Nu-Zoe Ministries

8VAC20-790-720-C Complaint related: Yes

“COMPLAINT RELATED The written record of children’s serious and minor injuries shall include all of the components required by the standards. The injury report for Child 4 did not contain the following required information: staff present; and date and time when parents were notified.”

8VAC20-790-760-B-3-a

“The diapering area shall have access to a sink with running warm water. The portable sink in the diapering area of Class 1 did not have running water.”

8VAC20-790-770-A

“The provider may administer prescription medication to a child with written permission from the parent. Medication 5 was administered on one occasion (11/13/2025) without written permission from the parent.”

8VAC20-790-770-B

“The provider may administer over-the-counter medication to a child with written permission from the parent, provided that the medication is given only at the dose, duration and method of administration specified on the manufacturer’s label for the age of the child. Medication 6 was administered to Child 6 (age 16 months) on two occasions (03/02/2026 and 03/04/2026) without written permission of the parent. The manufacturer’s instructions for Medication 6 required physician’s instructions for administration to children under the age of 2 years; physician’s instructions for the administration of Medication 6 was not available.”

8VAC20-790-820-B

“When a child is placed in a highchair, the protective belt shall be fastened securely. Child 7 (age 11 months) was in a highchair without the protective belt securely fastened.”

8VAC20-790-760-A-3

“REPEAT VIOLATION Staff shall wash their hands with soap and running water before and after changing a diaper. Staff 4 did not wash their hands in between changing three children’s diapers.”

8VAC20-790-670-H

“Children less than 10 years of age shall always be within actual sight and sound supervision of staff. Upon arrival to the center, Child 5 (age 3 years) was observed at the top of an exterior staircase, leading to the second story of the center. The center staff were unaware that, while the children were playing on the playground, Child 5 had left the group and climbed up the stairs to the second story of the center. The child was not within the actual sight and sound supervision of staff during this time. Staff 1 was in the restroom of Class 4 changing a diaper and assisting two other children while they were using the restroom. The other three children in the group were not within the sight and sound supervision of the staff during this time. Staff 1 was in the restroom area of Class 4 while the children were sleeping; the children were not within the sight and sound supervision of the staff. The children in Class 1 were alone in the classroom when Staff 4 left the class to go to the kitchen.”

8VAC20-790-640-A

“Hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. There were multiple containers of disinfecting wipes sitting on shelves in various rooms in the center that were accessible to children. There was an unlocked disinfectant spray in the diapering area of Class 1.”

8VAC20-790-580-B

“The provider shall obtain documentation of additional immunizations once every six months for children less than two years of age. The most recent immunization record for Child 1 (age 22 months) was dated 10 months ago. The most recent immunization record for Child 2 (age 20 months) was dated 7 months ago. The most recent immunization record for Child 3 (age 2 years), was dated 19 months ago.”

8VAC20-790-540-B-11

“A written allergy care plan, to include instructions from a physician regarding the food to which the child allergic and steps to be taken in the event of a suspected or confirmed allergic reaction, is required for each child with a diagnosed food allergy. Child 6 (age 16 months) has a diagnosed food allergy to a food that is available at the center. There was not a written allergy care plan available for Child 6.”

8VAC20-790-530-B

“For each group of children, the provider shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 4 children in Class 1; the attendance for Class 1 had not been taken to document the arrival of each child as it occurred. There were 6 children with Class 3 but only 5 children were marked present. There were 8 children with Class 4 but only 7 children were marked present.”

22.1-289.031-A-3-b

“When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-child ratio. There were 9 children with 1 staff in Class 4 while on the playground. Child 1 (age 22 months) was identified as the youngest child in the group. The required ratio for children from 16 months to 22 months is 1 staff per 5 children; 2 staff were required for this group of children.”

8VAC20-790-760-B-8

“REPEAT VIOLATION The diapering surface shall be cleaned with soap and water and sanitized after each use. The diaper changing surface in Classroom 1 was not cleaned and sanitized after each use; three children’s diapers were changed without the diapering surface being cleaned and sanitized.”

8VAC20-790-760-A-2

“Children’s hands shall be washed with soap and running water after toileting. Three children in Classroom 1 did not wash their hands with soap and running water after diaper changes.”

8VAC20-790-760-A-3

“Staff shall wash their hands with soap and running water before and after changing a diaper, and before preparing or serving food and beverages. Staff 1 did not wash their hands after changing a diaper. Staff 1 then served a child a sippy cup immediately following the diaper change.”

8VAC20-790-820-C

“Bottles shall not be used while the child is in his designated sleeping location. Child 1 was observed with a bottle while in a crib.”

8VAC20-790-760-A-1

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Staff 1 served a child in Classroom 1 a sippy cup without having the child wash their hands before drinking the beverage. Staff 4 stated that the children in Classroom 4 use hand sanitizer after meals rather than soap and running water or a disposable wipe.”

8VAC20-790-760-B-8

“The diapering surface shall be cleaned with soap and water and sanitized after each use. The diaper changing surface in Classroom 1 was not clean and sanitized after use.”

8VAC20-790-650-C-4

“Each restroom area used by children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of the children. The upstairs restroom did not have toilet paper. Children were observed using this restroom without toilet paper.”

22.1-289.031-A-4

“Each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. The annual health exam for Staff 2 was overdue by more than 6 weeks.”

8VAC20-790-760-A-3

“Staff shall wash their hands with soap and running water before and after changing a diaper, and before preparing or serving food and beverages. Staff 1 did not wash their hands after changing a diaper. Staff 1 then served a child a sippy cup immediately following the diaper change.”

8VAC20-790-820-C

“Bottles shall not be used while the child is in his designated sleeping location. Child 1 was observed with a bottle while in a crib.”

8VAC20-790-760-A-1

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Staff 1 served a child in Classroom 1 a sippy cup without having the child wash their hands before drinking the beverage. Staff 4 stated that the children in Classroom 4 use hand sanitizer after meals rather than soap and running water or a disposable wipe.”

8VAC20-790-760-B-8

“The diapering surface shall be cleaned with soap and water and sanitized after each use. The diaper changing surface in Classroom 1 was not clean and sanitized after use.”

8VAC20-790-650-C-4

“Each restroom area used by children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of the children. The upstairs restroom did not have toilet paper. Children were observed using this restroom without toilet paper.”

22.1-289.031-A-4

“Each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. The annual health exam for Staff 2 was overdue by more than 6 weeks.”

22.1-289.031-A

“Based on review of documentation, the Center failed to disclose in writing to the parents or guardians of the children in the center the qualification of the personnel employed. EVIDENCE: Center did not disclose "in writing" the personnel qualifications to the parents/guardians.”

8VAC20-790-600-C

“Based on record review, the Vendor failed to ensure staff completes orientation training of required topics prior to the staff member working alone with children. EVIDENCE: Records for Staff #1 and Staff #3 did not contain documentation that the staff person completed the center orientation training.”

8VAC20-790-530-B

“Based on documentation review, the Vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. EVIDENCE: Written documentation of attendance indicating the departure for each child was unavailable.”

8VAC20-790-560-A

“Based on record review, The Vendor failed to ensure staff members are evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis. EVIDENCE: Record for Staff #3 did not include documentation of a negative TB skin test or screening. Staff #3 was observed working with children during the inspection.”

8VAC20-790-670-E

“Based on review of documentation, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. EVIDENCE: Vendor did not have a consistent care policy & procedure.”

8VAC20-790-550-1

“Based on record review, the Vendor failed to document the date of employment for each staff. EVIDENCE: Records for Staff #1 and Staff #3 did not include the staff persons date of employment.”

22.1-289.031-A

“Based on review of documentation, the Center failed to disclose in writing to the parents or guardians of the children in the center the qualification of the personnel employed. EVIDENCE: Center did not disclose "in writing" the personnel qualifications to the parents/guardians.”

8VAC20-790-600-C

“Based on record review, the Vendor failed to ensure staff completes orientation training of required topics prior to the staff member working alone with children. EVIDENCE: Records for Staff #1 and Staff #3 did not contain documentation that the staff person completed the center orientation training.”

8VAC20-790-530-B

“Based on documentation review, the Vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. EVIDENCE: Written documentation of attendance indicating the departure for each child was unavailable.”

8VAC20-790-560-A

“Based on record review, The Vendor failed to ensure staff members are evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis. EVIDENCE: Record for Staff #3 did not include documentation of a negative TB skin test or screening. Staff #3 was observed working with children during the inspection.”

8VAC20-790-670-E

“Based on review of documentation, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. EVIDENCE: Vendor did not have a consistent care policy & procedure.”

8VAC20-790-550-1

“Based on record review, the Vendor failed to document the date of employment for each staff. EVIDENCE: Records for Staff #1 and Staff #3 did not include the staff persons date of employment.”