Tender Care Children's Center

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in 22 months which is overdue by 10 months.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #3 was alone with a group of three, one year old children and did not have current certification in CPR or first aid.”

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Up-to-date information is required to be requested from the parent for each child's record at least annually. The information in the record of Child #2 had not been updated in 22 months which is overdue by 10 months.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #3 was alone with a group of three, one year old children and did not have current certification in CPR or first aid.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #1 completed the orientation course approximately 7 weeks after the due date.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, 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 not completed the 2026 annual health and safety training and completed the 2025 annual training more than 12 months prior.”

8VAC20-780-380-A

“There shall be a posted daily schedule that allows for flexibility as children's needs require. There was no posted schedule in the School Age classroom or the Pre-K classroom.”

8VAC20-780-560-M

“No child shall be allowed to drink or eat while walking around. During the inspection on 2/24/2026, a child in the infant room was walking around the class with a bottle of approximately 1-2oz of formula.”

8VAC20-780-450-C

“Crib sheets shall be clean and washed daily. Teachers in infant classroom stated crib sheets are washed weekly with other children's blankets and coverings.”

8VAC20-780-570-B

“Bottles shall not be propped or used while the child is in his designated sleeping location. During inspection on 2/24/2026, a child was observed sleeping in a crib with a bottle by their side.”

8VAC20-780-245-I

“Training on the center's emergency preparedness plan shall be completed annually and each time the plan is updated. The last update of the emergency preparedness plan was dated 11/18/2024.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due two weeks ago and has not yet been completed.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due two weeks ago and has not yet been completed.”

8VAC20-790-600-F

“Staff are to complete the VDOE sponsored health and safety update course annually. S6 has not completed this annual course which is overdue by 6 months.”

8VAC20-790-530-C

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 12/06/2024 the licensing inspector observed 32 children in the center. The daily attendance record documented 27 children present. The daily attendance log for 11/27/2024 did not document the departure time for 7 children. The log for 12/02/2024 did not document the departure time for 12 children. The log for 12/03/2024 did not document the departure time for 7 children. The log for 12/05/2024 did not document the departure time for 7 children.”

8VAC20-780-60-A

“Repeat Violation 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 C4, enrolled for over 3 months, was missing the following required component: documentation of viewing proof on the child’s identity and age.”

8VAC20-780-150-B

“Immunization records and physical exams are required to be signed and dated by a physician, his designee, or an official of the local health department. The physical and immunization record for C2 was not signed. The immunizations dated 10/15/2024 for C3 were not signed. The immunizations dated 05/03/2024 for C5 were not signed.”

8VAC20-780-140-B

“If a child has had a physical examination prior to attendance, it shall be within the time period prescribed. The physical examination for C3 who is under the age of 18 months was not within the required three month prior to attendance at the center.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. S5 who had been employed for one day, did not have a completed national criminal background check until the following day. The file for S5 documented the staff receiving orientation and training required 8VAC20-780-240-C the day prior to the national criminal background check being completed.”

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious or minor injuries that contain all the required information. Injury reports dated 07/08/2024 and 08/16/2024 did not document the date and time the child’s parent was notified of the injury. Injury reports dated 10/11/2024 and 12/23/2024 did not document the time the parents were notified of the injury.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in the 2-year-old room cleaned the diaper changing surface after diapering a child and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

8VAC20-780-350-I

“During the designated rest period the rest period ratio for children 16 months through 24 months is one staff per 10 children. Licensing inspector observed 2 staff supervising 12 children in the one-year-old classroom room during the rest period; however, the youngest child in the room was not yet 16 months causing the class to be out of ratio.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. A power strip in the one-year-old room providing power to the portable sink did not have protective covers and was within reach of children.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The laminate on the sink used by children in the two-year-old room is peeling and has exposed particle board. The floor laminate on the ramp to the children’s bathroom in the two-year-old room has separated from the wood ramp creating a trip hazard.”

8VAC20-790-600-F

“Staff are to complete the VDOE sponsored health and safety update course annually. S6 has not completed this annual course which is overdue by 6 months.”

8VAC20-790-530-C

“For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 12/06/2024 the licensing inspector observed 32 children in the center. The daily attendance record documented 27 children present. The daily attendance log for 11/27/2024 did not document the departure time for 7 children. The log for 12/02/2024 did not document the departure time for 12 children. The log for 12/03/2024 did not document the departure time for 7 children. The log for 12/05/2024 did not document the departure time for 7 children.”

8VAC20-780-60-A

“Repeat Violation 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 C4, enrolled for over 3 months, was missing the following required component: documentation of viewing proof on the child’s identity and age.”

8VAC20-780-150-B

“Immunization records and physical exams are required to be signed and dated by a physician, his designee, or an official of the local health department. The physical and immunization record for C2 was not signed. The immunizations dated 10/15/2024 for C3 were not signed. The immunizations dated 05/03/2024 for C5 were not signed.”

8VAC20-780-140-B

“If a child has had a physical examination prior to attendance, it shall be within the time period prescribed. The physical examination for C3 who is under the age of 18 months was not within the required three month prior to attendance at the center.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. S5 who had been employed for one day, did not have a completed national criminal background check until the following day. The file for S5 documented the staff receiving orientation and training required 8VAC20-780-240-C the day prior to the national criminal background check being completed.”

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious or minor injuries that contain all the required information. Injury reports dated 07/08/2024 and 08/16/2024 did not document the date and time the child’s parent was notified of the injury. Injury reports dated 10/11/2024 and 12/23/2024 did not document the time the parents were notified of the injury.”

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in the 2-year-old room cleaned the diaper changing surface after diapering a child and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

8VAC20-780-350-I

“During the designated rest period the rest period ratio for children 16 months through 24 months is one staff per 10 children. Licensing inspector observed 2 staff supervising 12 children in the one-year-old classroom room during the rest period; however, the youngest child in the room was not yet 16 months causing the class to be out of ratio.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. A power strip in the one-year-old room providing power to the portable sink did not have protective covers and was within reach of children.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The laminate on the sink used by children in the two-year-old room is peeling and has exposed particle board. The floor laminate on the ramp to the children’s bathroom in the two-year-old room has separated from the wood ramp creating a trip hazard.”

8VAC20-790-600-D-1

“The provider failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S5, hired 03/03/2023 documented certification in CPR and first aid 06/15/2023.”

8VAC20-780-60-A

“(Repeat violation) Based on review of children records, the provider did not ensure that one of five children’s records contained the required information. Evidence: The record for child, C2 enrolled 05/06/2024 did not document two designated people to contact in case of an emergency if the parent cannot be reached.”

8VAC20-780-560-J

“Based on observation, the provider did not ensure that tables be sanitized before and after food being consumed by children. Evidence: Licensing inspector observed the school age classroom children have a snack after watching movie at the same table without the table being sanitized before the snack and afterwards.”

8VAC20-780-440-E

“Based on observation, the provider did not ensure that there shall be a least 12 inches of space between occupied rest mats. Evidence: Licensing inspector observed classroom #3 during the rest period and multiple children rest mats were less than 12 inches apart.”

8VAC20-780-270-A

“(Repeat violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: A splintered board was observed on the top of the picnic table on the large playground that can snag children’s skin. Exposed insulation was observed on the HVAC duct within reach of children in classroom #3.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S2, employed 11/30/2022 contained a certificate of completion of the Virginia Preservice Training dated 05/30/2023. The record for S4, employed 08/30/2023 contained a certificate of completion of the Virginia Preservice Training dated 12/03/2023.”

8VAC20-780-40-J

“The provider failed to 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: The injury prevention procedures provided for review documented the last review dated 02/08/2023.”

8VAC20-790-600-D-1

“The provider failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S5, hired 03/03/2023 documented certification in CPR and first aid 06/15/2023.”

8VAC20-780-60-A

“(Repeat violation) Based on review of children records, the provider did not ensure that one of five children’s records contained the required information. Evidence: The record for child, C2 enrolled 05/06/2024 did not document two designated people to contact in case of an emergency if the parent cannot be reached.”

8VAC20-780-560-J

“Based on observation, the provider did not ensure that tables be sanitized before and after food being consumed by children. Evidence: Licensing inspector observed the school age classroom children have a snack after watching movie at the same table without the table being sanitized before the snack and afterwards.”

8VAC20-780-440-E

“Based on observation, the provider did not ensure that there shall be a least 12 inches of space between occupied rest mats. Evidence: Licensing inspector observed classroom #3 during the rest period and multiple children rest mats were less than 12 inches apart.”

8VAC20-780-270-A

“(Repeat violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: A splintered board was observed on the top of the picnic table on the large playground that can snag children’s skin. Exposed insulation was observed on the HVAC duct within reach of children in classroom #3.”

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S2, employed 11/30/2022 contained a certificate of completion of the Virginia Preservice Training dated 05/30/2023. The record for S4, employed 08/30/2023 contained a certificate of completion of the Virginia Preservice Training dated 12/03/2023.”

8VAC20-780-40-J

“The provider failed to 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: The injury prevention procedures provided for review documented the last review dated 02/08/2023.”