Precious Moments Academy

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. Staff #1 updated screening was overdue by 3 years.”

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, national criminal history record and sex offender registry from one state for Staff #4, who has been employed for more than a month and was working with children at the time of the inspection.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1, #2 and #3, currently working with children, did not have documentation of completing the online course. All staff have been employed more than 90 days.”

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. The center did not complete an evacuation drill for the month of 08/2026.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #4, who had been employed for over one month and currently working with children did not have a central registry search on file.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 10 months ago and the updated screening has not yet been completed.”

8VAC20-780-440-L

“Pillows and filled comforters shall not be used by children under 2 years of age. Child #4 (3 months old) was observed sleeping with a boppy in a crib.”

8VAC20-780-80-B-2

“Centers shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child #1 received outside medical treatment for an injury sustained while in care at the center on September 29, 2026. It was noted on the injury report that EMS was called, and the Department was notified five months later.”

8VAC20-780-350-B-3

“The required ratio for children ages 2 years old is one staff per eight children. One staff was observed supervising twelve children (youngest child 2 years old) from approximately 10:33 am-11:40 am.”

8VAC20-790-600-F

“Staff shall annually complete the department's health and safety update course. Staff #2 update training was overdue by two months and had not been completed.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due 3 months ago. The updated screenings have not yet been completed.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A container of disinfectant wipes with warning labels, ?Keep out of reach of children,? was unlocked in the cabinet under the sink in the hall bathroom, within reach of children.”

8VAC20-790-600-F

“Staff shall annually complete the department's health and safety update course. Staff #2 update training was overdue by two months and had not been completed.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due 3 months ago. The updated screenings have not yet been completed.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A container of disinfectant wipes with warning labels, ?Keep out of reach of children,? was unlocked in the cabinet under the sink in the hall bathroom, within reach of children.”

8VAC20-790-600-D-1

“(Repeat Violation) All staff who work directly with children shall within 90 days of the date of employment have current certification in CPR. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall within 90 days of the date of employment have current certification in first aid. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current first aid certification.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, present during inspection, was missing the first date of attendance, physician name and physician phone number. The record for Child #2, enrolled for 11 months, was missing results of a physical examination. The record for Child #5, enrolled for a month, was missing the address for the second emergency contact.”

8VAC20-780-440-L

“Filled comforters shall not be used by children under two years of age. Child #1, age 10 months, was observed sleeping in a crib with a filled comforter.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days after the date of assuming job responsibilities. The record for Staff #2 had documentation of orientation training completed one month after beginning employment.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was not documentation of a lockdown drill completed in 2024.”

22.1-289.035-B-3

“(Repeat Violation) The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for three months, and Staff #4, who had been employed for a year, did not have a central registry search. Staff #1 and Staff #4 were working alone with children.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was not documentation of shelter in place drills completed in 2024.”

8VAC20-780-500-B

“The diapering surface shall be a nonabsorbent surface. Staff were observed in the infant room and toddler room changing children's diapers. The children were changed on a cloth pad that was absorbent.”

8VAC20-780-160-A

“(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendars days of the date of employment. The screening for Staff #1, employed for three months, did not have documentation of negative results. The screening for Staff #2, employed for four months, was completed eleven months prior to beginning employment. The record for Staff #4, employed for a year, was completed nine months prior to beginning employment. The record for Staff #5, employed for two years, did not have a negative tuberculosis screening.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. The record for Staff #1, employed for three months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position. The record for Staff #2, employed for four months, was missing job title, verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #3, employed for two months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #4, employed for one year, was missing verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #5, employed for two years, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, three classrooms were observed at times with no staff supervision. Staff #4 was observed walking back and forth between the classrooms to check on the children. Children were not in sight supervision of staff for approximately 2 - 4 minutes while the staff member was in a different room. Children ranged in age from infants through preschool age.”

8VAC20-790-600-D-1

“(Repeat Violation) All staff who work directly with children shall within 90 days of the date of employment have current certification in CPR. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current CPR certification.”

8VAC20-790-600-D-2

“All staff who work directly with children shall within 90 days of the date of employment have current certification in first aid. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current first aid certification.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, present during inspection, was missing the first date of attendance, physician name and physician phone number. The record for Child #2, enrolled for 11 months, was missing results of a physical examination. The record for Child #5, enrolled for a month, was missing the address for the second emergency contact.”

8VAC20-780-440-L

“Filled comforters shall not be used by children under two years of age. Child #1, age 10 months, was observed sleeping in a crib with a filled comforter.”

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days after the date of assuming job responsibilities. The record for Staff #2 had documentation of orientation training completed one month after beginning employment.”

8VAC20-780-550-F

“Lockdown procedures shall be practiced at least annually. There was not documentation of a lockdown drill completed in 2024.”

22.1-289.035-B-3

“(Repeat Violation) The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who had been employed for three months, and Staff #4, who had been employed for a year, did not have a central registry search. Staff #1 and Staff #4 were working alone with children.”

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was not documentation of shelter in place drills completed in 2024.”

8VAC20-780-500-B

“The diapering surface shall be a nonabsorbent surface. Staff were observed in the infant room and toddler room changing children's diapers. The children were changed on a cloth pad that was absorbent.”

8VAC20-780-160-A

“(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendars days of the date of employment. The screening for Staff #1, employed for three months, did not have documentation of negative results. The screening for Staff #2, employed for four months, was completed eleven months prior to beginning employment. The record for Staff #4, employed for a year, was completed nine months prior to beginning employment. The record for Staff #5, employed for two years, did not have a negative tuberculosis screening.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain all required information. The record for Staff #1, employed for three months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position. The record for Staff #2, employed for four months, was missing job title, verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #3, employed for two months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #4, employed for one year, was missing verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #5, employed for two years, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, three classrooms were observed at times with no staff supervision. Staff #4 was observed walking back and forth between the classrooms to check on the children. Children were not in sight supervision of staff for approximately 2 - 4 minutes while the staff member was in a different room. Children ranged in age from infants through preschool age.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR that includes an in-person competency demonstration. The records for staff #1, staff #3 and staff #4 had documentation of completing online CPR training. The training did not include an in-person demonstration of competency demonstration.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for more than a month.”

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. Staff #2, employed for more than 6 weeks, did not have documentation of a central registry check from one state. Staff #2 was working alone with children.”

8VAC20-780-160-A

“(Repeat violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment. Staff #4 had documentation of a TB test but did not state negative results.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by a month.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is one staff per four children. Staff #4 was observed supervising five children (youngest child one month old) from approximately 10:30am-11:35am.”

22.1-289.035-B-3

“(Repeat violation) The center must have a search of the central registry requested prior to the employee's first day of employment. Staff #2, who had been employed for six weeks, did not have a central registry search. Staff #2 was working alone with children.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR that includes an in-person competency demonstration. The records for staff #1, staff #3 and staff #4 had documentation of completing online CPR training. The training did not include an in-person demonstration of competency demonstration.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for more than a month.”

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. Staff #2, employed for more than 6 weeks, did not have documentation of a central registry check from one state. Staff #2 was working alone with children.”

8VAC20-780-160-A

“(Repeat violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment. Staff #4 had documentation of a TB test but did not state negative results.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by a month.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is one staff per four children. Staff #4 was observed supervising five children (youngest child one month old) from approximately 10:30am-11:35am.”

22.1-289.035-B-3

“(Repeat violation) The center must have a search of the central registry requested prior to the employee's first day of employment. Staff #2, who had been employed for six weeks, did not have a central registry search. Staff #2 was working alone with children.”

8VAC20-770-60-C-2

“Based on review of records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service. Evidence: In Staff#3's record (date of hire), there was no documentation of a central registry finding found. Interview with staff confirmed the documentation of a central registry finding for staff was not available for review during the inspection.”

8VAC20-780-160-A

“Based on review of records, the center did not ensure to obtain documentation of a negative tuberculosis screening for each staff member. Evidence: In Staff#1's and Staff#2's records, there was no documentation of a negative tuberculosis screening found for review during the inspection.”

8VAC20-780-280-B

“Based on observation and photograph, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Busy Bee's classroom, there was a wet jet floor mop observed with the cleaning solution attached with the labels "keep out of reach of children" and "caution" accessible to the children in care. Photograph of taken by the inspector of the wet jet cleaner observed in the classroom setting during the inspection.”