A Little Peace of Mind Day Care & Learning Center, Inc.

8VAC20-780-140-B

“Physical examinations shall be conducted within prescribed time periods. The physical examination for C5 was conducted more than 12 months prior to enrollment.”

Rule 8VAC20-780-140-B.

8VAC20-780-150-B

“Physical examination reports and immunizations shall be signed by a physician, designee, or an official of a local health department. Physical exam and immunizations for C4 were not signed by physician.”

Rule 8VAC20-780-150-B.

8VAC20-780-40-J

“The center is required to update the injury prevention procedures at least annually based on documentation of injuries and a review of the activities and services. The review of the injury prevention procedures was not documented.”

Rule 8VAC20-780-40-J.

8VAC20-780-550-D

“Evacuation drills procedures shall be practiced monthly. Drill records did not document drills in 03/2026.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice a year. The drill record documented only one practice on 03/11/2025 in 2025.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-P

“The center shall maintain written records of children’s injuries that contain all of the required information. Injury reports dated 01/05/2026, 01/08/2026, 01/23/2026, 03/05/2026, 03/06/2026; 04/13/2026 and 04/29/2026 did not document the signature of a second staff member or a parent signature.”

Rule 8VAC20-780-550-P.

8VAC20-790-600-F

“The record for S6 did not document completion of the health and safety course annually. S6 completed the course 10/17/2024 and 03/30/2026.”

Rule 8VAC20-790-600-F.

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 #1, Staff #3, Staff #4 and Staff #5 did not complete the deparment’s health and safety course for 2025. Staff #1, Staff #3, Staff #4 and Staff #5 have been employed have been employed for more than four years.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #2, who had been employed for eight months, did not have a central registry search.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due three months ago. The updated screenings had not been completed by 06/24/2025.”

Rule 8VAC20-780-160-C.

Repeat Violation

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In Classroom #1, two chairs had cracks in the seat, creating a pinching hazard. Children were observed in the classroom during the inspection.”

Rule 8VAC20-780-270-A.

8VAC20-780-350-B-3

“The required ratio for children aged two-years old is one staff per eight children. Staff #1 was observed supervising 10 children (youngest child two-years old) from approximately 10:10am-10:20am.”

Rule 8VAC20-780-350-B-3.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for Staff #3 was overdue by 11 months. The most recent national fingerprint based criminal record check for Staff #4 was overdue by four months.”

Rule 22.1-289.035-A.

Repeat violation

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Several of the mats the children were resting on were torn, with the foam exposed.”

Rule 8VAC20-780-270-A.

Repeat violation

“Hazardous substances must be in a locked place that prevents access by children. The closet in the hallway was unlocked. The closet contained multiple cleaners with the warning Caution: Keep Out of the Reach of Children. A multi-purpose cleaner was located in the bathroom used by the children. The cleaner was out of the reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-270-A

“REPEAT VIOLATION: Based on observations and interview, the center did not maintain all areas and equipment in a clean, safe, and operable condition. Evidence: The outdoor playground contained water hoses and outdoor carpet that were curling up, creating a tripping hazard for the children.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observations, the center did not ensure all hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. Unlocked sanitizing wipes were located in the Preschool classroom. 2. The kitchen door was propped open. The kitchen contained unlocked cleaning chemicals. The kitchen door opens directly in the classroom. Children were observed in the classroom. 3. The cleaning chemicals were labeled Danger and Caution: Keep out of the reach of children.”

Rule 8VAC20-780-280-B.

Based on observation and measurements, the center did not ensure areas where play equipment is provided, resilient surfacing complied with minimum safety standards described in the American Society for Testing and Materials.

“Evidence: 1. A piece of climbing equipment, approximately 42 inches in height, was located on playground. The depth of wood chips underneath the play equipment measured approximately three to four inches in depth at varying locations within the play equipment’s fall zones. 2.The height of the climbing equipment required at least six inches in depth of wood chips in all fall zone areas.”

Rule 8VAC20-780-330-B.

Based on review of 8 staff records and interview, the center did not ensure repeat criminal history checks were completed every five years.

Rule 22.1-289.035-A.

Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition.

“Evidence: 1. A hole was observed in the girl’s bathroom wall exposing drywall within reach of children. 2. A metal frames bus on the playground used by children had chipped paint and rusting throughout.”

Rule 8VAC20-780-270-A.

Based on a review of documentation and interview, the center did not ensure to maintain documentation of emergency evacuation drills that included the number of staff participating and the weather conditions as required.

“Evidence: 1. The 2023 evacuation drills were reviewed. The drills did not include the number of staff participating and the weather conditions. 2. During an interview, Staff #1 acknowledged the required information was not documented on the drills.”

Rule 8VAC20-780-550-G.

Based on a review of five (5) staff records and interview, the vendor did not ensure that four (4) staff annually completed the department’s health and safety update course as required.

“Evidence: 1. The record of staff #2, #3, #4 and #5 contained annual health and safety update certificates from 2020. 2. The vendor acknowledged that the health and safety update course had not been annually completed by the four (4) staff.”

Rule 8VAC20-790-600-F.

Based on a review of five (5) child records and interview, the center did not ensure to obtain documentation that one (1) child had received the immunizations required by the State Board of Health before the child’s first date of attendance as required.

“Evidence: 1. The record of child #4 (fate of attendance: 5/3/2023) contained immunization records dated 5/10/2023 and 5/16/2023. 2. Administration acknowledged that the immunizations were received after the first date of attendance.”

Rule 8VAC20-780-130-A.

Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one (1) staff at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record of staff #1 (date of employment: 6/5/2023) did not contain a TB screening. 2. Administration acknowledged that documentation of the screening had not been obtained.”

Rule 8VAC20-780-160-A.

Based on a review of five (5) staff records and interview, the center did not ensure to obtain documentation of a follow up tuberculosis screening for four (4) staff 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.

“Evidence: 1. The records of staff #2, #3, #4, and #5 contained TB screenings dated 4/15/12019. 2. Administration was unable to locate current TB screenings for the four (4) staff and stated that the staff would be completing new screenings or tests.”

Rule 8VAC20-780-160-C.

Based on observation and interview, the center did not ensure that hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Unlocked aerosol disinfectant and two containers of Odoban cleaner were observed on a shelf in the center’s lobby.Unlocked aerosol disinfectant was observed on a shelf in the two’s room. The bottles contained warnings to include: caution and hazard to humans and domestic animals 2. Administration acknowledged that the cleaners/sanitizers were not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-270-A

“Based on observation, the facility failed to maintain all areas in a safe and operable condition. Evidence: the silver metal slide on the playground has a crack at the bottom. The crack is about 6 inches long and creates a pinching hazard.”

Rule 8VAC20-780-270-A.