Signs and Wonders Day Care/Learning Center

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.”

Rule 8VAC20-780-260-B.

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.”

Rule 8VAC20-790-600-D-1.

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.”

Rule 8VAC20-790-600-D-2.

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.”

Rule 8VAC20-780-160-A.

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 The center did not comply with its policies regarding preventing the use of outdated medication.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.”

Rule 8VAC20-780-40-E.

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.”

Rule 8VAC20-780-510-B.

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.”

Rule 8VAC20-780-550-P.

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.”

Rule 8VAC20-790-600-B.

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.”

Rule 8VAC20-790-600-F.

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.”

Rule 8VAC20-780-160-C.

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.”

Rule 8VAC20-780-245-A.

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.”

Rule 8VAC20-780-260-A.

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.”

Rule 8VAC20-780-260-B.

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.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

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.”

Rule 8VAC20-780-40-H.

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.”

Rule 8VAC20-780-40-M.

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.”

Rule 8VAC20-780-510-I.

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.”

Rule 8VAC20-780-510-L.

8VAC20-780-510-N

Rule 8VAC20-780-510-N.

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.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-K

Rule 8VAC20-780-550-K.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

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.”

Rule 8VAC20-780-160-C.

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.”

Rule 8VAC20-780-260-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.”

Rule 8VAC20-780-380-A.

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.”

Rule 8VAC20-780-40-H.

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.”

Rule 8VAC20-780-550-I.

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.”

Rule 8VAC20-780-80-A.

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.”

Rule 8VAC20-780-290-A-3.

Based on a review of five staff records and interview, the vendor did not ensure that three (3) staff who worked directly with children annually completed the department’s health and safety update course as required.

Rule 8VAC20-790-600-F.

Based on a review of five (5) staff records and interview, the center did not ensure to obtain a central registry finding for one (1) staff by the end of the 30th day of employment as required.

“Evidence: 1. The record of staff #5 (date of employment: 3/30/2023) did not contain a central registry finding. 2. Administration acknowledged that the finding had not been received.”

Rule 8VAC20-770-60-C-2.

Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children.

“Evidence: 1. A can of Microban disinfectant and a can of Febreeze air freshener were observed unlocked in the center’s common room that is used for breakfast and school age activities. A can of Lysol was observed in an unlocked cabinet in the two year old classroom. The cans contained warnings to include: caution and hazard to humans and domestic animals. 2. Administration acknowledged that the chemicals were unlocked.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the center did not ensure that three (3) electrical outlets had protective covers as required.

“Evidence: 1. One (1) uncovered outlet was observed in the four year old classroom. Two (2) uncovered outlets were observed in the two year old classroom. 2. Administration acknowledged that the electrical outlets were missing protective covers.”

Rule 8VAC20-780-290-A-3.

8VAC20-790-600-D-1

“Based on staff interview and review of three staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff A (date of employment 7/27/2022) did not have documentation of CPR certification.”

Rule 8VAC20-790-600-D-1.

8VAC20-790-600-D-2

“Based on staff interview and review of three staff records, the facility failed to have each staff current in first aid certification within 90 days of employment. Evidence: Staff A (date of employment 7/27/2022) did not have documentation of first aid certification.”

Rule 8VAC20-790-600-D-2.

22.1-289.035-A

“Based on review of three records, the facility failed to have documentation of a repeat search of the central registry ( CPS check) every five years as required. Evidence: 1. The most recent central registry finding in the record for Staff 1 was dated 7/26/2017. 2. Center administration stated the central registry check for Staff 1 had not been repeated.”

Rule 22.1-289.035-A.

8VAC20-780-260-A

“Based on review of documentation and staff interview, the facility failed to have an annual fire inspection as required. Evidence: the last documented fire inspection was conducted12/17/20.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“Based on observation, the center failed to ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: The closet across from the children’s bathrooms was unlocked and contained six bottles of Clorox bleach.”

Rule 8VAC20-780-280-B.

8VAC20-780-540-C

“540.C Based on observation and staff interview, the facility failed to have a complete first aid kit wherever children are in care. Evidence: the first aid kit on one daycare van did not have a thermometer or an ice pack. The bus transported 4 children from the public school to the center.”

Rule 8VAC20-780-540-C.

8VAC20-780-560-M

“Based on observation, the facility failed to prevent children from drinking while walking around. Two children were observed walking around and drinking juice served at afternoon snack.”

Rule 8VAC20-780-560-M.

8VAC20-780-140-A

“Based on review of five children’s records, the facility failed to have documentation of a physical within 30 days of enrollment. Evidence: Child 3 (date of enrollment 2/7/2022) did not have documentation of a physical on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas in a clean, safe, and operable condition. Evidence: there were ants in a pack of donuts that were served to one child. The lights in the hallway to the bathrooms were dim, making it hard to see. The outlet cover plate in one bathroom was missing. There was a strong chemical/cleaner odor in the center; center staff stated it was from having the floors waxed.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility failed to have all hazardous substances, such as cleaning materials, in a locked place. Evidence: there was Clorox spray cleaner and Great Value all purpose cleaner in an unlocked cabinet in the diaper changing area. There was a gallon of windshield wiper fluid on the open lower shelf of the diaper changing table.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of one staff for every 5 children ages 16 months to two years. Evidence: on 5/6/2022, there were 6 children ages 18 months to 2 years old with one staff.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-350-B-4

“Based on observation, the facility failed to maintain the required ratio of one staff for every 10 children ages 3 years old to school age. Evidence: on 5/6/2022, there were 24 children, ages 3 to 12 years, present with only two staff.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-60-A

“Based on review of five children’s files, the facility failed to have all required information in each child’s file. Evidence: Child 2 did not have documentation of the name and phone number of the child’s physician, the name, address, and phone number of a second emergency contact, or any reported allergies. Child 4 did not have the name, address, and phone number of a second emergency contact.”

Rule 8VAC20-780-60-A.