Children of America- Manassas Bull Run

8VAC20-780-270-A

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Both the small playground and the large playground have many large dips and voids in the resilient surfacing causing peaks and valleys covering the majority of the playground. These areas are a tripping hazard.

8VAC20-790-600-F

(Repeat Violation) The Center is required to ensure that all staff who work directly with children shall have completed annually the health and safety update course. Staff #1 did not have documentation of the completion of the health and safety update course within the last year. The last documentation on file was dated 10/19/23.

8VAC20-780-80-A

(Repeat Violation) 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. During inspection in the Preschool 2A classroom (age 3), there were 10 children present, but the written record reflected there were 9 children present.

8VAC20-780-40-M

(Repeat Violation)The Center is required to maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present. The list did not contain Child #1`s food restrictions.

8VAC20-780-50-A

The Center is required to treat staff and child records confidentially. There were records posted at the center dated 11/24/25 that contained confidential information for staff and children.

8VAC20-780-80-A

The Center is required to keep a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. During inspection in the Infant classroom, there were 3 children present, but the written record reflected there were 2 children present.

8VAC20-780-510-L

The Center is required to ensure that medication be kept in a locked place using a safe locking method that prevents access by children. A medication was stored in the open director?s office on a shelf where it was not in a locked container.

8VAC20-790-600-F

The Center is required to ensure that all staff who work directly with children shall have completed annually the health and safety update course. There was no documentation on file that the health and safety update course had been completed within the last year for Staff #2 and Staff #3. The last documentation on file for Staff #3 was over 2 years ago and there was no documentation for Staff # 2 that they had completed any health and safety update trainings.

8VAC20-780-510-E

(Repeat Violation) The Center is required to have written medication authorization from the child?s physician and parent for a long term medication. 1)For a medication for Child #2, there was no parent permission or physician permission on file. 2)For a medication for Child #3, parent and physician authorization expired 11 months ago and had not been renewed. 3)For a 2nd medication for Child #3, there was no parent permission and the physician permission had expired 10 months ago and had not been renewed. 4)For a 3rd medication for Child #3, there was no parent permission or physician permission on file.

8VAC20-780-340-D

(Repeat Violation) The Center is required to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present. Staff #1 who is the program leader in the Twos classroom and Staff #2 who is the program leader in the Infant classroom do not have documentation on file that they meet the qualifications for program leader.

8VAC20-780-245-L

The Center is required to ensure they have at least one staff member on duty who has obtained within the last 3 years instruction in performing the daily health observation of children. During inspection, there were no staff members present who had obtained the daily health observation of children training within the last 3 years. The Daily Heatlh Observation training for Staff #3 was overdue by over 2 years, and no other proof of training for other staff was able to be located in other staff files.

8VAC20-780-40-M

(Repeat Violation) The Center is required to maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present. 1)The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1?s food allergies. 2)At the time of inspection of Child #1?s file, the mistake on the list was discovered by the licensing inspector and brought to the attention of the staff, but the child had already been served and eaten the item they were allergic to for lunch that day.

8VAC20-780-160-C

The Center is required to obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing. A TB test for Staff #4 was completed 11 weeks after it was due.

8VAC20-780-550-P

The Center is required to ensure that the written record of children?s injuries contained the staff present, the date and time when parents were notified; any future action to prevent recurrence of the injury; and staff and parent signatures or two staff signatures. After reviewing 3 injury reports for Child #1, it was determined that one of the injury reports written for Child #1 was missing documentation of the staff present and a second signature. 2 reports were missing the date and time the parents were notified and any future action to prevent recurrence of the injury. Complaint related: No

8VAC20-780-160-A

(Repeat Violation) The Center is required to obtain documentation of a negative tuberculosis (TB) test or screening for staff at the time of employment and prior to contact with children and within 30 days prior to employment that is signed by a physician, a physician?s designee or an official of the local health department. The file for Staff #1 contained a TB test or screening that was completed 4 days after hire, and for Staff #2 a TB test or screen that was completed 7 days after hire.

8VAC20-780-280-B

(Repeat Violation) The Center is required to keep hazardous substances in a locked place using a safe locking method that prevents access by children. During inspection in the Infant room and Toddler room, a container of sanitizer was stored in the bottom cabinet of each of the changing stations in an unlocked area.

8VAC20-780-350-B-1

The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth to 16 months old whenever children are in care. During inspection in the Toddler classroom the youngest child was 14 months old and there were 5 children in the classroom with one staff member.

8VAC20-780-510-E

(Repeat Violation) The Center is required to have written medication authorization from the child?s physician and parent for a long term medication. The medication for Child #1 had expired on 2/22/25.

8VAC20-780-520-C

The Center is required to ensure that diaper cream is kept inaccessible to children. In the Infant and Toddler classrooms there were diaper ointments stored in an unlocked cabinet under the changing station where children have access.

8VAC20-780-245-J-3

The Center is required to ensure that any child for whom emergency medications have been prescribed is always in the care of a staff member who meets the requirements of medication training. Evidence: There was no MAT trained staff member present on the bus to pick up Child #2 from their school.

8VAC20-780-510-B

The Center is required to ensure they have written authorization from the parent to administer prescription and nonprescription medications. Evidence: There was no documentation of written authorization from the parent for the medications for Child #1.

8VAC20-780-450-A

(Repeat Violation) The Center is required to ensure that cots used by children during designated rest periods should have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: In the Preschool 2B classroom, there were 3 children sleeping on cots without a bottom cover or without a one-piece covering open on 3 edges.

8VAC20-780-245-J-1

The Center is required to ensure that they have staff on duty who are medication administration training (MAT) certified to administer medication to children in care. Evidence: There was not a staff member on site that was certified to administer a medication for Child #1.

8VAC20-780-40-M

The Center is required to maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that is accessible to all staff in each group or area where children are present. Evidence: The list of allergies, sensitivities, and dietary restrictions did not contain all of Child #1 or Child #2?s food allergies.

8VAC20-780-550-E

Based on review of documentation, the center did not ensure they implement a practice shelter in place drill twice per year. Evidence: There was no documentation for Shelter in place drills since 8/23/23.