R & M Childcare

8VAC20-780-440-J

“There shall be at least 30 inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. The was approximately only 13 inches on the service side of 2 occupied cribs.”

8VAC20-780-440-J

“There shall be at least 30 inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. The was approximately only 13 inches on the service side of 2 occupied cribs.”

8VAC20-780-500-A

“Repeat Violation Staff shall wash their hands with soap and running water before and after helping a child use the toilet and before feeding or helping children with feeding; and before preparing or serving food or beverages. 1.Staff #1 was observed feeding 4 children and they did not wash their hands with soap and running water before or after feeding and before preparing and serving the food. 2. Staff #2 was observed assisting a child with toileting and did not wash their hands with soap and running water after.”

22.1-289.057-B

“The plan established pursuant to test potable water and the results of each test conducted pursuant to such plan shall be submitted to and reviewed by the Commissioner and the Department of Health's Office of Drinking Water. There was not documentation the water testing results were submitted and reviewed as required.”

8VAC20-780-80-A

“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 records were not accurate. 1.In the preschool room there were 2 children on the attendance list that were not in the room. 2.In the two year old room there were 5 listed and 8 children were in the room.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #5 was missing 10 hours of documented annual training.”

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. The following poses a hazard. On the playground there were two pieces of metal that were approximately 2 inches long and 2 inches high that were protruding from the ground near a picnic table.”

8VAC20-780-350-B-2

“The required ratio for children 16 months up to 24 months-is 1:5. In the two’s room, one staff member (Staff #2) was observed working alone with 8 children and the youngest child (Child #5) was 22 months.”

8VAC20-780-550-G

“Repeat Violation When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. The food containers for the children in the two year old room and the preschool room did not have dates.”

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120?. There is not a sink with running water in the infant room where diapering was observed.”

8VAC20-780-340-F

“Children under 10 years of age always be within actual sight and sound supervision of staff. Staff #3 left the preschool for approximately 3 minutes and left 7 children without sight supervision.”

8VAC20-780-570-E

“Repeat Violation The licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child's name. One bottle observed without a name and date and the bottle was not refrigerated”

8VAC20-780-560-G

“When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Eight children's food containers were observed in Room #2 they did not have dates.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in 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. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 was observed lifting the lid with their hands to throw away a soiled diaper and they did not sanitize the diaper pad after diapering.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. In Room #1 diapering was observed and Staff #1 did not wash their hands or the children’s hands after diapering.”

8VAC20-780-350-I

“During the designated rest period, when children are resting ,the following rest period ratio children 16 through 24 months of age: one staff per 10 children are permitted. In Room #2, during rest period, Staff #4 was observed working alone with 15 children ages 22 months to age 4. The group was out ratio for approximately 30 minutes.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The center did not have a health inspection available for review.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The following records were missing information. 1.Child #2 missing employment phone number for both parents listed and the physician’s phone number. 2.Child #3 missing employment phone number for one parent listed. 3.Child #4 missing city, state and zip code for both emergency contacts listed.”

8VAC20-780-40-I

“The center shall develop written procedures for injury prevention. There was not an injury plan available for review.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child #1 does not have a copy of a physical and it is overdue by 1 month.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #5, who had been attending for over 3 months, did not have documentation of immunizations.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The following records were missing information; 1.Child #2 missing employment phone number for one parent listed. 2.Child #3 missing employment phone number for both parents listed and the physician’s phone number. 3.Child #4 missing city, state and zip code for both emergency contacts listed . 4.Child #5 missing one parent’s employment location and phone number.”

8VAC20-780-570-H

“Prepared baby food shall be discarded or returned to the parent at the end of the day. One bottle of formula was observed labeled with a child’s name and dated for the previous day.”

8VAC20-780-70

“Repeat Violation The provider shall keep for each staff person all the required information. Staff #1 was missing information related to any health issues that may interfere with the job and an emergency contact name and information. Staff #1 has been working for approximately 5 months. Staff #4 and Staff #5 were missing information related to any health issues that may interfere with the job and Staff #4 has been working for approximately 3 months and Staff #5 has been working for approximately 4 months.”

8VAC20-780-245-J

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. On October 14, 2025 Child #3, has 1 emergency medications and was in care and there was not a staff member with the required medication administration training.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. A medication (medication A) was stored on the top shelf of a cabinet in an unlocked manner and in the unlocked office.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.”

8VAC20-780-245-L

“There should always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There was not a staff member on site during this inspection with documentation for this training.”

8VAC20-780-570-E

“Repeat Violation The licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were two bottles observed with no name and no date and one with no date.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record for Child #5, who had been attending for over 3 months, did not have documentation of immunizations.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The following records were missing information; 1.Child #2 missing employment phone number for one parent listed. 2.Child #3 missing employment phone number for both parents listed and the physician’s phone number. 3.Child #4 missing city, state and zip code for both emergency contacts listed . 4.Child #5 missing one parent’s employment location and phone number.”

8VAC20-780-570-H

“Prepared baby food shall be discarded or returned to the parent at the end of the day. One bottle of formula was observed labeled with a child’s name and dated for the previous day.”

8VAC20-780-70

“Repeat Violation The provider shall keep for each staff person all the required information. Staff #1 was missing information related to any health issues that may interfere with the job and an emergency contact name and information. Staff #1 has been working for approximately 5 months. Staff #4 and Staff #5 were missing information related to any health issues that may interfere with the job and Staff #4 has been working for approximately 3 months and Staff #5 has been working for approximately 4 months.”

8VAC20-780-245-J

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. On October 14, 2025 Child #3, has 1 emergency medications and was in care and there was not a staff member with the required medication administration training.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. A medication (medication A) was stored on the top shelf of a cabinet in an unlocked manner and in the unlocked office.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.”

8VAC20-780-245-L

“There should always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. There was not a staff member on site during this inspection with documentation for this training.”

8VAC20-780-570-E

“Repeat Violation The licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were two bottles observed with no name and no date and one with no date.”

8VAC20-780-570-E

“The center is required to ensure bottles were labeled with child's name and dated. There were 2 bottles observed with no date.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly labeled to identify the owner and dated. None of the children's food containers in Room A and B had dates and 2 lunch containers in Room B did not have names.”

8VAC20-780-550-B

“Repeat Violation The emergency preparedness plan shall contain all required procedural components. The plan was missing the following information; 1. Establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each 2. Procedures for emergencies did not include \ procedures for staff training requirement, drill frequency, and plan review and update.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have a current certification in both CPR and first aid. Staff #3 was supervising 1 child in Room C alone and did not have documentation of CPR or first aid certification.”

8VAC20-780-500-B

“The diapering area shall have a non-absorbent surface for diapering or changing. The diaper pad used for Room B and Room C had a rip and therefore was no longer a non-absorbent surface for diapering.”

8VAC20-780-420-A

“Repeat Violation Before the child's first day of attending, parents shall be provided in writing all required parent polices information. The parent policies were missing the following information; 1.Description of established lines of authority for staff 2.Policy for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia 3.The custodial parent's right to be admitted to \ the center as required by ? 22.1-289.054 of the Code of Virginia 4.The appropriate general daily schedule for the age of the enrolling child”

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, Staff #2 and Staff #5 do not have documentation of completed orientation training and have been working for more than 1 month.”

8VAC20-780-70

“All required documentation shall be maintained for staff records. 1. Staff #1, Staff #2, Staff #3, Staff #4 and Staff #5 did not have documentation of job title and date of hire was not documented for Staff #1, Staff #3 and Staff #4 2.Staff #2, Staff #3, Staff #4 and Staff #5 did not have documentation required to be kept at the center regarding any health problems that may interfere with fulfilling the job responsibilities.”

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. There was not a list in Room A that included Child #5 with a documented food sensitivity.”

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. 1.Staff #1 TB screening was dated more than 14 months prior to employment and has been working for approximately 1 month 2.Staff #2 does not have a current TB screening and has been working for approximately 1 month 3.Staff #3 TB screening was completed approximately 10 days after hire. 4.Staff #5 TB screening was dated 23 months prior to employment and has been working for approximately 1 month”

22.1-289.057-A

“Repeat Violation The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

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 1 day, did not have a central registry search requested. Staff #4 was working alone with children.”

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. 1.Staff #5, who did not meet lead teacher qualifications, was the designated lead teacher to work with the children in Room A. There were 7 children observed in care with Staff #5. 2.Staff #3, who did not meet lead teacher qualifications, was observed alone supervising 1 child in Room C.”

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. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The following poses a hazard. 1.On the playground there were 4 protruding bolts at ground level near the base of the metal frame for the outdoor metal canopy/cover. 2 There were areas of rust and chipped and peeling paint on the metal frame for the outdoor metal canopy/cover. 3. There were metal rusty wires with sharp edge around the poles holding the fame for metal canopy/cover.”

8VAC20-780-290-A-3

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

8VAC20-780-420-A

“Before the child's first day of attending, parents shall be provided in writing all required parent polices information. The parent policies were missing the following information; 1.The center's philosophy and any religious affiliation 2.The center's transportation policy 3.The center's policy regarding application of sunscreen; diaper ointment or cream; and insect repellent. 4.Description of established lines of authority for staff 5.Policy for reporting suspected child abuse as required by ? 63.2-1509 of the Code of Virginia 6.The custodial parent's right to be admitted to the center as required by ? 22.1-289.054 of the Code of Virginia 7.The appropriate general daily schedule for the age of the enrolling child 8.Food policies”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-780-550-B

“The emergency preparedness plan shall contain all required procedural components. The plan was missing the following information; 1. Establishment of center emergency officer and back-up officer to include 24-hour contact telephone number for each 2. Procedures for emergencies did not include procedures for staff training requirement, drill frequency, and plan review and update.”