Tender Care Children’s Center

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of Child #2 had not been updated in 22 months which is overdue by 10 months.”

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

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 three, one year old children and did not have current certification in CPR or first aid.”

Rule 8VAC20-780-530-A.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #1 completed the orientation course approximately 7 weeks after the due date.”

Rule 8VAC20-780-240-A.

There shall be a posted daily schedule that allows for flexibility as children’s needs require.

“There was no posted schedule in the School Age classroom or the Pre-K classroom.”

Rule 8VAC20-780-380-A.

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 department’s health and safety update course.

“Staff #2 has not completed the 2026 annual health and safety training and completed the 2025 annual training more than 12 months prior.”

Rule 8VAC20-790-600-F.

Training on the center’s emergency preparedness plan shall be completed annually and each time the plan is updated.

“The last update of the emergency preparedness plan was dated 11/18/2024.”

Rule 8VAC20-780-245-I.

Crib sheets shall be clean and washed daily.

“Teachers in infant classroom stated crib sheets are washed weekly with other children’s blankets and coverings.”

Rule 8VAC20-780-450-C.

No child shall be allowed to drink or eat while walking around.

“During the inspection on 2/24/2026, a child in the infant room was walking around the class with a bottle of approximately 1-2oz of formula.”

Rule 8VAC20-780-560-M.

Bottles shall not be propped or used while the child is in his designated sleeping location.

“During inspection on 2/24/2026, a child was observed sleeping in a crib with a bottle by their side.”

Rule 8VAC20-780-570-B.

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

“Staff #2 updated screening was due two weeks ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-790-530-C

Rule 8VAC20-790-530-C.

8VAC20-790-600-F

“Staff are to complete the VDOE sponsored health and safety update course annually. S6 has not completed this annual course which is overdue by 6 months.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. S5 who had been employed for one day, did not have a completed national criminal background check until the following day. The file for S5 documented the staff receiving orientation and training required 8VAC20-780-240-C the day prior to the national criminal background check being completed.”

Rule 22.1-289.035-B-2.

8VAC20-780-140-B

“If a child has had a physical examination prior to attendance, it shall be within the time period prescribed. The physical examination for C3 who is under the age of 18 months was not within the required three month prior to attendance at the center.”

Rule 8VAC20-780-140-B.

8VAC20-780-150-B

“Immunization records and physical exams are required to be signed and dated by a physician, his designee, or an official of the local health department. The physical and immunization record for C2 was not signed. The immunizations dated 10/15/2024 for C3 were not signed. The immunizations dated 05/03/2024 for C5 were not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The laminate on the sink used by children in the two-year-old room is peeling and has exposed particle board. The floor laminate on the ramp to the children’s bathroom in the two-year-old room has separated from the wood ramp creating a trip hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. A power strip in the one-year-old room providing power to the portable sink did not have protective covers and was within reach of children.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-350-I

“During the designated rest period the rest period ratio for children 16 months through 24 months is one staff per 10 children. Licensing inspector observed 2 staff supervising 12 children in the one-year-old classroom room during the rest period; however, the youngest child in the room was not yet 16 months causing the class to be out of ratio.”

Rule 8VAC20-780-350-I.

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 2-year-old room cleaned the diaper changing surface after diapering a child 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.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious or minor injuries that contain all the required information. Injury reports dated 07/08/2024 and 08/16/2024 did not document the date and time the child’s parent was notified of the injury. Injury reports dated 10/11/2024 and 12/23/2024 did not document the time the parents were notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for C4, enrolled for over 3 months, was missing the following required component: documentation of viewing proof on the child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“The provider failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: The record for S5, hired 03/03/2023 documented certification in CPR and first aid 06/15/2023.”

Rule 8VAC20-790-600-D-1.

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S2, employed 11/30/2022 contained a certificate of completion of the Virginia Preservice Training dated 05/30/2023. The record for S4, employed 08/30/2023 contained a certificate of completion of the Virginia Preservice Training dated 12/03/2023.”

Rule 8VAC20-780-240-A.

8VAC20-780-270-A

“(Repeat violation) Based on observation, the provider did not ensure that all areas of the center be maintained in a clean, safe, and operable condition. Evidence: A splintered board was observed on the top of the picnic table on the large playground that can snag children’s skin. Exposed insulation was observed on the HVAC duct within reach of children in classroom #3.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-J

“The provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: The injury prevention procedures provided for review documented the last review dated 02/08/2023.”

Rule 8VAC20-780-40-J.

Based on observation, the provider did not ensure that there shall be a least 12 inches of space between occupied rest mats.

“Evidence: Licensing inspector observed classroom #3 during the rest period and multiple children rest mats were less than 12 inches apart.”

Rule 8VAC20-780-440-E.

8VAC20-780-560-J

“Based on observation, the provider did not ensure that tables be sanitized before and after food being consumed by children. Evidence: Licensing inspector observed the school age classroom children have a snack after watching movie at the same table without the table being sanitized before the snack and afterwards.”

Rule 8VAC20-780-560-J.

8VAC20-780-60-A

“(Repeat violation) Based on review of children records, the provider did not ensure that one of five children’s records contained the required information. Evidence: The record for child, C2 enrolled 05/06/2024 did not document two designated people to contact in case of an emergency if the parent cannot be reached.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review, the provider failed to ensure all applicants for employment shall submit to fingerprinting and undergo a national criminal background check prior to employment. Evidence: The record for S5, employed 06/01/2023, did not contain results of a national criminal background check.”

Rule 22.1-289.035-B-2.

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C9 did not contain the immunization records due by 12/01/2020 and 06/01/2021 before the child became 2 years old .”

Rule 8VAC20-780-130-E.

8VAC20-780-245-H

“Based on staff record review, the provider did not ensure one record contained documentation of annual training. Evidence: A minimum of 16 hours of training appropriate to the age of the children in care is required annually. The record for S4, employed 09/13/2029 documented 14 hours of training between 09/13/2021 and 09/13/2022.”

Rule 8VAC20-780-245-H.

8VAC20-780-270-A

“Based on observation, the provider did not ensure that all areas and equipment of the center, inside and outside be maintained in a clean, safe, and operable condition. Evidence: The first toilet in the second classroom was stopped up and unable to flush and was caked with debris and feces.”

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that one of five records contained required information. Evidence: The record for C2, enrolled 11/07/2022, did not contain documentation of viewing proof of the child’s identity and age within 7 days of enrollment. Proof of identity and age was viewed on 06/01/2023.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review, the provider did not keep records for one of five staff as required. Evidence: The record for S5, employed 06/01/2023, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

8VAC20-780-270-A

“Based on observation, the provider failed to maintain the outside play areas in a safe and operable condition. Evidence: On 12/20/2022, the inspector observed an outside climbing structure and child picnic table that had broken hard plastic edges that could entangle clothing or snag skin.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-B

“Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: A child injury reports dated 11/02/2022 documented staff administering Neosporin, an antibiotic ointment, for a minor injury sustained by a child in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointment.”

Rule 8VAC20-780-510-B.

8VAC20-780-540-C

“Based on observation, the provider failed to ensure that the first aid kit included the minimum required items. Evidence: The first aid kit failed to contain two triangular bandages.”

Rule 8VAC20-780-540-C.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, the facility filed to maintain all areas in a clean manner. Evidence: in the infant room and the twos/threes room, the high chair seat covers, rugs, and carpet were visibly dirty with black marks, stains and dirt residue.”

Rule 8VAC20-780-270-A.

8VAC20-780-340-F

“Based on observation, the facility did not have children under the age of 10 years of age in actual sight and sound supervision at all times. Evidence: when the licensing inspector arrived at approximately 2:30 p.m., there were five school age children in the front room alone with no staff present. After a few minutes, the staff person came into the room from the back where she was getting food trays with afternoon snack/dinner.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-C

“Based on staff interview, the inspector was not able to inspect all aspects of the program during today’s inspection. Evidence: 1. An unannounced inspection was conducted from 2:30 p.m. to 5:00 p.m. on June 28, 2022. The director stated that the owner was on vacation and the office that has employee files and other records was locked and no key was present. 2. The director stated that it is the policy to lock the office door when the owner is not on site.”

Rule 8VAC20-780-40-C.

8VAC20-780-440-L

“Based on observation, the facility failed to prevent the use of pillows and filled comforters for children under the age of two years. Evidence: In the infant room, there were four pillows and one filled comforter in four cribs. Evidence: Two infants, aged 5 months old and 8 months old, were sleeping in cribs, propped by boppy pillows. Two older infants had pillows in their cribs; one infant had a a filled comforter type blanket.”

Rule 8VAC20-780-440-L.

8VAC20-780-500-A

“Based on observation, the facility failed to have staff and children wash hands with soap and running water after toileting or diapering. Evidence: Staff changed a child’s diaper in the infant room and did not wash the child’s hands with soap and water. Staff did not wash their own hands immediately before or immediately after changing the child’s diaper.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the facility failed to follow diapering procedures as required. Evidence: the portable sink in the infant room was not working due a missing part. The diaper disposal system (trashcan) did not have a foot pedal accessible. Staff disposed of diapers in a lidded trash can that was not foot operated or used in such a way that the staff member’s hand nor the soiled diaper touched an exterior surface of the storage system during disposal.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-L

“Based on observation, the facility failed to keep all medications in a locked place that prevents access by children. Evidence: a tube of non-prescription hydrocortisone cream was unlocked, on a lower shelf of the diapering table.”

Rule 8VAC20-780-510-L.

8VAC20-780-70

“Based on staff interview, the facility failed to have staff files accessible which contain the name, address, and phone number of a person to be notified in case of an emergency. Evidence: the director stated that the staff files were locked in the office and she could not access the emergency contacts for staff if needed.”

Rule 8VAC20-780-70.