Little Rising Stars Daycare Center

8VAC20-780-560-F

“Based on observation, USDA food requirements were not met when the center chose to provide meals. Evidence: The toddlers were observed eating pizza and fruit for lunch. The preschoolers were observed eating pizza and salad. Both groups were not offered both a fruit and vegetable.”

8VAC20-780-530-A-2

“Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current first aid certification. Evidence: Staff #3 was observed working alone in the infant classroom. Center management confirmed that Staff #3 does not have current first aid certification.”

8VAC20-780-530-A-1

“Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current cardiopulmonary resuscitation (CPR) certification. Evidence: Staff #3 was observed working alone in the infant classroom. Center management confirmed that Staff #3 does not have current CPR certification.”

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: Child #6 was observed walking and running around the large classroom while eating a slice of pizza.”

8VAC20-780-370-5

“Based on observation, infant play spaces did not meet all requirements. Evidence: During todays inspection, infants were observed in bouncing chairs, high chairs and in a stroller during the duration of the inspection. Infants were not given room for extensive movement. There was not a diversity of sensory and perceptual experiences offered and equipment and toys did not support large and small motor development.”

8VAC20-780-290-A-3

“Repeat Violation. Based on observation, unused electrical outlets did not have protective covers. Evidence: 1. One electrical outlet in the large classroom behind the feeding chairs did not have a protective cover. 2. One outlet in the infant classroom under the window did not have a protective cover.”

8VAC20-780-570-E

“Based on observation, infant bottles were not dated. Evidence: Child #7s bottles were not dated.”

8VAC20-780-550-D

“Based on record review and interview, the center did not implement monthly practice evacuation drills. Evidence: There was no evacuation drill documented for August 2023. The program director confirmed that a drill was not practiced in August.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4 (23 months) most recent immunizations are dated from when the child was 12 months old.”

8VAC20-780-570-B

“Based on observation, infants who could not hold their own bottles were not held when fed. Evidence: 1. One infant was observed laying in an activity chair while staff #5 held the bottle in the child's mouth while holding another child in their lap. 2. One infant was observed laying in an activity chair with a bottle propped up with a blanket. The bottle was observed falling away from the child.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations before the child can attend the center. Evidence: Child #1 (date of enrollment: 8/23/2023) record does not contain documentation of immunizations.”

8VAC20-780-140-A

“Based on record review, the center has not obtained a physical exam for each child within the first 30 days of enrollment. Evidence: Child #3 (date of enrollment: 7/24/2023) does not contain a physical exam.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening that has been completed no more than 30 days prior to the first date of employment. Evidence: Staff #4 (date of hire: 4/3/2023) TB screening is dated 1/20/2023.”

8VAC20-780-60-A

“Based on record review, children's records did not contain all required information. Evidence: Child #1's record does not contain documentation that the center had verified the child's age and identity.”

8VAC20-780-80-A

“Based on observation and record review, the center did not maintain accurate daily attendance for each group of children. Evidence: At the start of the inspection, 15 children were observed in care. 11 children were documented as arrived at the center.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Several spray cleaning agents were observed in the cabinet under the changing table in the infant classroom. The cabinet door is not locked.”

8VAC20-780-290-A-3

“Based on observation electrical outlets did not have protective covers. Evidence: 1. Two uncovered outlets were observed at the entrance of the center next to the children's cubbies. 2. Two uncovered outlets were observed next to the sink in the children's bathroom.”

8VAC20-780-380-A

“Based on interview, a daily scheduled is not posted. Evidence: When asked about the daily schedule, the center director confirmed that there was no schedule posted.”

8VAC20-780-450-A

“Based on observation, each child did not have linens consisting of a top and bottom cover. Evidence: Three children were observed napping without a top cover.”

22.1-289.035-A

“Based on record review and interview, all employees did not undergo repeat background checks every five years. Evidence: Staff #1's most recent documented fingerprint results are dated 5/8/2018. Staff #1 confirmed that they had not yet completed repeat fingerprints.”

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #3 was observed sitting in a high chair and was not buckled into the chair. 2. Child #4 was observed sitting in a high chair that did not have the buckles installed into the chair for the staff to buckle the child in.”

8VAC20-780-550-D

“Based on record review and interview, the center did not implement monthly practice evacuation drills. Evidence: There was no evacuation drill documented for December 2022. The program director confirmed that a drill was not practiced in December.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection were not posted. Evidence: The findings of the most recent inspection were not posted.”

8VAC20-780-245-A

“Based on record review and interview, staff did not complete a minimum of 16 hours of training appropriate to the age of children in care annually. Evidence: 1. Staff #1 completed 4 hours of training in 2022. 2. Staff #2 did not complete any training in 2022. 3. Staff #3 completed 4 hours of training in 2022. 4. Staff #5 did not complete any training in 2022.”

8VAC20-780-540-E

“Based on interview, the center was not equipped with all required nonmedical emergency supplies. Evidence: The center director confirmed that they did not have a working battery operated radio.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #4 (21 months) most recent documented immunizations are dated from when the child was 14 months old) 2. Child #5 (21 months) most recent documented immunizations are dated from when the child was 10 months old.”

8VAC20-820-120-A-7

“Based on observation, the center did not follow the terms of the license issued by the department. Evidence: The current license states that no more than 4 children under the age of 2.5 years shall be permitted to be present in the infant classroom. There were 5 infants present in the classroom at the time of the inspection.”

8VAC20-780-570-E

“Based on observation, bottles were not labeled with each child's name and/or date. Evidence: One bottle was observed in the infant refrigerator with no name or date.”

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #3 was observed sitting in a high chair and was not buckled into the chair. 2. Child #4 was observed sitting in a high chair that did not have the buckles installed into the chair for the staff to buckle the child in.”

8VAC20-780-550-D

“Based on record review and interview, the center did not implement monthly practice evacuation drills. Evidence: There was no evacuation drill documented for December 2022. The program director confirmed that a drill was not practiced in December.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection were not posted. Evidence: The findings of the most recent inspection were not posted.”

8VAC20-780-245-A

“Based on record review and interview, staff did not complete a minimum of 16 hours of training appropriate to the age of children in care annually. Evidence: 1. Staff #1 completed 4 hours of training in 2022. 2. Staff #2 did not complete any training in 2022. 3. Staff #3 completed 4 hours of training in 2022. 4. Staff #5 did not complete any training in 2022.”

8VAC20-780-540-E

“Based on interview, the center was not equipped with all required nonmedical emergency supplies. Evidence: The center director confirmed that they did not have a working battery operated radio.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #4 (21 months) most recent documented immunizations are dated from when the child was 14 months old) 2. Child #5 (21 months) most recent documented immunizations are dated from when the child was 10 months old.”

8VAC20-820-120-A-7

“Based on observation, the center did not follow the terms of the license issued by the department. Evidence: The current license states that no more than 4 children under the age of 2.5 years shall be permitted to be present in the infant classroom. There were 5 infants present in the classroom at the time of the inspection.”

8VAC20-780-570-E

“Based on observation, bottles were not labeled with each child's name and/or date. Evidence: One bottle was observed in the infant refrigerator with no name or date.”

8VAC20-770-60-C-2

“Based on record review, the child day program did not obtain a central registry finding within 30 days of employment for each employee. Evidence: Staff #6 (date of hire: 6/10/2022) file does not contain central registry background check results. The program director confirmed that they did not follow-up regarding with the office of background investigations when the background check results were not received within 30 days.”

8VAC20-780-130-A

“Based on record review, the center did not documentation that each child has received the immunizations before the child can attend the center. Evidence: Child #5's record does not contain documentation of immunizations.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #2's (23 months) most recent documented immunizations are from when the child was 15 months old. 2. Child #3's (16 months) most recent documented immunizations are from when the child was 8 months old.”

8VAC20-780-60-A

“Based on record review, children's record do not contain all required information. Evidence: Child #6's (date of enrollment: 2/7/22) file does not contain documentation that the child's age and identity was verified within the first 7 days of enrollment.”

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: Staff #6 file does not contain documentation of two reference checks.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Two air fresheners were observed in the bottom cabinets of the diaper changing table. The cabinet door was not locked.”

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly labeled to identify it's owner and/or dated. Evidence: 1. Child #7 had a food container stored in the infant classroom refrigerator that was not dated. 2. Child #8 had a food container stored in the infant classroom refrigerator that was not dated. 3. Two lunch boxes were observed to be handed to the incorrect children.”

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: At the start of the inspection, a group of children was observed leaving the classroom to walk to the playground. Child #1 was observed being handed a lollipop to join the group and was observed walked down the hall with the lollipop in their mouth.”

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #1 was observed sitting in a high chair and climbed out of the chair twice during lunch. 2. Child #2 was observed sitting in a high chair without being buckled during lunch.”

8VAC20-780-570-E

“Based on observation, prepared infant bottles were not dated. Evidence: Child #7 had two bottles stored in the infant room refrigerator. The bottles were not dated.”

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. Evidence: The diaper pail used for used diapers is not foot operated.”

8VAC20-770-60-C-2

“Based on record review, the child day program did not obtain a central registry finding within 30 days of employment for each employee. Evidence: Staff #6 (date of hire: 6/10/2022) file does not contain central registry background check results. The program director confirmed that they did not follow-up regarding with the office of background investigations when the background check results were not received within 30 days.”

8VAC20-780-130-A

“Based on record review, the center did not documentation that each child has received the immunizations before the child can attend the center. Evidence: Child #5's record does not contain documentation of immunizations.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #2's (23 months) most recent documented immunizations are from when the child was 15 months old. 2. Child #3's (16 months) most recent documented immunizations are from when the child was 8 months old.”

8VAC20-780-60-A

“Based on record review, children's record do not contain all required information. Evidence: Child #6's (date of enrollment: 2/7/22) file does not contain documentation that the child's age and identity was verified within the first 7 days of enrollment.”

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: Staff #6 file does not contain documentation of two reference checks.”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Two air fresheners were observed in the bottom cabinets of the diaper changing table. The cabinet door was not locked.”

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly labeled to identify it's owner and/or dated. Evidence: 1. Child #7 had a food container stored in the infant classroom refrigerator that was not dated. 2. Child #8 had a food container stored in the infant classroom refrigerator that was not dated. 3. Two lunch boxes were observed to be handed to the incorrect children.”

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: At the start of the inspection, a group of children was observed leaving the classroom to walk to the playground. Child #1 was observed being handed a lollipop to join the group and was observed walked down the hall with the lollipop in their mouth.”

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #1 was observed sitting in a high chair and climbed out of the chair twice during lunch. 2. Child #2 was observed sitting in a high chair without being buckled during lunch.”

8VAC20-780-570-E

“Based on observation, prepared infant bottles were not dated. Evidence: Child #7 had two bottles stored in the infant room refrigerator. The bottles were not dated.”

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. Evidence: The diaper pail used for used diapers is not foot operated.”

8VAC20-780-430-B Complaint related: No

“Based on observation and interview, equipment was not age and stage appropriate for the children. Evidence: A toddler was observed sitting in a small, bouncing activity chair. Staff #1 stated that the child was 15 months old and that they were in the chair because they can't walk.”

8VAC20-780-340-C Complaint related: No

“Based on observation, during the stated hours of operation and when children are present, there was not always one staff member who meets the qualifications of program leader or program director, and an immediately available staff member. Evidence: 1. At approximately 4:30pm, Staff #1 was observed alone in the building with 4 infants. 2. Staff #2 arrived at approximately 4:45pm to change a child's diaper who had been playing outside, and then left the program after the diaper change. 3. Staff #3 arrived at approximately 5:00pm to assist Staff #1.”

8VAC20-780-340-F Complaint related: No

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. Staff #1 was observed working alone with 4 infants in the infant classroom. 2. A parent was observed waiting outside of the program door waiting to be acknowledged by center staff. 3. Staff #1 was observed leaving the infant classroom to speak with the parent at the front door. 4. The children in the infant classroom were left unsupervised for approximately 45 seconds while Staff #1 spoke with the parent at the front door.”

8VAC20-780-340-F Complaint related: No

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. Staff #1 was observed working alone with 4 infants in the infant classroom. 2. A parent was observed waiting outside of the program door waiting to be acknowledged by center staff. 3. Staff #1 was observed leaving the infant classroom to speak with the parent at the front door. 4. The children in the infant classroom were left unsupervised for approximately 45 seconds while Staff #1 spoke with the parent at the front door.”

8VAC20-780-40-M Complaint related: No

“Based on observation, the centers written list of children's allergies, sensitivities and dietary restrictions was not kept confidential. Evidence: There is an 8X11 laminated list of children's full names, allergies and food restrictions post on the refrigerator door in the preschool classroom. The list is in view of anyone who enters the program.”

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

“Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled. Evidence: 1. There was no record available for Child #1. 2. There was no record available for Child #2.”

8VAC20-780-245-L Complaint related: No

“Based on interview, there was not at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: When asked which staff present had completed daily health observation training, the program director confirmed that none of the staff had completed the required training.”

8VAC20-780-280-B Complaint related: No

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was toilet bowl cleaner observed on the bottom shelf of a low cabinet in the preschool classroom. The cabinet had a lock, however the lock was not used. 2. There were various air fresheners observed on the bottom shelf of an unlocked low cabinet in the infant classroom.”

8VAC20-780-560-F Complaint related: Yes

“Based on interview, UDSA food requirements were not met when snacks were provided by the center. Evidence: The program director confirmed that a child was served potato chips at the end of the day to keep the child occupied.”

8VAC20-780-530-A-2 Complaint related: No

“Based on observation and interview, there was not at least one person trained in first aid when children were present. Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have first aid training.”

8VAC20-780-530-A-1 Complaint related: No

“Based on observation and interview, there was not at least one person trained in cardiopulmonary resuscitation (CPR) when children were present. Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have CPR training.”

8VAC20-780-500-B Complaint related: No

“Based on observation, diaper changing requirements were not met. Evidence: The diaper changing mat was not cleaned and sanitized after use.”

8VAC20-780-570-E Complaint related: No

“Based on observation, prepared infant bottles were not dated and labeled with the child's name. Evidence: 1. 4 out of 4 bottles observed in the refrigerator did not labeled with a date. 2. 2 out of 4 bottles observed in the refrigerator were not labeled with a child's name.”

8VAC20-820-120-E-6 Complaint related: No

“Based on observation, a copy of the centers special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: When asked about the issued special order, the program director pointed out the document which was underneath the most recently issued violation notice on a bulletin board behind the directors desk away from both school entrances.”

8VAC20-780-500-A Complaint related: No

“Based on observation, hand washing requirements were not met. Evidence: 1. Child #2 was observed having their diaper changed by Staff #1. The child's hands were not washed after the diaper change was complete. 2. Staff #1 did not wash their hands after the completed the diaper change.”

8VAC20-780-350-C Complaint related: No

“Based on observation and interview, staff-to-child ratios were not applicable to the youngest child in the group. Evidence: 1. Two children were observed being picked up from their parents on the playground. 2. Ten children were observed returned to the classroom after playing on the playground. 3. The program director confirmed that the youngest child in the group is 23 months old. 4. The ratio for a 23 month old is 1:5. 5. While on the playground, there were 12 children with 2 staff.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: 1. The floor in the infant room where children were observed laying and playing is dirty with crumbs, dirt and hair. 2. The wall next to the children's play kitchen is dirty with stains dripping down the wall. 3. There is chipped/peeling paint observed underneath the white board. 4. There are two large tears in the carpet that stretch approximately 10 feet in length. One of the carpet tears has ripped large enough to become a tripping hazard. 5. The diaper changing mat has small tears on the top.”

8VAC20-780-245-A

“Based on record review and interview, staff have not completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #1 record does not contain documentation of any training completed in 2021. 2. Staff #3 record contains documentation of 9 hours of training completed in 2021.”

8VAC20-780-80-A

“Based on record review, the center did not maintain a written record of daily attendance that documented the arrival and departure for each child in care as it occurred. Evidence: 1. At approximately 10:20am, there were 18 children in care, however the centers daily attendance record had 5 children documented in care. 2. The program owner uses an electronic app to keep track of the children in attendance, however the app was not accurate due to parents not signing their children into care via the app.”

8VAC20-780-410-2

“Based on observation, children were enclosed in a confined space that they could not freely exit themselves. Evidence: At approximately 9:20am, at the start of the inspection, several toddler-aged children were observed sitting in high chairs without food in front of them. The children remained confined in the chairs during art projects and circle time, and during transitional activities. At approximately 10:35am, the inspector requested for the children to be removed from the chairs.”

8VAC20-780-440-B

“Based on observation, cribs and cots are not identified for use by a specific child. Evidence: The cribs and cots used for the children are not labeled.”

8VAC20-780-450-C

“Based on observation, crib sheets were not clean. Evidence: During the inspection, there were two cribs observed with sheets on the mattresses. One of the two sheets had brown stains on them.”

22.1-289.058

“Based on interview, the child day program is not equipped with at least one carbon monoxide detector. Evidence: The program owner confirmed that a program does not have a carbon monoxide detector installed. This was previously cited at the last inspection on 1/20/2022.”

8VAC20-780-500-A

“Based on observation, children's hands were not washed with soap and running water after diapering and/or before eating. Evidence: Child #5 was observed having their diaper changed. After, the child was placed at the feeding table and was fed. The child's hands were not washed after the diaper change or before being fed.”

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. a nonabsorbent surface for diapering or changing was not used. Evidence: 1. The diaper changing surface is covered with a canvas fabric and is not non-absorbent. 2. The diaper changing surface was not cleaned and sanitized after each use.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is currently posted at the facility is dated 3/1/2021, however the facility had an inspection on 1/20/2022.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: A bottle of a cleaning agent was observed sitting on top of the paper towel dispenser in the children's bathroom.”

8VAC20-790-600-F

“Based on record review and interview, not all staff who work directly with children have completed the departments orientation training and/or health and safety update course. Evidence: 1. Staff #1's record does not contain documentation of completing the departments preservice training course or updated training. 2. Staff #5's record does not contain documentation of completing the departments preservice training course or updated training. 3. The center owner confirmed that these staff have not completed the required training. This was previously cited at the programs last inspection on 1/20/2022.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: 1. The floor in the infant room where children were observed laying and playing is dirty with crumbs, dirt and hair. 2. The wall next to the children's play kitchen is dirty with stains dripping down the wall. 3. There is chipped/peeling paint observed underneath the white board. 4. There are two large tears in the carpet that stretch approximately 10 feet in length. One of the carpet tears has ripped large enough to become a tripping hazard. 5. The diaper changing mat has small tears on the top.”

8VAC20-780-245-A

“Based on record review and interview, staff have not completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #1 record does not contain documentation of any training completed in 2021. 2. Staff #3 record contains documentation of 9 hours of training completed in 2021.”

8VAC20-780-80-A

“Based on record review, the center did not maintain a written record of daily attendance that documented the arrival and departure for each child in care as it occurred. Evidence: 1. At approximately 10:20am, there were 18 children in care, however the centers daily attendance record had 5 children documented in care. 2. The program owner uses an electronic app to keep track of the children in attendance, however the app was not accurate due to parents not signing their children into care via the app.”

8VAC20-780-410-2

“Based on observation, children were enclosed in a confined space that they could not freely exit themselves. Evidence: At approximately 9:20am, at the start of the inspection, several toddler-aged children were observed sitting in high chairs without food in front of them. The children remained confined in the chairs during art projects and circle time, and during transitional activities. At approximately 10:35am, the inspector requested for the children to be removed from the chairs.”

8VAC20-780-440-B

“Based on observation, cribs and cots are not identified for use by a specific child. Evidence: The cribs and cots used for the children are not labeled.”

8VAC20-780-450-C

“Based on observation, crib sheets were not clean. Evidence: During the inspection, there were two cribs observed with sheets on the mattresses. One of the two sheets had brown stains on them.”

22.1-289.058

“Based on interview, the child day program is not equipped with at least one carbon monoxide detector. Evidence: The program owner confirmed that a program does not have a carbon monoxide detector installed. This was previously cited at the last inspection on 1/20/2022.”

8VAC20-780-500-A

“Based on observation, children's hands were not washed with soap and running water after diapering and/or before eating. Evidence: Child #5 was observed having their diaper changed. After, the child was placed at the feeding table and was fed. The child's hands were not washed after the diaper change or before being fed.”

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. a nonabsorbent surface for diapering or changing was not used. Evidence: 1. The diaper changing surface is covered with a canvas fabric and is not non-absorbent. 2. The diaper changing surface was not cleaned and sanitized after each use.”

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is currently posted at the facility is dated 3/1/2021, however the facility had an inspection on 1/20/2022.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: A bottle of a cleaning agent was observed sitting on top of the paper towel dispenser in the children's bathroom.”

8VAC20-790-600-F

“Based on record review and interview, not all staff who work directly with children have completed the departments orientation training and/or health and safety update course. Evidence: 1. Staff #1's record does not contain documentation of completing the departments preservice training course or updated training. 2. Staff #5's record does not contain documentation of completing the departments preservice training course or updated training. 3. The center owner confirmed that these staff have not completed the required training. This was previously cited at the programs last inspection on 1/20/2022.”

8VAC20-790-600-F

“Based on record review and interview, not all staff have completed the departments health and safety update course, annually. Evidence: 1. Staff #1 (date of hire: 12/9/2020) has not completed the health and safety update training. 2. Staff #3 (date of hire: 6/3/2019) has not completed the health and safety update training. 3. Staff #4 (date of hire: 9/7/2020) has not completed the health and safety update training. 4. The center director confirmed that the staff have not completed the health and safety update training.”

8VAC20-780-40-K

“Based on interview, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The program owner stated that they have not yet developed written procedures for preventing shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-D

“Based on observation, the license was not posted in a place conspicuous to the public. Evidence: During the inspection, the license was not posted and was located on the floor behind a filing cabinet.”

8VAC20-780-160-A-1

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening prior to coming into contact with children. Evidence: 1. Staff #1 (date of hire: 12/9/2020) TB screening is dated 1/6/2021. 2. Staff #2 (date of hire: 10/21/2021) TB screening is dated 11/12/2021”

22.1-289.058

“Based on interview, the child day program was not equipped with at least one carbon monoxide detector. Evidence: The program owner stated that they have not yet installed a carbon monoxide detector.”

8VAC20-780-240-C

“Based on interview, staff have not completed all required training. Evidence: The program owner stated that not all staff have been trained on the prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-240-A

“Based on record review and interview, not all staff have completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff #3 (date of hire: 6/3/2019), Staff #4 (date of hire: 9/7/2020) and Staff #5 (date of hire: 9/7/2021) records do not contain documentation of the required Virginia Preservice orientation training. The program owner stated that not all staff have completed the required training within 90 days of employment.”

8VAC20-780-40-M

“Based on interview, the center has not established a current written list of all children's allergies, sensitivities and dietary restrictions. Evidence: 1. Child #2 has a documented food sensitivity. 2. Child #5 has a documented food allergy. 3. The center owner stated that they do not have a list of each child's allergy, sensitivity and/or dietary restriction.”

8VAC20-790-600-F

“Based on record review and interview, not all staff have completed the departments health and safety update course, annually. Evidence: 1. Staff #1 (date of hire: 12/9/2020) has not completed the health and safety update training. 2. Staff #3 (date of hire: 6/3/2019) has not completed the health and safety update training. 3. Staff #4 (date of hire: 9/7/2020) has not completed the health and safety update training. 4. The center director confirmed that the staff have not completed the health and safety update training.”

8VAC20-780-40-K

“Based on interview, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The program owner stated that they have not yet developed written procedures for preventing shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-D

“Based on observation, the license was not posted in a place conspicuous to the public. Evidence: During the inspection, the license was not posted and was located on the floor behind a filing cabinet.”

8VAC20-780-160-A-1

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening prior to coming into contact with children. Evidence: 1. Staff #1 (date of hire: 12/9/2020) TB screening is dated 1/6/2021. 2. Staff #2 (date of hire: 10/21/2021) TB screening is dated 11/12/2021”

22.1-289.058

“Based on interview, the child day program was not equipped with at least one carbon monoxide detector. Evidence: The program owner stated that they have not yet installed a carbon monoxide detector.”

8VAC20-780-240-C

“Based on interview, staff have not completed all required training. Evidence: The program owner stated that not all staff have been trained on the prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-240-A

“Based on record review and interview, not all staff have completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff #3 (date of hire: 6/3/2019), Staff #4 (date of hire: 9/7/2020) and Staff #5 (date of hire: 9/7/2021) records do not contain documentation of the required Virginia Preservice orientation training. The program owner stated that not all staff have completed the required training within 90 days of employment.”

8VAC20-780-40-M

“Based on interview, the center has not established a current written list of all children's allergies, sensitivities and dietary restrictions. Evidence: 1. Child #2 has a documented food sensitivity. 2. Child #5 has a documented food allergy. 3. The center owner stated that they do not have a list of each child's allergy, sensitivity and/or dietary restriction.”