Little Angels Child Care and Learning Center

22.1-289.035-B-2

“The center must obtain a completed national criminal background check prior to the employee's first day of employment. The center did not obtain a completed national criminal background check for Agent #1, acting member since 06/03/2026.”

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. The center did not request a search of the central registry for Agent #1, who has been an acting member since 06/03/2026.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. Child #3 has a food sensitivity. Child #3 was not listed on the most recent posted allergy list.”

8VAC20-780-140-A

“Repeat Violation 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 #3, enrolled for 6 weeks, did not have a physical examination.”

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. Agent #1, acting member since 06/03/2026, did not complete a sworn statement.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children under age three years of age were served whole hot dogs for lunch.”

8VAC20-790-600-F

“Staff who work directly with children shall annually attend the department's health and safety update course. The department's annual health and safety update course was overdue by 1 month for staff #2. The department's annual health and safety update course was overdue by 2 weeks for staff #3.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for 4 months.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present. 1. The posted allergy list was not dated. 2. The posted allergy list did not have child #4, enrolled for 4 months, who has a dietary restriction, listed.”

8VAC20-780-60-A-8

“Repeat Violation The center is required to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, enrolled for 5 months, has a diagnosed food allergy, and does not have a written care plan in their file.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The center did not practice an evacuation drill in June 2025.”

8VAC20-780-260-B

“Repeat Violation The center is required to obtain annual approval from the health department for meeting requirements for food service. An annual health inspection was overdue by 6 months.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #2, who had been enrolled for 4 months.”

8VAC20-780-40-M

“Repeat Violation The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The list shall be dated and kept confidential in each room or area where children are present. 1. The posted allergy list was not dated. 2. The posted allergy list did not have child #4, enrolled for 4 months, who has a dietary restriction, listed.”

8VAC20-780-60-A-8

“Repeat Violation The center is required to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, enrolled for 5 months, has a diagnosed food allergy, and does not have a written care plan in their file.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The center did not practice an evacuation drill in June 2025.”

8VAC20-780-260-B

“Repeat Violation The center is required to obtain annual approval from the health department for meeting requirements for food service. An annual health inspection was overdue by 6 months.”

8VAC20-780-530-A-1

“Staff are required to have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Staff #2, employed for 19 months, did not have current certification in CPR.”

8VAC20-780-530-A-2

“Staff are required to have current certification in first aid. Staff #2, employed for 19 months, did not have current certification in first aid.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 1. Staff #1 completed 14.5 hours of annual training. 2. Staff #2 completed 4.5 hours of annual training.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Child #4, who has been enrolled for 2 weeks and has a diagnosed food allergy, was not listed on the allergy list.”

8VAC20-780-60-A-8

“Repeat Violation A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #4, who has been enrolled for 2 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.057-A

“The center is required to submit to VDH and implement a plan to test potable water for lead. The center did not have evidence of a testing plan submitted to VDH or the implementation of the required testing plan.”

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department for meeting requirements for food service. An annual health inspection was overdue by 1 month.”

8VAC20-780-530-A-1

“Staff are required to have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. Staff #2, employed for 19 months, did not have current certification in CPR.”

8VAC20-780-530-A-2

“Staff are required to have current certification in first aid. Staff #2, employed for 19 months, did not have current certification in first aid.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 1. Staff #1 completed 14.5 hours of annual training. 2. Staff #2 completed 4.5 hours of annual training.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Child #4, who has been enrolled for 2 weeks and has a diagnosed food allergy, was not listed on the allergy list.”

8VAC20-780-60-A-8

“Repeat Violation A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #4, who has been enrolled for 2 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

22.1-289.057-A

“The center is required to submit to VDH and implement a plan to test potable water for lead. The center did not have evidence of a testing plan submitted to VDH or the implementation of the required testing plan.”

8VAC20-780-260-B

“The center is required to obtain annual approval from the health department for meeting requirements for food service. An annual health inspection was overdue by 1 month.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that all staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: The record for staff # 3, date of employment 06/02/23, contained a tuberculosis screening dated 06/24/2022. A follow up screening was due on or before 06/24/2024.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child #4, date of enrollment 04/22/2024, indicated that the child has a food allergy. The record did not contain a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening completed within the last 30 calendar days prior to employment. Evidence: The record for staff #3, date of employment 06/02/2023, contained documentation of a tuberculosis screening dated 06/24/2022.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that all staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: The record for staff # 3, date of employment 06/02/23, contained a tuberculosis screening dated 06/24/2022. A follow up screening was due on or before 06/24/2024.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for child #4, date of enrollment 04/22/2024, indicated that the child has a food allergy. The record did not contain a written care plan from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening completed within the last 30 calendar days prior to employment. Evidence: The record for staff #3, date of employment 06/02/2023, contained documentation of a tuberculosis screening dated 06/24/2022.”

8VAC20-790-600-F

“Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department's health and safety update course as required. Evidence: 1. The record of staff #3 contained a health and safety update certificate from 2022. 2. Administration acknowledged that staff #3 did not complete the 2023 health and safety update.”