Restoring America’s Families Ministries

For each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“On the date of the inspection, 6 children were documented as being in attendance at the center, however, there were 15 children observed to be present during the inspection.”

Rule 8VAC20-790-530-B.

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

“In the preschool room, cracked and deteriorating wood was observed underneath the sink area cabinet. Additionally, there were approximately 16 insects observed underneath the sink area in the preschool room.”

Rule 8VAC20-790-630-A.

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

“Bleach solution was observed unlocked in a cabinet above the sinks in the preschool room, out of reach of children.”

Rule 8VAC20-790-640-A.

Staff members under 18 years of age shall be under the supervision of an adult staff member.

“During the inspection, Staff #3 (age 17) was observed supervising 9 school age children alone for approximately 5-7 minutes.”

Rule 22.1-289.031-A-3.

**Repeat Violation** The provider shall maintain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

“The records for staff #3 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

Rule 22.1-289.031-A-4.

**Repeat Violation** Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #3, who had been employed for 9 days, did not have a complete national criminal background check in her record.”

Rule 22.1-289.035-B-2.

The child day center shall employ supervisory personnel according to the following ratio of staff to children: One staff member to eight children from ages 24 months to 36 months. When a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group.

“During the inspection on March 27, 2025, Staff #2 and Staff #3 left a classroom of 8 children aged 2 years old and older unsupervised for approximately 3 minutes. During the inspection on March 31, 2025, there were 10 children in care with Staff #1 in a classroom. The youngest child was 2 years old.”

Rule 22.1-289.031-A-3-c. From a complaint.

The provider shall maintain documentation that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

“The record for staff #6 did not contain any documentation of an annual staff health report signed by a practicing physician or physician assistant.”

Rule 22.1-289.031-A-4. From a complaint.

**Repeat Violation** The center shall establish and implement procedures for ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.

“The record for child #7, enrolled for over four months, did not contain any documentation of immunizations.”

Rule 22.1-289.031-B-4. From a complaint.

The provider is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The record for staff #6 did not contain a completed sworn statement. The first date of employment for Staff #6 was not provided by the provider.”

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

The provider must obtain a completed national criminal background check prior to the employee’s first day of employment.

“The record for staff #6 did not contain documentation of a completed national criminal background check. The first date of employment for Staff #6 was not provided by the provider.”

Rule 22.1-289.035-B-2. From a complaint.

The regulated child day program shall require that the person enrolling the child present the regulated child day program with the proof of the child’s identity and age.

“The record for child #8, enrolled for over one year, did not contain documentation that the child’s identity and age were verified.”

Rule 22.1-289.049-A. From a complaint.

For any employee hired prior to 7/01/2024, a search of the central registry is required within 30 days of employment.

“The record for staff #6 did not contain documentation of results of a central registry search within 30 days of employment.”

Rule 8VAC20-770-40-D-2. From a complaint.

**Repeat Violation** The child’s record shall contain all of the required information.

Rule 8VAC20-790-540-B. From a complaint.

The provider shall maintain records that have the address, verification of age and date of employment for all staff.

“The record for staff #6 did not include any documentation of address, verification of age and date of employment.”

Rule 8VAC20-790-550-1. From a complaint.

The provider shall maintain documentation of tuberculosis screening results for all staff.

“The record for staff #6 did not contain documentation of tuberculosis screening results.”

Rule 8VAC20-790-550-3. From a complaint.

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

“Two broken windows on the left side of the building connected to the toddler classroom were observed.”

Rule 8VAC20-790-630-A. From a complaint.

The following actions or threats thereof are forbidden: Enclosure in a small, confined space or any space that the child cannot freely exit himself.

“On March 18, 2025, two witnesses from a state agency witnessed Staff #6 direct a school aged child into an unsupervised classroom in which the child remained for approximately 20 minutes. The two witnesses observed the child attempting to break the glass window of the door to exit the room before the child was let out by Staff #6.”

Rule 8VAC20-790-710-2. From a complaint.

**Repeat Violation** The diapering area shall have a nonabsorbent surface for diapering or changing children.

“The changing pad in the toddler room was wrapped in a fleece blanket making the changing pad absorbent.”

Rule 8VAC20-790-760-B-3-c. From a complaint.

Food shall be prepared, stored, transported, and served in a clean and sanitary manner.

“During the inspection on March 27, 2025, there were 29 expired milk cartons observed in the center’s refrigerator: 7 whole milk cartons and 22 1% milk cartons. The whole milk was expired by 4 days and the 1% milk was expired by 2 days. Staff #3 confirmed that milk was served to children on the date of the inspection. During the inspection on March 31, 2025, there were 4 expired whole milk cartons observed in the center’s refrigerator. The whole milk was expired by 8 days.”

Rule 8VAC20-790-810-D. From a complaint.

Children’s records shall contain the name, address, and telephone number for each custodial parent’s place of employment or school attendance.

“The records for child #2 and child #3, who have been enrolled for over two months, did not contain documentation of a name, address or phone number for each custodial parent’s place of employment.”

Rule 8VAC20-790-540-B.

Children’s record shall contain information on food allergies and actions to be taken in an emergency situation.

“The record for child #6, who has a diagnosed food allergy and has been enrolled for over 2 years, did not contain an allergy action plan or any actions to be taken in an emergency situation.”

Rule 8VAC20-790-540-B-5.

The diapering area shall have a nonabsorbent surface for diapering or changing children.

“The changing pad in the 2- and 3-year-old room had multiple tears on the sides making the surface absorbent.”

Rule 8VAC20-790-760-B-3.

The required ratio for children age 36 months to five years is one staff to 10 children.

“During the inspection, staff #3 was observed leaving the classroom and walking to the outside the building. Staff #3 left 10 children unsupervised in the classroom for approximately 1-2 minutes. During this time, a child was observed standing up on a classroom chair and jumping off onto the floor.”

Rule 22.1-289.031-A-3-d.

The center shall establish and implement procedures for ensuring that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases.

“The record for child #2 and child #3, who were enrolled for over 2 months, did not contain any documentation of immunizations.”

Rule 22.1-289.031-B-4.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #2 was overdue by over 1 month. The most recent sworn statement for staff #2 is overdue by over two months.”

Rule 22.1-289.035-A.

8VAC20-790-520-F

“Based on record review, and interview, the center failed to 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. Evidence: 1. When asked to see the allergy list, staff #2 stated that there was not a list because there were no children with allergies, sensitivities or dietary restrictions. 2. Review of the record for child #2, indicated that the child has a food allergy. 3. Child #2 was in attendance.”

Rule 8VAC20-790-520-F.

8VAC20-790-560-B

“Based on record review, the vendor failed to ensure that staff submit a TB screening at least every two years from the date of the initial screening. Evidence: 1. The record for staff #1, date of employment 01/03/20, contained a TB screening dated 10/04/21. A repeat screening was due on or before 10/04/23. 2. The record for staff #2, date of employment 08/20/2017, contained a TB screening dated 06/01/21. A repeat screening was due on or before 06/01/23.”

Rule 8VAC20-790-560-B.

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff who work directly with children, shall annually attend the department’s health and safety update course. Evidence: 1. The record for staff #1, date of employment 01/03/20, contained documentation of the department’s annual health and safety update course dated 06/21/21. 2. The record for staff #2, date of employment 08/20/17, contained documentation of the department’s annual health and safety update course dated 06/29/21.”

Rule 8VAC20-790-600-F.

8VAC20-790-630-A

Rule 8VAC20-790-630-A.

8VAC20-790-640-A

Rule 8VAC20-790-640-A.

8VAC20-790-760-B-8

“Based on observation, the vendor failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff #2 was observed changing a child’s diaper. Staff #2 did not clean and sanitize the diapering surface after the child was changed.”

Rule 8VAC20-790-760-B-8.

8VAC20-790-780-C-2

“Based on observation, and interview, the vendor failed to ensure to have one working, battery-operated radio. Evidence: The radio was not able to be turned on. The Director confirmed that the radio was not working.”

Rule 8VAC20-790-780-C-2.

8VAC20-790-810-C-1

“Based on observation, and interview, the vendor failed to ensure that food brought from home shall be clearly labeled in a way that identifies the owner. Evidence: 1. There were 2 sippy cups filled with milk on the counter that were not labeled in a way that identifies the owner. When asked, staff #2 stated that the cups were brought from home. 2. There were 2 bottles in the refrigerator filled with milk that were not labeled in a way that identifies the owner.”

Rule 8VAC20-790-810-C-1.

22.1-289.031-B-1

“Based on observation, the center failed to implement procedures to ensure that staff and children wash their hands after diapering. Evidence: Staff # 2 was observed changing a child’s diaper. Staff #2 did not wash their hands or the child’s hands after changing the diaper.”

Rule 22.1-289.031-B-1.

22.1-289.035-A

“Based on record review, the center failed to ensure that all staff undergo a background check as required by the Code of Virginia every five years. Evidence: The record for staff # 2, date of employment 08/20/2017, contained a sworn statement dated 07/16/2018. A sworn statement was due on or before 07/16/2023.”

Rule 22.1-289.035-A.

22.1-289.058

“Based on interview, the center failed to ensure that the center is equipped with at least one carbon monoxide detector. Evidence: The Director stated that a carbon monoxide detector has been purchased but has not been installed.”

Rule 22.1-289.058.

8VAC20-790-530-B

“Based on observation and interview, the vendor did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred, for each grouping of children. Evidence: Staff # 3 showed the licensing inspector where children are signed in and out of the center. A member of management stated all the children are signed in and out off of one master attendance sheet.”

Rule 8VAC20-790-530-B.

8VAC20-790-540-B

“Based on review of five children’s records, the vendor did not ensure five children’s records contained the required information. Evidence: The record for Child #1 did not the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached.”

Rule 8VAC20-790-540-B.

8VAC20-790-630-A

“Based on observation, the center did not ensure all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. Evidence: The door in the hallway leading into the kitchen was broken and hanging off the hinges.”

Rule 8VAC20-790-630-A.