St. John’s Lutheran Early Childhood Education Center

Prior to hire staff shall provide 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 and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Staff 2’s sworn disclosure statement was completed 51 days after hire.”

Rule 22.1-289.035-B-1.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On February 23, 2026, Child 2 (age 2.5) eloped from an activity room without staff awareness and remained unsupervised for approximately two minutes. During this time, Child 2 was in a hallway and stairwell area not routinely used by the child day program and had access to unsupervised routes leading to the parking lot, restrooms, and offices that are not consistently staffed by childcare personnel.”

Rule 8VAC20-780-340-A.

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

“On February 23, 2026, Staff 1 and Staff 2 were supervising a group of 8 children (aged 2-3 years old). Staff 1 left the group to take Child 1 to the restroom, leaving Staff 2 supervising the remaining 7 children. After the departure of Staff 1, video footage shows Child 2 leaving the room without the knowledge of Staff 2 and out of staff supervision. Child 2 walked down the hallway unobserved and into the stairwell where Staff 3 came upon them approximately 2 minutes after elopement from the room.”

Rule 8VAC20-780-340-F.

Children’s records shall contain the name, address, and telephone number for each custodial parent’s place of employment or school attendance, if applicable.

“Children 1-5’s records did not contain the listed parent’s work address.”

Rule 8VAC20-790-540-B-3.

Areas of the center shall be maintained in a safe and operable condition.

“Peeling wall paper was observed in the boys restroom.”

Rule 8VAC20-780-270-A.

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

“A spray bottle of disinfectant was observed on the windowsill in the boys bathroom.”

Rule 8VAC20-780-280-B.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center.

“A medication authorization for Child 5 expired in August 2024. The medication was present at the center on the date of inspection.”

Rule 8VAC20-780-510-P.

Based on record review, the center did not provide to the licensing representative an annual fire inspection report.

“Evidence: The fire inspection on site expired 01/31/2024.”

Rule 8VAC20-780-260-A.

Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place.

“Evidence: 1. Cleaning supplies were located on top of a cabinet in Room 102. 2. Cleaning supplies were located in an unlocked cabinet in the Multipurpose Room.”

Rule 8VAC20-780-280-B.

Based on record review, the facility did not have proof of liability insurance upon request.

“Evidence: The facility did not have proof of liability insurance at the time of inspection.”

Rule 8VAC20-780-40-H.

Based on record review, shelter in place procedures were not practiced a minimum of twice per year.

“Evidence: 1 of 2 required shelter-in-place procedures were not practiced in 2023.”

Rule 8VAC20-780-550-E.

Based on record review, the center did not maintain a complete written record of children’s minor injuries.

“Evidence: Of 6 minor injury reports reviewed; 3 were missing the date and time of parent notification, 2 were missing method of parent notification, 1 was missing the future action to prevent the injury.”

Rule 8VAC20-780-550-P.

Based on observation, hazardous substances were not kept in a locked place.

“Evidence: Unlocked cleaning supplies were located in “Twos”, “Threes”, and “Fours” rooms.”

Rule 8VAC20-780-280-B.

Based on record review, the center did not develop written procedures for injury prevention.

“Evidence: The center did not have a written injury prevention plan.”

Rule 8VAC20-780-40-I.

Based on observation, documentation of the emergency evacuation drill was not maintained.

“Evidence: The evacuation drill for April 2023 was not logged.”

Rule 8VAC20-780-550-G.