Little Acorn Patch of Kingstowne

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child B did not have immunizations on record by their first day of care 10 days ago.”

Rule 8VAC20-780-130-A.

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

“Wood fencing boards along the toddler playground need to be sanded and secured.”

Rule 8VAC20-780-270-A.

There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Exception: Twelve inches of space are not required where cots, beds, or rest mats are located adjacent to a wall or a divider as long as one side is open at all times to allow for passage.

“There were 4 toddler cots that were less than 12 inches apart when observing nap time routines.”

Rule 8VAC20-780-440-E.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain required information.

“Child A’s record was 10 days over due for the annual update. Child B is missing two emergency contacts identified in their record.”

Rule 8VAC20-780-60-A.

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

“There is peeling paint on the walls in the 3’s classroom and the wooden house structure on the playground has a whole in the floor posing a tripping hazard.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety’s “Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground,” February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Where steps are used for accessibility, resilient surfacing is not required.

“The mulch on the playground surrounding monkey bars and fall zones need to be replenished.”

Rule 8VAC20-780-330-B.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain required information regarding emergency care plan.

“Child A did not have a complete emergency care plan signed by a physician.”

Rule 8VAC20-780-60-A.

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

“There were 2 broken ride on bikes, 2 red bikes with rust on the playground for older children,”

Rule 8VAC20-780-270-A.

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.

“A child was injured and required outside medical attention on 8/13/2025. No report was made to the depart as required.”

Rule 8VAC20-780-80-B-2.

Staff shall complete background checks every 5 years.

“The previous criminal record check for Staff #10 was dated as completed 10/15/19.”

Rule 22.1-289.035-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“The immunizations on-file for Child #5 were dated as completed 46 days after the first day of attendance.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician within the first 30-days of attendance.

“The physical exam on-file for Child #5 was completed 46 days after the first day of attendance.”

Rule 8VAC20-780-140-A.

Staff shall complete a TB screening every 2 years.

“The most recent TB test on-file for Staff #6 was dated as completed 5/12/23.”

Rule 8VAC20-780-160-C.

Staff shall complete orientation training in subsection C of this section no later than 7 days of the date of assuming job responsibilities.

“There was no documentation of orientation training for Staff #19.”

Rule 8VAC20-780-240-B.

Areas and equipment of the center, inside and outside, shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, visible cracked surfaces, that could entangle clothing or snag skin, and chipped or peeling paint.

Rule 8VAC20-780-270-A.

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 how the parent was notified of the child’s injury.

“4 of 11 written injury reports did not include documentation of how the parent was notified.”

Rule 8VAC20-780-550-P.

Staff records shall be kept for each staff person and include documentation of at least 2 written reference checks.

“There was documentation of 1reference check in the record for Staff #19.”

Rule 8VAC20-780-70.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“A container of laundry detergent was in an unlocked lower level cabinet in the 4-5 year old classroom; and a can of spray disinfectant, surface cleaning wipes, and a spray bottle of bleach + water solution were unlocked in a toddler classroom.”

Rule 8VAC20-780-280-B.

The staff-to-child ratios, of 1 staff to 5 children for children ages 16-24 months are required whenever children are in care.

“There were 2 staff caring for 15 children for a period of about 5 minutes.”

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

8VAC20-780-160-A

“Based on records reviewed, 1 of 3 staff records did not include documentation of a TB screening completed within 30 calendar days of employment. Evidence: Staff #3-The TB test on-file was dated12/5/22. The date of employment was 1/22/24.”

Rule 8VAC20-780-160-A.

8VAC20-780-70

“Based on records reviewed, 1 of 3 staff records did not include documentation of reference checks prior to the date of employment. Evidence: 2 of 2 reference checks for Staff #3 were dated after the date of employment, which was 1/22/24. The reference checks were dated 2/1/24 and 2/6/24.”

Rule 8VAC20-780-70.

Based on observations made, the licensee failed to ensure that required documents were posted in the facility.

Rule 22.1-289.023-A.

8VAC20-780-270-A

“Based on observations made, the licensee failed to ensure that a piece of playground equipment was maintained in a safe condition. Evidence: The yellow paint on the spring see-saw equipment was peeling off.”

Rule 8VAC20-780-270-A.

Based on observations made, staff failed to ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. A bleach product was found in an unlocked lower level cabinet in a 4-5 year old classroom. 2. 2 bottles of spray insecticide were found in an unlocked closest in a 4-5 year old classroom. While the closet had a lock, the key was left in the door lock.”

Rule 8VAC20-780-280-B.

Based on observations made, the licensee failed to ensure that resilient surfacing met the minimum safety standards in fall zones of all playground equipment.

“Evidence: 1. The wood mulch used as resilient surfacing in fall zones of all playground equipment was approximately 1”-1 1/2” in depth. 2. The wood mulch was scattered and exposed dirt/sand and tree roots in fall zones. 3. The wood mulch was used to cover the full fall zone beyond the rubber matting that may have been placed at the base of equipment.”

Rule 8VAC20-780-330-B.

8VAC20-780-330-C

“Based on observations made, the licensee failed to ensure that ground supports of playground equipment were covered with materials that protect children from injury. Evidence: The metal ground supports on the spring see-saws were not covered and had 8 bolt heads exposed.”

Rule 8VAC20-780-330-C.

8VAC20-780-510-G

“Based on observations made, staff failed to ensure that an over-the-counter medication was labeled as required. Evidence: The medication was not labeled with the child’s name, dosage amount, and time(s) to be given.”

Rule 8VAC20-780-510-G.

8VAC20-780-160-A

“Based on observations made and interview conducted, it was determined that a private contractor present in a classroom had no documentation of a TB test/screening. Evidence: There was no documentation of a TB test/screening for an individual working with Child #7 1:1 in the classroom daily. The individual has been hired privately by the parents of Child #7.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-B

“Based on records reviewed, it was determined that 1 of 5 staff records did not include an acceptable form of documentation of a TB test/screening. Evidence: Staff #8 - The TB test on-file and dated 9/23/22 was not signed by a physician, physician designee, or health department official. There was no signature from a medical professional on the document.”

Rule 8VAC20-780-160-B.

Based on observations made, it was determined that hazardous substances were not stored in a locked place preventing access by the children.

“Evidence: 1. In the 2’s room, a total of 8 cleaning products were found to be on an open bathroom shelf and on the floor and accessible to the children. 2. In the 3’s room, a total of 4 cleaning products were found accessible in the bathroom and on top of the paper towel dispenser in the classroom.”

Rule 8VAC20-780-280-B.

Based on observations made, it was determined that fall zones and resilient surfacing surrounding 2 pieces of playground equipment were insufficient.

Rule 8VAC20-780-330-B.

Based on records reviewed, it was determined that 2 of 8 children’s records did not include documentation that at least annually parents had reviewed and confirmed required information in the child’s record was up to date.

“Evidence: 1. Child #4 - The child’s first day of attendance was 6/16/19, and to-date there was no documentation of the annual review by parents. 2. Child #5 - The child’s first day of attendance was 8/23/21, and to-date there was no documentation of the annual review by parents.”

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

8VAC20-780-550-F

“Based on records reviewed, it was determined that an annual lockdown drill had not been practiced. Evidence: There was no record of a lockdown drill being conducted in 2022.”

Rule 8VAC20-780-550-F.

Based on records reviewed, it was determined that 2 of 4 written injury reports did not document required information.

“Evidence: 1. Child #6 - The injury report dated 3/7/23 did not include documentation of the date, time, and how the parent was notified of the child’s injury. These areas of the report were left blank. 2. Child #7 - The injury report dated 3/1/23 did not include documentation of the date, time, and how the parent was notified of the child’s injury. These areas of the report were left blank.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A-8

“Based on records reviewed, it was determined that 3 of 7 records of children with medications on-site did not include a written allergy action care plan from the child’s physician. Evidence: The records for Child #1, #2, and #3 did not include a written plan and steps to be taken in the event of a suspected or confirmed allergic reactions.”

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

Based on interviews conducted and records reviewed, it was determined that forbidden actions of physical punishment were used as a form of discipline by a staff member.

Rule 8VAC20-780-410-1. From a complaint.