Horizon Child Development, Inc.

Centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Milk was not offered with lunch on the date of inspection. Staff stated that some days milk is offered and some days water is offered as the beverage.”

Rule 8VAC20-780-560-F.

Repeat violation

Rule 8VAC20-780-330-B.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“During outdoor play, Staff 2 permitted children ages 3 and 4 to climb up the slide and use a playground structure designated for children ages 5 and older.”

Rule 8VAC20-780-340-A.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #4 obtained fzero of the 16 required hours in 2025.”

Rule 8VAC20-780-245-A.

Repeat violation

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The right support for the ladder on the wooden outdoor play structure was observed to be rotting, splintering and three exposed bolts could be observed at the base.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. The fall zones under two slides on the large playground did not meet the depth requirements in the six feet fall zone around the structure.”

Rule 8VAC20-780-330-B.

The required ratio for children ages 3 to 4 years is one staff per ten children.

“Two staff members were observed supervising twenty-one children aged 3 to four years.”

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

Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff 4 did not complete the 2025 Health and Safety Update course.”

Rule 8VAC20-790-600-F.

Staff shall be of good character and reputation.

“On March 4, 2026, Staff 1 submitted electronic staff records for review. Staff 2?s record showed seven documents with altered dates. In an interview on March 11, 2026, Staff 1 stated they had added dates and later changed dates on Staff 2?s paperwork, even though those dates were supposed to be completed by Staff 2.”

Rule 8VAC20-780-180-A.

Repeat violation

“Staff shall complete orientation training before working alone with children and no later than seven days after assuming job responsibilities. The orientation training for Staff 2 is documented as being completed eight days after employment.”

Rule 8VAC20-780-240-B.

A staff-to-child ratio of 1:5 is required for children ages 16?24 months whenever children are in care.

“On March 11, 2026, Staff 6 left Classroom A to go to the kitchen for approximately five minutes, leaving one staff member supervising seven children aged 16 to 24 months.”

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

When centers choose to provide meals or snacks, children three years of age or younger may not be offered foods that are considered potential choking hazards.

“On March 3, 2026, children aged 16 to 24 months were served whole grapes.”

Rule 8VAC20-780-560-F.

Repeat violation

“The staff records that must be kept include the date of employment. The date of employment listed in the record for Staff 2 was not accurate; the date of employment listed in the record is eight days after the actual date of employment.”

Rule 8VAC20-780-70.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child 1 and 4 require updated immunizations.”

Rule 8VAC20-780-130-E.

REPEAT VIOLATION Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The screening shall be submitted at the time of employment and prior to coming into contact with children.

“Staff 3 was employed for five days prior to receiving the results of the Tuberculosis screening”

Rule 8VAC20-780-160-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff 2 has been employed for four months and the record did not contain documentation of completing the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

Areas and equipment of the center, inside and outside, shall be maintained in a safe condition.

“A mop bucket filled with cleaning solution was observed in the bathroom used by children.”

Rule 8VAC20-780-270-A.

Repeat violation

“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 Classroom 1 and Classroom 3 there was no staff who meets the qualifications of program leader based on documentation in their records.”

Rule 8VAC20-780-340-D.

The diapering surface shall be non-absorbent.

“A three inch tear was observed on the diapering surface in Classroom 1 exposing the absorbent interior.”

Rule 8VAC20-780-500-B.

Repeat violation

“Staff records shall contain all required information. Staff 1’s record did not contain an emergency contact or documentation of education. Staff 2’s record did not contain an emergency contact or date of hire. Staff 4’s record did not contain an emergency contact.”

Rule 8VAC20-780-70.

Prior to employment staff are required to provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Staff 2’s sworn statement was obtained eight days after hire.”

Rule 22.1-289.035-B-1. From a complaint.

Staff may begin employment without having all required background checks if eligible national fingerprint results have been received, a completed sworn statement is on file, all other background checks have been requested, and the staff is supervised at all times by an individual with all required background checks completed within the last five years.

“Staff 2 was permitted to work alone with children for twenty-four days before the results of a central registry check was returned, and for four days before completion of a sworn disclosure.”

Rule 22.1-289.035-B-3. From a complaint.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

“Staff 2’s Tuberculosis screening was obtained four days after hire.”

Rule 8VAC20-780-160-A. From a complaint.

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff 2 does not have documentation of receiving an orientation. The staff member regularly works alone with children and had been employed for three weeks on the date of initial inspection.”

Rule 8VAC20-780-240-B. From a complaint.

When staff are supervising children, they shall always ensure their care, protection.

“On July 22, 2025 Child 1, aged 9 months, received a burn from the crockpot used to heat bottles. The burn was visible on the infant’s lower leg and was approximately two inches in length.”

Rule 8VAC20-780-340-A. From a complaint.

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. Such a program leader shall supervise no more than two aides.

“On July 24, 2025 and August 12, 2025 Staff 2 was the sole care provider in the infant room. Staff 2 does not have documentation to support that they are qualified as a program leader. Staff 3 stated that Staff 2 has been assigned as the primary caregiver in the infant room since the termination of Staff 1 on July 23, 2025.”

Rule 8VAC20-780-340-D. From a complaint.

The center or other appropriate official shall notify the parent immediately sustains a serious injury.

“On July 22, 2025 Child 1 sustained a burn requiring outside medical treatment. The center did not notify the parent of the injury to the child. The parent of the child called to inform the center that the injury was noticed upon arriving home after the child was picked up for the day.”

Rule 8VAC20-780-550-N. From a complaint.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence and contains all required information.

“The injury report for Child 1’s injury incurred on July 22, 2025 did not contain: a future action to prevent recurrence, how or when the parent was notified, or the signature of the parent or a second staff member.”

Rule 8VAC20-780-550-P. From a complaint.

Staff records shall be maintained with all required information.

“Staff 2’s record did not contain: the name or contact information for an emergency contact, documentation of how they meet the qualifications for their position, documentation that two or more references were checked.”

Rule 8VAC20-780-70. From a complaint.

The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Child 1, aged 9 months, received a second degree burn on their lower leg that required outside medical treatment. The licensee failed to report the incident.”

Rule 8VAC20-780-80-B. From a complaint.

Prior to hire staff must provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“Staff 1’s record did not contain a sworn statement or affirmation.”

Rule 22.1-289.035-B-1.

During the stated hours of operation, there always shall be on the premises one staff member who meets the qualifications of a program leader or program director and an immediately available staff member, volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them.

“At the beginning of the inspection all staff members were caring for children and counted in ratio. There was not an additional staff member immediately available. Staff 4 arrived at the center from picking up school age children from school approximately twenty minutes after the start of th inspection.”

Rule 8VAC20-780-340-C.

Repeat violation

“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. At the beginning of the inspection Staff1 was the sole care provider in Classroom A. Staff 1 does not meet the qualifications of a program leader.”

Rule 8VAC20-780-340-D.

Repeat violation

“The center shall maintain a ratio of one staff for every four infants under the age of sixteen months. At the beginning of the inspection the Classroom A had a ratio of one staff for seven infants. A second teacher arrived to the classroom after approximately ten minutes.”

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

The center must follow their own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“The center did not follow it’s safe sleep policy. Four infant were observed sleeping in bouncy chairs.”

Rule 8VAC20-780-40-E.

Bottles shall not be propped or used while the child is in his designated sleeping location.

“An infant was observed drinking from a bottle propped by a stuffed animal while laying on a floor pillow.”

Rule 8VAC20-780-570-B.

Repeat violation

“Children’s records shall contain all required information. Child 5’s record did not contain the name, address, and phone number for a second emergency contact.”

Rule 8VAC20-780-60-A.

Repeat violation

“Staff records shall be maintained with all required information. Staff 1’s record did not contain documentation that at least two references were checked.”

Rule 8VAC20-780-70.

22.1-289.035-B-4

“The center shall request the result of a central registry search and sex offender registry search for all states a staff member has resided in within the preceding five years prior to hire. Staff 1 was working at the child day center for approximately three weeks before a request for an out of state central registry check was requested.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff 1’s record did not contain documentation of orientation. Staff 1 has been assumed job responsibilities for a period of longer than 7 days.”

Rule 8VAC20-780-240-B.

8VAC20-780-350-B-1

“The ratio of children from birth up to 16 months should not exceed 4 children per staff member. On the date of inspection a classroom was operating with 15 children and 3 staff members. One child in the classroom was aged 14 months.”

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

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. The record for Child 1 did not contain documentation that the proof of identity was verified by the center.”

Rule 8VAC20-780-40-G.

8VAC20-780-430-H

“Trampolines shall not be used by a child day center. A trampoline was observed on the playground.”

Rule 8VAC20-780-430-H.

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Unlocked ibuprofen was observed unlocked on the desk in the main office.”

Rule 8VAC20-780-510-L.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. Child 1’s record lists one of two required emergency contacts. Child 2’s record has not been reviewed annually by the parents to ensure all contact information is up to date.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records are required to contain all required information. Staff 1’s record did not contain: date of hire, emergency contact information, documentation of two references, job title, or education and qualifications for the position.”

Rule 8VAC20-780-70.

8VAC20-780-340-D

“Based on interviews and record review, there was not in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: On the date of inspection Staff 1 and Staff 2 were the supervising staff in the Two Year Old classroom. Neither staff member had documented qualification that meet the criteria for a program leader.”

Rule 8VAC20-780-340-D.

8VAC20-780-240-C

“Based on record review, one staff was not oriented on recognizing child abuse and neglect and the legal requirements for reporting suspected abuse and neglect. Evidence: The orientation for Staff 1 did not include recognizing child abuse and neglect and the legal requirements for reporting suspected abuse and neglect.”

Rule 8VAC20-780-240-C.

8VAC20-780-245-A

“Based on record review, staff did not complete a minimum of sixteen hours of annual training. Evidence: Staff 1’s record shows seventeen training hours for 2022. Ten of the listed training hours are a required orientation which does not qualify for the ongoing training requirement.”

Rule 8VAC20-780-245-A.

8VAC20-780-80-A

“Based on observation, a record of daily attendance that documents the arrival and departure of each child in care as it occurs was not kept. Evidence: On he date of inspection three classrooms were observed to not have the attendance sheets marked with the children who were present.”

Rule 8VAC20-780-80-A.

8VAC20-790-540-B-3

“Based on record review, children’s records did not contain all required information. Evidence: 1. Child 3’s record did not contain the work address for one of the listed parents. 2. Child 4’s record did not contain the work address for either listed parent.”

Rule 8VAC20-790-540-B-3.

8VAC20-780-40-K

“Based on record review, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The center could not produce written procedures for prevention of shaken baby syndrome or abusive head trauma on the date of inspection.”

Rule 8VAC20-780-40-K.

22.1-289.035-B-2

“Based on record review, the center did not conduct a criminal record check for staff prior to the first date of employment. Evidence: Staff 1’s criminal record check was received on 1/18/2022, and has a start date listed as 1/13/2022.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review, the child day program did not obtain the results of a central registry background check for staff within 30 days of employment. Evidence: 1. Staff 1’s central registry results were received on 3/18/2022. Staff 1’s start dat is listed as 1/13/2022.”

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

8VAC20-780-160-A-1

“Based on record review, the center did not obtain the results of a negative Tuberculosis screening for all staff prior to coming into contact with children. Evidence: Staff 1’s documented start date is listed as 1/13/2022. A Tuberculosis screening was not conducted until 1/29/2022.”

Rule 8VAC20-780-160-A-1.

8VAC20-780-240-A

“Based on record review, the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment for new staff. Evidence: Staff 1 has not completed the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“Based on observation, not all areas of the center were maintained in a safe and operable condition. Evidence: 1. A plastic play house on the playground has a sharp crack on one side. Inside the house, by the sink, is a sharp plastic edge exposed where a fixture has broken off. 2. Two plastic riding toys on the side playground, had cracks resulting in sharp plastic edges. 3. On the wooden slide and swing fixture, the trapeze bar has chipping paint and is missing a hand ring.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation, there was not an adequate resilient surface under an outdoor play structure where required. Evidence: The fall zone area under the green plastic slide is not adequately mulched and ground is visible.”

Rule 8VAC20-780-330-B.

8VAC20-780-450-A

“Based on observation, cots, mats and beds used by children other than infants during the designated rest period did not have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: two children were observed to be sleeping on cots with only of a blanket.”

Rule 8VAC20-780-450-A.

8VAC20-780-560-F

“Based on record review and staff statements, not all meals provided follow most recent requirements of the the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: The breakfast listed on the menu for the date of inspection did not contain all required food group components.”

Rule 8VAC20-780-560-F.

22.1-289-036-B-4

“Based on record review, the child day center did not obtain the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: Staff #1’s record does not contain the results of a Mississippi criminal background check.”

Rule 22.1-289-036-B-4. From a complaint.