Children of America Deacon Road

The center is required to submit to VDH and implement a plan to test potable water for lead.

“The center did not have evidence of a testing plan submitted to VDH and/or the center did not have results from lead testing completed.”

Rule 22.1-289.057-A.

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

“An approximate 2-inch dip was observed in the back area of the playground. The dip caused the playground surfacing to sink unevenly, creating a potential tripping hazard. The playground area was not maintained in a clean, safe, and operable condition.”

Rule 8VAC20-780-270-A.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Upon entering the facility, the director’s office door was observed open and unlocked. Prescription medication was observed sitting on the director’s desk and was accessible to children.”

Rule 8VAC20-780-510-L.

When playground equipment is provided, resilient surfacing must meet the minimum safety standards for resilient surfacing.

“On May 6, 2026, at approximately 4:15 p.m., Child A (age 4) slid down an indoor slide in City Place headfirst and sustained a head injury requiring outside medical treatment. The area beneath the slide lacked adequate impact absorbing surfacing material.”

Rule 8VAC20-780-330-B.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On May 6, 2026, at approximately 4:15 p.m., the center did not maintain sight and sound supervision of Child A using the indoor slide. The design of the indoor slide limits staff’s ability to adequately observe children as they approach and exit the equipment.”

Rule 8VAC20-780-340-F.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. 1. Child C (Age 1 year 1 month) last immunization record was over 11 months ago. 2. Child D (Age 1 year 8 months) last immunization record was over 10 months ago. 3. Child E (Age 1 year 7 months) last immunization record was over 1 year 2 months.”

Rule 8VAC20-780-130-E.

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

“The record for Staff A, did not contain documentation of orientation training. Staff # 1 has been employed for four months.”

Rule 8VAC20-780-240-B.

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian.

“Child F had prescription medication on site without written parent permission.”

Rule 8VAC20-780-510-I.

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication belonging to Child A was onsite, but the medication authorization had expired over 1 month and 15 days. Medication belonging to Child B was onsite, but the medication authorization had expired over 1 month and 9 days. The authorizations had not been renewed, and the medications were not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

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.

“The written attendance for Pre-K C had 16 children signed in and only 13 children were present.”

Rule 8VAC20-780-80-A.

When a child’s clothing or diaper becomes wet or soiled, the child shall be cleaned and changed immediately.

“On 12/18/2025, Child A’s diaper was not immediately changed.”

Rule 8VAC20-780-500-B. From a complaint.

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

“1. The immunization records for Child C (Age 3) indicates the child’s most recent immunizations were administered over 1 year 9 months.”

Rule 8VAC20-780-130-E.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for Child B, enrolled for 5 months, was not signed or dated.”

Rule 8VAC20-780-150-B.

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.

“1. In the Infant A classroom, there was a bottle of sanitizing spray on the counter, and disinfecting spray unlocked in an upper cabinet. 2. In the Infant B classroom, there was a spray bottle of sanitizing and disinfecting spray in an unlocked upper cabinet. 3. In the Toddler A classroom, there was a spray bottle of disinfectant unlocked in a upper cabinet.”

Rule 8VAC20-780-280-B.

The center shall 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. This list shall be dated and kept confidential in each room or area where children are present.

“1. The allergy list in the Preschool 2A classroom was not kept confidential, it is posted with no cover. 2. Child A who had started care on day of inspection, was not on the current list in the school-age classroom of children with allergies.”

Rule 8VAC20-780-40-M.

The center shall notify the parent by the end of the day of any known minor injuries.

“On 3/31/2025 Child A sustained a minor injury on their back. Staff was aware of the incident but did not notify the child’s parent by the end of the day.”

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

8VAC20-780-550-P

“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 the following: Date and time when parents were notified. 1. On 3/31/2025 Child A sustained a minor injury on their back and the written record of child’s injury was not documented on the same day. 2. The written injury report that was documented the next day, did not have the date and time the parent was notified once it was completed.”

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

Center must ensure that staff complete orientation prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities.

“Staff A has been employed for 4 months and did not have documentation that the staff completed orientation.”

Rule 8VAC20-780-240-B.

Prescription medication may be administered if the parent has completed a written authorization from the child’s physician and parent.

“1. The record for Child D did not contain written authorization from the child’s parent for medication that was observed on site. 2. The record for Child E did not contain written authorization from the child’s parent for medication that was observed on site.”

Rule 8VAC20-780-510-E.

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 A, enrolled for 1 year and 5 months was missing both parents work phone number and place of employment. 2. The record for Child B, enrolled for 2 months was missing both parents work phone number and place of employment. 3. The record for Child C, enrolled for 18 months was missing both parents work phone number.”

Rule 8VAC20-780-60-A.

In inside areas occupied by children, the temperature shall be maintained no lower than 68?F.

“In the Preschool 3 classroom, the temperature was 66?F.”

Rule 8VAC20-780-270-C. From a complaint.

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

“infants were observed sleeping with a bib and pacifier attached to a ribbon presenting a strangulation hazard.”

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

When an infant is able to easily turn over from the back to the belly position and he is placed in his crib, he shall still be put on his back but allowed to adopt whatever position he prefers.

“Staff #1 was observed placing Child #2 (9 months) in their crib on their belly.”

Rule 8VAC20-780-370-1. From a complaint.

For each infant, the center shall post a daily record which can be easily accessed by both the parent and the staff working with the child.

“On 10/1/2024 and 10/2/2024, the center did not post a daily record which could be accessed by both parents and staff working with Child #3. On both days the center failed to document the correct amount of food consumed by the child that day nor was time documented for how much time the child spent on their stomach.”

Rule 8VAC20-780-420-E-1. From a complaint.

Center shall ensure to follow handwashing procedures for both staff and children.

“Staff #1 did not wash hands before or after changing a child’s diaper. Child’s hands were also not washed after the diaper change.”

Rule 8VAC20-780-500-A. From a complaint.

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

“Child #1 (9 months) was not securely fastened at the feeding table. The straps that are supposed to be connected to the seat were not present.”

Rule 8VAC20-780-570-A. From a complaint.

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.

“In the Infants classroom there were 5 children signed in electronically and only 4 children were present in the classroom.”

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

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

“The record for Staff #1 showed updated TB screening was due 1 month ago.”

Rule 8VAC20-780-160-C.

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

“In the Infant A classroom in an upper cabinet, there was an unlocked spray bottle of bleach water.”

Rule 8VAC20-780-280-B.

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

“The record for Child #1 did not have parent confirmation that the required information in their child’s record was up to date in the last 2 years.”

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

Documentation shall be maintained of emergency evacuation, shelter-in place, and lockdown drills.

“There was not an emergency evacuation drill documented for August 2024.”

Rule 8VAC20-780-550-G.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“There were two children in the Infant A room with bottles that did not have dates.”

Rule 8VAC20-780-570-E.

8VAC20-780-280-B

“Repeat violation: Hazardous substances shall be kept locked. There were carpet cleaner and adhesive remover unlocked in the storage room at the font of the center.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“A current written list of all children with allergies, sensitivities and dietary restrictions shall be in each room where children are present. Child D’s allergy to eggs were not documented on the written list.”

Rule 8VAC20-780-40-M.

8VAC20-780-60-A-8

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

8VAC20-780-130-A

“Based on a review of six children’s files and interview with administrative staff, it was determined that there was no documentation of immunization for each child before the child can attend the center. Evidence: Child A did not have an immunization record on file. Child A was enrolled on 10/9/23.”

Rule 8VAC20-780-130-A.

8VAC20-780-270-A

“Based on observation, it was determined that the area and equipment was not maintained in an safe condition. Evidence; The Licensing Inspector observed a fan high on an upper shelf in the Preschool IA room, The cord to the fan was hanging in reach of the children in that classroom therefore presenting a potential hazard of a child pulling on the cord and the fan falling on top of a child(ren).”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, it was determined that hazardous substances were not kept locked. Evidence: The Licensing Inspector observed spray bottles of sanitizing agents in the kitchen on a cart. The door to the kitchen was open. The Licensing Inspector observed a disinfectant spay unlocked and on a sink in the City Place bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-440-J

“Based on observation, it was determined that there was not 30 inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: There were 3 cribs, two of which were occupied and all 3 cribs were touching each other on the service sides of the cribs.”

Rule 8VAC20-780-440-J.

8VAC20-780-510-E

“Based on a review of medications for 7 children, it was determined that there was no parental authorizations for medications for 2 children. Evidence: There was no parental authorization for an inhaler for child B or an allergy medication for child C”

Rule 8VAC20-780-510-E.

8VAC20-780-340-D

“Based on interviews and documentation review, the facility failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader shall be regularly present. Evidence: on 6/29/23 at approximately 3:30pm, staff #2 was left alone with four children in the infant plus one classroom. Staff #2 is listed as an assistant teacher and does not have program leader qualifications documented in their record.”

Rule 8VAC20-780-340-D.

8VAC20-780-350-Q

“Based on interviews and documentation review, the facility casually reassigned a child from their regular group and staff disrupting the child’s schedule and attachment to their staff members and group. Evidence: On 6/29/23 at approximately 3:30pm, an infant was moved from the Infant plus one classroom to the infant classroom in order to reduce the ratio to allow a staff member to go home.”

Rule 8VAC20-780-350-Q.

8VAC20-780-500-A

“Based on observation, not all handwashing procedures were followed as required. Evidence: two infants were observed drinking a bottle and their hands were not washed afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-570-A

“Based on observation, the facility failed to ensure that high chairs, infant carrier seats or feeding tables are used for children under 12 months who are not held while being fed. Evidence: two infants in the infant A classroom were observed drinking bottles; one was laying on the floor with their head on a staff member’s leg and the other was laying on a boppy pillow.”

Rule 8VAC20-780-570-A.

8VAC20-780-440-G

“Based on observation, staff interview, and review of documentation, it was determined that the facility did not ensure that cribs are used for all children under 12 months of age. Evidence: 1) child #1 (date of birth: 5/29/22), child #2 (date of birth: 6/13/2022) and child #3 (date of birth: 5/13/2022) were observed napping on cots in the infant B classroom.”

Rule 8VAC20-780-440-G.

8VAC20-780-560-F

“Based on observation, and interviews with staff, the facility did not follow the most recent age-appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA when providing lunch. Evidence: children in the toddler classroom were served water with lunch, not milk.”

Rule 8VAC20-780-560-F.

22.1-289-036-B-4

“Based on review of documentation, it was determined that no Out of State Child Abuse and Neglect Search request was obtained, as required, for all applicant/agents who have lived outside of Virginia in the past five years. Evidence: The records for applicant/agent #1 and applicant/agent #2, did not have documentation of an Out of State Child Abuse and Neglect Search request.”

Rule 22.1-289-036-B-4.

22.1-289.036-B-2

“Based on review of documentation, it was determined that not all applicant/agents had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not have an OBI determination letter.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-1-a

“Based on review of documentation, it was determined that not all applicant/agents had a sworn statement or Central Registry Search as required. Evidence: the records for applicant/agent #1 and applicant/agent #2 did not contain a sworn statement or Central Registry search results.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-780-80-A

“Based on review of the written attendance record, and interviews with staff, it was determined that the facility did not ensure that the written record of daily attendance documents the arrival and departure of all children in care as it occurs. Evidence: 1) In the infant A class, seven children were observed, however only five children were listed on the attendance sheet; 2) In the infant B class, three children were observed, however four children were listed on the attendance sheet.”

Rule 8VAC20-780-80-A.

22.1-289.058

“Based on observation and an interview with staff, the facility is not equipped with at least one carbon monoxide detector as required. Evidence: per staff, there was no carbon monoxide detector in the facility.”

Rule 22.1-289.058.

8VAC20-780-60-A

“Based on review of five children’s records, it was determined that not all records contained all required information. Evidence: the records for child #4 and child #5, with diagnosed food allergies, did not contain an allergy care plan.”

Rule 8VAC20-780-60-A.