Children of America Warrenton, LLC

8VAC20-780-530-A

Repeat Violation At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall have an in-person competency demonstration Staff #3 was alone with a group of children and does not have current CPR/First Aid certification that includes an in-person competency demonstration and is from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

8VAC20-780-70

Staff records shall contain documentation that the individual has completed orientation training as required. Staff #4's record did not contain documentation that they have completed orientation training.

8VAC20-780-340-D

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #2, who did not meet lead teacher qualifications, was alone with a group of toddler children throughout the inspection.

8VAC20-780-520-B

Sunscreen shall be inaccessible to children under five years of age. In the Two's room, there was one bottle of sunscreen stored under the changing table that was unlocked and accessible to the 16 two years old in the room.

8VAC20-780-520-C

Diaper ointment shall be inaccessible to children. In the Two's room, there was one bottle of diaper ointment stored under the changing table that was unlocked and accessible to the 16 two years old in the room.

8VAC20-780-520-D

Insect repellent shall be inaccessible to children. In the Two's room, there was one bottle of insect repellent stored under the changing table that was unlocked and accessible to the 16 two years old in the room.

8VAC20-780-530-A

At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and first aid as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall have an in-person competency demonstration Staff #3 was alone with a group of infants and does not have current CPR/First Aid certification that includes an in-person competency demonstration and is from the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

8VAC20-780-80-A

Repeat Violation The center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children. In the Infant B room there were five children signed in on the attendance and four children present. In the Infant A room there were three children signed in on the attendance and three children present.

8VAC20-780-270-A

Repeat Violation Areas and equipment inside the center shall be maintained in a clean, safe, and operable condition. The toilet tank lid was missing from the toilet used by children located in the Preschool 1A bathroom. Complaint related: No

8VAC20-780-520-C

Diaper ointments and creams shall be inaccessible to children. In the Preschool 1A classroom, there were six children present, ranging in ages from two to three years, and there were two diaper creams stored in an unlocked cabinet beneath the changing table. Complaint related: No

8VAC20-780-520-B

Sunscreen shall be inaccessible to children under five years of age. In the Preschool 1A classroom, there were six children present, ranging in age from two to three years old, and five sunscreens were stored in an unlocked cabinet under the changing table. Complaint related: No

8VAC20-780-500-B

Complaint Related Children younger than three years old shall have diapers changed on a nonabsorbent surface for diapering, such as a changing table or countertop designated for changing. Disposable diapers shall be disposed in a receptacle that is either foot-operated or used in a way that the staff member's hand does not touch the exterior surface during disposal. Two children, both two years old, had their diaper/pull up changed by Staff #1 while standing up in the bathroom. Diapers were disposed of in a swing top trash can in the bathroom and Staff #1's hand touched the exterior surface during disposal of the diapers. Complaint related: Yes

8VAC20-780-500-A

Repeat Violation Children's hands shall be washed with soap and running water before and after eating meals or snacks. Staff's hands shall be washed with soap and running water before and after diaper changes and helping children use the toilet. Staff #1 did not wash hands between diaper changes and helping five children in the Preschool 1A room use the toilet. Five children did not wash hands after finishing breakfast and beginning another activity. Complaint related: No

8VAC20-780-400-B

Complaint Related Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On 4/2/2025, Child #1 (Age 2) and Child #2 (Age 2) were wrestling on the floor before continuing to wrestle on top of a table approximately 15.5 inches in height. Both children fell from the table and Child #1 was visibly upset and crying. Staff #1 was the teacher in charge of the classroom at the time of incident and did not provide any behavioral guidance or redirection to encourage appropriate behavior and resolving conflicts. Complaint related: Yes

8VAC20-780-340-A

Complaint Related When staff are supervising children, they shall always ensure their care, protection, and guidance. On 3/26/2025, there were standard size golf balls located in the Preschool 1A classroom which is considered a choking hazard. Child #1 put one of the golf balls in their mouth for approximately twelve seconds before gagging and spitting the ball out. Staff in the room were not aware that Child #1 had put a golf ball in their mouth. Complaint related: Yes

8VAC20-780-80-A

For each 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. In the Preschool 1A classroom there were six children present and 5 were signed in on the tablet and 8 were signed in on the paper attendance sheet. Complaint related: No

8VAC20-780-280-B

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Sanitizing sprays, tablets, and wipes were in the unlocked cabinets above the sink in the Toddler room.

8VAC20-780-510-L

Medication, including staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. An over the counter medication belonging to staff was stored in an unlocked upper cabinet above the sink in the Preschool room.

8VAC20-780-500-A

Children?s hands shall be washed with soap and running water before eating meals. Four children in the Toddler room did not wash their hands before eating breakfast.

8VAC20-780-270-A

Areas and equipment inside the center shall be maintained in a clean, safe, and operable condition. The window in the Twos room was open exposing a window screen with a tear which was covered in peeling duct tape.

8VAC20-780-260-B

The center is required to obtain annual approval from the health department for meeting requirement for water supply, sewage disposal system, and food service. The annual health inspection has not yet been completed and was one week overdue at the time of the inspection.

8VAC20-780-40-E

The center is required to follow their own policies and procedures that are required by the licensing standards. The center did not follow their supervision policy the morning of 9/6/2024 which resulted in Child #1, aged five years old, to be left unsupervised for approximately 45 minutes. The center's supervision policy requires when a class is moved from their room, attendance is taken by matching faces to names on the attendance sheet. In addition, before leaving a location, staff are to check the area, including bathrooms, behind furniture, and doors for children. Staff #1 stated they did not do a head count or name to face matching when taking school age children to the bus stop and did not check the School Age room for children before leaving for the bus stop on 9/6/2024. Complaint related: No

8VAC20-780-180-A

Staff shall be of good character and reputation. Staff #2 did not demonstrate good character and reputation when they did not provide truthful information during an investigation. Staff #2 reported to VDOE and indicated on a written statement that Staff #1 was terminated from employment due to a child being left unattended in Staff #1's care. However, Staff #1 resigned from the position and Staff #2 requested that they not resign until the center had adequate coverage. Complaint related: No

8VAC20-780-340-F

Children under 10 years of age shall always be within actual sight and sound supervision of staff. Child #1, aged five years old, was left unsupervised for approximately 45 minutes in the School Age room on the morning of 9/6/2024. Complaint related: No

8VAC20-780-170-A

REPEAT VIOLATION When there is Evidence: the safety of children may be jeopardized by contact with a staff member due to their mental health the center is required to obtain documentation from a physician or clinical psychologist skilled in the diagnosis and treatment of mental illness before staff return to work. This documentation shall confirm any risk to children has been eliminated or can be reduced to an acceptable level by reasonable accommodations. Staff #1 was placed on leave following concerns regarding their mental health after Staff #1 reported becoming so overwhelmed and stressed that they would regularly have to stop caring for children to go bang their head on the wall until they calmed down and could resume their duties. Staff #1 was allowed to return to work on 9/5/2024 with a note indicating they should have no more than one hour of working independently. However, this note is signed by a nurse and not a doctor or clinical psychologist skilled in the diagnosis and treatment of mental illness as required by the standards. In addition, information was gathered that Staff #1 has been working independently 2-3 hours daily, exceeding the one hour limitation. Complaint related: No