A Little Piece of Heaven Day Care, Inc.

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 6/11/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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.

“1. Child #1, who has attended for approximately 6 months, had immunizations dated 3 weeks after their start date. 2. Child #4, who has been attending for approximately 3 weeks, had immunizations dated 4 days after their start date.”

Rule 8VAC20-780-130-A.

The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #4, employed for almost three months, is currently working and does not have a TB test on file.”

Rule 8VAC20-780-160-A.

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

“Staff #3 updated screening was due more than a month ago and Staff #5 updated screening was due 2 weeks ago.”

Rule 8VAC20-780-160-C.

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 #4 did not have documentation of completed orientation and has been working at the center for approximately 3 months.”

Rule 8VAC20-780-240-B.

Hazardous substances must be in a locked place that prevents access by children.

“In the preschool bathroom, a bottle of Febreeze and Lysol were left unlocked and out of reach of children.”

Rule 8VAC20-780-280-B.

In areas used by preschool age or younger children, electrical outlets shall have protective covers.

“A crib in the infant room was within reaching distance to an uncovered outlet with no protective covers.”

Rule 8VAC20-780-290-3.

The required ratio for children ages birth to 16 months is one staff per four children.

“Staff #3 was observed supervising seven children (youngest child 10 months old) from approximately 11:55am- 12:15pm.”

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

Crib sheets shall be clean and washed daily.

“Staff #3 confirmed crib sheets are being washed weekly.”

Rule 8VAC20-780-450-C.

When a child is placed in an infant seat the protective belt shall be fastened securely.

“An infant was being fed lunch in a high chair that did not contain safety straps in Classroom #1. Straps had previously been removed.”

Rule 8VAC20-780-570-A.

Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location.

“Two infants were observed being fed by propped bottles in a bouncy seat during nap time on 10/6/2026.”

Rule 8VAC20-780-570-B.

Repeat Violation: Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“1. The record for Child #1, enrolled for more than five months, was missing the following required components: proof of ID. 2. The record for Child #3, enrolled for more than three years, was missing the following required components: annual update. 3. The record for Child #5, enrolled for more than two years, was missing the following required components: annual update.”

Rule 8VAC20-780-60-A.

Staff who work directly with children shall, in addition to preservice and orientation training required to include the department’s health and safety update course.

“Staff #1, Staff #2, and Staff #5 did not have an annual 3 hour health and safety training completed.”

Rule 8VAC20-790-600-F.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff #2 obtained 15 out of 16 required training hours for the 2025 year.”

Rule 8VAC20-780-245-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“Child #3, who has been enrolled for more than three years, did not have an annual update in the child’s file.”

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

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 #4, enrolled for approximately six weeks, was missing the following required components: Documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“During the inspection on 12/11/2025, there was no current staff member with an up to date Daily Health Observation training.”

Rule 8VAC20-780-245-L.

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 #4, who has been attending for ten months, 22 days after first day of attendance.”

Rule 8VAC20-780-130-A.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #3 obtained five of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for Staff #3 was completed more than 50 days after hire. Staff #5’s screening was completed five days after date of hire.”

Rule 8VAC20-780-160-A.

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

“Staff #2 updated screening was due more than ten months ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #4 and Staff #5 had no TB documentation on file, both had been employed for more than a month and were working with children at the time of the inspection.”

Rule 8VAC20-780-160-A.

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger electrical outlets shall have protective covers. The Infant/Toddler room had 2 outlets, located within the children’s reach, without protective covers.”

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

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR as appropriate to the age of the children in care and current certification in First Aid. Staff #5 was alone with her 3 year old classroom and did not have current CPR or First Aid certification.”

Rule 8VAC20-780-530-A.

8VAC20-790-600-F

“Based on record review and staff interview the center did not ensure staff complete the department’s health and safety update course annually. Evidence: The director confirmed that the records for staff #2, #3, #4 and #5 did not have documentation of the update training course in 2022 or 2023.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-A

“Based on record review and staff interview the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The director confirmed that Child #3 (start date 8/24/2023) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on record review and staff interview the center did not ensure each child shall have a physical examination before the child’s attendance; or within 30 days after the first day of attendance. Evidence: The director confirmed that Child #3 (start date 8/24/2023) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-550-D

“Based on record review and staff interview the center did not implement a monthly practice evacuation drill as required. Evidence: The director confirmed the center’s evacuation drill sheet did not include documentation of an evacuation drill in the month of November 2023.”

Rule 8VAC20-780-550-D.

Based on observation, the licensee did not ensure in areas of the center , inside were maintained in clean safe and operable condition.

“Evidence: In the school age area the back classroom, has a metal piece falling off the baseboard heater and their was spots with peeling paint in the classroom.”

Rule 8VAC20-780-270-A.