A Little Piece of Heaven Day Care

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #4, enrolled for approximately six weeks, was missing the following required components: Documentation of viewing proof of the child's identity and age.”

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. Child #3, who has been enrolled for more than three years, did not have an annual update in the child's file.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 obtained 15 out of 16 required training hours for the 2025 year.”

8VAC20-780-245-L

“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 on 12/11/2025, there was no current staff member with an up to date Daily Health Observation training.”

8VAC20-780-245-L

“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 on 12/11/2025, there was no current staff member with an up to date Daily Health Observation training.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 obtained five of the 16 required hours in 2024.”

8VAC20-780-130-A

“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. Child #4, who has been attending for ten months, 22 days after first day of attendance.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 obtained five of the 16 required hours in 2024.”

8VAC20-780-130-A

“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. Child #4, who has been attending for ten months, 22 days after first day of attendance.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #3 was completed more than 50 days after hire. Staff #5's screening was completed five days after date of hire.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due more than ten months ago and has not yet been completed.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #3 was completed more than 50 days after hire. Staff #5's screening was completed five days after date of hire.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due more than ten months ago and has not yet been completed.”

8VAC20-780-160-A

“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 #4 and Staff #5 had no TB documentation on file, both had been employed for more than a month and were working with children at the time of the inspection.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR as appropriate to the age of the children in care and current certification in First Aid. Staff #5 was alone with her 3 year old classroom and did not have current CPR or First Aid certification.”

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger electrical outlets shall have protective covers. The Infant/Toddler room had 2 outlets, located within the children's reach, without protective covers.”

8VAC20-780-160-A

“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 #4 and Staff #5 had no TB documentation on file, both had been employed for more than a month and were working with children at the time of the inspection.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR as appropriate to the age of the children in care and current certification in First Aid. Staff #5 was alone with her 3 year old classroom and did not have current CPR or First Aid certification.”

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger electrical outlets shall have protective covers. The Infant/Toddler room had 2 outlets, located within the children's reach, without protective covers.”

8VAC20-780-550-D

“Based on record review and staff interview the center did not implement a monthly practice evacuation drill as required. Evidence: The director confirmed the center's evacuation drill sheet did not include documentation of an evacuation drill in the month of November 2023.”

8VAC20-780-140-A

“Based on record review and staff interview the center did not ensure each child shall have a physical examination before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The director confirmed that Child #3 (start date 8/24/2023) did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on record review and staff interview the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The director confirmed that Child #3 (start date 8/24/2023) did not have documentation of immunizations.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee did not ensure 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: The director confirmed in the following rooms hazardous chemicals were observed in an unlocked manner and they were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning". 1. In the Preschool kitchen / lunchroom there was a bottle of Meyers hand soap on the counter by the sink. 2. In the boy’s bathroom there was a hand soap dispenser on the counter by the sink. The owner confirmed it was filled with soft soap. 3. In the School Age / Infant kitchen there was a bottle of Meyers dish soap on the counter by the sink.”

8VAC20-790-600-F

“Based on record review and staff interview the center did not ensure staff complete the department’s health and safety update course annually. Evidence: The director confirmed that the records for staff #2, #3, #4 and #5 did not have documentation of the update training course in 2022 or 2023.”