Heaven Sent Child Care

8VAC20-780-330-A

“Playgrounds shall be located and designed to protect children from hazards. On the playground at the bottom of the playground slide there was a tree root that was directly in front of the chute of the slide causing a tripping hazard. During the inspection on 11/14/2024 the Licensing Inspector observed a child coming off the slide and tripping over the tree root and falling.”

8VAC20-780-270-A

“REPEAT VIOLATION: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On the playground, the plastic panel of the gate was broken in a circular shape with rough edges, large enough for a child to place their hand through. In the infant room, the floors of the restroom had an accumulation of dirt along the borders and buildup around the toilet, and the diaper changing pad in the restroom had a film of dirt within the crevices. In the two vans used for transporation, there were three car seats being used with various spots and dirt covering the seats.”

8VAC20-780-330-A

“Playgrounds shall be located and designed to protect children from hazards. On the playground at the bottom of the playground slide there was a tree root that was directly in front of the chute of the slide causing a tripping hazard. During the inspection on 11/14/2024 the Licensing Inspector observed a child coming off the slide and tripping over the tree root and falling.”

8VAC20-780-270-A

“REPEAT VIOLATION: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On the playground, the plastic panel of the gate was broken in a circular shape with rough edges, large enough for a child to place their hand through. In the infant room, the floors of the restroom had an accumulation of dirt along the borders and buildup around the toilet, and the diaper changing pad in the restroom had a film of dirt within the crevices. In the two vans used for transporation, there were three car seats being used with various spots and dirt covering the seats.”

8VAC20-780-160-A Complaint related: No

“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 #1 TB was dated two months prior to date of employment and has been employed for three months.”

8VAC20-780-340-F Complaint related: Yes

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Staff #1 left the school-age classroom and went across the hall to the kitchen to gather snack for the children. While Staff #1 was out of the classroom, a physical altercation occurred between two children, ages 7 and ages 8. Staff #2, passing the classroom observed the altercation and separated the children and informed Staff #1 of the incident. The physical altercation resulted in bruising to Child #1?s face, specifically around his eyes.”

8VAC20-780-340-D Complaint related: Yes

“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. Such a program leader shall supervise no more than two aides. A classroom consisting of 10 school-aged children were under the supervision of Staff #1, a teacher’s aide, when a physical altercation occurred between two children. A program leader was not present in the classroom during the time of the physical altercation. Staff #1 completed the injury report and was listed as the only present staff during the injury. A program leader was not identified as providing supervision for the children on the date of the occurrence.”

8VAC20-780-270-A

“Based on observations, the center did not ensure that the areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the four-year-old classroom, the children’s sofa was ripped, exposing the foam filling, across the seat cushion. 2. In the three-year-old classroom, there was chipping paint and two holes in the wall, accessible to children on both sides of the classroom. Around the door frame, a broken piece of the wooden panel was exposed and within reach of the children. A broken electrical socket plate was also identified in the classroom, resulting in plastic rough edges and exposure to wall plaster. 3. On the playground, the plastic panel of the gate was broken in a circular shape with rough edges, large enough for a child to place their hand through.”

8VAC20-780-350-B-2

“Based on observations, the center did not ensure that the staff-to-children ratio of 1:5 for 16 months up to 24 months were maintained at all times. Evidence: In the toddler classroom on 9/3/2024, there was one staff caring for eight children. The ages of the children ranged from 16 months- two years old, which requires two staff to be present.”

8VAC20-780-270-A

“Based on observations, the center did not ensure that the areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the four-year-old classroom, the children’s sofa was ripped, exposing the foam filling, across the seat cushion. 2. In the three-year-old classroom, there was chipping paint and two holes in the wall, accessible to children on both sides of the classroom. Around the door frame, a broken piece of the wooden panel was exposed and within reach of the children. A broken electrical socket plate was also identified in the classroom, resulting in plastic rough edges and exposure to wall plaster. 3. On the playground, the plastic panel of the gate was broken in a circular shape with rough edges, large enough for a child to place their hand through.”

8VAC20-780-350-B-2

“Based on observations, the center did not ensure that the staff-to-children ratio of 1:5 for 16 months up to 24 months were maintained at all times. Evidence: In the toddler classroom on 9/3/2024, there was one staff caring for eight children. The ages of the children ranged from 16 months- two years old, which requires two staff to be present.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that nine electrical outlets had protective covers in areas used by children of preschool age or younger. Evidence: 1.A total of 9 uncovered outlets were observed in the two classrooms designated for school aged children. 2.During an interview, Staff #5 acknowledged the rooms are used by children of preschool age or younger during lunch time. Non-school aged children were observed in one of the classrooms.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. A total of 4 holes in the wall were observed in the two rooms designated for school aged children, with one hole exposing the drywall within reach of children. 2. One hole of approximately 9 by 11 inches in diameter was observed in the entrance hallway leading to the school aged children room exposing drywall within reach of children. 3. The 3 year old room had 3 chipped paint areas on the walls within reach of children.”

8VAC20-780-245-A

“Based on review of staff records and interview, the center did not ensure 16 hours of ongoing training was completed annually. Evidence: 1.The record for Staff #2 (date of employment: 5/17/21) failed to document 16 hours of annual training for 2021-2022 and 2022-2023. 2.During an interview, Staff #2 acknowledged she has not completed 16 hours of training since her date of employment.”

8VAC20-780-70

“Repeat Violation Based on review of staff records, the center failed to have required documentation in each staff record. Evidence: 1.The record for Staff #1 (date of employment: 8/14/23) documented one reference. A second references was required. 2.During an interview Staff #2 acknowledged one reference was documented.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure staff completed a tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: The record for Staff #1 (date of employment: 8/14/23) documented a tuberculosis screening dated 11/18/22 which is beyond the last 30 calendar days from the date of employment.”

22.1-289.035-B-2

“Based on review of staff records, the center failed to obtain a criminal history record check prior to the 1st day of employment. Evidence: 1.The record for Staff #1 (date of hire: 8/14/23) documented a criminal history record dated 9/6/23 which is after the date of hire. 2.During an interview, Staff #5 acknowledged the criminal history record was obtained after the date of employment.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure cots used by children other than infants during rest period had linens consisting of top and bottom cover. Evidence: 1.A total of 6 children were observed resting on cots that did not have a bottom cover. 2.Staff #5 acknowledged the children did not have bottom covers on their cots.”

8VAC20-790-600-F

“Based on staff records review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department. Evidence: 1. The record for Staff #2 (date of employment: 5/17/2021) contained documentation of the Virginia Annual Health and Safety Update Course dated 6/15/2021. There was no documentation that the course has been completed since 6/15/2021. 2. The record for Staff #3 (date of employment: 3/23/2015) contained documentation of the Virginia Annual Health and Safety Update Course dated 7/15/2015. There was no documentation that the course has been completed since 7/15/2021.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for Staff #4 (date of hire: 2/9/2023) did not contain documentation of certification in cardiopulmonary resuscitation (CPR). 2. Staff #2 verified during an interview that Staff #4 has not completed certification in cardiopulmonary resuscitation (CPR)”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1.The record for Staff #4 (date of hire: 2/9/2023) did not contain documentation of certification in first aid. 2. Staff #2 verified during an interview that Staff #4 has not completed certification in first aid.”

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that nine electrical outlets had protective covers in areas used by children of preschool age or younger. Evidence: 1.A total of 9 uncovered outlets were observed in the two classrooms designated for school aged children. 2.During an interview, Staff #5 acknowledged the rooms are used by children of preschool age or younger during lunch time. Non-school aged children were observed in one of the classrooms.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. A total of 4 holes in the wall were observed in the two rooms designated for school aged children, with one hole exposing the drywall within reach of children. 2. One hole of approximately 9 by 11 inches in diameter was observed in the entrance hallway leading to the school aged children room exposing drywall within reach of children. 3. The 3 year old room had 3 chipped paint areas on the walls within reach of children.”

8VAC20-780-245-A

“Based on review of staff records and interview, the center did not ensure 16 hours of ongoing training was completed annually. Evidence: 1.The record for Staff #2 (date of employment: 5/17/21) failed to document 16 hours of annual training for 2021-2022 and 2022-2023. 2.During an interview, Staff #2 acknowledged she has not completed 16 hours of training since her date of employment.”

8VAC20-780-70

“Repeat Violation Based on review of staff records, the center failed to have required documentation in each staff record. Evidence: 1.The record for Staff #1 (date of employment: 8/14/23) documented one reference. A second references was required. 2.During an interview Staff #2 acknowledged one reference was documented.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure staff completed a tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: The record for Staff #1 (date of employment: 8/14/23) documented a tuberculosis screening dated 11/18/22 which is beyond the last 30 calendar days from the date of employment.”

22.1-289.035-B-2

“Based on review of staff records, the center failed to obtain a criminal history record check prior to the 1st day of employment. Evidence: 1.The record for Staff #1 (date of hire: 8/14/23) documented a criminal history record dated 9/6/23 which is after the date of hire. 2.During an interview, Staff #5 acknowledged the criminal history record was obtained after the date of employment.”

8VAC20-780-450-A

“Based on observation and interview, the center did not ensure cots used by children other than infants during rest period had linens consisting of top and bottom cover. Evidence: 1.A total of 6 children were observed resting on cots that did not have a bottom cover. 2.Staff #5 acknowledged the children did not have bottom covers on their cots.”

8VAC20-790-600-F

“Based on staff records review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department. Evidence: 1. The record for Staff #2 (date of employment: 5/17/2021) contained documentation of the Virginia Annual Health and Safety Update Course dated 6/15/2021. There was no documentation that the course has been completed since 6/15/2021. 2. The record for Staff #3 (date of employment: 3/23/2015) contained documentation of the Virginia Annual Health and Safety Update Course dated 7/15/2015. There was no documentation that the course has been completed since 7/15/2021.”

8VAC20-790-600-D-1

“Based on review of staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1.The record for Staff #4 (date of hire: 2/9/2023) did not contain documentation of certification in cardiopulmonary resuscitation (CPR). 2. Staff #2 verified during an interview that Staff #4 has not completed certification in cardiopulmonary resuscitation (CPR)”

8VAC20-790-600-D-2

“Based on review of staff records and interview, the vendor did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Evidence: 1.The record for Staff #4 (date of hire: 2/9/2023) did not contain documentation of certification in first aid. 2. Staff #2 verified during an interview that Staff #4 has not completed certification in first aid.”

8VAC20-770-60-B

“Based on review of two staff records, the facility failed to have documentation of a completed sworn disclosure statement on file by the first day of employment. Evidence: Staff 2 (date of employment 1/2022) did not complete a sworn disclosure statement until 4/11/2023.”

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 5 (date of enrollment 12/05/2022) did not have documentation of an immunization record.”

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in March 2023.”

8VAC20-780-240-B

“Based on review of two staff records, the facility failed to have documentation of orientation for each staff prior to working alone with children. Evidence: Staff 1 (date of employment 2/9/2023) did not have documentation of orientation on file.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 1 (date of employment 2/09/2023) did not have the signature of the person making the call. Staff 2 did not have documentation of the name, address, and phone number of an emergency contact.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the 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. Evidence: The plastic-lined storage system in the twos classroom didn't have a lid because the foot pedal was broken.”

22.1-289.035-B-2

“Based on review of 2 staff records, the facility failed to obtain a fingerprint based national criminal check prior to employment for each staff as required. Evidence: Staff 1 (date of employment 2/09/2023) did not have documentation or a fingerprint background check result on file.”

8VAC20-770-60-B

“Based on review of two staff records, the facility failed to have documentation of a completed sworn disclosure statement on file by the first day of employment. Evidence: Staff 2 (date of employment 1/2022) did not complete a sworn disclosure statement until 4/11/2023.”

8VAC20-780-130-A

“Based on review of five children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 5 (date of enrollment 12/05/2022) did not have documentation of an immunization record.”

8VAC20-780-550-G

“Based on review of the emergency drill log, the facility failed to conduct evacuation drills monthly. Evidence: the facility did not have documentation of an evacuation drill in March 2023.”

8VAC20-780-240-B

“Based on review of two staff records, the facility failed to have documentation of orientation for each staff prior to working alone with children. Evidence: Staff 1 (date of employment 2/9/2023) did not have documentation of orientation on file.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 1 (date of employment 2/09/2023) did not have the signature of the person making the call. Staff 2 did not have documentation of the name, address, and phone number of an emergency contact.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the 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. Evidence: The plastic-lined storage system in the twos classroom didn't have a lid because the foot pedal was broken.”

22.1-289.035-B-2

“Based on review of 2 staff records, the facility failed to obtain a fingerprint based national criminal check prior to employment for each staff as required. Evidence: Staff 1 (date of employment 2/09/2023) did not have documentation or a fingerprint background check result on file.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain the areas inside and outside the center in a clean, safe, and operable condition. Evidence: 1. The toilet paper holder in the two year old bathroom was broken and the toilet paper was on the floor. 2. The base molding was loose from the wall in the girls bathroom, exposing crumbled drywall accessible to children. 3. A large tree root was exposed at the base of the slide in the fall zone.”

8VAC20-780-320-F

“Based on observation, the facility failed to have a stepstool in the restroom designated for preschool children allowing access to the sink. Evidence: the sink in the preschool/school age restrooms is too high for preschool children to reach. There was no stepstool available and staff stated they would lift the children when necessary.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain the areas inside and outside the center in a clean, safe, and operable condition. Evidence: 1. The toilet paper holder in the two year old bathroom was broken and the toilet paper was on the floor. 2. The base molding was loose from the wall in the girls bathroom, exposing crumbled drywall accessible to children. 3. A large tree root was exposed at the base of the slide in the fall zone.”

8VAC20-780-320-F

“Based on observation, the facility failed to have a stepstool in the restroom designated for preschool children allowing access to the sink. Evidence: the sink in the preschool/school age restrooms is too high for preschool children to reach. There was no stepstool available and staff stated they would lift the children when necessary.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain the areas inside and outside the center in a clean, safe, and operable condition. Evidence: 1. The toilet paper holder in the two year old bathroom was broken and the toilet paper was on the floor. 2. The base molding was loose from the wall in the girls bathroom, exposing crumbled drywall accessible to children. 3. A large tree root was exposed at the base of the slide in the fall zone.”

8VAC20-780-320-F

“Based on observation, the facility failed to have a stepstool in the restroom designated for preschool children allowing access to the sink. Evidence: the sink in the preschool/school age restrooms is too high for preschool children to reach. There was no stepstool available and staff stated they would lift the children when necessary.”

8VAC20-770-60-B

“Based on review of two staff records, the facility failed to have documentation of a completed sworn disclosure statement on file for each staff by the first day of employment. Evidence: Staff 1 (date of employment 3/28/2022) did not have a sworn disclosure statement until 4/27/2022.”

8VAC20-770-60-C-2

“Based on review of two staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 3/28/2022) and Staff 2 (date of employment 6/6/2022) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-530-A-1

“Based on staff interview and staff record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 2 was alone with seven 4 year olds, but does not have current CPR.”

8VAC20-820-120-E-2

“Based on observation, the facility failed to have the most recent inspection report posted. Evidence: The violation notice and inspection findings from 5/19/2022 were not posted.”

8VAC20-780-130-A

“Based on review of three children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 3 (date of enrollment 9/9/2020) did not have documentation of an immunization record.”

8VAC20-780-140-A

“Based on review of three children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 3 (date of enrollment 9/9/2020) did not have documentation of a physical.”

8VAC20-780-510-B

“Based on review of three prescription medications, the facility failed to have written authorization from the parent and the child’s physician to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer medications to 3 children. Child A, Child B, and Child C did not have a completed medication authorization. Medication has been administered to Child A, Child B, and Child C daily all summer.”

8VAC20-780-240-B

“Based on review of two staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of employment 3/28/2022) did not have documentation of orientation on file.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 2 (date of employment 3/28/2022) did not have the signature of the person making the call.”

8VAC20-780-40-D

“Based on observation, the facility failed to post the license in a conspicuous place to the public. Evidence: the current provisional license was not posted. The expired license was posted.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with first aid certification. Evidence: Staff 1 was alone with seven 4 year olds, but does not have current first aid certification.”

8VAC20-770-60-B

“Based on review of two staff records, the facility failed to have documentation of a completed sworn disclosure statement on file for each staff by the first day of employment. Evidence: Staff 1 (date of employment 3/28/2022) did not have a sworn disclosure statement until 4/27/2022.”

8VAC20-770-60-C-2

“Based on review of two staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 3/28/2022) and Staff 2 (date of employment 6/6/2022) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-780-530-A-1

“Based on staff interview and staff record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 2 was alone with seven 4 year olds, but does not have current CPR.”

8VAC20-820-120-E-2

“Based on observation, the facility failed to have the most recent inspection report posted. Evidence: The violation notice and inspection findings from 5/19/2022 were not posted.”

8VAC20-780-130-A

“Based on review of three children’s records, the facility failed to have the immunization record for each child before the child can attend the center. Evidence: Child 3 (date of enrollment 9/9/2020) did not have documentation of an immunization record.”

8VAC20-780-140-A

“Based on review of three children’s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 3 (date of enrollment 9/9/2020) did not have documentation of a physical.”

8VAC20-780-510-B

“Based on review of three prescription medications, the facility failed to have written authorization from the parent and the child’s physician to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer medications to 3 children. Child A, Child B, and Child C did not have a completed medication authorization. Medication has been administered to Child A, Child B, and Child C daily all summer.”

8VAC20-780-240-B

“Based on review of two staff records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of employment 3/28/2022) did not have documentation of orientation on file.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 2 (date of employment 3/28/2022) did not have the signature of the person making the call.”

8VAC20-780-40-D

“Based on observation, the facility failed to post the license in a conspicuous place to the public. Evidence: the current provisional license was not posted. The expired license was posted.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with first aid certification. Evidence: Staff 1 was alone with seven 4 year olds, but does not have current first aid certification.”

8VAC20-780-280-B

“Based on observation and interview, the facility did not ensure that hazardous substances, such as cleaning materials, be kept in a locked place that prevents access to children. Evidence: the infant room had a bottle of bleach water in an unlocked cabinet under the changing table. The preschool children were observed using the bathroom off the kitchen. The cabinet in the kitchen that houses cleaning supplies was unlocked. The teacher stated that this is the bathroom that they use because she can?t open the bathroom doors in the hallway.”

8VAC20-780-330-B

“Based on observation, the facility failed to maintain required resilient surfacing in fall zones on the playground. Evidence: the mulch in the fall zones measured around two inches rather than the required six inches.”

8VAC20-780-350-B-1

“Based on observation and staff interview, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 5/29/2022, there were 8 children, ages 2 months to 22 months, with one staff person from at least 10:00 a.m. to 12 noon. Staff stated that she was often alone in the classroom in the mornings. A second staff person arrived around 12 noon. At that time, there were 9 infants with two staff.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five toddlers aged 16 months up to 24 months. Classroom #2 had one staff person alone with 7 children ages 22 months to 2 years old.”

8VAC20-780-530-A

“Based on observation and review of staff records, the facility failed to have one person with current first aid and CPR in each grouping of children. Evidence: Staff C was alone with 3 infants from 10:00 a.m. to 12 noon, but did not have documentation of first aid and CPR certification.”

8VAC20-780-570-B

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: There was a 2 month old child in classroom #1 who was in an infant bouncer seat with a bottle that was propped by a blanket.”

22.1-289.035-B-2

“Based on review of 4 staff files, the facility failed to obtain fingerprint results prior to employment for each staff as required. Evidence: Staff 1 (date of hire 5/10/2021) did not have fingerprint results until 6/07/2021.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas in a safe and clean condition. Evidence: a stationary plastic play car on the playground was filled with mulch and standing water. The "muck" was several inches deep.”

8VAC20-780-160-A

“Based on review of 4 staff files, the facility failed to obtain documentation of a tuberculosis test or screening prior to coming into contact with children. Evidence: Staff 2 (date of hire 4/8/2022) did not have documentation of a tuberculosis test or screening.”

8VAC20-780-270-D

“Based on observation and interview, the facility did not ensure that fans or other cooling systems shall be used when the temperature of inside areas occupied by children exceeds 80 degrees F. Evidence: The temperature outside was 82 degrees F. The air conditioner system was not operating properly. The owner and center staff stated that the facility does not have direct access to the air conditioning system as it is controlled by other rental units in the strip mall. There was one fan running in the infant room, but it was still warm.”

8VAC20-780-280-B

“Based on observation and interview, the facility did not ensure that hazardous substances, such as cleaning materials, be kept in a locked place that prevents access to children. Evidence: the infant room had a bottle of bleach water in an unlocked cabinet under the changing table. The preschool children were observed using the bathroom off the kitchen. The cabinet in the kitchen that houses cleaning supplies was unlocked. The teacher stated that this is the bathroom that they use because she can?t open the bathroom doors in the hallway.”

8VAC20-780-330-B

“Based on observation, the facility failed to maintain required resilient surfacing in fall zones on the playground. Evidence: the mulch in the fall zones measured around two inches rather than the required six inches.”

8VAC20-780-350-B-1

“Based on observation and staff interview, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 5/29/2022, there were 8 children, ages 2 months to 22 months, with one staff person from at least 10:00 a.m. to 12 noon. Staff stated that she was often alone in the classroom in the mornings. A second staff person arrived around 12 noon. At that time, there were 9 infants with two staff.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five toddlers aged 16 months up to 24 months. Classroom #2 had one staff person alone with 7 children ages 22 months to 2 years old.”

8VAC20-780-530-A

“Based on observation and review of staff records, the facility failed to have one person with current first aid and CPR in each grouping of children. Evidence: Staff C was alone with 3 infants from 10:00 a.m. to 12 noon, but did not have documentation of first aid and CPR certification.”

8VAC20-780-570-B

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: There was a 2 month old child in classroom #1 who was in an infant bouncer seat with a bottle that was propped by a blanket.”

22.1-289.035-B-2

“Based on review of 4 staff files, the facility failed to obtain fingerprint results prior to employment for each staff as required. Evidence: Staff 1 (date of hire 5/10/2021) did not have fingerprint results until 6/07/2021.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas in a safe and clean condition. Evidence: a stationary plastic play car on the playground was filled with mulch and standing water. The "muck" was several inches deep.”

8VAC20-780-160-A

“Based on review of 4 staff files, the facility failed to obtain documentation of a tuberculosis test or screening prior to coming into contact with children. Evidence: Staff 2 (date of hire 4/8/2022) did not have documentation of a tuberculosis test or screening.”

8VAC20-780-270-D

“Based on observation and interview, the facility did not ensure that fans or other cooling systems shall be used when the temperature of inside areas occupied by children exceeds 80 degrees F. Evidence: The temperature outside was 82 degrees F. The air conditioner system was not operating properly. The owner and center staff stated that the facility does not have direct access to the air conditioning system as it is controlled by other rental units in the strip mall. There was one fan running in the infant room, but it was still warm.”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

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

“Based on observation and interview, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 2/18/2022, there were 5 infants alone with one staff person for 25 minutes.”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

8VAC20-780-370-5 Complaint related: Yes

“Based on observation, the facility failed to provide awake infants a change in play space at least every 30 minutes. Evidence: on 2/18/2022, three infants were in bouncer seats or in chairs at the table from 9:20 a.m. to 10:44 a.m.”

8VAC20-790-600-D-1

“Based on review of two staff files, the facility failed to ensure each staff obtain CPR training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of CPR training.”

8VAC20-790-600-D-2

“Based on review of two staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of first aid training.”

8VAC20-770-60-C-2

“Based on review of two staff files, the facility failed to have documentation of a completed search of the central registry ( CPS check) within 30 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a completed search of the central registry on file.”

8VAC20-780-70

“Based on review of two staff files, the facility failed to have all required documentation in each staff file. Evidence: Staff B did not have documentation of two references prior to employment and did not have documentation of having received orientation.”

8VAC20-780-160-A-1

“Based on review of two staff files, the facility failed to have documentation of a tuberculosis test or screening at the time of employment and prior to coming into contact with children. Evidence: Staff A (date of hire 12/20/2021) did not have a tuberculosis test or screening on file.”

8VAC20-770-60-B

“Based on review of two staff files, the facility failed to have a sworn disclosure statement for each employee prior to employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a sworn disclosure statement on file.”

22.1-289.035-A

“Based on review of two staff files, the facility failed to deny employment to anyone who has been convicted of any barrier crime within or outside the Commonwealth. Fingerprint checks are required to be conducted prior to hire. Evidence: Staff C (date of hire 1/17/2022) worked in the facility until February 18, 2022 when the fingerprint was returned with a "not eligible" status for employment in child care.”

8VAC20-780-350-B

“Based on staff interview and virtual tour of the facility, the facility failed to have the required staff to child ratios. Evidence: the staff to child ratio for infants (birth up to16 months) is 1 staff for every 4 infants. The staff to child ratio for toddlers (age 16 months up to 24 months) is 1 staff for every 5 children. During the inspection, there was one staff alone with children ages 5 months to 23 months).”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

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

“Based on observation and interview, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 2/18/2022, there were 5 infants alone with one staff person for 25 minutes.”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

8VAC20-780-370-5 Complaint related: Yes

“Based on observation, the facility failed to provide awake infants a change in play space at least every 30 minutes. Evidence: on 2/18/2022, three infants were in bouncer seats or in chairs at the table from 9:20 a.m. to 10:44 a.m.”

8VAC20-790-600-D-1

“Based on review of two staff files, the facility failed to ensure each staff obtain CPR training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of CPR training.”

8VAC20-790-600-D-2

“Based on review of two staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of first aid training.”

8VAC20-770-60-C-2

“Based on review of two staff files, the facility failed to have documentation of a completed search of the central registry ( CPS check) within 30 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a completed search of the central registry on file.”

8VAC20-780-70

“Based on review of two staff files, the facility failed to have all required documentation in each staff file. Evidence: Staff B did not have documentation of two references prior to employment and did not have documentation of having received orientation.”

8VAC20-780-160-A-1

“Based on review of two staff files, the facility failed to have documentation of a tuberculosis test or screening at the time of employment and prior to coming into contact with children. Evidence: Staff A (date of hire 12/20/2021) did not have a tuberculosis test or screening on file.”

8VAC20-770-60-B

“Based on review of two staff files, the facility failed to have a sworn disclosure statement for each employee prior to employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a sworn disclosure statement on file.”

22.1-289.035-A

“Based on review of two staff files, the facility failed to deny employment to anyone who has been convicted of any barrier crime within or outside the Commonwealth. Fingerprint checks are required to be conducted prior to hire. Evidence: Staff C (date of hire 1/17/2022) worked in the facility until February 18, 2022 when the fingerprint was returned with a "not eligible" status for employment in child care.”

8VAC20-780-350-B

“Based on staff interview and virtual tour of the facility, the facility failed to have the required staff to child ratios. Evidence: the staff to child ratio for infants (birth up to16 months) is 1 staff for every 4 infants. The staff to child ratio for toddlers (age 16 months up to 24 months) is 1 staff for every 5 children. During the inspection, there was one staff alone with children ages 5 months to 23 months).”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

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

“Based on observation and interview, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 2/18/2022, there were 5 infants alone with one staff person for 25 minutes.”

8VAC20-780-570-B Complaint related: Yes

“Based on observation, the facility did not ensure that infants who cannot hold their own bottles shall be held when fed and that bottles should not be propped. Evidence: On 2/18/2022, 3 infants were fed in an infant bouncer seat with a bottle that was propped by a blanket.”

8VAC20-780-370-5 Complaint related: Yes

“Based on observation, the facility failed to provide awake infants a change in play space at least every 30 minutes. Evidence: on 2/18/2022, three infants were in bouncer seats or in chairs at the table from 9:20 a.m. to 10:44 a.m.”

8VAC20-790-600-D-1

“Based on review of two staff files, the facility failed to ensure each staff obtain CPR training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of CPR training.”

8VAC20-790-600-D-2

“Based on review of two staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of first aid training.”

8VAC20-770-60-C-2

“Based on review of two staff files, the facility failed to have documentation of a completed search of the central registry ( CPS check) within 30 days of employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a completed search of the central registry on file.”

8VAC20-780-70

“Based on review of two staff files, the facility failed to have all required documentation in each staff file. Evidence: Staff B did not have documentation of two references prior to employment and did not have documentation of having received orientation.”

8VAC20-780-160-A-1

“Based on review of two staff files, the facility failed to have documentation of a tuberculosis test or screening at the time of employment and prior to coming into contact with children. Evidence: Staff A (date of hire 12/20/2021) did not have a tuberculosis test or screening on file.”

8VAC20-770-60-B

“Based on review of two staff files, the facility failed to have a sworn disclosure statement for each employee prior to employment. Evidence: Staff B (date of hire 10/18/2021) did not have documentation of a sworn disclosure statement on file.”

22.1-289.035-A

“Based on review of two staff files, the facility failed to deny employment to anyone who has been convicted of any barrier crime within or outside the Commonwealth. Fingerprint checks are required to be conducted prior to hire. Evidence: Staff C (date of hire 1/17/2022) worked in the facility until February 18, 2022 when the fingerprint was returned with a "not eligible" status for employment in child care.”

8VAC20-780-350-B

“Based on staff interview and virtual tour of the facility, the facility failed to have the required staff to child ratios. Evidence: the staff to child ratio for infants (birth up to16 months) is 1 staff for every 4 infants. The staff to child ratio for toddlers (age 16 months up to 24 months) is 1 staff for every 5 children. During the inspection, there was one staff alone with children ages 5 months to 23 months).”

22VAC40-185-40-E

“Based on interviews with staff and review of the center's supervision procedures and playground safety procedures, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: the center's Interactions with Children policy states, "Supervise children at all times" and the Playground Safety policy states, "The Center's staff shall ensure supervision of children on all playgrounds to provide a safe outdoor play environment." On April 7, 2021, Child 1 (age 2 years) crawled through a hole in the fence and was out of supervision of the staff present for an undetermined length of time. There were two staff present on the playground at the time of the incident.”

22VAC40-185-270-A

“Based on staff interviews and review of the outside play area, the facility failed to maintain all areas and equipment of the center in a safe condition. Evidence: the fence was broken at the ground level where a panel measuring 12 x 12 inches was missing. On April 7, 2021, Child 1 (age 2 years) was able to crawl through the hole in the fence of the playground.”

22VAC40-185-340-A

“Based on interviews and a review of documentation, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: 1. On April 7, 2021, Child 1 (age 2 years) crawled through a hole in the fence of the playground. 2. A passerby saw the child on Finlay Street outside the fence of the playground. The passerby stopped and handed the child over the fence to the staff, who reportedly could not unlatch the gate. 3. Staff reported to the director that they "had retrieved the child before the child went through the hole completely". 4. On April 9, 2021, the owner received a phone call from the passerby's husband, who reported that his wife had retrieved the child and handed the child over the fence to the staff. 5. Finlay Street is a two lane road and the speed limit is 25 mph.”

22VAC40-185-340-F

“Based on interviews and review of documentation, the facility failed to have all children under the age of ten in actual sight and sound supervision. Evidence: 1. On April 7, 2021, Child 1 (age 2 years) crawled through a hole in the fence of the playground. 2. A passerby saw the child on Finlay Street outside the fence of the playground and was out of sight and sound supervision of the staff for an undetermined length of time.. The passerby stopped the car, retrieved the child, and handed the child over the fence to the staff, who reportedly could not open the gate. 3. Finlay Street is a two lane road with a speed limit of 25 mph.”