Child Connections Development Center, Inc.

22.1-289.036-A

“The center requires an agent of an applicant for licensure to undergo a background check every five years. The most recent central registry check for Agent #1 was overdue by 4 months.”

Rule 22.1-289.036-A.

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.. Staff #5 was working with children for over two months before the screening was completed.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. Staff #6’s TB screening was due over one month ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-B

“REPEAT VIOLATION After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction. The last health inspection was conducted over 13 months ago.”

Rule 8VAC20-780-260-B.

8VAC20-780-350-B-4

“The staff-to-children ratio for children ages 3 years up to school age is one staff member to every 10 children. Due to being short staffed, in the Shooting Stars classroom the youngest child was three and there was one staff to 12 children and in the Comets classroom the youngest child was three and there was one staff to 11 children.”

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

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions . This list shall be dated and kept confidential in each room or area where children are present. In the Shooting Stars classroom the list was not accurate. In the Comets classroom there was no list and three children had food allergies.”

Rule 8VAC20-780-40-M.

8VAC20-780-420-E-3

“Parents shall be provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs. Out of the five children’s records reviewed one did not contain any child assessments (child #1) and two only contained one (child #3 and child #4). The director stated they file all assessments.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. Only one shelter-in-place practice was completed in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. None of the bottles in the Cloud Puffs room were dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The emergency contacts for child #3 and child #4 did not contain addresses for one emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-60-A-8

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan 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. Per staff, three children have food allergies and the center does not have allergy care plans for them.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-70

“Each staff record shell contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. The record for staff #5, employed for three months, does not have references.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #5 has been employed for 92 days and has not completed CPR certification.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. However, staff who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. Staff #5 has been employed for 92 days and has not completed first aid certification.”

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

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. Staff #1 updated screening was due 10 months ago and the updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-210-A-4

“Program leaders shall have six months of supervised programmatic experience. Staff #2 was working as a lead teacher in a classroom with only three months of supervised programmatic experience.”

Rule 8VAC20-780-210-A-4.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection is dated 11/01/2023 and has not been scheduled to take place.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“Annual approval from the health department shall be provided. The last documented health inspection is dated 04/23/2024 and has not been scheduled to take place.”

Rule 8VAC20-780-260-B.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that the resilient surfacing shall comply with minimum safety standards when tested in the American Society for Testing and Materials. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. The fall zones resilient surfacing did not comply with the minimum safety standards.”

Rule 8VAC20-780-330-B.

8VAC20-780-550-D

“The center shall implement a monthly practice evacuation drill. There was no indication of a monthly practice evacuation drill for the month of November 2025.”

Rule 8VAC20-780-550-D.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the records of child 4, who had been enrolled for four months.”

Rule 8VAC20-780-140-A.

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 1 and Child 4 were not signed.”

Rule 8VAC20-780-150-B.

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff 4’s updated screening was due 3 months ago and the updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. The 4 year old classroom had Dial antibacterial soap on the sink. The label on the Dial soap stated “keep out of reach of children”. 2. The 3 year old classroom had Clorox wipes and a magic eraser that were not locked up. The label on the Clorox wipes stated “keep out of reach of children” and “caution”. The label on the Mr. Clean Magic Eraser stated “keep out of reach of children” and “warning”.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure electrical outlets have protective covers that are of a size that cannot be swallowed by children.

“Evidence: 1. In the 3 year old classroom, there were 3 electrical outlets that were uncovered. 2. In the 4 year old classroom, there were 5 electrical outlets that were uncovered.”

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

Repeat violation

“Based on observation and measurement, the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. Evidence: 1. The resilient surfacing under a 4ft climbing structure did not meet the minimum requirement of 6 inches of surfacing. The center uses wood chips as resilient surfacing and there was approximately three inches of surfacing measured in 3 separate measurements.”

Rule 8VAC20-780-330-B.

Based on interview and email correspondence, the licensee failed to ensure to afford the superintendent or his agents the right at all reasonable times to inspect facilities.

“Evidence: 1. During an inspection on 08/12/2024, the licensing inspector requested documentary evidence of background checks for officers of the board, liability insurance and three injury reports to be sent to licensing inspector by COB on 08/13/2024. 2. As of 08/14/2024 at 11:23 AM, documentation was not received for licensing inspectors review.”

Rule 8VAC20-780-40-C.

Based on a review of records, the center did not ensure annual approval from the health department shall be provided.

“Evidence: 1. The health inspection is dated 10/25/2022.”

Rule 8VAC20-780-260-B.

Based on document review, the center did not ensure the emergency preparedness plan contains all the procedural components.

“Evidence: 1. The procedural components did not contain continuity of operations to ensure that essential functions are maintained during an emergency.”

Rule 8VAC20-780-550-B.

Based on record review, the center failed to ensure that each staff record contains all required documentation.

“Evidence: 1. The records of Staff 1 (DOH 03/11/2024) and Staff 3 (02/27/2023) did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The administration confirmed that there were no references on file for Staff 1 or Staff 3.”

Rule 8VAC20-780-70.

Based on a review of children’s records, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. The record of Child 2 (DOE 11/01/2021) contained documentation of immunizations dated 10/13/2023.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child’s attendance or within one month after attendance.

“Evidence: 1. The record of Child 2 (DOE 11/01/2023) contained documentation of a physical dated 10/13/2023.”

Rule 8VAC20-780-140-A.

Based on a review of staff records, the center failed to ensure that staff complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

“Evidence: 1.The record of Staff 2 (DOH 04/04/2022) and Staff 5 (DOH 12/17/2017) did not contain documentation of the Virginia Department of Education sponsored orientation. Administration acknowledged it was not completed.”

Rule 8VAC20-780-240-A.

Based on observation and interview, the center failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. The four-year old room had an unlocked closet containing Lysol with labels stating “keep out of reach of children” and “caution”. The lock on the cabinet was observed to be broken and inoperable. 2. Staff in classroom confirmed the lock on the closet was door was broken.”

Rule 8VAC20-780-280-B.

Based on observation, measurement and interview on March 4, 2020, the center did not ensure where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“Evidence: 1. The resilient surfacing under a 4ft climbing structure did not meet the minimum requirement of 6 inches of surfacing. The center utilizes wood chips as resilient surfacing and there was grass coming through the surface of the wood chips. 2. Staff member confirmed that there was grass coming through the wood chip surfacing all over the playground.”

Rule 8VAC20-780-330-B.

Based on record review, at least one staff in each classroom or area where children are present shall have, within 90 days of 10/13/21: Current certification in CPR as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

“Evidence: 1. Staff 1, 2, 3, 4, & 5 only had documentation in their files of the online portion completed for the CPR training. As of the date of the inspection, they had not yet completed the in-person demonstration. Staff 1 was a lead teacher in a classroom and was not fully certified in CPR.”

Rule 8VAC20-780-530-A-1.

Based on the review of five staff records, the program failed to ensure that each staff has a completed criminal history check prior to firs day of employment.

“Evidence: 1. The first day of employment for Staff #2 was 3/5/2023. There were no criminal history check results in the file.”

Rule 22.1-289.035-B-2.

Based on the review of five staff records, the program failed to ensure that a search of the child abuse and neglect registry was completed for any state in which an individual has resided in the preceding five years for one staff.

“Evidence: 1. The first day of employment for Staff #1 was 1/3/2023. There were no results from the child abuse and neglect registry for a previous state of residency.”

Rule 22.1-289.035-B-4.

Based on review of five staff records, the program failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment for two staff.

“Evidence: 1. The date of employment for Staff #1 was 1/3/2023. The TB screening in the file was dated 1/27/2023. 2. The date of employment for Staff #2 was 3/5/2023. There was no TB screening in the file.”

Rule 8VAC20-780-160-A.

Based on review of five staff records, the program failed to ensure that each staff member obtains tuberculosis screening every two years.

“Evidence: 1. The most recent TB screening for Staff #5 was dated 9/30/2020.”

Rule 8VAC20-780-160-C.

Based on record review, program did not ensure that an applicant for licensure undergoes background checks every five years.

“Evidence: 1. The results of the central registry check on file for Officer #1 was dated 7/21/2017. 2. The results of the sworn statement on file for Officer #1 was dated 7/7/2017. 3. Officer #1 came into the center to complete paperwork for both background checks during the inspection on 7/18/2022.”

Rule 22.1-289.036-A.

Based on record review, program did not ensure that a sworn disclosure statement was completed prior to first day of employment.

“Evidence: 1. The first day of employment for Staff #2 was 6/8/2022. The sworn statement was completed on 6/13/2022.”

Rule 8VAC20-770-60-B.

Based on record review, program did not ensure that each child received a physical within thirty days of first day of attendance.

“Evidence: 1. The first day of attendance for Child #1 was 6/16/2021. There was no physical in the file. 2. The first day of attendance for Child #2 was 11/15/2021. There was no physical in the file.”

Rule 8VAC20-780-140-A.

Based on observation, program did not ensure that children and staff wash hands during toileting procedures.

“Evidence: 1. LI observed Staff #1 change six diapers in the toddler classroom after the class returned from outside. No child’s hands were washed after having their diaper changed. 2. Staff #1 wore a glove on one of her hands for two of the diaper changes, without changing between children. No gloves were worn for the other four diaper changes. Hands were only washed after the final diaper change, instead of between each diaper change.”

Rule 8VAC20-780-500-A.