Happy Hearts at McNair Farms

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met: these products shall be in the original container and labeled with the child's name. Room 3 had 2 diaper creams that were not labeled with the child's name.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in Room 2 were using disinfectant wipes to sanitize the diapering surface.”

8VAC20-780-290-3

“Electrical outlets shall have protective covers. Room 6 had an uncovered electrical outlet.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1- toilet seat in Room 4 was broken/split down the middle of the seat. 2- nails and screws were protruding from the fencing along each playground.”

8VAC20-780-560-G

“When food is brought from home, the following shall apply: the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. 6 lunch boxes from home did not have names and 7 did not have dates.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. Facility only had documentation of 1 shelter-in-place drill completed within the last 12 months.”

8VAC20-780-370-5

“Play spaces may include, but are not limited to, cribs, infant seats, play yards, exercise chairs or saucers (but not walkers), infant swings, high chairs, and floor space. Room 4 had 3 infant walkers.”

8VAC20-780-350-B-4

“3 year olds up to school age - ratio 1:10 (staff: children) 1. Observed 15 children and 1 staff member in the multipurpose room. 2. Observed 18 children and 1 staff member on the preschool playground.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials. The school-age playground had approximately 2-3 inches of resiliency, with an unmeasurable amount of mulch and dirt under a weed mat. The total resiliency was approximately 4 inches.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. Push mower was accessible to children on the school-age playground. 2. Weed matting was exposed around the playground causing a potential tripping hazard.”

8VAC20-780-70

“The following staff records shall be kept for each staff person: 2 reference checks prior to employment: dates of contact; names of persons contacted; the firms contacted; results; and signature of person making call. Staff 1 did not have documentation of who and when the references were conducted.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child which shall contain the following: proof of identity. Child 3 and 4 did not have documentation of proof of identity verification.”

8VAC20-780-280-H

“Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. In room 3 there were two staff purses, and one was visibly open with a container of hand sanitizer on the top.”

8VAC20-780-320-B

“REPEAT Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels. 1) Room three did not have toilet paper or hand towels accessible to children 2) Room four did not have hand soap accessible to children 3) Room two did not have hand towels accessible to children”

8VAC20-780-330-B

“REPEAT Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The school-age playground was being used by children, and had less than an inch of resilient surfacing. There was weed matting and the bare ground were very clearly visible.”

8VAC20-780-270-A

“REPEAT Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1) Room 2 had peeling paint accessible to children. 2) The preschool playground had peeling paint that had been spray painted over, but continues to peel. 3) There was a bubble on the preschool slide where a hole had been drilled into the middle of it, causing a possible entrapment hazard. 4) the preschool playground had a broken piece of metal that was coming away from the wall, with a sharp edge.”

8VAC20-780-560-G

“REPEAT When food is brought from home, the following shall apply. The food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Room 5 had 2 lunchboxes without the date and 1 without the name.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, an rest mats. 1) Room 4 had 2 cots that were within 12 inches of each other. 2) Room 2 had 6 cots that were within 12 inches of each other.”

8VAC20-780-140-A Complaint related: No

“Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child 1 did not have documentation of a physical examination, and has been in care for approximately 4.5 months.”

8VAC20-780-320-B

“REPEAT Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels. 1) Room three did not have toilet paper or hand towels accessible to children 2) Room four did not have hand soap accessible to children 3) Room two did not have hand towels accessible to children”

8VAC20-780-330-B

“REPEAT Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The school-age playground was being used by children, and had less than an inch of resilient surfacing. There was weed matting and the bare ground were very clearly visible.”

8VAC20-780-270-A

“REPEAT Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1) Room 2 had peeling paint accessible to children. 2) The preschool playground had peeling paint that had been spray painted over, but continues to peel. 3) There was a bubble on the preschool slide where a hole had been drilled into the middle of it, causing a possible entrapment hazard. 4) the preschool playground had a broken piece of metal that was coming away from the wall, with a sharp edge.”

8VAC20-780-560-G

“REPEAT When food is brought from home, the following shall apply. The food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Room 5 had 2 lunchboxes without the date and 1 without the name.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied cots, beds, an rest mats. 1) Room 4 had 2 cots that were within 12 inches of each other. 2) Room 2 had 6 cots that were within 12 inches of each other.”

8VAC20-780-140-A Complaint related: No

“Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child 1 did not have documentation of a physical examination, and has been in care for approximately 4.5 months.”

8VAC20-790-600-D-2

“Within 90 days of employment all staff must have current certification in first aid. Staff 1, 2 and 3 did not have documentation of current certification in first aid.”

8VAC20-790-600-D-1

“Within 90 days all staff must complete certification in CPR. Staff 1, 2 and 3 did not have documentation of current certification in CPR.”

8VAC20-780-570-A

“When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Room Four had 2 children in high chairs that were not strapped in with the belts. The belts were hanging loosely from the chair.”

8VAC20-780-560-G

“When food is brough from home, the following shall apply:The food container shall be sealed and clearly dated and labeled in a way that identifies the owner. In Room One and Three, none of the lunch boxes filled with snacks brought from home, were dated, and 4 were not labeled with the children's names.”

8VAC20-780-500-B

“REPEAT Diapering; soiled clothing: A nonabsorbent surface for diapering or changing shall be used; 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. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. 1) Room Two's foot operated trash can for diapers was not working, and needed to be operated by hand, and the black diapering pad was absorbent. 2) Room Four had a large tear in the diapering pad, rendering it absorbent. 3) Staff in Room Four and the admin staff stated that they do not clean the diapering surface after each diaper change, and when they do they use baby wipes only. The director stated that they only sanitize the surfaces at the end of the day.”

8VAC20-780-500-A

“Hand washing. Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Staff shall wash their hands with soap and running water: before and after helping a child use the toilet; before and after a diaper change. 1) Observed in Room Four that children did not wash their hands prior to eating their snack. The admin staff stated that they only wash their hands after they eat. 2) Identified through staff interviews in Room Four that staff use gloves and they do not wash their hands or the child's hands after diapering.”

8VAC20-780-450-A

“Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. In Room Two, there were 4 children that did not have a bottom cover over their cots while they slept.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. In Room Six, the inspector observed an infant in the crib wearing a bib, creating a possible suffocation hazard. When asked about the bib, staff stated that the bib was used on most of the infants as they slept to prevent them from drooling on their clothing. Staff stated that the bibs were always soft bibs.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The school-age playground was off limits, according the school admin, but staff stated that they used the playground regularly. There was almost no resilient material underneath the school age climbing structure. The ground beneath the structure was either bare dirt, or exposed weed matting. The weed matting beneath it was exposed all around the school-age playground, causing a tripping hazard.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. 1) Room One had one uncovered electrical outlet. 2) Room Four had one uncovered electrical outlet”

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 room 2 there was a bottle labeled bleach water on a lower shelf, accessible to children.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1) Room One: peeling paint along several of the walls, the main sink in the classroom was broken, and not in use 2) Room Two: peeling paint on several of the walls, the window blinds were broken - the base of the blinds and the blinds themselves were broken and dangling from several windows, flooring was buckling and causing a ripple effect, creating a tripping hazard 3) Room Three: 4 broken blinds, peeling paint along several of the walls, 4) Room Six has several broken blinds hanging in the windows, and there was a large amount of milk residue, and other residue along the clear crib dividers, which looked like they have not been cleaned in a long time. 5) Observed protruding nails/screws sticking out of the fence along the preschool, school-age and the infant/toddler playground. 6) On the slide of the preschool playground there was a hole in the center of the slide, halfway down, that was approximately 6-7 inches wide, and long enough to trap a child's leg. 7) Observed a large rusted section of the school-age climbing structure that had sharp edges and was pulling away from the structure. 8) The school-age slide has a large air bubble forming under the plastic layer. 9) There was peeling paint on both school-age and preschool climbing structures.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 3 has been employed for over 90 days and did not have documentation of orientation training.”

8VAC20-780-70

“The following staff records shall be kept for each staff person: 2 references completed prior to employment. 1) Staff 1 had reference checks without documentation of who conducted the check and when the check was completed. 2) Staff 2 and 3 did not have documentation of reference checks completed prior to employment.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: first date of attendance, parent work address and phone, name phone and address of two emergency contacts. 1) Child 1, 4, and 5 did not have documentation of their first day of attendance. 2) Child 1 did not have any information for the second parent. 3) Child 1 did not have documentation of addresses for both emergency contacts.”

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 3 has been employed for over 90 days and has not complete out of state background checks from the state they lived in within the past 5 years.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff 1 did not complete central registry checks prior to employment, but over 30 days after their employment date.”

22.1-289.035-B-2

“Facilities must obtain a completed national criminal background check prior to the employee's first day of employment. Staff 3 did not complete their fingerprinting prior to employment, but approximately 20 days after employment.”

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. Staff 1 and 2 completed a sworn statement of disclosure one day after their first day of employment.”

8VAC20-780-320-B

“REPEAT Each restroom area provided for children shall: 4.Be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. 1) Room One did not have towels, hand soap or toilet paper. 2) Room Three did not have hand soap in the one accessible bathroom. 3) Room Five had toilet paper in the bathroom, but it was on a shelf, approximately 3 feet away from the toilet and out of reach for children using the bathroom. Children would have to get up from the toilet and walk across the bathroom, to access the toilet paper.”

8VAC20-780-580-L Complaint related: Yes

“Parental permission for transportation and field trips shall be secured before the scheduled activity. Child 1-6 did not have documentation of parental permission for transportation to and from the school. The children hare school-agers and have been in care anywhere between 4.5 months and 16 months.”

8VAC20-780-580-C Complaint related: No

“The center shall ensure that during transportation of children: Virginia state statutes about safety belts and child restraints are followed as required by ?? 46.2-1095 through 46.2-1100 of the Code of Virginia, and stated maximum number of passengers in a given vehicle is not exceeded; Staff 1 admitted to the inspectors that she often puts 4 children in the rear bench of her van, which is only designed to safely secure 3 persons. She stated that she has 2 children share a seat and a seatbelt while being transported to and from the school.”

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

“The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. There was no documentation of emergency contact information, for Child 1-6, kept in the personal vehicle of a staff member, used to transport children.”

8VAC20-780-420-A Complaint related: Yes

“Before the child's first day of attending, parents shall be provided in writing the following: the center's transportation policy; 1) The facility's policy stated children are "transported safely" to the child care center, but the facility are putting two children in one safety restraint when transporting to and from the facility. 2) The facility's policy stated that "emergency contact information for each child is always kept in the vehicle during transportation", but emergency contact information was not kept in the vehicle. 3) The facility's policy states that "written parental permission is required for transportation", but there was no documentation of parental authorization for transportation in Child 1-6's record, all of which are transported either to or from the local school.”

8VAC20-780-180-C Complaint related: Yes

“Staff who drive a vehicle transporting children shall disclose any traffic violation that occurred prior to or during employment or assignment as a driver. There was no documentation of driving history in the file of Staff 1, and the staff member has been employed for over 1 year.”

8VAC20-780-60-A Complaint related: No

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: first day of attendance, physician contact information, emergency contact information. 1) Child 4, 5 and 6 had records that were kept all together and not separate. 2) Child 4, 5 and 6 did not have a second emergency contact, and the first emergency contact did not have an address. 3) Child 1 had incomplete emergency contact information (no addresses) for either emergency contact.”

8VAC20-780-570-A

“When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Room Four had 2 children in high chairs that were not strapped in with the belts. The belts were hanging loosely from the chair.”

8VAC20-780-560-G

“When food is brough from home, the following shall apply:The food container shall be sealed and clearly dated and labeled in a way that identifies the owner. In Room One and Three, none of the lunch boxes filled with snacks brought from home, were dated, and 4 were not labeled with the children's names.”

8VAC20-780-500-B

“REPEAT Diapering; soiled clothing: A nonabsorbent surface for diapering or changing shall be used; 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. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. 1) Room Two's foot operated trash can for diapers was not working, and needed to be operated by hand, and the black diapering pad was absorbent. 2) Room Four had a large tear in the diapering pad, rendering it absorbent. 3) Staff in Room Four and the admin staff stated that they do not clean the diapering surface after each diaper change, and when they do they use baby wipes only. The director stated that they only sanitize the surfaces at the end of the day.”

8VAC20-780-500-A

“Hand washing. Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Staff shall wash their hands with soap and running water: before and after helping a child use the toilet; before and after a diaper change. 1) Observed in Room Four that children did not wash their hands prior to eating their snack. The admin staff stated that they only wash their hands after they eat. 2) Identified through staff interviews in Room Four that staff use gloves and they do not wash their hands or the child's hands after diapering.”

8VAC20-780-450-A

“Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Cribs when being used by infants shall have a bottom cover. In Room Two, there were 4 children that did not have a bottom cover over their cots while they slept.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. In Room Six, the inspector observed an infant in the crib wearing a bib, creating a possible suffocation hazard. When asked about the bib, staff stated that the bib was used on most of the infants as they slept to prevent them from drooling on their clothing. Staff stated that the bibs were always soft bibs.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The school-age playground was off limits, according the school admin, but staff stated that they used the playground regularly. There was almost no resilient material underneath the school age climbing structure. The ground beneath the structure was either bare dirt, or exposed weed matting. The weed matting beneath it was exposed all around the school-age playground, causing a tripping hazard.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. 1) Room One had one uncovered electrical outlet. 2) Room Four had one uncovered electrical outlet”

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 room 2 there was a bottle labeled bleach water on a lower shelf, accessible to children.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1) Room One: peeling paint along several of the walls, the main sink in the classroom was broken, and not in use 2) Room Two: peeling paint on several of the walls, the window blinds were broken - the base of the blinds and the blinds themselves were broken and dangling from several windows, flooring was buckling and causing a ripple effect, creating a tripping hazard 3) Room Three: 4 broken blinds, peeling paint along several of the walls, 4) Room Six has several broken blinds hanging in the windows, and there was a large amount of milk residue, and other residue along the clear crib dividers, which looked like they have not been cleaned in a long time. 5) Observed protruding nails/screws sticking out of the fence along the preschool, school-age and the infant/toddler playground. 6) On the slide of the preschool playground there was a hole in the center of the slide, halfway down, that was approximately 6-7 inches wide, and long enough to trap a child's leg. 7) Observed a large rusted section of the school-age climbing structure that had sharp edges and was pulling away from the structure. 8) The school-age slide has a large air bubble forming under the plastic layer. 9) There was peeling paint on both school-age and preschool climbing structures.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 3 has been employed for over 90 days and did not have documentation of orientation training.”

8VAC20-780-70

“The following staff records shall be kept for each staff person: 2 references completed prior to employment. 1) Staff 1 had reference checks without documentation of who conducted the check and when the check was completed. 2) Staff 2 and 3 did not have documentation of reference checks completed prior to employment.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: first date of attendance, parent work address and phone, name phone and address of two emergency contacts. 1) Child 1, 4, and 5 did not have documentation of their first day of attendance. 2) Child 1 did not have any information for the second parent. 3) Child 1 did not have documentation of addresses for both emergency contacts.”

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 3 has been employed for over 90 days and has not complete out of state background checks from the state they lived in within the past 5 years.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff 1 did not complete central registry checks prior to employment, but over 30 days after their employment date.”

22.1-289.035-B-2

“Facilities must obtain a completed national criminal background check prior to the employee's first day of employment. Staff 3 did not complete their fingerprinting prior to employment, but approximately 20 days after employment.”

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. Staff 1 and 2 completed a sworn statement of disclosure one day after their first day of employment.”

8VAC20-780-320-B

“REPEAT Each restroom area provided for children shall: 4.Be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. 1) Room One did not have towels, hand soap or toilet paper. 2) Room Three did not have hand soap in the one accessible bathroom. 3) Room Five had toilet paper in the bathroom, but it was on a shelf, approximately 3 feet away from the toilet and out of reach for children using the bathroom. Children would have to get up from the toilet and walk across the bathroom, to access the toilet paper.”

8VAC20-780-580-L Complaint related: Yes

“Parental permission for transportation and field trips shall be secured before the scheduled activity. Child 1-6 did not have documentation of parental permission for transportation to and from the school. The children hare school-agers and have been in care anywhere between 4.5 months and 16 months.”

8VAC20-780-580-C Complaint related: No

“The center shall ensure that during transportation of children: Virginia state statutes about safety belts and child restraints are followed as required by ?? 46.2-1095 through 46.2-1100 of the Code of Virginia, and stated maximum number of passengers in a given vehicle is not exceeded; Staff 1 admitted to the inspectors that she often puts 4 children in the rear bench of her van, which is only designed to safely secure 3 persons. She stated that she has 2 children share a seat and a seatbelt while being transported to and from the school.”

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

“The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. There was no documentation of emergency contact information, for Child 1-6, kept in the personal vehicle of a staff member, used to transport children.”

8VAC20-780-420-A Complaint related: Yes

“Before the child's first day of attending, parents shall be provided in writing the following: the center's transportation policy; 1) The facility's policy stated children are "transported safely" to the child care center, but the facility are putting two children in one safety restraint when transporting to and from the facility. 2) The facility's policy stated that "emergency contact information for each child is always kept in the vehicle during transportation", but emergency contact information was not kept in the vehicle. 3) The facility's policy states that "written parental permission is required for transportation", but there was no documentation of parental authorization for transportation in Child 1-6's record, all of which are transported either to or from the local school.”

8VAC20-780-180-C Complaint related: Yes

“Staff who drive a vehicle transporting children shall disclose any traffic violation that occurred prior to or during employment or assignment as a driver. There was no documentation of driving history in the file of Staff 1, and the staff member has been employed for over 1 year.”

8VAC20-780-60-A Complaint related: No

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: first day of attendance, physician contact information, emergency contact information. 1) Child 4, 5 and 6 had records that were kept all together and not separate. 2) Child 4, 5 and 6 did not have a second emergency contact, and the first emergency contact did not have an address. 3) Child 1 had incomplete emergency contact information (no addresses) for either emergency contact.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Staff 2 was hired in May of 2025, but their TB was dated in December of 2023.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff 2 was standing in the hallway outside of Room One, while the teacher left the classroom. Staff 2 was standing in the hallway listening to the conversation between the licensing inspector and the administrator instead of actively supervising the classroom.”

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. Observed two children putting toys away and going straight to their tables for breakfast, before washing their hands. Also observed a child that just arrived to care went to the table for breakfast before washing their hands.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Child 2 has been in care for approximately 3.5 months, and did not have documentation of a health evaluation.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Staff 2 was hired in May of 2025, but their TB was dated in December of 2023.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff 2 was standing in the hallway outside of Room One, while the teacher left the classroom. Staff 2 was standing in the hallway listening to the conversation between the licensing inspector and the administrator instead of actively supervising the classroom.”

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. Observed two children putting toys away and going straight to their tables for breakfast, before washing their hands. Also observed a child that just arrived to care went to the table for breakfast before washing their hands.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Child 2 has been in care for approximately 3.5 months, and did not have documentation of a health evaluation.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Staff 2 was hired in May of 2025, but their TB was dated in December of 2023.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff 2 was standing in the hallway outside of Room One, while the teacher left the classroom. Staff 2 was standing in the hallway listening to the conversation between the licensing inspector and the administrator instead of actively supervising the classroom.”

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. Observed two children putting toys away and going straight to their tables for breakfast, before washing their hands. Also observed a child that just arrived to care went to the table for breakfast before washing their hands.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Child 2 has been in care for approximately 3.5 months, and did not have documentation of a health evaluation.”