-40-E.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #2, who is currently working, was dated three weeks after their first day of employment.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2 and #4, who had been employed for three weeks, did not have a central registry search requested prior to the first day of employment. Staff #6, who had been employed for four weeks, did not have a central registry search requested prior to the first day of employment.”

Rule 22.1-289.035-B-3.

Repeat violation:

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #7, who has been employed for one month and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

Repeat violation:

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The center did not receive additional immunizations for Child #1, who is under two years of age, for eleven months after the first documentation of immunizations.”

Rule 8VAC20-780-130-E.

In each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present.

“At the time of the inspection, classroom #1 did not have a qualified program lead present.”

Rule 8VAC20-780-340-D.

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually. The information in the record of child #1 had not been updated in over 15 months which is overdue by three months.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #8 cleaned the diaper changing surface and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been working at the center for the over two months, did not have two or more completed reference verifications on file. Staff #3, who had been working at the center for two months, did not have name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state prior to the date of hire for Staff #3 and Staff #5.”

Rule 22.1-289.035-B-4.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #1 and Child #5 did not have additional immunizations documented in their records.”

Rule 8VAC20-780-130-E.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working along with children and no later than seven days of the date of assuming job responsibilities. Staff #3, who had been employed for one month, did not have documentation of orientation training. Staff #6, who had been employed for two months, did not have documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-370-5

“Infants, who cannot turn themselves over and are awake, shall be placed on their stomachs a total of 30 minutes each day. There was no documentation for tummy-time for the infants who were present during the inspection.”

Rule 8VAC20-780-370-5.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, and protection, and guidance. On 11/20/2024, Staff #1 exit the classroom with two children to go outside; leaving Child #1 unsupervised for two (2) minutes before the staff realized Child #1 was not with the group.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 11/20/2024, a three year old child was unsupervised for approximately two minutes inside the classroom.”

Rule 8VAC20-780-340-F.

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

“The diapering surface was cleaned with soap and water, and sprayed with a disinfectant but Staff #2 did not allow the disinfectant solution to air dry on the surface for a minimum of two minutes”

Rule 8VAC20-780-500-B.

22.1-289.035-B-1

“Based on record review, the center failed to obtain a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth. Evidence: The file for Staff #1 did not have documentation of a signed sworn statement.”

Rule 22.1-289.035-B-1.