Little Angels Child Care and Learning Center

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

“Agent #1, acting member since 06/03/2026, did not complete a sworn statement.”

Rule 22.1-289.035-B-1.

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

“The center did not obtain a completed national criminal background check for Agent #1, acting member since 06/03/2026.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“The center did not request a search of the central registry for Agent #1, who has been an acting member since 06/03/2026.”

Rule 22.1-289.035-B-3.

Repeat Violation Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Child #3, enrolled for 6 weeks, did not have a physical examination.”

Rule 8VAC20-780-140-A.

Repeat Violation 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.

“Child #3 has a food sensitivity. Child #3 was not listed on the most recent posted allergy list.”

Rule 8VAC20-780-40-M.

Children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“Children under age three years of age were served whole hot dogs for lunch.”

Rule 8VAC20-780-560-F-4.

Staff who work directly with children shall annually attend the department’s health and safety update course.

“The department’s annual health and safety update course was overdue by 1 month for staff #2. The department’s annual health and safety update course was overdue by 2 weeks for staff #3.”

Rule 8VAC20-790-600-F.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #2, who had been enrolled for 4 months.”

Rule 8VAC20-780-140-A.

Repeat Violation The center is required to obtain annual approval from the health department for meeting requirements for food service.

“An annual health inspection was overdue by 6 months.”

Rule 8VAC20-780-260-B.

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

“1. The posted allergy list was not dated. 2. The posted allergy list did not have child #4, enrolled for 4 months, who has a dietary restriction, listed.”

Rule 8VAC20-780-40-M.

The center shall implement a monthly practice evacuation drill.

“The center did not practice an evacuation drill in June 2025.”

Rule 8VAC20-780-550-D.

Repeat Violation The center is required to obtain 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.

“Child #6, enrolled for 5 months, has a diagnosed food allergy, and does not have a written care plan in their file.”

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

Staff are required to have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Staff #2, employed for 19 months, did not have current certification in CPR.”

Rule 8VAC20-780-530-A-1.

Staff are required to have current certification in first aid.

“Staff #2, employed for 19 months, did not have current certification in first aid.”

Rule 8VAC20-780-530-A-2.

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 or the implementation of the required testing plan.”

Rule 22.1-289.057-A.

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

“1. Staff #1 completed 14.5 hours of annual training. 2. Staff #2 completed 4.5 hours of annual training.”

Rule 8VAC20-780-245-A.

The center is required to obtain annual approval from the health department for meeting requirements for food service.

“An annual health inspection was overdue by 1 month.”

Rule 8VAC20-780-260-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.

“Child #4, who has been enrolled for 2 weeks and has a diagnosed food allergy, was not listed on the allergy list.”

Rule 8VAC20-780-40-M.

Repeat Violation A written care plan is required 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.

“Child #4, who has been enrolled for 2 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening completed within the last 30 calendar days prior to employment. Evidence: The record for staff #3, date of employment 06/02/2023, contained documentation of a tuberculosis screening dated 06/24/2022.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on record review, the center failed to ensure that all staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: The record for staff # 3, date of employment 06/02/23, contained a tuberculosis screening dated 06/24/2022. A follow up screening was due on or before 06/24/2024.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A-8

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

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

“Evidence: 1. The record of staff #3 contained a health and safety update certificate from 2022. 2. Administration acknowledged that staff #3 did not complete the 2023 health and safety update.”

Rule 8VAC20-790-600-F.

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. On the playground, the stairs to the slide structure were observed to have multiple areas where the plastic coating was split which exposed rusted metal. 2. Areas of chipped and peeling paint were observed in the classrooms and classroom door frames. 3. Administration acknowledged that the areas required maintenance.”

Rule 8VAC20-780-270-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. On the playground, the stairs to the slide structure were observed to have multiple areas where the plastic coating was split which exposed rusted metal. 2. Administration acknowledged that the areas required maintenance.”

Rule 8VAC20-780-270-A.

Based on a review of five (5) child records and interview, the center did not ensure that three (3) records were kept that contained the required information.

“Evidence: 1. The record of child #2 (date of attendance: 2/23/2023) was missing two (2) emergency contact addresses. Children’s records are required to contain the address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The records of children #3 and #4 (date of attendance: 11/30/2022) contained incomplete emergency contact addresses. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of 5 staff records and interview, the center did not ensure to obtain a central registry finding by the end of the 30th day for 2 staff as required.

“Evidence: 1. The record of staff #1 (date of employment: 04/19/2022) did not contain a central registry finding. The record of staff #2 (date of employment: 04/19/2022) contained a central registry finding dated 05/25/2022. 2. Administration acknowledged that the findings were not received within the required time frame.”

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

Based on a review of 5 staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for 2 staff that fell within the required time frames. Documentation of the screening must be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: 1. The record of staff #1 (date of employment: 4/19/2022) contained a TB screening dated 02/14/2022. The record of staff #2 (date of employment: 04/19/2022) contained a TB screening dated 03/10/2022. 2. Administration acknowledged that the TB screenings were not completed within the required time frame.”

Rule 8VAC20-780-160-A.

Based on a review of 5 staff records and interview, the center did not ensure that 1 staff completed the required orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: 1. The record of staff #2 (date of employment: 04/19/2022) did not contain record of completed orientation training. 2. Administration acknowledged that the orientation training would need to be completed and signed off by staff #2.”

Rule 8VAC20-780-240-B.

Based on record review and interview, the center did not ensure to develop written procedures for prevention of abusive head trauma as required.

“Evidence: 1. The inspector did not observe the requested written procedure during the inspection. 2. Administration acknowledged that the procedure had not been developed.”

Rule 8VAC20-780-40-K.