Happy Hearts Children’s Center

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.

“Documentation of immunizations for Child #4 were obtained seven days after first day of attendance.”

Rule 8VAC20-780-130-A.

Cots and rest mats shall be identified for use by a specific child.

“The rest mats in the toddler, twos, and threes classrooms were not labeled for a specific child.”

Rule 8VAC20-780-440-B.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“There was no medication label with the required information for Child #8.”

Rule 8VAC20-780-510-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #4 was missing a second emergency contact and has been in care for over two weeks.”

Rule 8VAC20-780-60-A.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #5, age 13 months, last documented immunization was over seven months ago.”

Rule 8VAC20-780-130-E.

The center shall meet the proof of child identity and age requirements by viewing the child’s identity within seven business days of the child’s first day of attendance.

“-Child #2’s proof of identity was viewed 11 days after the first day of attendance. -Child #3’s proof of identity was viewed 19 days after the first day of attendance. -Child #5’s proof of identity was viewed nine months after the first day of attendance.”

Rule 8VAC20-780-40-G.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The list in the preschool room was posted on the outside of the closet door in plain sight.”

Rule 8VAC20-780-40-M.

Prescription and nonprescription medication shall be given to a child that is maintained in the original, labeled container.

“Child #8 did not have prescribed medication in the original container.”

Rule 8VAC20-780-510-B.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes all the required information.

“The emergency evacuation drill log for 2025 did not include the number of staff who participated, the identity of the person who conducted the drill, the time taken to complete the drill, weather conditions, or any problems encountered.”

Rule 8VAC20-780-550-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“The record for Child #3 was missing the address of the second emergency contact and has been in care for five months.”

Rule 8VAC20-780-60-A.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method to prevent access by children.

“Two bottles of bleach water solution were in a closet and a cabinet that was unlocked.”

Rule 8VAC20-780-280-B.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The allergy / food preference list had not been updated to reflect the students in the summer camp program that had been in operation for 2 weeks.”

Rule 8VAC20-780-40-M.

8VAC20-790-600-F

“The center is required to have staff complete the department’s health and safety update course annually. Staff A and staff B did not have record of completing the 3 hour annual update training as required.”

Rule 8VAC20-790-600-F.

Center is required to ensure child has top cover and bottom cover during designated rest period.

“2 children did not have bottom sheet during nap time.”

Rule 8VAC20-780-450-A.

8VAC20-780-550-P

“The center shall maintain written record of children’s minor injuries. The center did not complete required components of injury report. The method of notification and future action to prevent reoccurrence was not completed on one record viewed.”

Rule 8VAC20-780-550-P.

8VAC20-780-560-G

“The center is require to label food when brought from home. 7 of 9 infant bottles were not labeled with child’s name and date.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-A

“The center shall ensure when a child is placed in a high chair the protective belt is fastened securely. There were three children in highchairs that did not have belt fastened securely.”

Rule 8VAC20-780-570-A.

Based on observation, equipment was not maintained in operable condition.

“Evidence: 3 vinyl covered play mats and blocks in the Ladybug classroom had rips and tears.”

Rule 8VAC20-780-270-A.

Based on observation hazardous materials were not kept in a locked place using a safe locking method.

“Evidence: Cleaning solution in the Lady Bug bathroom was located in a cabinet without a lock.”

Rule 8VAC20-780-280-B.

Based on observation, staff to child ratios for toddlers ( 1 staff :5 children) was not maintained while children were in care.

“Evidence: There were 3 staff supervising 16 children ( ages 16 months-24 months) for approximately 10 minutes during the inspection.”

Rule 8VAC20-780-350-B-2.

Based on record review, the vendor did not ensure that three staff annually completed the department’s health and safety update course as required.

“Evidence: Staff A’s record contained course dated 2016 Staff B’s record contained course dated 4/2022 Staff C’s record contained course dated 11/2018”

Rule 8VAC20-790-600-F.

Based on review of records, one staff record did not contain documentation of a completed Sworn Disclosure (SDS) prior to hire.

“Evidence: Staff A - record contained a completed SDS that expired 4/2023.”

Rule 8VAC20-770-60-B.

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

“Evidence: Staff in toddler classroom did not wash hands before and after changing diaper of child.”

Rule 8VAC20-780-500-A.

Based on observation, the diapering surface was not cleaned with soap and water and sanitized after each use.

“Evidence: Staff in toddler room did not clean and sanitize the diaper changing pad after using.”

Rule 8VAC20-780-500-B.

Based on observation, a nonabsorbent surface for diapering was not used.

“Evidence: The diaper changing pad in the toddler classroom had a tear, making it no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

Based on record review, required documentation of children’s injuries were found to be incomplete.

“Evidence: 8 of 11 accident injury reports were missing “ Any future action to prevent recurrence of the injury” completed by program.”

Rule 8VAC20-780-550-P.

Based on a review of children’s records, the center failed to obtain all required documentation for each child enrolled.

“Evidence: Child #1’s record did not contain the work address of each parent who has custody and annual update. Child #2’s record did not contain the work address of each parent who has custody and annual file update. Child #3’s record did not contain annual file update/ review.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to obtain within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: Staff #2, #3 and #4’s records do not contain documentation of completing Virginia Preservice Training for Child Care Staff.”

Rule 8VAC20-790-600-B.

Based on a review of staff records, the center failed to obtain at least every two years from the date of the initial screening or testing the results of a follow-up tuberculosis screening.

“Evidence: Staff #5’s most recent tuberculosis test was 10/26/2020.”

Rule 8VAC20-780-160-C.

Based on a review of staff records, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: Staff #1, #2, #3, #4 and #5’s records did not have documentation of of completing 16 hours of training annually.”

Rule 8VAC20-780-245-A.

Based on observation, the center failed to ensure that areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include but not be limited to, splintered, cracked or otherwise deteriorating wood, chipped or peeling paint, visible cracks, bending or warping, rusting or breakage of any equipment, head entrapment hazards, and protruding nails, bolts or other components that could entangle clothing or snag skin.

“Evidence: In the 3 year old classroom, a wooden top has been placed over the toilet tank and the wood is splintering and the paint is peeling.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the bathroom connected to the Toddler classroom, cleaning products were not locked away to prevent access by children. In the 4 year old classroom, cleaning products were not locked away to prevent access by children.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“Evidence: In the 3 year old room and outlet cover was missing under the windows.”

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

Based on a review of children’s records, the center failed to obtain all required documentation for each child enrolled.

“Evidence: Child #2, #3 and #4’s records did not contain the work phone number and/or place of employment of each parent who has custody. Child #2’s record did not contain documentation of the addresses of two designated people to call in an emergency. Child #1’s record did not contain documentation of the names of person authorized to pick up the child in an emergency, if the parent can not be reached.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center failed to ensure that within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Evidence: Staff #1 and #2’s records do not contain documentation of the completion of the Virginia Preservice Training for Child Care Staff.”

Rule 8VAC20-790-600-B.

Based on a review of children records, the center failed to obtain documentation of additional immunizations once every six months for children under the age of 2 years old.

“Evidence: Child #4 and #5’s records do not contain documentation of additional immunizations once every 6 months for children under the age of 2 years old.”

Rule 8VAC20-780-130-E.

Based on a review of staff records, the center failed to ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence Staff #1, #2, #3, #4 and #5’s records did not have documentation of the required annual training hours for 2021-2022.”

Rule 8VAC20-780-245-H.

Based on observation, areas of the inside of the center were not maintained in a clean, safe and operable condition.

“Evidence: In the Toddler room, the paint is peeling off the wall under the window frame.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to keep hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children.

“Evidence: The toddler room, 3 year old room and the 2 year old room had hazardous chemicals in an unlocked closets.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that each rest area be equipped with soap, toilet paper and disposable towels or an air dryer within reach of children.

“Evidence: The bathroom in the 2 year old room was not equipped with toilet paper or paper towels.”

Rule 8VAC20-780-320-B.

Based on observation, the center failed to ensure that a nonabsorbent surface shall be used for diapering or changing.

“Evidence: The diaper surface in the Toddler room and the 2 year old room had holes and therefore were no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

Based on observation, when a child is placed in a high chair, the protective belt shall be fastened securely.

“Evidence: Child was in a high chair, but protective belt was not used.”

Rule 8VAC20-780-570-A.

Based on observation, the center had refrigerated bottles that did not contain the date.

“Evidence: Bottles in the refrigerator in the Infant Room and in the Kitchen were labeled with the child’s name, but were not dated.”

Rule 8VAC20-780-570-E.

Based on a review of children records, the center failed to obtain required documentation for each child enrolled.

“Evidence: Child #1, #2, #3 and #5’s records do not contain documentation of persons authorized to pick up the child.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas and equipment of the center, shall be maintained in a clean, safe and operable condition. Evidence: In the Toddler room, there is paint chipping form the corners and under the window sill. In the Infant room, paint has scraped off of the closet door edges and the white cupboard”

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

8VAC20-780-280-B

“Based on observation, the center failed to keep cleaning products in a locked area. Evidence: In the infant room the soap/water solution and the bleach/water solution were not kept. in a locked area. In the Pre-K room, the soap/water solution and the bleach/water solution were not kept in a locked area.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-560-G

“Based on observation, the center failed to ensure that all food brought form home, is sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the Infant Room, there was one meal on the counter with no last name and no date. One container, contained the first and last name, but did not have a date. Bottles in the refrigerator for water, with no name and no date.”

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

8VAC20-780-570-A

“Based on observation, the center failed to insure that all equipment was safe and in good working condition. Evidence: In the toddler room, one of the high chairs had no safety strap.”

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