Pure at Heart Childcare Center, LLC Phase 3

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. Disinfectant cleaners with warning label, ?Keep out of reach of children,? was accessible in an unlocked, slightly ajar closet in the preschool area.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In preschool classroom, the toilet did not flush properly in bathroom 1. The toilet seat in bathroom 2 is loose; top metal fasteners are rusted. In the second preschool classroom the sink faucet came out of socket when used.”

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 can of disinfectant spray with warning labels, ?Keep out of reach of children, was unlocked in the cabinet in the preschool classroom.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In preschool classroom, the toilet did not flush properly in bathroom 1. The toilet seat in bathroom 2 is loose; top metal fasteners are rusted. In the second preschool classroom the sink faucet came out of socket when used.”

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 can of disinfectant spray with warning labels, ?Keep out of reach of children, was unlocked in the cabinet in the preschool classroom.”

8VAC20-780-290-A-3

“Repeat Violation In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were 4 uncovered outlets in Classroom #1 and 1 uncovered in Classroom #2.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120?F; soap, disposable towels, and single use gloves such as surgical or examination gloves; a nonabsorbent surface for diapering or changing shall be used; an appropriate disposal container. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. The following diapering equipment and procedures were not met 1.The diaper pad in Classroom #1 had rips and was no longer a nonabsorbent surface for diapering. 2.There was not a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. 3.The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use and the soap and sanitizer were not in the classroom (diapering area) and Staff #4 indicated they only use disinfectant wipes after diapering.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in Classroom #1 were observed eating lunch 3 children did not have their hands washed or wiped with a disposable wipe after eating.”

8VAC20-780-430-H

“Trampolines may not be used. There was a trampoline with a surrounding net observed in Classroom #1 and Child #4 was observed on the trampoline”

8VAC20-780-330-C

“Repeat Violation Where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. One of the metal car /bus spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

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 # 4?s TB screening was dated approximately 2 ? years prior to employment.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 8 weeks ago and the updated screening has not yet been completed.”

8VAC20-780-80-A

“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. The attendance sheet for Room #1 listed 11 children and 8 children were present, and Room #2 listed 20 children in attendance and 18 were present.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 obtained 5 out of the 16 required hours.”

8VAC20-780-330-B

“Playground equipment shall comply with minimum safety standards and resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. A minimum of 6 feet of fall zones is required for the following equipment, a plastic yellow airplane spring bouncer, 2 metal car/ bus spring bouncers, and the merry-go-cycle and the fall zone was insufficient as it measured approximately between 2 and 3 ? feet.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks the menu listing foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center The meu posted was dated March 2025.”

8VAC20-780-290-A-3

“Repeat Violation In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were 4 uncovered outlets in Classroom #1 and 1 uncovered in Classroom #2.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120?F; soap, disposable towels, and single use gloves such as surgical or examination gloves; a nonabsorbent surface for diapering or changing shall be used; an appropriate disposal container. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. The following diapering equipment and procedures were not met 1.The diaper pad in Classroom #1 had rips and was no longer a nonabsorbent surface for diapering. 2.There was not a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. 3.The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use and the soap and sanitizer were not in the classroom (diapering area) and Staff #4 indicated they only use disinfectant wipes after diapering.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in Classroom #1 were observed eating lunch 3 children did not have their hands washed or wiped with a disposable wipe after eating.”

8VAC20-780-430-H

“Trampolines may not be used. There was a trampoline with a surrounding net observed in Classroom #1 and Child #4 was observed on the trampoline”

8VAC20-780-330-C

“Repeat Violation Where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. One of the metal car /bus spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

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 # 4?s TB screening was dated approximately 2 ? years prior to employment.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 8 weeks ago and the updated screening has not yet been completed.”

8VAC20-780-80-A

“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. The attendance sheet for Room #1 listed 11 children and 8 children were present, and Room #2 listed 20 children in attendance and 18 were present.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 obtained 5 out of the 16 required hours.”

8VAC20-780-330-B

“Playground equipment shall comply with minimum safety standards and resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. A minimum of 6 feet of fall zones is required for the following equipment, a plastic yellow airplane spring bouncer, 2 metal car/ bus spring bouncers, and the merry-go-cycle and the fall zone was insufficient as it measured approximately between 2 and 3 ? feet.”

8VAC20-780-560-F

“When centers choose to provide meals or snacks the menu listing foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center The meu posted was dated March 2025.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s Room inside an unlocked closet there were 4 spray containers of sanitizer and 1 sanitizing wipes container. They were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall undergo a background check every five years. Evidence: The Sworn Statement available for review for Staff #2 was dated 6-28-2019 and had not been updated.”

8VAC20-780-320-B

“Based on observations and staff interviews, the licensee did not ensure the restrooms have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F and were equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: In the Two's Room 2 out of 2 restrooms did not have toilet paper available and there was no disposable towels or an air dryer available for children to use after handwashing.”

8VAC20-780-340-D

“Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: Staff #5 was the only staff supervising 7 children ages 2-3 in the Two’s Room. Staff #5 is the designated program lead for the Two’s Room and there is not documentation available to confirm program leader qualifications.”

8VAC20-780-40-J

“Based on center documentation review and staff interview the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Center Director confirmed they did not have an updated injury prevention plan.”

8VAC20-780-70

“(Repeat Violation) Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The record for Staff #1, designated Program Director did not include documentation to demonstrate they possess the education and certification, required by the job position.”

22.1-289.035-B-4

“Based on center documentation review and staff interview the licensee did not ensure the an Out-of-State Criminal History Records Request, Out of State Child Abuse and Neglect Search Request an Out of State Sex Offender Registry Search were completed for each state an individual has resided in the past 5 years prior to employment. Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed that an Out-of -State Central Registry Request, Sex Offender Check and Criminal Records request were not conducted prior to hire.”

22.1-289.035-B-3

“Based on center documentation review and staff interview the licensee did not ensure the Central Registry Request was conducted prior to employment. Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed prior to hire a Central Registry Request was not conducted.”

8VAC20-780-280-B

“Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Two’s Room inside an unlocked closet there were 4 spray containers of sanitizer and 1 sanitizing wipes container. They were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

22.1-289.035-A

“Based on record review and staff interviews, the licensee did not ensure each staff member shall undergo a background check every five years. Evidence: The Sworn Statement available for review for Staff #2 was dated 6-28-2019 and had not been updated.”

8VAC20-780-320-B

“Based on observations and staff interviews, the licensee did not ensure the restrooms have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F and were equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Evidence: In the Two's Room 2 out of 2 restrooms did not have toilet paper available and there was no disposable towels or an air dryer available for children to use after handwashing.”

8VAC20-780-340-D

“Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: Staff #5 was the only staff supervising 7 children ages 2-3 in the Two’s Room. Staff #5 is the designated program lead for the Two’s Room and there is not documentation available to confirm program leader qualifications.”

8VAC20-780-40-J

“Based on center documentation review and staff interview the licensee did not ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Center Director confirmed they did not have an updated injury prevention plan.”

8VAC20-780-70

“(Repeat Violation) Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The record for Staff #1, designated Program Director did not include documentation to demonstrate they possess the education and certification, required by the job position.”

22.1-289.035-B-4

“Based on center documentation review and staff interview the licensee did not ensure the an Out-of-State Criminal History Records Request, Out of State Child Abuse and Neglect Search Request an Out of State Sex Offender Registry Search were completed for each state an individual has resided in the past 5 years prior to employment. Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed that an Out-of -State Central Registry Request, Sex Offender Check and Criminal Records request were not conducted prior to hire.”

22.1-289.035-B-3

“Based on center documentation review and staff interview the licensee did not ensure the Central Registry Request was conducted prior to employment. Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed prior to hire a Central Registry Request was not conducted.”

8VAC20-780-380-A-1

“Based on observation and staff interviews, the licensee did not toddlers and preschoolers had outdoor activity for at least one hour per day when the center operates more than five hours per day. Evidence: Center staff confirmed the two-year-old class did not go outside at all on Monday, May 20, Tuesday May 21 and they did not go outside during their designated outside time on Wednesday May 23. Center staff verified it was not due to weather but because they had a few children that were ?flight risk /runners?.”

8VAC20-780-560-J

“Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding. Evidence: In the Preschool room the tables used for lunch were not sanitized before eating as they were not sprayed with not sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.”

8VAC20-780-150-B

“Repeat Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department Evidence: Child #2?s immunization document did not include a signature as required.”

8VAC20-780-70

“Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The following records were missing information as listed below; 1) Staff #1, #2, #3, #4 and #5 were missing information related to any health problems that may interfere with fulfilling the job responsibilities. 2) Staff #1, #3, and #4 were missing a copy of their diploma or transcripts 3) Staff #4 was missing the two required references to be conducted prior to employment. Date of employment 5-14-2024.”

8VAC20-780-280-B

“Repeat Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The following chemicals were stored insufficiently in the Preschool room 1. The key to the closet storing hazardous chemicals was observed in door knob and was accessible to children. 2.There were 2 hand sanitizer containers observed on the cubby shelves. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-290-A-3

“Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: In the Preschool room and the Two’s room there were 3 electrical outlets in each room that were not covered and were accessible to the children”

8VAC20-780-330-B

“Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: On the playgrounds inadequate resilient surfacing and fall zones were observed. 1. The plastic yellow airplane spring bouncer on the smaller playground did not have adequate fall zone as there was only between 2 ? feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 2. The metal car spring bouncer on the smaller playground did not have adequate fall zone as there was only between 2 ? feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 3. The metal car spring bouncer on the smaller playground did not have adequate resilient surfacing as there was only between 2 ? to 3 inches depth of the resilient surfacing and a minimum of 6 inches is required. 4.The merry-go-cycle on the larger playground did not have adequate fall zone as there was only between 2 ? feet to 3 feet of fall zone and a minimum of 6 feet is required . 5.The metal car spring bouncer on the larger playground did not have adequate fall zone as there was only between 3 feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 6. The metal car spring bouncer on the larger playground did not have adequate resilient surfacing as there was only between 1 ? to 2 inches depth of the resilient surfacing and a minimum of 6 inches is required.”

8VAC20-780-330-C

“Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. Evidence: On the smaller and larger playgrounds, the plastic yellow airplane spring bouncer and metal car spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

8VAC20-780-380-A

“Based on observation and staff interviews, the licensee did not ensure there was a posted daily schedule that allows for flexibility as children's needs require. Evidence: Center staff confirmed there was not a posted daily schedule for the Preschool room.”

8VAC20-780-550-P

“Repeat Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information. Evidence: Five injury reports reviewed, and they were missing information to include a second signature, staff present, treatment, future action to prevent injury, the date, time and how the parent was notified of the injury.”

8VAC20-780-380-A-1

“Based on observation and staff interviews, the licensee did not toddlers and preschoolers had outdoor activity for at least one hour per day when the center operates more than five hours per day. Evidence: Center staff confirmed the two-year-old class did not go outside at all on Monday, May 20, Tuesday May 21 and they did not go outside during their designated outside time on Wednesday May 23. Center staff verified it was not due to weather but because they had a few children that were ?flight risk /runners?.”

8VAC20-780-560-J

“Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding. Evidence: In the Preschool room the tables used for lunch were not sanitized before eating as they were not sprayed with not sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.”

8VAC20-780-150-B

“Repeat Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department Evidence: Child #2?s immunization document did not include a signature as required.”

8VAC20-780-70

“Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation. Evidence: The following records were missing information as listed below; 1) Staff #1, #2, #3, #4 and #5 were missing information related to any health problems that may interfere with fulfilling the job responsibilities. 2) Staff #1, #3, and #4 were missing a copy of their diploma or transcripts 3) Staff #4 was missing the two required references to be conducted prior to employment. Date of employment 5-14-2024.”

8VAC20-780-280-B

“Repeat Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The following chemicals were stored insufficiently in the Preschool room 1. The key to the closet storing hazardous chemicals was observed in door knob and was accessible to children. 2.There were 2 hand sanitizer containers observed on the cubby shelves. The hazardous chemicals were labeled "keep out of reach of children" and at least one other statement "caution", "flammable" and "warning".”

8VAC20-780-290-A-3

“Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: In the Preschool room and the Two’s room there were 3 electrical outlets in each room that were not covered and were accessible to the children”

8VAC20-780-330-B

“Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: On the playgrounds inadequate resilient surfacing and fall zones were observed. 1. The plastic yellow airplane spring bouncer on the smaller playground did not have adequate fall zone as there was only between 2 ? feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 2. The metal car spring bouncer on the smaller playground did not have adequate fall zone as there was only between 2 ? feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 3. The metal car spring bouncer on the smaller playground did not have adequate resilient surfacing as there was only between 2 ? to 3 inches depth of the resilient surfacing and a minimum of 6 inches is required. 4.The merry-go-cycle on the larger playground did not have adequate fall zone as there was only between 2 ? feet to 3 feet of fall zone and a minimum of 6 feet is required . 5.The metal car spring bouncer on the larger playground did not have adequate fall zone as there was only between 3 feet to 3 ? feet of fall zone and a minimum of 6 feet is required. 6. The metal car spring bouncer on the larger playground did not have adequate resilient surfacing as there was only between 1 ? to 2 inches depth of the resilient surfacing and a minimum of 6 inches is required.”

8VAC20-780-330-C

“Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. Evidence: On the smaller and larger playgrounds, the plastic yellow airplane spring bouncer and metal car spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

8VAC20-780-380-A

“Based on observation and staff interviews, the licensee did not ensure there was a posted daily schedule that allows for flexibility as children's needs require. Evidence: Center staff confirmed there was not a posted daily schedule for the Preschool room.”

8VAC20-780-550-P

“Repeat Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information. Evidence: Five injury reports reviewed, and they were missing information to include a second signature, staff present, treatment, future action to prevent injury, the date, time and how the parent was notified of the injury.”