Little River Day School

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 11/05/2025, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“There was no current medication authorization form for emergency medication kept in the center for Child #3.”

Rule 8VAC20-780-510-P.

Staff and children’s records shall be treated confidentially.

“Supplemental pages of the inspection report, which contain confidential information, was posted.”

Rule 8VAC20-780-50-A.

It is required that documentation be kept that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“The record for Staff #2 did not contain documentation that any references were checked.”

Rule 8VAC20-780-70.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 11/14/2024, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“In the One’s classroom there was no lead teacher available.”

Rule 8VAC20-780-340-D.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, and shall have been completed within the last 30 days of the date of employment. The Tb screenings for four staff were completed more than 30 days prior to the time of employment as follows: Tb for Staff #1 was completed 45 days prior, for Staff #2 was completed 50 days prior, for Staff #3 was completed fifteen months prior, and for Staff #4 was completed twelve months prior.”

Rule 8VAC20-780-160-A.

8VAC20-780-210-A-1

“Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet education and programmatic requirements. The record for Staff #2 did not have documentation of having completed the educational requirements for the lead teacher position.”

Rule 8VAC20-780-210-A-1.

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 #3 enrolled for four months, was missing the work phone number of one parent.”

Rule 8VAC20-780-60-A.

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. At approximately 12:00 pm on 11/14/2024, there were 8 children present in the toddlers room, but only 3 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

22.1-289.058

“Based on interview with the program director, the center was not equipped with at least one carbon monoxide detector. Evidence: 1) The program director stated that they did not have a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not stored away in areas inaccessible to children. Evidence: 1) On the date of inspection, in the Pre-K Room’s bathroom, a container of Lysol disinfecting wipes was observed on a shelf that was not high enough for it being inaccessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“Based on observation, the center did not ensure that all unused electrical outlets have child-resistant protective covers. Evidence; 1) One electric outlet were observed without protective covers in the Three’s Room.”

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

8VAC20-780-40-M

“*REPEAT VIOLATION* Based on documentation review, the center did not maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions as required. Evidence: 1) On the date of inspection, an allergy list of all children’s allergies, sensitivities, and dietary restrictions was not available in each one of the classrooms. The inspector was able to review the allergy list in the Pre-K Room only.”

Rule 8VAC20-780-40-M.

8VAC20-790-600-F

“Based on record review, staff did not complete, annually, the required department’s health and safety update course. Evidence: 1) The most recent documentation for the department’s health and safety update course in Staff #2’s record was dated 02/26/2020; and in the record for Staff #4 was dated 09/20/2022.”

Rule 8VAC20-790-600-F.

8VAC20-780-240-C

“Based on record review, orientation training did not include all required topics. Evidence: 1) The record for Staff #4 did not contain documentation of having completed training in Safe sleep practices and Shaken baby syndrome/Head trauma.”

Rule 8VAC20-780-240-C.

8VAC20-780-245-J-3

“Based on documentation review, child for whom emergency medications have been prescribed were not always under the care of a staff member who is MAT trained. Evidence: 1) Child #1 has emergency medication in the center. Staff assigned to Child #1’s class are not MAT trained.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-40-M

“Based on documentation review, allergy plans were not dated or kept confidential in each room or area where children are present as required. Evidence: 1) Allergy plans were not available for review in the following rooms: Infants, Toddlers, 2 year-olds, and 3 year-olds. 2) The allergy list available in the 4/5 year-olds room was not dated nor covered to maintain the information confidential.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: 10 The record for Staff #1 did not contain the work phone number of each parent who has custody.”

Rule 8VAC20-780-60-A.

Based on a review of children’s records, the center failed to obtain a central registry finding within 30 days of employment.

“Evidence: Staff #1’s record does not include documentation of a completed central registry finding within 30 days of employment.”

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

Based on observation, the center failed to maintain the required ratio for infants ages birth to 16 months.

“Evidence: During the inspection, from 11:27 am until 11:31 am, there were 5 infants with only one staff member present.”

Rule 8VAC20-780-350-B-1.

Based on a review of children’s records, the center failed to obtain all required documents for each child enrolled.

“Evidence: -Child #3 and Child #4’s records do not contain documentation of the names of persons authorized to pick up the child. -Child #1’s record does not contain documentation of child updates and confirmation of up-to-date information in the child’s record as required by 8VAC20-780-420-e-3”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to obtain a completed sworn statement or affirmation on the first day of employment.

“Evidence: Staff #2’s record did not have documentation of a sworn statement or affirmation. Date of Hire 05/12/2022”

Rule 8VAC20-770-60-B.

Based on staff record review, the center failed to ensure that staff members in the program leader position met required qualification.

“Evidence: Staff #3 and #4’s records did not have documentation of meeting requirements for program leader position.”

Rule 8VAC20-780-210-A.

Based on observation the center failed to 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 documented in the allergy plan required in 8VAC20-780-60-A 8. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The center did not have any allergy, sensitivities or dietary restrictions documented in any classroom or inside play space.”

Rule 8VAC20-780-40-M.

Based on a review of children’s records, the center failed to request at least annually parent confirmation that the required information in the child’s record is up to date.

“Evidence: Child #4 and #5’s records do not contain documentation of an annual review.”

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

Based on observation, the center failed to ensue that rest mats shall be identified for use by a specific child.

“Evidence: There were 2 rest mats that were not labeled with a specific child’s name.”

Rule 8VAC20-780-440-B.

Based on observation, the center failed to ensure that children’s hands are washed with soap and running water after toileting.

“Evidence: - In the Infant Room, after an infant diaper change, the caregiver did not was the infant’s hands. - In the Infant Room, after an infant diaper change, the caregiver did not wash her hands.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering.

“Based on observation, the center failed to ensure that diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: - In the 2 Year Old Classroom, the changing pad had hole’s that rendered it nonabsorbent. - The classroom use Clorox wipes on changing surfaces then dry with paper towel.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to obtain written parent authorization noting any known adverse reactions and a record shall be kept that includes the child’s name, date of use, frequency of application and any adverse reactions.

“Evidence: There was no authorization form for Child #6 through Child #”

Rule 8VAC20-780-520-C.

Based on observation, the center failed to ensure that emergency evacuation procedures are posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: The emergency evacuation procedures were not posted.”

Rule 8VAC20-780-550-C.

Based on a review of emergency logs, the center failed to practice lockdown annually.

“Evidence: The center did not have documentation of a lockdown practice drill within the last year.”

Rule 8VAC20-780-550-F.

Based on observation, the center failed to ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: In the Infant Room, the refrigerator contained yogurt that did not have a date.”

Rule 8VAC20-780-560-G.

Based on a review of children’s records, the center failed to maintain and keep at the center the required documentation for each child enrolled.

“Evidence: Child #2’s record did not contain documentation of of work phone numbers and place of employment of each parent who has custody. Child #4’s record did not contain documentation of place of employment for each parent who has custody. Child #5’s record did not contain documentation of work phone number for each parent who has custody. Child #4’s record did not contain documentation of the names of persons authorized to pick up the child.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to obtain documentation of the address of a person to be notified in an emergency.

“Evidence: Staff #1, #2 and #3’s records did not contain documentation of the address for emergency notification.”

Rule 8VAC20-780-70.

Based on a review of staff records, the center failed to ensure that an employee of a licensed child day program must not be employed until the agency has the person’s completed sworn statement or affirmation.

“Evidence: Staff #5’s record does not have documentation of a completed sworn statement or affirmation. Date of hire 03/28/2022.”

Rule 8VAC20-770-60-B.

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: Child #2’s record does not have documentation of immunizations before or on the first day of attendance. First Date of Attendance - 06/20/2020.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance.

“Evidence: Child #2’s record does not have documentation of a physical by the 30th day of attendance. First Date of Attendance - 06/02/2020.”

Rule 8VAC20-780-140-A.

Based on a review of staff records, the center failed to ensue that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: Staff #4’s tuberculosis test expired 02/24/2022.”

Rule 8VAC20-780-160-C.

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

“Evidence: In the Three Year Old room, there was diaper cream, marked keep out of reach on a low shelf. In the Four Year Old room, there were Clorox Wipes and Lysol on a shelf. In the Playroom/Nap Room, there was a bottle of hand sanitizer on the book shelf.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that comforters shall not be used by children under two years of age.

“Evidence: In the Infant room - ages 4 months - 12 months old, Child #A was observed with a large blanket while sleeping in his crib.”

Rule 8VAC20-780-440-L.

Based on observation, the center failed to ensure that when food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: In the Infant room, there were eggs and sweet potatoes in containers in the refrigerator; however, they did not have any label’s on them.”

Rule 8VAC20-780-560-G.

Based on observation, the center failed to ensure that bottle fed infants who cannot hold their own bottles shall be held when fed.

“Evidence: In the Infant room (4 months - 12 months) an infant was observed lying on their back and not being held during a feeding.”

Rule 8VAC20-780-570-B.

Based on observation, the center failed to ensure that prepared formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence: In the Infant room, in the refrigerator there were four bottles without labels and there was one bottled on the counter without a label.”

Rule 8VAC20-780-570-E.

Based on a review of children’s records, the center failed to maintain and keep at the center the required documentation for each child enrolled.

“Evidence: Child # 2’s record does not have documentation of a physician’s name and phone number/ Child #1 and #2’s records do not have documentation of names of persons authorized to pick up the child. Child #2, #4 and #5’s records do not have documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that required records were obtained and maintained at the center.

“Evidence: Staff #1, #2, #3, #4 and #5’s records do not have documentation of emergency contacts. Staff #5’s record does not have documentation of two reference checks.”

Rule 8VAC20-780-70.