Bundle of Joy - Lakeside

8VAC20-780-410-1

“The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment. On 3/23/2026, Staff #1 roughly handled Child #1, age 4, when they forcefully moved the child's cot with their foot during naptime. Staff #1 stated that they did not inform the child that they were repositioning the cot.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 3/23/2026, Child #1, age 4, sustained an injury while in the care of the center. Staff stated that the child did not have any visible injuries upon arrival. At pickup, the parent of Child #1 observed a red mark on the child's face. Staff were unaware of how the injury occurred. Child #1 stated that Staff #1 kicked him in the face during nap.”

8VAC20-780-350-B-4 Complaint related: No

“The required ratio for children ages 3 years old up to school age eligible is 1:10. On 3/24/2026, Staff #2 and Staff #3 supervised approximately 27 children, ages 3-5, for 15-20 minutes on the preschool playground.”

8VAC20-780-400-A Complaint related: Yes

“COMPLAINT RELATED In order to promote a child's physical, intellectual, emotional, and social well-being and growth, staff shall interact with one another to provide needed help, comfort, support and promote ways of getting along. On 3/24/2026, Staff #1 and Staff #2 engaged in an argument with raised voices for approximately 10 minutes while supervising children on the playground.”

8VAC20-780-520-A

“REPEAT VIOLATION Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Child #11 had a diaper cream that expired seven months ago.”

22.1-289.035-B-4

“REPEAT VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for over four months, did not have documentation of a sex offender name check from one state.”

8VAC20-780-550-D

“REPEAT VIOLATION The center shall implement a monthly practice evacuation drill. A practice evacuation drill was not completed in February of 2026.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Child #12 had two prepared bottles and one prepared sippy cup in the infant refrigerator that were not labeled with the child's name and date.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the toddler classroom, diapers were observed in a non foot operated trash can that did not meet the requirements.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. In the older infants classroom, one diaper cream was expired.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5's VDOE sponsored orientation was not completed, and over two weeks overdue.”

8VAC20-780-70

“A record shall be kept for each staff member that contains the required information. The record of staff #1, promoted over one month ago, was missing documentation to demonstrate that the individual possessed the education required by the job position.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information. Child #11 had an injury report that was missing the date and time when parents were notified and any future action to prevent recurrence of the injury.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. A practice evacuation drill was not complete in July of 2025.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #6, employed for over two months, did not have documentation of requesting a central registry check and a sex offender name check from one state. Staff #9, employed for over one month, did not have documentation of requesting a central registry check from one state.”

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. Staff #2 and Staff #9 were employed as a program leaders over one month ago. The staff members did not have the programmatic experience required by the position.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, sanitizing solution was observed in an unlocked cabinet, out of reach of children.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the toddler classroom, diapers were observed in a non foot operated trash can that did not meet the requirements.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. In the older infants classroom, one diaper cream was expired.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5's VDOE sponsored orientation was not completed, and over two weeks overdue.”

8VAC20-780-70

“A record shall be kept for each staff member that contains the required information. The record of staff #1, promoted over one month ago, was missing documentation to demonstrate that the individual possessed the education required by the job position.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information. Child #11 had an injury report that was missing the date and time when parents were notified and any future action to prevent recurrence of the injury.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. A practice evacuation drill was not complete in July of 2025.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #6, employed for over two months, did not have documentation of requesting a central registry check and a sex offender name check from one state. Staff #9, employed for over one month, did not have documentation of requesting a central registry check from one state.”

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. Staff #2 and Staff #9 were employed as a program leaders over one month ago. The staff members did not have the programmatic experience required by the position.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, sanitizing solution was observed in an unlocked cabinet, out of reach of children.”

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. In the toddler classroom, diapers were observed in a non foot operated trash can that did not meet the requirements.”

8VAC20-780-520-A

“Over-the-counter skin products shall not be kept or used beyond the expiration date of the product. In the older infants classroom, one diaper cream was expired.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5's VDOE sponsored orientation was not completed, and over two weeks overdue.”

8VAC20-780-70

“A record shall be kept for each staff member that contains the required information. The record of staff #1, promoted over one month ago, was missing documentation to demonstrate that the individual possessed the education required by the job position.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information. Child #11 had an injury report that was missing the date and time when parents were notified and any future action to prevent recurrence of the injury.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. A practice evacuation drill was not complete in July of 2025.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #6, employed for over two months, did not have documentation of requesting a central registry check and a sex offender name check from one state. Staff #9, employed for over one month, did not have documentation of requesting a central registry check from one state.”

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. Staff #2 and Staff #9 were employed as a program leaders over one month ago. The staff members did not have the programmatic experience required by the position.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, sanitizing solution was observed in an unlocked cabinet, out of reach of children.”

8VAC20-780-550-N Complaint related: Yes

“The center shall notify the parent immediately if a child sustains a serious injury. 1. On 3/13/2025 at approximately 4:27 pm, child #1 tripped and struck his forehead on a paved area of the playground. A quarter sized hematoma appeared within a few minutes. Child #1 was immediately brought inside for an evaluation by management and was returned to the playground within an approximate 5 minute window to sit with ice. Three witnesses stated that shortly after the head injury, child #1 demonstrated signs that were compatible with a serious head injury to include stumbling while walking and not being as verbally responsive when spoken to. Injury report documentation indicated that child #1's parent was notified via phone call at 5:05 pm, approximately 38 minutes from the time of injury. 2. Child #1 was taken to a medical facility and diagnosed with a concussion.”

8VAC20-790-600-D-1

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-790-600-D-2

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-790-600-D-1

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-790-600-D-2

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-790-600-D-1

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-790-600-D-2

“Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.”

8VAC20-780-410-5 Complaint related: Yes

“Based on interview, the center did not ensure that the action of forcing rest was forbidden. Evidence: 1. In interview, staff reported that child #1 (age 22 months) was forced to lay down on her cot by staff #1 (date of employment: 2/23/2024). In interview, staff #1 acknowledged that she placed one leg over child #1's cot to keep her laying on her cot so she would go to sleep. She stated that when another staff member told her to stop, she stopped immediately. It was estimated that her leg was placed over the child's cot without pressure for approximately two minutes. 2. Administration acknowledged that attempting to force rest was forbidden.”

8VAC20-780-550-P Complaint related: Yes

“Based on a review of documentation and interview, the center did not ensure to maintain a written record of children's minor injuries in which entries are made the day of occurrence. Evidence: 1. Staff reported that child #2 sustained a minor finger injury. The center was unable to locate documentation of a written record of the injury that included the required information. 2. Administration acknowledged that an injury report for the incident could not be located.”

8VAC20-780-400-B Complaint related: Yes

“Based on interview, the center did not ensure that behavioral guidance was constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1. Staff #1 (date of employment: 2/23/2024) stated that she used her leg to keep child #1 on her cot for approximately two minutes. She reported that child #1 did not want to go to sleep so she used her leg to keep her on her cot so she would settle her body and take a nap. Staff #1 acknowledged that she was not trained to get children to sleep in that manner. 2. Administration acknowledged that staff #1's actions were not appropriate.”

8VAC20-780-550-O Complaint related: Yes

“Based on interview, the center did not ensure that parents were notified by the end of the day of minor injuries as required. Evidence: 1. In interview, it was reported that child #2 (age 12 months) sustained a minor injury on his finger which was not reported to the child's parents. In interview, staff #2 stated that she applied first aid to the child's finger in the form of an ice pack. 2. Administration were not able to produce documentation that the parent of child #2 was notified of the injury the day of occurrence.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of Lysol toilet bowl cleaner and a bottle of spray cleaner were observed in unlocked cabinets in preschool classrooms. 2. Administration acknowledged that the hazardous substances were unlocked.”