Live Laugh Grow Nursery

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due 3 months ago and the updated screening has not yet been completed.”

8VAC20-780-350-B-1

“The required ratio for children ages birth up to sixteen months is one staff per four children. Staff #3 and Staff #4 supervised twelve infant and toddler age children for approximately forty minutes on the morning of 6/16/2026.”

8VAC20-780-440-B

“Cribs, cots and rest mates shall be identified for use by a specific child. Child #4 was observed napping in a crib that was labeled for a different child.”

8VAC20-780-530-C

“Centers shall have at least two members on the premises during the center's hours of operation that are certified in cardiopulmonary resuscitation (CPR) and first aid. For approximately forty minutes on 6/16/2026, Staff #3 was the only staff member certified in CPR and first aid.”

8VAC20-780-570-A

“When a child is placed in a infant seat or high chair, the protective belt shall be fastened securely. Seven infants and toddlers were observed sitting in a feeding table and the protective belts were not fastened.”

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. The list must be dated and kept confidential. The list was not dated.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4 had a national criminal background check completed one day after beginning employment.”

8VAC20-780-160-A

“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 #4 has been employed for a week and there is not a TB screening.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4 had a national criminal background check completed one day after beginning employment.”

8VAC20-780-160-A

“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 #4 has been employed for a week and there is not a TB screening.”

8VAC20-780-150-B

“Immunization records and Physical Results are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record and the Physical Form for child #2 were not signed or stamped by the physician, designee or official of the local health department.”

22.1-289.057-D

“The program has chosen to use bottled water instead of testing and/or remediating their potable water for lead. The program is required to notify VDH and the parent of each child enrolled in the program and to use water from USDA approved sources for human consumption. The program did not have evidence of required notifications to VDH and/or the parent of each child enrolled in the program.”

8VAC20-780-150-B

“Immunization records and Physical Results are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record and the Physical Form for child #2 were not signed or stamped by the physician, designee or official of the local health department.”

22.1-289.057-D

“The program has chosen to use bottled water instead of testing and/or remediating their potable water for lead. The program is required to notify VDH and the parent of each child enrolled in the program and to use water from USDA approved sources for human consumption. The program did not have evidence of required notifications to VDH and/or the parent of each child enrolled in the program.”

8VAC20-780-160-A

“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 #3 had no documentation of screening and had been employed for over 1month, Staff #2 , Staff #3 and Staff #4's TB screenings were dated dated five months prior to date of employment and they have been employed for over 1 month.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/8/2024, were not posted in a conspicuous place on the premises.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry and did not request obtain the result s of a sex offender registry search from one state for Staff #3, who has been employed for more than a month and was working with children at the time of the inspection.”

8VAC20-780-160-A

“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 #3 had no documentation of screening and had been employed for over 1month, Staff #2 , Staff #3 and Staff #4's TB screenings were dated dated five months prior to date of employment and they have been employed for over 1 month.”

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 7/8/2024, were not posted in a conspicuous place on the premises.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry and did not request obtain the result s of a sex offender registry search from one state for Staff #3, who has been employed for more than a month and was working with children at the time of the inspection.”

8VAC20-780-320-B

“Based on measurement with a digital thermometer during the inspection, the applicant did not ensure that each restroom provided for children has sinks near the toilets that is supplied with running warm water that does not secede 120 degrees Fahrenheit. Evidence: The hot water at the hand washing sinks measured 126 degrees Fahrenheit with a digital thermometer. There were no children present in the building yet. A child's skin can be burned with water hotter than 120 degrees.”