The Peter Paul Development Center

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 updated screening was completed over two years after its due date.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #4 was not signed.”

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, enrolled for 1 month, was missing the following required components: the name, address and telephone number of one person to call in an emergency if a parent cannot be reached.”

8VAC20-780-240-B

“Prior to working alone with children and no later than seven days of the first day of employment, staff shall complete orientation training required by 8VAC20-780-240-C. Orientation form for S1, employed for more than 3 months, did not document completion of the orientation within seven days of the first day of employment. The form was not signed or dated.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S1 has not completed the course due by 04/2026.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. S5 updated screening was due 1 month ago. The updated screening has not yet been completed.”

8VAC20-780-550-D

“Evacuation drills procedures shall be practiced monthly. Drill records did not document a drill in 08/2025.”

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. S1, S2, and S3 who had been employed for less than two weeks, did not have a central registry search requested.”

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 were observed entering the dining area from the bus drop off and immediately eating a meal without washing their hands.”

8VAC20-780-260-B

“The center shall provide for review the annual approval from the health department. The last inspection available for review was dated 07/24/2024.”

8VAC20-780-60-A

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. C6, who has been enrolled for over a month, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-780-150-B

“Repeat Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C2 was not signed.”

8VAC20-780-510-G

“Medications shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. A medication was observed at the center and identified by center staff as belonging to C5. The medication did not have the pharmacy label the child’s name, the name of the medication, the dosage amount, and the time or times to be given.”

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 #5, who had been employed for nine days, did not have a central registry search requested. Staff #5 was working alone with children. Staff # 1, who has been employed for eight days, did not have a central registry search requested. Staff #1 was working alone with children.”

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. The list must be dated and kept confidential. A list of all known allergies, sensitivities and dietary restrictions for children was not present in classroom #5 and classroom #6 at the time of inspection.”

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, employed for eight days, only had one completed reference verification on file.”

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. On 6/18/2025, classroom #5 did not have a daily attendance roster documenting arrival of each child in care for that day.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, one child from the 6?8-year-old classroom left the room to use the restroom and was unsupervised for two minutes. Another child was observed leaving the room to use the restroom and was unsupervised for one minute.”

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 #5 was alone with a group of 11 school age children and was not certified in pediatric CPR or first aid.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. The screening for Staff #2 was completed ten days after date of employment and the screening for Staff #5 was completed three days after date of employment.”

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations and physical examination shall be signed and dated by a physician, the physician’s designee, or an official of a local health department. Evidence: The immunization record for C5 was not dated by the physician and physical examination for C7 was not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S3, employed 06/06/2024 did not contain findings of a central registry search within 30 days of employment. The results were dated 07/14/2024.”

8VAC20-780-160-C

“Based on record review, the provider failed to obtain a current Report of Tuberculosis Screening form every two years from the date of the previous tuberculosis screening. Evidence: The TB screening for S4 was dated 01/10/2022.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee not be employed until the center has the person’s completed sworn statement. Evidence: The record for S3 documented the date of hire as 06/06/2024. The sworn disclosure statement was signed 06/10/2024.”

8VAC20-780-550-P

“Repeat violation Based on review of the center’s written record of children serious or minor injuries the center failed to ensure the documentation contained all the required information. Evidence: The written record for serious or minor injuries for C7, dated 06/18/2024 and 07/03/2024 did not document the time and date when the parent was notified of the injuries and a second staff signature. The written record for serious or minor injuries for C8, dated 06/17/2024 did not contain a second staff signature.”

8VAC20-780-240-A

“(Repeat violation) 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 S1, employed 09/20/2023 did not contained a certificate of completion of the Virginia Preservice Training. The record for S5, employed 09/11/2023 did not contained a certificate of completion of the Virginia Preservice Training. The record for S11, employed 11/06/2023 did not contained a certificate of completion of the Virginia Preservice Training.”

8VAC20-780-245-L

“Based on interview, the provider failed to have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: S12 acknowledged during the inspection that no one currently had instruction in performing the daily health observation of children.”

8VAC20-780-240-E

“Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR). Evidence: Orientation form used by the center for S1, S3, S4, S5, S9, S10, and S11 did not document the orientation training in first aid and CPR.”

22.1-289.035-A

“Based on record review, the provider failed to ensure that staff underwent criminal background checks every 5 years. Evidence: The record for S2, contained national criminal background checks dated 11/05/2018 and 03/07/2024.”

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: The outdoor arbor in the playground was observed to have broken pieces with exposed nails.”

8VAC20-780-550-F

“Based on review of emergency drill documentation and interview, the provider failed to ensure that lockdown procedures shall be practiced at least annually. Evidence: S12 acknowledged that lockdown procedures were not practiced in 2023.”

8VAC20-770-60-C-2

“(Repeat violation) Based on staff record review, the provider failed to have central registry findings within 30 days of employment. Evidence: The record for S1, employed 09/20/2023 did not contain findings of a central registry search within 30 days of employment. The results were dated 12/11/2023. The record for S5, employed 09/11/2023 did not contain findings of a central registry search within 30 days of employment. The results were dated 12/14/2023.”

8VAC20-780-150-B

“Based on child record review, the provider failed to assure that each report of immunizations shall be signed by a licensed physician, the physician’s designee, or an official of a local health department. Evidence: The immunizations for C1 and C3 were not signed by the licensed physician, the physician’s designee, or an official of a local health department.”

8VAC20-780-160-A

“(Repeat violation) Based on staff record review, the provider failed to ensure that four of ??? eleven staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment. Evidence: The record for S3, employed 01/10/2024 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 2/20/2024. The record for S6, employed 06/20/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 01/19/2023. The record for S9, employed 02/05/2024 did not document a tuberculosis (TB) screening. The record for S11, employed 11/06/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening was completed 01/22/2024.”

8VAC20-780-40-J

“Based on interview, 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: S12 reported the review of the injury prevention procedures has not been completed.”

8VAC20-780-70

“(Repeat violation) Based on staff record review, the provider failed to ensure that 1 of 11 records contained required information. Evidence: Record for S5, employed 09/11/2023 did not contain employment references.”

8VAC20-780-550-G

“Based on review of emergency evacuation drill documentation, the provider failed to ensure the documentation includes the required information. Evidence: The emergency drill documentation dated March 2022 ? April 2023 did not document: the method used for notification of the drill and the number of staff participating.”

8VAC20-780-550-F

“Based on review of emergency drill documentation, the provider failed to practice at least annually lock-down procedures. Evidence: The drill record for 2022 did not document practice of the lock-down procedures.”

8VAC20-780-550-E

“Based on review of emergency drill documentation, the provider failed to practice at a minimum of twice per year shelter-in-place procedures. Evidence: The drill record for 2022 documented one shelter-in-place drill being conducted on 03/03/2022.”

8VAC20-780-240-B

“Based on record review, the provider did not ensure three of four staff records contained documentation showing completion of orientation required by 8VAC20-780-240-C. The records for C2, employed 06/28/2022, C3, employed 07/05/2022, and S4 employed 01/03/2023 did not contain documentation of required orientation.”

8VAC20-780-240-A

“Based on record review, the provider did not ensure that three of four staff completed the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for S2, employed 06/28/2022, S3, employed 07/05/2022, S4 employed 01/03/2023 did not document completion of the 10-hour VDOE sponsored orientation course.”

8VAC20-780-210-A

“Based on staff record review, the provider failed to ensure program leader qualifications for one staff designated as program leader. Evidence: Record for S2 did not contain documentation showing possession of Program Leader qualifications by either: meeting endorsement or bachelor’s degree requirement; educational requirements and programmatic experience; or supervised programmatic experience.”

8VAC20-780-70

“Based on record review, the provider did not keep records for three of four staff as required. Evidence: The record for S2, employed 06/28/2022, did not contain emergency contacts. The record for S3, employed 07/05/2022 did not document two employment references and emergency contacts. The record for S4, employed 01/03/2023 did not document and emergency contacts.”

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that two of nine records contained all the required information. Evidence: The record for C2, enrolled 03/22/2023 did not contain two emergency contacts for the child if the children’s parents could not be located. The records for C4, enrolled 03/30/2023 did not contain a second emergency contact if the child’s parents could not be located.”

8VAC20-780-160-A

“Based on review of 4 staff records review, the provider failed to ensure that three of four staff shall submit documentation of a negative tuberculosis (TB) screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: The records for S2, employed 06/28/2022 and S3, employed 07/05/2022 did not document a tuberculosis (TB) screening. The records did not contain TB screening results. The record for S4, employed 01/03/2023 did not document a tuberculosis (TB) screening being submitted at the time of employment and prior to coming in contact with children. The TB screening was completed 02/01/2023.”

8VAC20-780-140-A

“Based on review of 9 children’s records, the provider failed to ensure that two of nine children had a physical examination by or under the direction of a physician. Evidence: The records for C2, enrolled 03/22/2023 and C7, enrolled 06/12/2022 did not contain physical examinations.”

8VAC20-770-60-C-2

“Based on staff record review, the provider failed to obtain a search of the central registry within 30 days of employment. Evidence: The record for S1, employed 08/01/2022 did not contain findings of a central registry search. The record for S4, employed 01/03/2023 did not have results of a central registry search within 30 days of employment. The results of the central registry search for S4 are dated 02/06/2023.”

8VAC20-770-60-B

“Based on record review, the provider failed to ensure an employee must not be employed until the center has the person’s completed sworn statement. Evidence: The record for S4, employed 01/03/2023 documented a sworn statement dated 1/25/2023.”

22.1-289.035-B-2

“Based on record review, the provider failed to ensure that all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for S1, employed 08/01/2022 did not have results of a national criminal background check prior to the first day of employment. The results of the national criminal background check for S1 are dated 08/04/2022.”

22.1-289-036-B-4

“Based on a review of board member records, the center did not ensure to obtain an out-of-state central registry check and an out-of-state sex offender registry check before the end of the 30th day for each new board member. Evidence: The record of board member #1, took office July 1, 2021, did not contain documentation of an out-of-state central registry and out-of-state sex offender check.”

22.1-289.035-B-4

“Based on a review of records and interview the center did not obtain results of a check of the out-of-state sex offender registry and out-of-state criminal name search by 12/31/20 for each employee hired prior to 7/1/20 and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #2 (hired 10/17/18) contained documentation of an out-of-state sex offender registry check and an out-of-state criminal name search dated 3/17/22. The record did not contain documentation of the results of an out-of-state central registry check. Staff #2 identified living in another state in the past 5 years on the staff's sworn statement. Administration acknowledged the results were not complete.”

22.1-289.036-A

“Based on a review of agent records, the center failed to obtain central registry results and a sworn statement every five years for all agents. Evidence: 1. The record of agent #1 (effective 3/19/12) contained documentation of a central registry result dated 3/3/22. The last central registry in agent #1's file is dated 12/13/16. 2. The record of agent #1 contained documentation of a sworn statement dated 12/5/16. 3. The record of board member #4 (took office 6/28/16) contained documentation of a central registry dated 12/15/16 and documentation of a sworn statement dated 10/2/16.”

8VAC20-780-550-B

“Based on a review of the emergency preparedness plan the center did not ensure the emergency preparedness plan contained all procedural components. Evidence: The emergency preparedness plan did not contain the following documentation: 1) securing emergency contact information and information on allergies or food intolerances; 2)methods to ensure any health care needs to include medications and care plans; emergency contact information for staff; and supplies are taken to the assembly point or relocation site; 3) includes method of communication with emergency responders; and 4) procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.”

8VAC20-780-560-F

“Based on a review of the menu and staff statement, the center did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: Documentation of the center's menu contains four components of the USDA's five component requirement for lunch and dinner. Staff reported four components are served at dinner. Administration confirmed that four components have been served.”

8VAC20-780-560-J

“Based on staff interview, the center did not ensure tables are sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: Staff reported that tables are sanitized by dipping a rag into a bucket of detergent and wiping the tables. Administration confirmed this is the center's process.”