Ms. Elizabeth's Daycare

8VAC20-780-245-J-3

“Any child for whom emergency medications have been prescribed shall always be in the care of a staff member or independent contractor who has satisfactorily completed a training program for this purpose approved by the Board of Nursing and taught by a registered nurse, licensed practical nurse, nurse practitioner, physician assistant, doctor of medicine or osteopathic medicine, or pharmacist pursuant to ? 54.1- 3408 of the Code of Virginia; or administration shall be performed by a staff member or independent contractor who is licensed by the Commonwealth of Virginia to administer medications. Child #1 was prescribed an emergency nasal spray and was in care for over three weeks since the medication was prescribed. The center had no staff member or independent contractor qualified to administer this medication on duty during the three weeks.”

8VAC20-780-410-1 Complaint related: Yes

“The following actions or threats thereof are forbidden: roughly handling a child. On September 23, 2025 Staff #1 yanked Child #2 (age 2) by one arm swinging the child to their tip-toes and then picking the child up by both arms and placing them in their chair.”

8VAC20-780-270-A

“Based on observation and interview, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: In the three year old classroom there was chipped paint approximately 4ft in length on the wall where a door was removed and the wall closed in. Staff #6 confirmed the paint on the seam was chipping.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the hallway on a shelf accessible to children was a tub of joint compound/spackle. The label on the tub stated "keep out of reach of children" and "caution." Staff 1 confirmed the tub was on the shelf and not locked.”

8VAC20-780-340-A

“Based on a review of records and interview, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. An interview with staff #3 revealed that on July 20, 2023, infant #2 was fed approximately 2 ounces of breastmilk belonging to infant #1. 2. According to a written statement from staff #1, staff #1 warmed infant #1's bottle, handed it to staff #2, and staff #2 gave the bottle to infant #2, feeding infant #2 approximately 2 ounces of breastmilk belonging to infant #1.”

8VAC20-770-60-C-2

“Repeat Violation Based on a review of staff records and interview on 06/08/2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #1, hired 06/01/2022, contained documentation of a central registry finding dated 09/09/2022. Staff #6 acknowledged the central registry results were late.”

8VAC20-780-40-K

“Based on record review and interview on 06/08/2023, the center failed to develop written procedures safe sleeping practices and sudden infant death syndrome awareness. Evidence: 1. During the time of inspection, there was no documentation of written procedures for safe sleep practices. 2. Staff #6 stated she could not find the written procedures.”

22.1-289.035-B-4

“Based on a review of records and interview on 06/08/2023, the center failed to ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment from any state in which the applicant has resided in the preceding five years and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: 1. The record of staff #4, hired 07/01/2021, did not contain documentation of an out-of-state central registry check, out-of-state sex offender registry check and an out-of-state criminal history check. Staff #4 identified living in another state in the previous five years on the staff's sworn disclosure statement. Staff #6 confirmed the out-of-state checks were not completed. 2. The record of staff #5, hired 02/24/2023, contained documentation of an out-of-state sex offender check dated 03/16/23. Staff #5 indicated living in another state in the previous five years on the staff's sworn disclosure statement. Staff #6 confirmed the out-of-state sex offender check was not completed prior to hire.”

8VAC20-780-410-1

“Based on interview and review of documentation and video, the center failed to ensure that roughly handling a child was forbidden. Evidence: 1. In an interview with staff #2 on 02/09/2023, it was reported that on 02/08/2023 infant #1 began crying while sitting in a rocking chair and staff #2 unstrapped the infant and put the infant on the staff's chest, facing outward, and then staff #2 "whips" infant #1 around and rocked the infant roughly. Staff #1 stated the incident can be observed via camera footage taken on the center's cameras. 2. The written statement by staff #1, dated 02/08/2023, states that staff #2 "appeared frustrated/agitated" as infant #1 began to cry. Staff #2 "preceded [sic] to roughly rock the chair" infant #1 was in. Infant #1 continued crying and staff #2 "roughly pulled" the infant out of the chair "with no regard to his neck." Staff #2 held the infant to the staff's chest and then "swung him around very roughly" into an infant cradling position and then rocked infant #1 "roughly" while patting the infant's bottom. 3. A review of video evidence showed infant #1 sitting in a rocking chair and crying while flailing his arms and legs. Staff #2 was sitting near infant #1 and rocking the chair roughly with the staff's hand. As infant #1 continues to cry more aggressively, arching his back, staff #2 roughly pulls infant #1 (age 5 months) by the left arm out of the rocker chair, aggressively turns the infant around onto the staff's lap facing outward, and roughly turns the infant around again to face the staff without stabilizing the infant's head and neck. When this occurs, the infant's head bounces around from left to right approximately six times. Staff #2 then begins to roughly pat infant #1 on the bottom while rocking the infant in an infant cradle position. 4. In an interview with staff #2 on 02/21/2023, staff #2 said all the babies were crying, she needed to calm them down, and she "can't please them." Staff #2 admitted she picked up infant #1 by one arm stating, "I know I picked him up by one arm. That was my mistake. You can break an arm that way. I should've picked him up with two hands. I was trying to shake him to calm him."”