Forest Hill Child Care Center

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. Child #2, who had been attending for one month, did not have documentation of an immunization record on file.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #3 was not signed.”

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 #2, enrolled for one month, was missing the following required components: documentation of viewing proof of child’s identity and age.”

8VAC20-780-350-B-3 Complaint related: Yes

“The required ratio for two year old children is one staff per eight children. On July 14, 2026, upon arrival for the inspection, four staff were observed supervising 40 children (youngest child 2 years old) on the playground. One additional staff was needed. During the inspection, this area of the playground was left out of ratio at least one other time when staff were observed going back inside of the building without taking the appropriate number of children to remain in ratio.”

8VAC20-780-350-B-1 Complaint related: Yes

“The required ratio for children ages birth to 16 months is one staff per four children. On July 14, 2026, staff #2 and staff #6 were observed supervising 9 children (youngest child 14 months old) from approximately 3:45pm-4:10pm on the playground. One additional staff was needed.”

8VAC20-780-160-A

“**Repeat Violation** 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 #5 TB was dated 49 days prior to their date of employment.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: 2. Current certification in first aid appropriate to the ages of children in care. Staff #5 completed their first aid certification 129 days after their date of hire.”

8VAC20-780-140-A

“**Repeat Violation** 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. The record for child #4, enrolled for over 6 months, did not contain documentation of a physical examination.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #5 completed the pre-service training 141 after their date of hire.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: 1. Current certification in CPR appropriate to the ages of children in care. Staff #5 completed their CPR certification 129 days after their date of hire.”

8VAC20-780-560-F

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. On 5/13/2026, children from the toddler classroom (green room) and 2 year old classrooms (orange and purple rooms) were observed eating pretzels from a prepared package for afternoon snack.”

8VAC20-780-510-F

“The medication authorization for a child shall be available to staff during the entire time it is effective. The record for child #8 did not contain a complete medication authorization for one over the counter medication stored for the child on-site.”

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. On 5/13/2026, a child in the blue room was observed waking up from rest time and being offered snack without washing the child’s hands or using disposable wipes. On 5/13/2026, a child in the orange room was observed finishing snack and immediately beginning to play with toys without washing their hands or using disposable wipes.”

8VAC20-780-160-A

“**Repeat Violation** 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 #2 TB was dated 48 days prior to their date of employment.”

8VAC20-780-140-A

“**Repeat Violation** 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. The physical examination in the record of child #2, was dated 90 days after the first day of attendance.”

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. Immunizations for child #2 were dated 3 months after their first date of attendance.”

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 #6, who is currently working, was dated one day after their first day of employment.”

8VAC20-780-70

“**Repeat Violation** Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for the past 3 months, is missing one completed reference verification in their file.”

8VAC20-780-560-F

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. On 5/13/2026, children from the toddler classroom (green room) and 2 year old classrooms (orange and purple rooms) were observed eating pretzels from a prepared package for afternoon snack.”

8VAC20-780-510-F

“The medication authorization for a child shall be available to staff during the entire time it is effective. The record for child #8 did not contain a complete medication authorization for one over the counter medication stored for the child on-site.”

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. On 5/13/2026, a child in the blue room was observed waking up from rest time and being offered snack without washing the child’s hands or using disposable wipes. On 5/13/2026, a child in the orange room was observed finishing snack and immediately beginning to play with toys without washing their hands or using disposable wipes.”

8VAC20-780-160-A

“**Repeat Violation** 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 #2 TB was dated 48 days prior to their date of employment.”

8VAC20-780-140-A

“**Repeat Violation** 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. The physical examination in the record of child #2, was dated 90 days after the first day of attendance.”

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. Immunizations for child #2 were dated 3 months after their first date of attendance.”

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 #6, who is currently working, was dated one day after their first day of employment.”

8VAC20-780-70

“**Repeat Violation** Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3, who has been actively working at the center for the past 3 months, is missing one completed reference verification in their file.”

8VAC20-780-340-F

“Children under 10 years of age must always be within actual sight and sound supervision of staff. On March 13, 2026, child #1 (age 4) was reunited with center staff after witness #1 rescued the child from oncoming traffic on a nearby road. Child #1 was out of sight and sound supervision for approximately 2 minutes and 20 seconds.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On March 13, 2026, staff were unaware that child #1 (age 4) climbed over the playground fence and entered the roadway which has a posted speed limit of 30 miles per hour. Witness #1 reported seeing the child walking into the road from the second story of the building next to the center. Witness #1 immediately ran from the building, down the stairs, out an emergency exit and into the roadway to rescue Child #1 from oncoming traffic.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by the standards. 1. The center's policy for playground supervision states: ?Active supervision shall be maintained at all times on the playground. Teachers shall maintain ?active sweeping? supervision of the playground at all times.? On March 13, 2026, Child #1 (age 4) climbed over the playground fence, approximately 30 inches in height, and wandered into a nearby roadway located approximately 171 feet from the center’s playground. Staff #1 was seated on a bench supervising this child’s group, consisting of eight children, while staff #2 returned inside to retrieve an item. Staff #2 returned to the playground and sat at a table with two additional staff, who were supervising another group of children, when witness #1 returned the child to center staff. None of the staff were aware that child #1 had climbed over the fence and wandered into the road. 2. The center’s policy for supervision of children states: ?All children are to be in sight and sound supervision at all times.? On March 13, 2026, child #1 was out of sight and sound supervision of center staff for approximately 2 minutes and 20 seconds. During which time, child #1 climbed the playground fence and wandered into a nearby roadway.”

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 #1, who had been enrolled for over 3 months.”

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 #1, enrolled for over 3 months, did not have documentation of an immunization record on file.”

8VAC20-780-160-A

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and had no documentation of a complete TB screening.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4, who had been employed for three weeks, had a background check completed 11 days after their first date of employment.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is one staff per four children. Staff #3 and staff #4 were observed supervising nine children (ages 3 months to 11 months) in the infant room for approximately 5 minutes until Staff #5 returned from a break. Staff #1 was observed supervising six children (ages 12 months to 18 months) at rest time.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been employed for one month, did not have any completed reference verifications on file. Staff #4, who has been employed for three weeks, did not have any completed reference verifications on file.”