Signs and Wonders Day Care/Learning Center

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Staff #2 has been working for over a year and just completed the training 6 weeks ago.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for the water supply and sewage disposal system. The most recent Report of Environmental Sanitation was dated more than 14 months ago.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. The training shall include an in-person competency demonstration. Staff #2 has been working for over a year and just completed CPR training 6 weeks ago. The training did not include an in-person competency demonstration. Staff #3, Staff #4, and Staff #5 have certification in cardiopulmonary resuscitation (CPR), but the training did not include an in-person competency demonstration as required.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment. The TB test for Staff #1 was dated more than 3 months before the date of employment.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening completed within the last 30 calendar days of the date of employment. The TB test for Staff #1 was dated more than 3 months before the date of employment.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include staff and parent signatures or two staff signatures. An injury report dated 5/02/25 did not contain staff or parent signatures.”

8VAC20-780-510-B

“(Repeat Violation) Prescription and nonprescription medication shall be given to a child only with written authorization from the parent. The authorization for the medication for Child #6 expired on 6/14/25. Child #6 was administered medication twice on 6/23/25.”

8VAC20-780-40-E

“(Repeat Violation) The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards. The center did not comply with its policies regarding preventing the use of outdated medication. The medication for child #6 expired 5/2025. The medication was administered twice a day on 6/02/25-6/06/25, 6/09/25-6/13/25 and on 6/23/25.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff #2 has been employed at the center for over two years and has not completed the Preservice Training.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #2 has been employed at the center for over two years and has not completed the annual health and safety update course.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions in each room where children are present. The director stated on 2/13/25 that the allergy list posted in the center’s classrooms was, "not current" and the list was not dated.”

8VAC20-780-40-H

“(Repeat/Systemic Violation) The sponsor shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. The director was unable to provide documentation of liability insurance.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 did not complete 16 hours of annual training in 2024.”

8VAC20-780-260-A

“(Repeat/Systemic Violation) The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was dated 5/02/2023.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards. The center did not ensure that Staff #6 followed their policies regarding storage and labeling of medication, staff training required for administration of medication, obtaining medication authorizations, and maintaining a record of medication administration. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. The medication was not kept in a safe locked place out of the reach of children. Their policy requires medication to ?be kept under lock and key?. The medication was stored in a plastic bag in the child’s backpack in the classroom. The medication was not maintained in the ?original container? as their policy requires. The medication had no prescription label with the name of Child #5 on it. Their policy requires prescriptions to ?have the child’s name, dosage, and times to be given with the current expiration date?. There were no instructions regarding dosage, frequency, or manner of administration. Staff #6 has not completed MAT training. Their policy requires ?permission from parents? to administer medication. The center did not have a medication authorization form signed by the parents of Child #5 and no written record had been maintained that documented to whom the medication was administered, the amount and type of medication administered, the day and time the medication was administered, the staff member who administered the medication or any adverse reactions or medication errors. The center did not complete a ?log of medication administration? as their policy requires.”

8VAC20-780-160-C

“(Repeat/Systemic Violation) A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was due 4 months ago. The updated screening has not yet been completed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The medication that Staff #6 administered to Child #5 was not kept in a locked place using a safe locking method that prevents access by children. The medication was kept in the child’s backpack in the classroom.”

8VAC20-780-550-E

“The center is required to practice shelter in place procedures a minimum of twice per year. There was one shelter in place drill conducted in 2024 on 2/28/2024.”

8VAC20-780-60-A

“Each center shall maintain a separate record for each child enrolled that contains all required information. The records for Child #2, Child #3, Child #4, and Child #5 did not contain the name, address or phone number of the second parent. The record for Child #3 did not contain the name, address, and phone number of two designated people to call in an emergency. The record of Child #5 did not have appropriate legal paperwork when the custodial parent requests the center not to release the child to the other parent. The record of Child #4 did not include annual parent confirmation that the required information in the child’s file is up to date. The last update was dated 8/04/23. The record of Child #2 did not contain a written agreement with the parent regarding authorization for emergency medical care, procedures when a child is ill, or procedures regarding communicable diseases.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided for meeting requirements for the water supply and the sewage disposal system. The center has not contacted the health department to obtain a Report of Environmental Sanitation.”

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. There was peeling paint in the classroom for the 2 and 3 year old children on the walls, baseboards, and cubbies that was accessible to children.”

8VAC20-780-550-K

“The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. This information was not kept in the vehicle used to transport children that was inspected on 2/13/25. The director stated on 2/13/25 that she did not know that this information needed to be prepared and kept in the vans they use to transport children.”

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: the medication is administered by a staff member who has completed Medication Administration Training; the center has obtained written authorization from a parent; the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container; and the center administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. Staff #6 has not completed MAT training. The center did not have written authorization from the parents of Child #5 to administer the medication. The medication was not maintained in the original labeled container. The medication had no prescription label so there were no instructions regarding dosage, frequency, or manner of administration.”

8VAC20-780-510-N

“Centers shall keep a record of medication given children, which shall include the following: the child to whom medication was administered; amount and type of medication administered to the child; the day and time the medication was administered to the child; staff member administering the medication; any adverse reactions; and any medication errors. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. There were no written records documenting that the medication had been administered to Child #5.”

8VAC20-790-600-B

“Within the first 90 days of employment all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff. Staff #2 has been employed at the center for over two years and has not completed the Preservice Training.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #2 has been employed at the center for over two years and has not completed the annual health and safety update course.”

8VAC20-780-40-M

“The center shall maintain a current written list of all children's allergies, sensitivities, and dietary restrictions in each room where children are present. The director stated on 2/13/25 that the allergy list posted in the center’s classrooms was, "not current" and the list was not dated.”

8VAC20-780-40-H

“(Repeat/Systemic Violation) The sponsor shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000 each occurrence and with a minimum limit of $500,000 aggregate. The director was unable to provide documentation of liability insurance.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 did not complete 16 hours of annual training in 2024.”

8VAC20-780-260-A

“(Repeat/Systemic Violation) The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection was dated 5/02/2023.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards and the center's own policies and procedures that are required by these standards. The center did not ensure that Staff #6 followed their policies regarding storage and labeling of medication, staff training required for administration of medication, obtaining medication authorizations, and maintaining a record of medication administration. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. The medication was not kept in a safe locked place out of the reach of children. Their policy requires medication to ?be kept under lock and key?. The medication was stored in a plastic bag in the child’s backpack in the classroom. The medication was not maintained in the ?original container? as their policy requires. The medication had no prescription label with the name of Child #5 on it. Their policy requires prescriptions to ?have the child’s name, dosage, and times to be given with the current expiration date?. There were no instructions regarding dosage, frequency, or manner of administration. Staff #6 has not completed MAT training. Their policy requires ?permission from parents? to administer medication. The center did not have a medication authorization form signed by the parents of Child #5 and no written record had been maintained that documented to whom the medication was administered, the amount and type of medication administered, the day and time the medication was administered, the staff member who administered the medication or any adverse reactions or medication errors. The center did not complete a ?log of medication administration? as their policy requires.”

8VAC20-780-160-C

“(Repeat/Systemic Violation) A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 was due 4 months ago. The updated screening has not yet been completed.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. The medication that Staff #6 administered to Child #5 was not kept in a locked place using a safe locking method that prevents access by children. The medication was kept in the child’s backpack in the classroom.”

8VAC20-780-550-E

“The center is required to practice shelter in place procedures a minimum of twice per year. There was one shelter in place drill conducted in 2024 on 2/28/2024.”

8VAC20-780-60-A

“Each center shall maintain a separate record for each child enrolled that contains all required information. The records for Child #2, Child #3, Child #4, and Child #5 did not contain the name, address or phone number of the second parent. The record for Child #3 did not contain the name, address, and phone number of two designated people to call in an emergency. The record of Child #5 did not have appropriate legal paperwork when the custodial parent requests the center not to release the child to the other parent. The record of Child #4 did not include annual parent confirmation that the required information in the child’s file is up to date. The last update was dated 8/04/23. The record of Child #2 did not contain a written agreement with the parent regarding authorization for emergency medical care, procedures when a child is ill, or procedures regarding communicable diseases.”

8VAC20-780-260-B

“Annual approval from the health department shall be provided for meeting requirements for the water supply and the sewage disposal system. The center has not contacted the health department to obtain a Report of Environmental Sanitation.”

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. There was peeling paint in the classroom for the 2 and 3 year old children on the walls, baseboards, and cubbies that was accessible to children.”

8VAC20-780-550-K

“The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center. This information was not kept in the vehicle used to transport children that was inspected on 2/13/25. The director stated on 2/13/25 that she did not know that this information needed to be prepared and kept in the vans they use to transport children.”

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided: the medication is administered by a staff member who has completed Medication Administration Training; the center has obtained written authorization from a parent; the center administers only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container; and the center administers drugs only to the child identified on the prescription label in accordance with the prescriber's instructions. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. Staff #6 has not completed MAT training. The center did not have written authorization from the parents of Child #5 to administer the medication. The medication was not maintained in the original labeled container. The medication had no prescription label so there were no instructions regarding dosage, frequency, or manner of administration.”

8VAC20-780-510-N

“Centers shall keep a record of medication given children, which shall include the following: the child to whom medication was administered; amount and type of medication administered to the child; the day and time the medication was administered to the child; staff member administering the medication; any adverse reactions; and any medication errors. Staff #6 stated on 2/13/25 that she has been administering medication through an inhaler to Child #5 twice a day for approximately one month. There were no written records documenting that the medication had been administered to Child #5.”

8VAC20-780-160-C

“Based on review of a staff record and interview, the center did not ensure that a staff member obtained a follow up tuberculosis screening at least every two years. Evidence: The most recent tuberculosis screening for Staff #4 in the record was dated 7/07/22. The Program Director acknowledged that the TB screening for Staff #4 was overdue.”

8VAC20-780-40-H

“Based on observations and interview, the center did not provide documentation that they have maintained liability insurance for the center site. Evidence: The Program Director was not able to provide documentation of liability insurance.”

8VAC20-780-550-I

“Based on observations and interview, the center did not post a 911 or local dial number for police, fire, emergency medical services, and regional poison control in a visible place at each telephone. Evidence: The only landline phone is located in the Program Director’s office. There were no emergency numbers posted in a visible place near the phone. The Program Director acknowledged that the emergency numbers were not posted as required.”

8VAC20-780-80-A

“Based on observation and interview, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child. Evidence: Staff #1 and Staff #3 were not able to provide a complete written record of daily attendance for each child in their classrooms. Staff #1 and Staff #3 updated the daily attendance record for their classrooms after they were asked to provide the record. The Program Director acknowledged that Staff #1 and Staff #3 were not following their procedures regarding maintaining a written record of all children as they arrive and depart.”

8VAC20-780-260-A

“Based on observations and interview, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report was dated 5/02/23. The Program Director acknowledged that they need to obtain an annual fire inspection.”

8VAC20-780-380-A

“Based on observations and interview, the center did not post a daily schedule as required. Evidence: There was no daily schedule posted for the Blessed Bees classroom for children ages five and six years. The Program Director acknowledged that the daily schedule had not been posted.”

8VAC20-780-160-C

“Based on review of a staff record and interview, the center did not ensure that a staff member obtained a follow up tuberculosis screening at least every two years. Evidence: The most recent tuberculosis screening for Staff #4 in the record was dated 7/07/22. The Program Director acknowledged that the TB screening for Staff #4 was overdue.”

8VAC20-780-40-H

“Based on observations and interview, the center did not provide documentation that they have maintained liability insurance for the center site. Evidence: The Program Director was not able to provide documentation of liability insurance.”

8VAC20-780-550-I

“Based on observations and interview, the center did not post a 911 or local dial number for police, fire, emergency medical services, and regional poison control in a visible place at each telephone. Evidence: The only landline phone is located in the Program Director’s office. There were no emergency numbers posted in a visible place near the phone. The Program Director acknowledged that the emergency numbers were not posted as required.”

8VAC20-780-80-A

“Based on observation and interview, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child. Evidence: Staff #1 and Staff #3 were not able to provide a complete written record of daily attendance for each child in their classrooms. Staff #1 and Staff #3 updated the daily attendance record for their classrooms after they were asked to provide the record. The Program Director acknowledged that Staff #1 and Staff #3 were not following their procedures regarding maintaining a written record of all children as they arrive and depart.”

8VAC20-780-260-A

“Based on observations and interview, the center did not provide an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report was dated 5/02/23. The Program Director acknowledged that they need to obtain an annual fire inspection.”

8VAC20-780-380-A

“Based on observations and interview, the center did not post a daily schedule as required. Evidence: There was no daily schedule posted for the Blessed Bees classroom for children ages five and six years. The Program Director acknowledged that the daily schedule had not been posted.”

8VAC20-780-290-A-3

“Repeat Violation Based on observation and interview, the center did not ensure that two electrical outlets had protective covers as required. Evidence: 1. Two uncovered outlets were observed in the four year old classroom 2. The center director acknowledged that the electrical outlets were missing protective covers.”

8VAC20-780-290-A-3

“Repeat Violation Based on observation and interview, the center did not ensure that two electrical outlets had protective covers as required. Evidence: 1. Two uncovered outlets were observed in the four year old classroom 2. The center director acknowledged that the electrical outlets were missing protective covers.”