Smiles & Giggles Learning Center Incorporated

8VAC20-780-550-P

“The center shall maintain a written record of children’s injuries and document required information. Three injury reports completed in July and August 2026 did not document the time of the injury. One did not document the treatment provided and two did not document the action to prevent recurrence of the injury.”

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

22.1-289.023-A

“Required documents are to be posted in a prominent place at each public entrance of the premises. On July 28, 2026, the Notice Of Intent To Place The Licensee On Probation And Require Licensee To Contact Parents, Guardians, Or Other Responsible Persons Regarding Health And Safety Violations was not posted at the entrance of the facility.”

Rule 22.1-289.023-A.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #4, employed for more than a month, did not have documentation of requesting a sex offender search from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate resilient surfacing in the fall zones. The mulch at the foot of the three slides measured to be approximately 4” deep when it should be at least 6” deep.”

Rule 8VAC20-780-330-B.

8VAC20-780-350-I

“For children ages 16 months through 24 months of age, during the designated rest period, the required ratio is 1 staff per 10 children. At approximately 1:40 p.m. on 6/9/2026, 2 staff were present with 26 children (youngest child 19 months old) in the preschool room.”

Rule 8VAC20-780-350-I.

8VAC20-780-440-E

“There shall be at least 12” of space between occupied cots. In the preschool room, 3 occupied cots were touching each other and 7 occupied cots had 3” - 6” of space between them.”

Rule 8VAC20-780-440-E.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child #2, Child #3, Child #4 and Child #5, present on this day, did not have complete employment information for parents.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“(Repeat violation) 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. At approximately 1:40 p.m. on 6/9/2026, there were 26 children present in the preschool room, but the attendance records did not match the children present. The hand written attendance sheets totaled 28 and the electronic attendance totaled 23.”

Rule 8VAC20-780-80-A.

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

“On March 24, 2026, Child #1 (two years old) and Child #2 (three years old) exited the building. Child #1 ran into a 4-lane road resulting in a driver alerting other drivers. Child #2 ran to the side of the road. The children ran back towards the center before a staff member opened the front door calling them back inside.”

Rule 8VAC20-780-340-A.

In each grouping of children, there shall be at least one staff member who meets the qualifications of a program leader or program director.

“On March 24, 2026, there was not a program leader or program director qualified staff member in the 2?s classroom after 3:30 pm when an incident occurred at approximately 3:45 pm where two children exited the building unsupervised.”

Rule 8VAC20-780-340-D.

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

“On March 24, 2026, Child #1 (two years old) and Child #2 (three years old) were not within actual sight and sound supervision of staff for approximately one minute when they exited the building, ran to a 4-lane road and then returned to the building.”

Rule 8VAC20-780-340-F.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“The center did not follow their policy for sight and sound supervision. The policy states ?teachers are expected to be within sight and sound supervision of the students to ensure they can respond to immediate assistance for the children?. Child #1 (two years old) and Child #2 (three years old) were not provided immediate assistance to prevent them from leaving the building, resulting in the children being without sight and sound supervision from staff.”

Rule 8VAC20-780-40-E.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“On March 24, 2026, Staff #1 was alone with a group of two and three year old children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

8VAC20-780-500-A

“Staff shall wash their hands after a diaper change and children’s hands shall be washed after toileting. Staff in the infant room did not wash her hands or the child’s hands after completing a diaper change. Staff in the 2’s room did not wash her hands after completing a diaper change.”

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

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff in the infant room did not clean and sanitize the diapering surface after completing a diaper change. Staff in the 2’s classroom cleaned the diaper changing surface and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

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

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #3 was alone with a group of toddler/2’s children and was not certified in CPR and first aid.”

Rule 8VAC20-780-530-A.

8VAC20-780-80-A

“(Repeat violation) 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. There were seven children in the preschool room, but only five were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-F

“Staff who work directly with children shall annually attend the department’s health and safety update course. Staff # 2 and Staff #4 did not have documentation of attending the update training in 2024.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

“(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for a day, did not have documentation of requesting a sex offender check or criminal history check from a different state.”

Rule 22.1-289.035-B-4.

8VAC20-780-210-A-4-a

“Within six months before being promoted or beginning work or one month after being promoted or beginning work as a program leader, a minimum of 24 hours of training shall be received related to the care of children. Staff #1 had only 13 of the 24 hours needed to qualify as a program leader.”

Rule 8VAC20-780-210-A-4-a.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the two year old room there was a rubber stripping separated from the rug causing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter in place drill practiced in 2024.”

Rule 8VAC20-780-550-E.

(Repeat Violation) Based on review, facility did not ensure out of state background checks are completed when a staff member has lived outside the state of Virginia within the past 5 years.

“Evidence: The record for staff #4 (start date 8/8/2024) did not have documentation of completing out of state central registry and sex offender search for the state noted on the sworn statement or affirmation.”

Rule 22.1-289.035-B-4.

Based on review, facility did not ensure there is an annual approval from the health department.

“Evidence: The most recent health inspection report available for review was dated 5/17/2023 which is more than a year old.”

Rule 8VAC20-780-260-B.

Based on observation, facility did not ensure areas of the center are maintained in a clean and safe manner.

“Evidence: There were 2 ceiling tiles each in the 2’s classroom and infant classroom that were bulging with visible signs of water damage. In the infant room, the ceiling vents had dust hanging down from the cover.”

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

Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment for any state where they lived within the last five years from date of hire. (DOH)

“Evidence: The following did not have out of state background checks as required. 1.Staff #4?s record did not include an out of state CRC for South Carolina prior to first day of employment (DHO 1-26-2024). South Carolina CRC results were dated 2-20-2024 and a South Carolina CPS check was not conducted. 2. Staff #5?s record did not include a CRC or a CPS for Texas. Staff #5?s DHO was 7-18-2023.”

Rule 22.1-289.035-B-4.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing 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

“Evidence: There resilient surfacing was measured for the playgrounds and determined inadequate as a minimum of 6 inches of resilient surfacing for this equipment is required. 1.There was approximately 4 ? inches to 5 inches of resilient surfacing (mulch) at the base of the slide chute and around the fall zone on the preschool playground 2. There was approximately 3 to3 ? inches of resilient surfacing (mulch) at the base of the slide chute and around the fall zone on the toddler playground”

Rule 8VAC20-780-330-B.

Based on observation and staff interviews, the licensee did not ensure diapering requirements were followed.

“Evidence: The diaper pad in the infant had two tears and was no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

Based on staff interviews and review of documentation, the licensee did not ensure to practice annually a lockdown drill procedure.

“Evidence: Center Director confirmed they did not conduct lock down drill in 2023.”

Rule 8VAC20-780-550-F.

Repeat Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The record for Child #5 did not include the appropriate legal paperwork on file when the custodial parent requests the center not to release the child to the other parent”

Rule 8VAC20-780-60-A.

Based on documentation review and provider interview the licensee did not ensure that 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.

“Evidence: There were 8 children observed in the infant room and only 7 on the attendance list. Center staff verified the 8th infant had been in the classroom for approximately 1 hour and had not been added to the attendance list”

Rule 8VAC20-780-80-A.

Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: The following equipment on the outdoor playground poses a safety risk to children on the playground. 1.There is a rusty, sharp screw protruding from a white tube that is used for water / sand play. 2.There is red plastic riding toy that has 3 areas (tire, handlebar, and license plate holder) that are broken and has sharp edges.”

Rule 8VAC20-780-270-A.

Based on observation and staff interviews, the licensee did not ensure 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.

“Evidence: In the toddler room in an unlocked cabinet there were 2 containers of disinfectant spay and a container of bleach and water spray. These hazardous chemicals were observed, and they were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, the licensee did not ensure that all staff shall wash their hands with soap and running water after helping a child use the toilet and before and after a diaper change;

“Evidence: 1.Staff #6 was observed changing the diaper for Child #1 and Child #2. Staff #6 did not wash their hands between these two diaper changes.”

Rule 8VAC20-780-500-A.

Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering.

Rule 8VAC20-780-500-B.

Based on observation and staff interviews, the licensee did not ensure to follow the recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) when they choose to provide meals and snacks .

“Evidence: The afternoon snacks listed on the menu for the week of 11-6-2023 to 11-10-2023 do not meet. the USDA guidelines as 2 out of 5 of the food groups are required to be served. 1.Snack for 11-6-2023 was vanilla wafers (do not meet the USDA guidelines) and grape juice 2.Snack for 11-7-202 was granola bar and water (only one food group offered) 3. Snack for 11-9-2023 listed veggie straws and water (only one food group offered)”

Rule 8VAC20-780-560-F.

Repeat Based on review of 5 children’s records and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The following information is missing from 2 out of 5 of the children’s records reviewed. 1.Child #1 did not have the employment phone number for both parents listed 2.Child #1 and Child #3 did not have the name of any additional programs or schools that the child is concurrently attending and the grade or class level.”

Rule 8VAC20-780-60-A.

Repeat Systemic Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.

Rule 8VAC20-780-340-D.

Systemic Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The current written list of all children’s allergies, sensitivities, and dietary restrictions was not dated.”

Rule 8VAC20-780-40-M.

Systemic Based on record review and staff interviews, the licensee did not ensure there was a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: The record for child # 1 has a diagnosed food allergy (ham) and the record did not include a written care plan, to include instructions from a physician.”

Rule 8VAC20-780-60-A.

8VAC20-770-60-C-2

“Based on a record review and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia. Evidence: Staff #2?s date of hire 3-23-2023 does not have documentation of a CPS check conducted. Center Director confirmed the CPS check was mailed on 4- 21-2023. Staff #2 was observed working on the day of the day of the inspection.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-150-B

“Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department. Evidence: The immunization documents in the records for child #3 did not include a physician or designated individual’s signature. Child #3 first date of attendance was 4-12-23.”

Rule 8VAC20-780-150-B.

8VAC20-780-240-C

“Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #2 (hire date 3-23-23), Staff #4 (hire date 2-9-23) and Staff #5 (hire date 3-29-23) did not include information the staff had obtained training in prevention of abusive head trauma and safe sleeping practices.”

Rule 8VAC20-780-240-C.

8VAC20-780-260-B

“Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department. Evidence: Center Director confirmed the most recent copy of the health inspection available for review was date 4-19-22.”

Rule 8VAC20-780-260-B.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-340-D

“Based on record review, observation and staff interviews, the licensee did not ensure that there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Evidence: Staff # 4, the designated program lead staff in the Pre-K room was observed as the only staff supervising 10 children. Staff #4 does not have documentation that indicates they meet the qualifications of a program lead or program director.”

Rule 8VAC20-780-340-D.

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Center Director, confirmed that there was not a allergy list available for staff to view for child #5 that has a physician documented pineapple and lactose food sensitivity”

Rule 8VAC20-780-40-M.

8VAC20-780-540-E

“Based on equipment review and staff interview the licensee did not ensure the nonmedical emergency supplies were required. Evidence: Center Director confirmed they did not have a working battery-operated radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-570-E

“Based on observation and staff interviews, the licensee did not ensure prepared infant formula shall be refrigerated, dated and labeled with the child’s name. Evidence: In the infant room there were two bottles observed, one was without a name and date and the other was without a date. Both bottle’s were observed on the counter near the sink and were confirmed to be formula.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all of the required information. Evidence: Center Director confirmed the following items were missing; 1.The record for child #3 did not contain work phone numbers or location for both for parents listed. 2.The record for child #4 did not contain work location for both for parents listed. 3. The record for child #3 did not include a second emergency contact name or phone number.”

Rule 8VAC20-780-60-A.

Based on observations and staff interviews, the licensee did not ensure to follow the guidelines when they choose to provide meals and snacks.

Rule 8VAC20-780-560-F. From a complaint.

8VAC20-790-600-F

“Based on record review and staff interview the vendor did not ensure Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course. Evidence: Director confirmed that Staff #4 (date of hire 4-6-2022) did not have documentation for their 2022 health and safety update course.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff confirmed that Staff #1 did not have documentation of a TB screening and the first date of employment was 12-16-2019.”

Rule 8VAC20-780-160-A.

8VAC20-780-210-A-4-b

“Based on record review and staff interview the licensee did not ensure that program leaders within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children. Evidence: Director confirmed that Staff #3 only had 12 of the required 24 hours of training needed for program leader qualification. Staff #3 confirmed they were the designated lead teacher.”

Rule 8VAC20-780-210-A-4-b.

8VAC20-780-245-A

Rule 8VAC20-780-245-A.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing 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.

Rule 8VAC20-780-330-B.

8VAC20-780-40-J

“Based on document review and staff interview the licensee did not ensure injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Director confirmed they did not have an updated injury prevention plan.”

Rule 8VAC20-780-40-J.

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Director confirmed that the center’s written procedures did not include abusive head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #3, in the infant room, confirmed that the allergy list was hanging in sight and that parents enter the room to drop off and pick up their children.”

Rule 8VAC20-780-40-M.

8VAC20-780-450-A

Rule 8VAC20-780-450-A.

8VAC20-780-540-E

“Based on equipment review and staff interview the licensee did not ensure the nonmedical emergency supplies were required. Evidence: Director confirmed they did not have a working battery-operated flashlight or a battery-operated radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-60-A

“Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all of the required information. Evidence: Director confirmed that the following items were missing from children’s records: 1. The record for child #1 did not contain proof of identity. 2. The record for child #3 did not contain work phone numbers for both parents listed. 3. The record for child #5 did not include a second emergency contact.”

Rule 8VAC20-780-60-A.

Based on a review of video footage and staff interview the center did not ensure the variety of daily activities for all age groups shall be age and stage appropriate

Rule 8VAC20-780-360-A.

Based on video footage and staff interview, the center did not ensure to offer constructive behavioral guidance and redirect children to appropriate behavior.

Rule 8VAC20-780-400-B.

Based on review of video footage and staff interviews, it was confirmed that the center failed to ensure that a staff does not use the/a forbidden action of rough handling.

Rule 8VAC20-780-410-1.

Based on observation, center documentation and staff interviews, the licensee did not ensure to follow the required staff to child ratio for children ages 3 years old up to school age eligible.

“Evidence: At approximately 2:18 pm, Child #1 (age 4 yrs 5 months) was observed in the school age room with 13 school age children (4 years 9 months to age 12). Center Director confirmed Child #1 had been assigned to school age classroom since August 9, 2022. The ratio of 1 staff for every 10 children age 3- to age 4 years 9 months was not followed.”

Rule 8VAC20-780-350-B-4.

Based on observation and staff interviews, the licensee did not ensure that a copy of the notice of intent provided by the department was posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations.

“Evidence: The notice of intent was not posted at the entrance of the facility. Center director confirmed it had not been posted.”

Rule 8VAC20-820-120-E-5.

Based on observation, documentation review and interviews, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection, and guidance.

“Evidence: Staff #2 did not ensure care, protection and guidance for the children they were responsible for supervising, as seven children were observed alone in the school-age area, that includes the TV room and multipurpose room for approximately five to 1ten minutes.”

Rule 8VAC20-780-340-A.

Based on observation and staff interviews, the license did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on observation and staff interviews, the licensee did not ensure staff wash their hands with soap and running water before and after a diaper change.

“Evidence: On June 22, 2022, a soiled diaper was observed sitting on the floor inside the doorway of the restroom in the two year old room. Staff #3 confirmed it was a soiled diaper, picked it up and placed it in the trashcan. Staff #3 did not wash their hands after disposing of the soiled diaper.”

Rule 8VAC20-780-500-A.

Based on observation and staff interviews, the licensee did not ensure that staff disposed of disposable diapers in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: On June 22, 2022, a soiled diaper was observed sitting on the floor inside the doorway of the restroom in the two year old room. Staff #3 confirmed it was a soiled diaper and indicated they had not yet had a chance to throw it away because they had gotten busy. The diaper had not been disposed of in a leakproof or plastic-lined storage system.”

Rule 8VAC20-780-500-B.

Based on a review of the center’s documentation and interviews, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection, and guidance.

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

Based on interviews with staff and other parties involved, the licensee failed to ensure children under 10 years of age are within actual sight and sound supervision of staff.

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

Base on record review and staff interviews, the licensee did not ensue to obtain the results of a criminal history record ( CRC ) information check, a sex offender registry check and a search of the child abuse and neglect registry ( CPS ) or equivalent registry from any state from any state in which the individual has resided in the preceding five years before reporting to the child day center.

“Evidence: The record for staff #1 did not include the CRC or the sex offender check from Texas where the staff had lived within the last 5 years prior to beginning employment and did not include a Texas CPS check within 30 days of employment. Staff #1 date of employment 11-12-2021..”

Rule 22.1-289.035-B-4.

Based on record review and staff interview, the license did not ensure to obtain documentation of a negative results of ( PPD ) tuberculosis screening that included a clearance statement signed by a physician, the physician’s designee or an official of the local health department. This statement shall include language that the individual does not have any current symptoms of active tuberculosis, does not have either a risk factor for acquiring tuberculosis infection or a risk factor for progression to active tuberculosis disease as defined by the local health department, or has been treated for these conditions in the past, and is currently free of tuberculosis in a communicable form.

“Evidence: The record for staff #1 did not include documentation of a negative PP screening.”

Rule 8VAC20-780-160-B.

Based on observation and staff interviews the license did not ensure all if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.

“Evidence: In a cabinet in the toddler room there were two spray containers with clear liquid and the contents was not labeled. The center staff said one container was a bleach and water solution and the other was a soap and water solution.”

Rule 8VAC20-780-280-G.