Barbara's Childcare Center

8VAC20-780-340-D

“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. In two classrooms (school age and toddlers) there was not at least one staff member who met the qualifications required.”

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 #1 was dated six weeks after their first day of employment.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and contain all the required information. The record for Staff #2 did not contain documentation that two or more references as to character, reputation and competency were checked before employment or documentation to demonstrate that the individual possesses the education and experience required by the job position. The record for Staff #3 did not contain documentation to demonstrate that the individual possesses the education and experience required by the job position.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Additional immunization documentation was not received every six months for Child #1 and Child #2, as required.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children and shall have been completed within the last 30 calendar days of the date of employment. TB documentation for Staff #1 was dated six weeks after hire. There was no TB documentation available for review in the record of Staff #2.”

8VAC20-780-130-A

“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. There was no immunization documentation in the record of Child #3 (enrolled for over two years).”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. On the day of the inspection, there was not an allergy list available in each room/area where children were present.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing staff members and shall obtain and submit the results of a follow-up tuberculosis (TB) screening. The record of Staff #3 did not contain a follow-up TB screening or test, as required.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent inspection were not posted, as required.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. A criminal background check for Staff #1 was not obtained prior to the employee's first day of employment, which is required.”

8VAC20-780-280-B

“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. In a pre-kindergarten classroom, disinfectant wipes and hand sanitizer were stored on a shelf inaccessible to children. In a play room, hand sanitizer was stored on a desk accessible to children. In a school age classroom, hand sanitizer was stored on a high shelf inaccessible to children. All of the mentioned substances were stored unlocked, but are required to be locked.”

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. The record for Child #1and Child #2 showed that the children's immunizations were not received prior to the child attending the center.”

8VAC20-780-350-M

“One staff member shall not supervise more than one room or area during rest time. At the inspector's arrival, one staff member was supervising two rooms during rest time.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. The record for Staff #1 (employed for five months) did not contain documentation to show that The Virginia Department of Education-sponsored orientation course was completed.”

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department's health and safety update course. Staff #2 did not complete the department's health and safety update course in 2025, which is required annually.”

22.1-289.036-A

“The center must request repeat background checks every five years. The records for Staff #3 and Staff #4 showed that a five year repeat central registry search was completed three months after expiration.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The records for Staff #2, Staff #3, and Staff #5 did not contain documentation that 16 hours of annual training was completed in 2025.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and contain all the required information. The record for Staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. One reference for the staff member was checked.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician. The record for Child #2 (enrolled for seven months) did not contain documentation of a physical examination.”

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. The record for Staff #2 (employed for 10 months) was missing current first aid certification.”

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, to include an in- person competency. The record for Staff #1 did not include an in-person competency for the CPR certification reviewed. The record for Staff #2 did not contain a CPR certification.”

8VAC20-780-350-B-4

“Repeat Violation The staff-to-children ratio (1:10 for 3 year olds up to school age eligible) is required whenever children are in care. On the day of the inspection, Staff #2 was observed caring for 14 preschool age children alone for approximately five minutes. The required ratio was not followed.”

8VAC20-780-270-A

“Areas and equipment of the center, outside, shall be maintained in a safe condition. There were four play vehicles on the outdoor play area that contained standing water. Unknown insects were observed in and around the water.”

8VAC20-780-560-G

“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. Three water bottles in a school-age classroom and two water bottles in a four year old classroom were not labeled, which is required.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). On the day of the inspection, the lunch served did not meet all required nutritional components. The lunch did not contain protein.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1 did not contain all the required information.”

8VAC20-780-150-B

“Each report immunization report shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #2 (enrolled for one year) was not signed by a physician, his designee, or an official of a local health department, which is required.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. There was no documentation at the center to show that an annual fire inspection was completed in 2025.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and contain all the required information. The record for Staff #1 (employed for 10 months) did not contain documentation to demonstrate that the individual possesses orientation training, as required.”

8VAC20-780-580-B

“Any vehicle used by the center for the transportation of children shall meet the following requirements: the vehicle shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. The vehicle used for transportation of children at the center had expired inspections stickers on the day of the inspection.”

8VAC20-790-600-D-2

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. The record for Staff #2 (employed for 10 months) was missing current first aid certification.”

8VAC20-790-600-D-1

“Repeat Violation All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, to include an in- person competency. The record for Staff #1 did not include an in-person competency for the CPR certification reviewed. The record for Staff #2 did not contain a CPR certification.”

8VAC20-780-350-B-4

“Repeat Violation The staff-to-children ratio (1:10 for 3 year olds up to school age eligible) is required whenever children are in care. On the day of the inspection, Staff #2 was observed caring for 14 preschool age children alone for approximately five minutes. The required ratio was not followed.”

8VAC20-780-270-A

“Areas and equipment of the center, outside, shall be maintained in a safe condition. There were four play vehicles on the outdoor play area that contained standing water. Unknown insects were observed in and around the water.”

8VAC20-780-560-G

“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. Three water bottles in a school-age classroom and two water bottles in a four year old classroom were not labeled, which is required.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). On the day of the inspection, the lunch served did not meet all required nutritional components. The lunch did not contain protein.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1 did not contain all the required information.”

8VAC20-780-150-B

“Each report immunization report shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #2 (enrolled for one year) was not signed by a physician, his designee, or an official of a local health department, which is required.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. There was no documentation at the center to show that an annual fire inspection was completed in 2025.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person and contain all the required information. The record for Staff #1 (employed for 10 months) did not contain documentation to demonstrate that the individual possesses orientation training, as required.”

8VAC20-780-580-B

“Any vehicle used by the center for the transportation of children shall meet the following requirements: the vehicle shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. The vehicle used for transportation of children at the center had expired inspections stickers on the day of the inspection.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. The records for Staff #2, Staff #3, and Staff #4 did not contain documentation that the department’s health and safety update course was completed in 2024.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of Employment current certification in first aid appropriate to the ages of children in care. The record for Staff #1 was missing current first aid certification.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of Employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, to include an in-person competency. The record for Staff #1 was missing current CPR certification. CPR certification for Staff #4 did not include an in-person competency.”

8VAC20-780-580-C

“All the required information shall be in transportation vehicles. In two of the center’s transportation vehicles a list of the names of the children being transported was not available for review.”

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 #3 (enrolled for eight months) did not have documentation of an immunization record.”

22.1-289.057-A

“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/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.035-A

“Centers are required to obtain a five-year repeat check for all required background checks. The record for Staff #2 (employed for four years) did not contain a repeat central registry search. Staff #2 was observed working on the day of the inspection.”

8VAC20-780-350-B-1

“The staff-to-children ratios are required whenever children are in care (birth-16 months 1:4) At the time of the inspector’s arrival, there were 16 children located in a classroom, with one teacher present. Child #4 (enrolled for eight months) was the youngest in the classroom, requiring a ratio of 1:4 to be followed.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. The record for Staff #1 did not include the address of a person to be notified in an emergency.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1 (enrolled for one year) did not contain the work phone number of one parent or documentation of child updates and confirmation of up-to-date information in the child's record. The record for Child #2 (enrolled for three months) did not contain documentation of viewing proof of the child's identity and age. The record for Child #3 (enrolled for eight months) did not contain the work phone number and place of employment for one parent.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no documentation to show that the center completed a lockdown drill in 2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The record for Staff #4 (program director, employed for 16 years) did not contain a follow-up TB screening, which is required.”

8VAC20-780-160-A

“Repeat Violation Documentation of a negative tuberculosis (TB) screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #1 (employed for five months) did not contain documentation that a negative TB screening was submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #3 (enrolled for eight months).”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. The records for Staff #2, Staff #3, and Staff #4 did not contain documentation that the department’s health and safety update course was completed in 2024.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of Employment current certification in first aid appropriate to the ages of children in care. The record for Staff #1 was missing current first aid certification.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of Employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, to include an in-person competency. The record for Staff #1 was missing current CPR certification. CPR certification for Staff #4 did not include an in-person competency.”

8VAC20-780-580-C

“All the required information shall be in transportation vehicles. In two of the center’s transportation vehicles a list of the names of the children being transported was not available for review.”

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 #3 (enrolled for eight months) did not have documentation of an immunization record.”

22.1-289.057-A

“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/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.035-A

“Centers are required to obtain a five-year repeat check for all required background checks. The record for Staff #2 (employed for four years) did not contain a repeat central registry search. Staff #2 was observed working on the day of the inspection.”

8VAC20-780-350-B-1

“The staff-to-children ratios are required whenever children are in care (birth-16 months 1:4) At the time of the inspector’s arrival, there were 16 children located in a classroom, with one teacher present. Child #4 (enrolled for eight months) was the youngest in the classroom, requiring a ratio of 1:4 to be followed.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. The record for Staff #1 did not include the address of a person to be notified in an emergency.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. The record for Child #1 (enrolled for one year) did not contain the work phone number of one parent or documentation of child updates and confirmation of up-to-date information in the child's record. The record for Child #2 (enrolled for three months) did not contain documentation of viewing proof of the child's identity and age. The record for Child #3 (enrolled for eight months) did not contain the work phone number and place of employment for one parent.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was no documentation to show that the center completed a lockdown drill in 2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The record for Staff #4 (program director, employed for 16 years) did not contain a follow-up TB screening, which is required.”

8VAC20-780-160-A

“Repeat Violation Documentation of a negative tuberculosis (TB) screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #1 (employed for five months) did not contain documentation that a negative TB screening was submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #3 (enrolled for eight months).”

8VAC20-780-160-A

“Documentation of a Tuberculosis (TB) screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #1 (employed for a month) was missing documentation that shows that Tuberculosis (TB) results were submitted at the time of employment and prior to coming into contact with children. Staff #1 was observed working at the time of the inspection.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent inspection were not posted, which is required. The inspection findings posted at the center were from 2023.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. During the inspection, the children in care were observed eating lunch; however, the children did not wash their hands before eating.”

8VAC20-780-420-E-3

“Repeat Violation Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #2 did not contain parent confirmation that the child’s record is up to date.”

8VAC20-780-280-B

“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. 1.In the one-year-old classroom, there were disinfectant wipes unlocked and accessible to children. The manufacturer’s label stated, ?Keep Out of Reach of Children.? 2.In a bathroom that children use, there was an air freshener left unlocked with a manufacturer’s label that stated, ?Keep Out of Reach of Children.?”

8VAC20-780-270-A

“Areas and equipment of the center, outside, shall be maintained in a safe condition. There were four toy vehicles on the outdoor play area that contained standing water, posing a health hazard.”

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center and is considered part of the staff member's record. There was no documentation in the record of Staff #1 (employed for a month) to show that orientation training was completed.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain a separate record for each child enrolled which contains all the required information. 1.The record for Child #1 was missing the work phone number for one parent and the work phone number and place of employment for the other parent. 2.The record for Child #3 was missing the address of one of two designated people to call in an emergency if a parent cannot be reached.”

22.1-289.035-A

“The center must request a repeat criminal history search every five years. The record for Staff #2 (employed for five years) did not have a five year repeat criminal history search, which is required once expired. Staff #2 was observed working on the day of the inspection.”

8VAC20-780-160-A

“Documentation of a Tuberculosis (TB) screening shall be submitted at the time of employment and prior to coming into contact with children. The record for Staff #1 (employed for a month) was missing documentation that shows that Tuberculosis (TB) results were submitted at the time of employment and prior to coming into contact with children. Staff #1 was observed working at the time of the inspection.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The results of the most recent inspection were not posted, which is required. The inspection findings posted at the center were from 2023.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. During the inspection, the children in care were observed eating lunch; however, the children did not wash their hands before eating.”

8VAC20-780-420-E-3

“Repeat Violation Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. The record for Child #2 did not contain parent confirmation that the child’s record is up to date.”

8VAC20-780-280-B

“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. 1.In the one-year-old classroom, there were disinfectant wipes unlocked and accessible to children. The manufacturer’s label stated, ?Keep Out of Reach of Children.? 2.In a bathroom that children use, there was an air freshener left unlocked with a manufacturer’s label that stated, ?Keep Out of Reach of Children.?”

8VAC20-780-270-A

“Areas and equipment of the center, outside, shall be maintained in a safe condition. There were four toy vehicles on the outdoor play area that contained standing water, posing a health hazard.”

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center and is considered part of the staff member's record. There was no documentation in the record of Staff #1 (employed for a month) to show that orientation training was completed.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain a separate record for each child enrolled which contains all the required information. 1.The record for Child #1 was missing the work phone number for one parent and the work phone number and place of employment for the other parent. 2.The record for Child #3 was missing the address of one of two designated people to call in an emergency if a parent cannot be reached.”

22.1-289.035-A

“The center must request a repeat criminal history search every five years. The record for Staff #2 (employed for five years) did not have a five year repeat criminal history search, which is required once expired. Staff #2 was observed working on the day of the inspection.”

8VAC20-780-60-A

“Based on record review and interview it was determined the center did not ensure the record for each child contained the required information. Evidence: 1. The record for child #1 did not contain documentation of proof of identity. 2. Staff confirmed that this child was in care and this documentation was not in the record during this inspection.”

8VAC20-780-540-C

“Based on observation and interview it was determined the center did not ensure first aid kits contained all of the required components. Evidence: 1. There was no triangular bandage or adhesive tape in the center's first aid kit. 2. Staff confirmed these supplies were not present during this inspection.”

8VAC20-780-420-E-3

“Based on record review and interview it was determined the center did not request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1. The records for child #2, #3, and #4 did not contain documentation of annual parent confirmation that the record was up to date. 2. Staff confirmed that these records did not contain documentation of annual parental record review.”