First Baptist Church of Clarendon Child Development Center

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2, who had been attending for one months and Child #5 who had been attending for one day, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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

“The center did not ensure the care and protection of the other children in Classroom A. Since November 2025 several children have been bitten and had their hair pulled by another child. Staff did not have access to interventions and additional support staff to keep the children safe.”

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

The center is required to maintain compliance with the center’s own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E. From a complaint.

8VAC20-780-550-P

“The center did not maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. Incidents of minor injuries were reported verbally by staff but the injuries were not documented. Incidents have been occurring since November 2025.”

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

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. 2. 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.

“Staff 2 had documentation of a TB screening that was provided at the time of employment, and was not completed within 30 days of employment. It was completed over 2 years prior to their employment.”

Rule 8VAC20-780-160-A.

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.

“The following items were observed: 1) disinfectant spray hanging on the edge of the diaper changing table in Room 1 2) Lysol spray in unlocked teacher cabinet in Room 1 3) disinfectant spray in unlocked tall cabinet in Room 4”

Rule 8VAC20-780-280-B.

There shall be at least 12 inches of space between occupied cots, beds, and rest mats.

“Room 2 had 4 occupied cots that were within 12 inches of each other.”

Rule 8VAC20-780-440-E.

If diaper ointment or cream is used, the following requirements shall be met: 1. Written parent authorization noting any known adverse reactions shall be obtained; 2. These products shall be in the original container and labeled with the child’s name;

“1. Room 1 had a child’s diaper cream that did not have an authorization form. 2. Room 2 had a child’s diaper cream that did not have an authorization form.”

Rule 8VAC20-780-520-C.

1. A nonabsorbent surface for diapering or changing shall be used. Classroom #1 had 6” tear in diapering pad, rendering it non absorbent.

“2. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Classroom #2 did not have sanitizing solution. Classrooms #2 an #3 did not have soap and water to clean diapering surface.”

Rule 8VAC20-780-500-B.

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

“Medication in classroom #1 was in a bag hanging in the classroom and not locked.”

Rule 8VAC20-780-510-L.

8VAC20-780-70

“Staff records shall contain name, address, and telephone number of a person to be notified in an emergency. Staff #2’s record did not contain information for emergency contact.”

Rule 8VAC20-780-70.

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review and interview, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: No documentation of immunizations in Child #10’s record. Director stated child has been attending the center for several years.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“Based on record review and interview, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4’s date of most recent immunizations 12/2023. Child #4 is 14 months old. Child #6 most recent date of immunizations 7/2023. Child #6 is 24 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“Based on record review and interview, the center did not obtain 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. Evidence: No physical exam was on file for Child #10. Director stated child has been in attendance for several years.”

Rule 8VAC20-780-140-A.

8VAC20-780-245-A

“Based on record review, staff have not obtained required 16 hours of annual training. Evidence: Staff #1 who has been employed over 12 months, had no training hours documented in the file.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-B

“Based on file review and interview, annual approval from the health department was not provided, for meeting requirements for water supply, sewage disposal system and food services. Evidence: No Environmental Sanitation report was available at inspection.”

Rule 8VAC20-780-260-B.

8VAC20-780-500-A

“Based on observation and interview, children’s and staff hands were not washed with soap and running water after a diaper change. Evidence: Staff changed a child’s diaper, removed gloves and then answered door to classroom without washing their hands or child’s hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview, a child’s clothing that became wet, the child was not cleaned and changed immediately. Evidence: A child in the Butterflies classroom was dancing and interacting for several minutes without a shirt on. Staff reported child’s clothing got wet and they are waiting for it to dry.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-F

“Based on record review, medication authorization was not available to staff during the entire time it is in effect. Evidence: Medication Authorization for Child #7 was not signed by parent(s) or guardian.”

Rule 8VAC20-780-510-F.

8VAC20-780-510-P

“Based on record review and interview, parent was not notified that medication had expired, medication was not picked up within 14 days and authorization was not renewed. Evidence: Medication Authorization at the center expired 6/2024 for Child #6 and expired 3/2024 for Child #8.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“REPEAT VIOLATION Base on record review, the facility did not ensure that staff records were maintained with the required minimum information. Evidence: Staff 1, employed since 12/11/23, did not have documentation of a second reference check.”

Rule 8VAC20-780-70.

8VAC20-780-340-F

“Based on self report and interviews, a child under 10 years of age was not within actual sight and sound supervision of staff. Evidence: 1. Child #1 (2 years old) from the Butterfly class was out of sight and sound supervision of staff for approximately 2-3 minutes during pick up . 2. Child was found unsupervised and alone in the (Busy Bee) classroom with door closed.”

Rule 8VAC20-780-340-F.

8VAC20-780-160-A

“Based on review, the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: reviewed 2 staff records and found that Staff 2 has been employed since 3/1/24 and did not have documentation of a TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: observed in the Lady Bugs room a window screen at the rear of the classroom that had a large slash approximately 7-10 inches wide.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed Zevo insect killer accessible to children in an unlocked cabinet in the Natures Explorers classroom 2) observed hand sanitizer accessible to children in Puma classroom 3) observed hand sanitizer and hand lotion both marked keep out of reach of children in the Wildflowers room. 4) observed Lysol spray in an unlocked lower cabinet in the Spring Blossoms classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-H

“Based on observation, the facility did not ensure that cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. Evidence: observed in the Caterpillars room, a staff purse that contained prescription medication, and in all preschool classrooms, staff purses stored accessible to children on either hooks, or in unlocked cabinets.”

Rule 8VAC20-780-280-H.

8VAC20-780-340-A

“Based on observation and staff interviews, staff did not ensure that when supervising children, they shall always ensure their care, protection, and guidance. Evidence: observed and identified through staff statements that staff in the Lucky Duck classroom did not know where a child’s emergency medication was located. Staff spent approximately 7-8 minutes looking for it before telling the inspector that they did not know where it was kept.”

Rule 8VAC20-780-340-A.

8VAC20-780-500-B

“Based on observation, the facility did not ensure that disposable diapers shall be disposed of 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: the Caterpillars classroom had a lock on the diaper disposal canister that had to be unlatched by hand, in order for staff to use the foot pedal to open the canister.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-L

“Based on observation, the facility did not ensure that medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Observed Child 11’s albuterol in an unlocked cabinet in the Wildflowers room. 2) Observed cough suppressant medication accessible to children in an unlocked drawer in the Wildflowers room. 3) Observed airborne immune support in an unlocked cabinet in the Nature Explorers classroom.”

Rule 8VAC20-780-510-L.

8VAC20-780-520-B

“Based on observation, the facility did not ensure that when sunscreen is used, it is labeled with the child’s name. Evidence: observed sunscreen that was not labeled with the child’s name in the Wildflowers classroom.”

Rule 8VAC20-780-520-B.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that when diaper ointment or cream is used, it is given with parental authorization. Evidence: the facility did not ensure that they obtained parental authorization for Vaseline and generic petroleum jelly for Child #12 in the Wildflowers classroom.”

Rule 8VAC20-780-520-C.

8VAC20-780-520-D

“Based on observation, the facility did not ensure that if insect repellent is used, it is labeled with the child’s name. Evidence: observed that the insect repellent in the Nature Explorers room was not labeled with the child’s name.”

Rule 8VAC20-780-520-D.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required information. Evidence: reviewed 10 children’s records and found that: 1) Child 4 did not have documentation of 2 emergency contacts. 2) Child 1 did not have documentation of viewing the child’s proof of identity, and has been in attendance since 1/2/24.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were maintained with the required minimum information. Evidence: reviewed 2 staff records and found that: 1) Staff 2, employed since 3/1/24, did not have documentation of emergency contact information or 2 reference checks 2) Staff 1, employed since 12/11/23, did not have documentation of a second reference check”

Rule 8VAC20-780-70.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

Based on interviews, staff failed to interact with one another to provide needed help, comfort and support.

Rule 8VAC20-780-400-A.

Based on interview and review of documentation it was determined that staff did not always ensure that children remained within sight and sound supervision.

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

Based on record review, the center did not obtain additional immunizations once every six months for a child under the age of two years.

“Evidence: Child #2’s record contains immunization documentation that was last updated on 7/13/2019. The record did not have an immunization update within 6 months of the last immunization record.”

Rule 8VAC20-780-130-E.

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

“Evidence: Child #2’s record did not include an allergy care plan.”

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

Based on interviews, center staff did not clean and change a child’s diaper immediately when it became wet.

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

Based on record review, children’s records did not include all required information.

“Evidence: 1.Child #1’s record did not include the name, address and phone number of two required emergency contacts to be contacted in an emergency. 2.Child #4’s record did not include the address of two designated persons to be contacted in an emergency.”

Rule 8VAC20-780-60-A.

Based on documentation review and interviews, ratios were not maintained in the Young Preschool classroom, the ratio for 2-year-old children is 1 staff for 8 children.

“Evidence: 1.On 5/9/2023, the Wildflower classroom was out of ratio from approximately 8:40am to 9:00am. 2.Attendance records confirmed that at approximately 8:40am there were 9 children under the supervision of one staff member (Staff #1). At approximately 8:52am, there were 10 children in the classroom with one staff member. At approximately 8:53am, there were 11 children with one staff member. At approximately, 8:55am there were 12 children with one staff member. 3. The classroom was out-of-ratio from approximately 8:40am to 9:00am when a second staff member came into the classroom.”

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

Based on review of documentation and information obtained during interviews, the center did not ensure that the staff-to-child ratio of one staff for every four children was maintained in the infant classrooms.

Rule 8VAC20-780-350-B-1. From a complaint.

Based on interviews, a child was not within actual sight and sound supervision of staff for approximately 3 to 5 minutes.

Rule 8VAC20-780-340-F.

Based on interviews, the licensee did not ensure that staff followed the center’s own policies and procedures regarding supervision, required by the standards, and the terms of the current license issued by the department.

“Evidence: The center’s missing or lost child policy states: A) No child should ever be left alone. B) It is all staff’s responsibility to know where the children in attendance are at all times. Staff #1 did not see Child#1 leave the classroom and they did not know the whereabouts of Child#1 for approximately 3 to 5 minutes.”

Rule 8VAC20-780-40-E.

Based on record review, the center did not obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Evidence: 1.Staff #4’s (DOH:1/9/2023) record contains TB screening results that were completed on 1/23/2023. 2.Staff #5’s (DOH:1/16/2023) record contains TB screening results that were completed on 2/1/2023.”

Rule 8VAC20-780-160-A.

Based on record review, staff files did not all contain required information.

“Evidence: Staff #5’s record is missing one of two references as to their character and reputation, as well as competency required prior to the first day of employment.”

Rule 8VAC20-780-70.

Based on record review and interview, the center did not have documentation of Central Registry results for a staff member within 30 days of employment.

“Evidence: Staff #4’s (DOH: 8/23/2001) record does not contain central registry check results.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on record review, the center did not obtain updated Tuberculosis (TB)screening/testing at least every two year from the date of the last screening/test.

“Evidence: Staff #2’s record contains TB screening/test results that were last updated on 3/18/2019. Staff #5’s record contains TB screening/test results that were last updated on 6/23/2014.”

Rule 8VAC20-780-160-C. From a complaint.

Based on record review, the center does not have documentation to verify that a staff member completed orientation training.

“Evidence: Staff #2’s record does not contain orientation documentation.”

Rule 8VAC20-780-240-B. From a complaint.

Based on observation and interview, the center was not in compliance with the ratio requirements applicable to the youngest child in care for children under 16 months during nap time.

“Evidence: In the Butterfiles’ classroom, at 12:55pm when the inspector arrived there were 5 children resting during nap time. The youngest child (Child #7) in the classroom is 14 months old. Ratios for children 16 months of age and older may be doubled during rest period. Infant ratios (Birth to 15 months) remain 1:4 at all times and may not double during rest period.”

Rule 8VAC20-780-350-C. From a complaint.

Based on review of documentation and interview, the center did not maintain in each room or area where children are present, 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: A written list of all children’s allergies, sensitivities, and dietary restrictions was not kept in each room or area where children are present”

Rule 8VAC20-780-40-M. From a complaint.

Based on review of medications, medication was not picked up by the parent within 14 days after the authorization for medication expired.

“Evidence: Medication for Child #6 was observed on-site, the authorization for the child’s medication expired on 9/14/2022.”

Rule 8VAC20-780-510-P. From a complaint.

Based on observation, prepared infant formula was labeled with the child’s name, but it wasn’t dated.

“Evidence: In the Caterpillar’s classroom a bottle of prepared infant formula was observed in the classroom’s refrigerator labeled with a name, but it did not have a date.”

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

Based on record review and interview, the center failed to obtain a repeat background check for an employee, every five years as required.

“Evidence: Staff #2’s record contains a central registry check that was last updated on 6/28/2017.”

Rule 22.1-289.035-A. From a complaint.

Based on record review, the center failed to obtain fingerprint results for a staff member.

“Evidence: Staff #2 and Staff #3 stated that fingerprint results were not obtained for Staff #4. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center’s payroll since 2018.”

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

Based on interviews and record review, the center failed to ensure that no person with a disqualifying background who has not been granted a waiver according to 8VAC20-770-90 may operate or volunteer or work at a facility governed by this chapter.

“Evidence: 1. Staff #1’s record contains disqualifying fingerprint results that indicate that the staff member is not eligible to work at the facility. 2. The center obtained the disqualifying background check on 10/10/2018. 3. Payroll record and interviews conducted provided evidence that Staff #1 is an employee now and has been an employee since 2018.”

Rule 8VAC20-770-40-B. From a complaint.

Based on record review and interview, the center failed to obtain a completed sworn statement or affirmation.

“Evidence: Staff #2 and Staff #3 stated that Staff #4 has not completed a sworn statement or affirmation form, required prior to employment. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center’s payroll since 2018.”

Rule 8VAC20-770-60-B. From a complaint.

Based on record review and interview, the center failed to obtain a central registry finding within 30 days of employment for a staff member.

“Evidence: Staff #2 and Staff #3 stated that a central registry check was not obtained for Staff #4. Staff #2 confirmed that Staff #4 has been receiving a W2 statement at the end of the year and they have been on the center’s payroll since 2018.”

Rule 8VAC20-770-60-C-2. From a complaint.

Based on record review and interview, background check records were not kept at the location where the person is an employee.

“Evidence: Staff #1’s file was not available for review during the inspection.”

Rule 8VAC20-770-70-A. From a complaint.

Based on record review the center did not ensure that all staff members submitted the results of a follow-up tuberculosis (TB) screening/test at least every two years form the date of the last TB screening/test.

“Evidence: Staff #1’s record contains a TB screening/test that was last updated on 4/5/2018.”

Rule 8VAC20-780-160-C. From a complaint.

Based on interviews and record review, the center did not ensure staff demonstrated good character and reputation when staff provided inaccurate information during an investigation.

Rule 8VAC20-780-180-A. From a complaint.

Based on record review and interviews, the center failed to ensure children’s care, protection and guidance.

“Evidence: Staff #3, responsible for overseeing all activities of staff and ensuring the supervision of children, failed to ensure care, protection and guidance to the children attending the center when Staff #3 allowed an individual with disqualifying background check results to work around children at the licensed child day center since 2018. (Disqualifying background check results were dated 10/10/2018).”

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

Based on record review, a staff member did not obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the last TB screening or testing.

“Evidence: Staff #2’s record contains documentation of TB screening/test results that were obtained on 8/10/2016.”

Rule 8VAC20-780-160-C.