Lily Pad at Metro Park

8VAC20-780-400-B

“REPEAT VIOLATION Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. At the time of the inspection, Child #1 (age 2? years) was sitting on their knees during circle time. Staff #1 was observed approaching Child #1, placing one hand on the child’s left forearm and the other on the right forearm, lifting the child, and repositioning the child from a kneeling position to a seated position on the floor. Staff #1's behavior guidance method was not constructive in nature and was not an age-and stage-appropriate redirection technique.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. At the time of the inspection, the findings from the most recent inspection, dated 12/16/2025, were not posted.”

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 #5, who had been employed for three months, did not have a central registry search requested.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. At the time of the inspection, the center’s annual fire inspection report was 8 days overdue.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. At the time of the inspection, classrooms #1 and #2, which had children present, did not have an allergy list.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. At the time of the inspection, the findings from the most recent inspection, dated 12/16/2025, were not posted.”

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 #5, who had been employed for three months, did not have a central registry search requested.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. At the time of the inspection, the center’s annual fire inspection report was 8 days overdue.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. At the time of the inspection, classrooms #1 and #2, which had children present, did not have an allergy list.”

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On Friday, September 26, 2025, at approximately 2:36 pm, video footage showed Staff #2 walking with Child #1 (age 17 months), who was crying, toward the classroom cubbies. Staff #2 offered Child #1 Goldfish crackers. Staff #1 said, ?No, don?t give them that. They do not deserve it.? Staff #1 proceeded to grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. Staff #1 looked back and saw Child #1 on the floor. Using their left hand, Staff #1 pulled Child #1 up by their upper left arm. Staff #1 rubbed the back of Child #1?s head and said, ?Okay, yeah, yeah, yeah,? before handing Child #1 to Staff #3 for diapering. At approximately 2:39 pm, video footage showed Child #3 (age 22 months) standing next to a classroom table. Staff #1 told Child #3 to sit down for snack, but Child #3 continued to stand. Staff #2 then told Child #3 to sit down. Child #3 continued to stand. Staff #2 walked over to Child #3, bent over next to them, and yelled, ?Go sit down.? Staff #2 then grabbed and pulled Child #3 by their right arm and plopped them in a chair. At approximately 2:54 pm, video footage showed Child #4 (age 22 months) and Child #5 (age 18 months) sitting in their chairs away from their classroom table. Staff #1 walked over to Child #4 and #5 and pushed Child #4?s chair back to the table. Child #5 was sitting up on their knees, backwards in their chair, when Staff #1 used both hands to grab Child #5 underneath their underarms and plopped the child in their seat. Staff #1 then pushed Child #5?s chair in. At approximately 2:56 pm, video footage showed that during snack time, Child #5 got out of their seat at the table and ran to the carpet area. Staff #2 saw Child #5 (age 18 months) at the carpet area, then walked over to the table, removed Child #5?s chair, and replaced it with a wooden chair that had a buckle attached. Staff #2 buckled Child #5 in the chair. Child #5 began to cry, and Staff #2 shook their head ?no? at Child #5. Child #5 stayed buckled in their chair for approximately ten minutes.. Staff #1 and Staff #2?s method of behavior guidance was not age-and stage-appropriate, and constructive in nature.”

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: Physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment, enclosure in a small confined space, or any space that the child cannot freely exit. On Friday, September 26, 2025, at approximately 2:35 pm, video footage showed Child #2 (age 24 months) standing in front of a classroom table when Staff #1 used their right hand to grab and lift Child #2 by the upper right arm, and then placed the child in a seat, and pushed the chair in. At approximately 2:36 pm, video footage showed Staff #2 walking with Child #1 (age 17 months), who was crying, toward the classroom cubbies. Staff #2 offered Child #1 Goldfish crackers. Staff #1 said, ?No, don?t give them that. They do not deserve it.? Staff #1 proceeded to grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. Staff #1 looked back and saw Child #1 on the floor. Using their left hand, Staff #1 pulled Child #1 up by their upper left arm. Staff #1 rubbed the back of Child #1?s head and said, ?Okay, yeah, yeah, yeah,? before handing Child #1 to Staff #3 for diapering. At approximately 2:39 pm, video footage showed Child #3 (age 22 months) standing next to a classroom table. Staff #1 told Child #3 to sit down for snack, but Child #3 continued to stand. Staff #2 then told Child #3 to sit down. Child #3 continued to stand. Staff #2 walked over to Child #3, bent over next to them, and yelled, ?Go sit down.? Staff #2 then grabbed and pulled Child #3 by their right arm and plopped them in a chair. At approximately 2:54 pm, video footage showed Child #4 (age 22 months) and Child #5 (age 18 months) sitting in their chairs away from their classroom table. Staff #1 walked over to Child #4 and #5 and pushed Child #4?s chair back to the table. Child #5 was sitting up on their knees, backwards in their chair, when Staff #1 used both hands to grab Child #5 underneath their underarms and plopped the child in their seat. Staff #1 then pushed Child #5?s chair in. At approximately 2:56 pm, video footage showed that during snack time, Child #5 got out of their seat at the table and ran to the carpet area. Staff #2 saw Child #5 (age 18 months) at the carpet area, then walked over to the table, removed Child #5?s chair, and replaced it with a wooden chair that had a buckle attached. Staff #2 buckled Child #5 in the chair. Child #5 began to cry, and Staff #2 shook their head ?no? at Child #5. Child #5 stayed buckled in their chair for approximately ten minutes..”

8VAC20-780-550-O

“The center shall notify the parent by the end of the day of any known minor injuries. On Friday, September 26, 2025, video footage showed Staff #1 grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. The parents of Child #1 were not notified by the end of the day and were contacted on the next day.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. On Friday, September 26, 2025, video footage showed Staff #1 grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. An injury report was not completed for Child #1 on the day of the occurrence.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On Friday, September 26, 2025, at approximately 2:32 pm, video footage showed Child #1 (age 17 months) waking from a nap and beginning to cry. Staff #1, who had been lying next to the child, stood up and walked away. Child #1 continued crying for approximately three minutes before Staff #2 responded and attended to the child. At approximately 2:35 pm, video footage showed Child #2 (age 24 months) standing in front of a classroom table when Staff #1 used their right hand to grab and lift Child #2 by the upper right arm, and then placed the child in a seat, and pushed the chair in. At approximately 2:36 pm, video footage showed Staff #2 walking with Child #1 (age 17 months), who was crying, toward the classroom cubbies. Staff #2 offered Child #1 Goldfish crackers. Staff #1 said, ?No, don?t give them that. They do not deserve it.? Staff #1 proceeded to grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. Staff #1 looked back and saw Child #1 on the floor. Using their left hand, Staff #1 pulled Child #1 up by their upper left arm. Staff #1 rubbed the back of Child #1?s head and said, ?Okay, yeah, yeah, yeah,? before handing Child #1 to Staff #3 for diapering. At approximately 2:39 pm, video footage showed Child #3 (age 22 months) standing next to a classroom table. Staff #1 told Child #3 to sit down for snack, but Child #3 continued to stand. Staff #2 then told Child #3 to sit down. Child #3 continued to stand. Staff #2 walked over to Child #3, bent over next to them, and yelled, ?Go sit down.? Staff #2 then grabbed and pulled Child #3 by their right arm and plopped them in a chair. At approximately 2:54 pm, video footage showed Child #4 (age 22 months) and Child #5 (age 18 months) sitting in their chairs away from their classroom table. Staff #1 walked over to Child #4 and #5 and pushed Child #4?s chair back to the table. Child #5 was sitting up on their knees, backwards in their chair, when Staff #1 used both hands to grab Child #5 underneath their underarms and plopped the child in their seat. Staff #1 then pushed Child #5?s chair in. At approximately 2:56 pm, video footage showed that during snack time, Child #5 got out of their seat at the table and ran to the carpet area. Staff #2 saw Child #5 (age 18 months) at the carpet area, then walked over to the table, removed Child #5?s chair, and replaced it with a wooden chair that had a buckle attached. Staff #2 buckled Child #5 in the chair. Child #5 began to cry, and Staff #2 shook their head ?no? at Child #5. Child #5 stayed buckled in their chair for approximately ten minutes.. Staff #1 and Staff #2 did not ensure their care, protection, and guidance when supervising children #1,#2, #3, #4, and #5.”

8VAC20-780-500-A

“SYSTEMIC DEFICIENCY Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks, and after toileting. Staff shall wash their hands with soap and running water before and after a diaper change, and before preparing or serving food or beverages. On Friday, September 26, 2025, in Classroom #1, video footage showed that 10 out of 10 children did not wash their hands with soap and running water before or after snack, and after diapering. Classroom #1?s video footage showed that Staff #3 changed the diapers of 10 children and did not wash their hands with soap and running water after each diaper change. Classroom #1?s video footage showed Staff #2 offering Child #1 Goldfish crackers from their hand. Staff #2 did not wash their hands with soap and water before offering the Goldfish crackers to Child #1. Classroom #1?s video footage showed Staff #1 getting Child #10?s snack from their cubby. Staff #1 opened the snack, ate one item from the bag, and then gave it to Child #10. Staff #1 did not wash their hands with soap and running water before serving Child #10.”

8VAC20-780-40-E

“REPEAT VIOLATION SYSTEMIC DEFICIENCY The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. On Friday, September 26, 2025, video footage from Classroom #1 showed Staff #1, Staff #2, and Staff #3 not following the center's own policies and procedures that are required by the standards regarding procedures of action in case of injury and discipline policies including acceptable and unacceptable discipline measures. The center’s procedures for action in case of injury required teachers to use accident reports to record and communicate a child’s injury or an incident. The report included what the injured child was doing prior to getting hurt and how the teacher responded. Teachers addressed the situation with all families involved either by phone during the day or at pickup. The center’s discipline policy defined unacceptable discipline as: roughly handling or shaking a child, restricting movement through binding or tying, enclosure in a small confined space or any space that the child could not freely exit, withholding or forcing of food or rest, etc. Staff #1, #2, and #3 signed the center’s orientation form acknowledging the center's policies and procedures required by the standards.”

8VAC20-780-500-B

“SYSTEMIC DEFICIENCY The diapering surface shall be cleaned with soap and at least room temperature water, and sanitized after each use. Individual disposable barriers may be used between each diaper change. On Friday, September 26, 2025, at approximately 2:34 pm in Classroom #1, video footage showed Staff #3 changing the diapers of 10 children without cleaning and disinfecting the diapering surface between each change. A paper roll was observed on the changing table; however, it was not replaced between several diaper changes.”

8VAC20-780-360-A

“The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration. On Friday, September 26, 2025, video footage from Classroom #1 showed that afternoon snack time lasted approximately 30 minutes. The classroom’s daily schedule stated 15 minutes for snack time. However, the children remained seated at tables without an opportunity to engage in alternative activities after completing their snack.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The family handbook states that ?unused and/or expired medications will be returned to the family.? Child #6?s medication was on site and expired a month ago.”

8VAC20-780-270-A

“Areas inside and outside the center were not maintained in a safe condition. Chipped paint was observed in a classroom. A section of the playground border was loose and missing four nails, creating a tripping hazard.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 and Staff #5 obtained 2 of the 16 required hours in 2024.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #1 and Staff #2, who did not meet lead teacher qualifications, were alone with a group of preschool children at the time of the inspection.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #1 and Staff #2 were with a group of eighteen, three -to five-year-old children and were not certified in CPR or first aid.”

8VAC20-780-550-G

“Documentation shall be maintained for shelter-in-place drills. There was no documentation for one of the two shelter-in-place drills conducted in 2024.”

8VAC20-780-160-A

“REPEAT VIOLATION 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 has a TB screening that was dated 46 days after their first day of employment.”

8VAC20-780-260-B

“The center shall obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system. The center's environmental sanitation inspection is overdue by 2 months.”