Living Hope Child Development Center

8VAC20-780-160-A

“Repeat Violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children. Evidence: The screening for Staff #1 was completed 11 days after their first date of employment.”

8VAC20-780-260-B

“The center shall provide to the licensing representative an annual health department inspection report for meeting requirements for water supply, sewage disposal and food service. Evidence: The most recent health department inspection on file was 15 months ago.”

8VAC20-780-570-A

“When a child is placed in an infant seat or highchair, the protective belt shall be fastened securely. Evidence: In the infant room a ten-month-old was observed sitting in a highchair without the protective belt fastened.”

8VAC20-780-160-A

“Repeat Violation Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children. Evidence: The screening for Staff #2 was completed 18 days after their employment date.”

8VAC20-780-80-A

“Repeat Violation For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: In the infant classroom, ages six weeks to 16 months, there were seven children present, the written attendance record reflected there were 10. In the Dolphin Classroom, ages two and three-years-old, there were 12 children present, the written attendance record reflected there were 11.”

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

“The responsibility of the licensee shall include ensuring that the center’s own policies and procedures are followed. Evidence: The center’s policy on cell phone use states, ?Employees may us their cellular phones in a non-disruptive manner during rest time, when all students are asleep.? In April of 2024 a staff member, in the toddler class, was observed using a multimedia messaging app during rest time. The staff member was sitting on the floor with their legs across the back of a child, actively using their cell phone while children were off their cots and walking around the classroom.”

8VAC20-780-410-2 Complaint related: No

“Repeat Violation The following actions or threats thereof are forbidden enclosure in any space that the child cannot freely exit himself. Evidence: In April of 2024 three different staff members working in the toddler classroom, ages 16-24 months old, would put their legs across the back of an eighteen-month-old child during rest time to prevent them from getting up from their cot. It was reported that the teachers did this for two months.”

8VAC20-780-410-2

“The following actions or threats thereof are forbidden: Enclosure in a small confined space or any space that the child cannot freely exit himself. In the Dolphin’s classroom, two-years-old, staff used a ?buckle chair" for Child #1 at lunch time to prevent them taking food off of other children’s plates.”

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. For two months, staff in the Dolphin’s classroom placed Child #2 in a ?buckle chair?, a chair with a belt that fastened around the child’s lap, at circle time to prevent them from running and climbing during instruction time.”

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

“Repeat Violation Based on interviews with staff, the center failed to ensure that all children wash their hands with soap and running water after toileting and any contact with feces or urine. Evidence: An interview with staff revealed that staff in the infant classroom did not always wash the children’s hands after changing their diapers.”

8VAC20-780-160-A

“Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: 1. The record for Staff #4, with an employment date of 2/1/24, contained documentation of a tuberculosis screening dated 2/12/24. 2. The record for Staff #5, with an employment date of 4/8/24, did not contain documentation of a negative tuberculosis screening.”

8VAC20-780-80-A

“Repeat Violation Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In the infant classroom, there was no written record of attendance.”

8VAC20-780-270-A

“Repeat Violation Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: 1. In the infant room, a foam mat near the outside door was curling, posing a trip hazard. 2. Chipping paint was observed in the infant room near the highchairs, in the Bumblebees class, near the home living area, and in the Dragonflies room on the windowsill. 3. In the Dolphins room, four screws that extended approximately 15 thread lengths were observed at the base of the toilets, and in the Pandas room, two screws that extended approximately 20 thread lengths were observed at the base of the toilets, creating an impalement and scratch hazard.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that infant bottles were dated and labeled with the child’s name. Evidence: In the infant room, there were two bottles observed in the refrigerator that were not labeled with the date or a child’s name.”

8VAC20-780-520-C

“Based on review of authorizations for diaper ointment/cream, parent authorizations had expired. Evidence: Parent authorizations for Child #6, expired on 3/2/24 and Child #7, expired on 4/13/24.”

8VAC20-780-510-E

“Based on review of medication it was determined that the center did not follow procedures regarding expired medication. Evidence: The emergency medication on site for Child #6 and Child #7 expired on 3/24.”

8VAC20-780-500-B

“Based on observation, it was determined that not all procedures for diapering were followed. Evidence: In the Bumblebees room, a ball was observed on top of the diapering surface.”

8VAC20-780-450-E

“Based on observation, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: In the infant room, two mattresses were observed with cracks and tears causing them to no longer be waterproof material which can be cleaned and sanitized.”

22.1-289.035-B-2

“Based on review of six staff records, the program did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment. Evidence: The record for Staff #5, with a start date of 4/8/24, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-770-60-C-2

“Based on review six staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #4 with a start date of 2/1/24, the results of the Central registry search background check was dated 3/20/24.”

8VAC20-780-440-B

“Based on observation and staff interviews; it was determined that the center did not always ensure that cribs were identified for use by a specific child. Evidence: In the infant room, four cribs were not labeled with the name of the specific child it was assigned to.”

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets had protective covers. Evidence: In the Dolphins room, a power strip (surge protector) was observed, with two outlets that were not covered and in the Flamingos room, a power strip was observed with three outlets that were not covered.”

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

“Repeat Violation Based on interviews with staff, the center failed to ensure that all children wash their hands with soap and running water after toileting and any contact with feces or urine. Evidence: An interview with staff revealed that staff in the infant classroom did not always wash the children’s hands after changing their diapers.”

8VAC20-780-160-A

“Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: 1. The record for Staff #4, with an employment date of 2/1/24, contained documentation of a tuberculosis screening dated 2/12/24. 2. The record for Staff #5, with an employment date of 4/8/24, did not contain documentation of a negative tuberculosis screening.”

8VAC20-780-80-A

“Repeat Violation Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In the infant classroom, there was no written record of attendance.”

8VAC20-780-270-A

“Repeat Violation Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: 1. In the infant room, a foam mat near the outside door was curling, posing a trip hazard. 2. Chipping paint was observed in the infant room near the highchairs, in the Bumblebees class, near the home living area, and in the Dragonflies room on the windowsill. 3. In the Dolphins room, four screws that extended approximately 15 thread lengths were observed at the base of the toilets, and in the Pandas room, two screws that extended approximately 20 thread lengths were observed at the base of the toilets, creating an impalement and scratch hazard.”

8VAC20-780-570-E

“Based on observation, the center did not ensure that infant bottles were dated and labeled with the child’s name. Evidence: In the infant room, there were two bottles observed in the refrigerator that were not labeled with the date or a child’s name.”

8VAC20-780-520-C

“Based on review of authorizations for diaper ointment/cream, parent authorizations had expired. Evidence: Parent authorizations for Child #6, expired on 3/2/24 and Child #7, expired on 4/13/24.”

8VAC20-780-510-E

“Based on review of medication it was determined that the center did not follow procedures regarding expired medication. Evidence: The emergency medication on site for Child #6 and Child #7 expired on 3/24.”

8VAC20-780-500-B

“Based on observation, it was determined that not all procedures for diapering were followed. Evidence: In the Bumblebees room, a ball was observed on top of the diapering surface.”

8VAC20-780-450-E

“Based on observation, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized. Evidence: In the infant room, two mattresses were observed with cracks and tears causing them to no longer be waterproof material which can be cleaned and sanitized.”

22.1-289.035-B-2

“Based on review of six staff records, the program did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment. Evidence: The record for Staff #5, with a start date of 4/8/24, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

8VAC20-770-60-C-2

“Based on review six staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #4 with a start date of 2/1/24, the results of the Central registry search background check was dated 3/20/24.”

8VAC20-780-440-B

“Based on observation and staff interviews; it was determined that the center did not always ensure that cribs were identified for use by a specific child. Evidence: In the infant room, four cribs were not labeled with the name of the specific child it was assigned to.”

8VAC20-780-290-A-3

“Based on observation, the facility did not ensure that electrical outlets had protective covers. Evidence: In the Dolphins room, a power strip (surge protector) was observed, with two outlets that were not covered and in the Flamingos room, a power strip was observed with three outlets that were not covered.”