Visions Child Development Center

***Repeat Violation*** The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #1 was overdue by 84 days.”

Rule 22.1-289.035-A.

***Repeat Violation and Systemic Deficiency*** 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.

“1. The record for child #4 had documentation of immunizations 35 days after the child began attending the center. 2. The record for child #5, enrolled for 20 days did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

***Repeat Violation and Systemic Deficiency*** Physical Examinations are required to be signed by a physician, his designee, or an official of the local health department.

“The physical examination for child #4 was not signed.”

Rule 8VAC20-780-150-B.

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

“Staff #5 did not have documentation of 16 hours of training annually.”

Rule 8VAC20-780-245-A.

***Repeat Violation and Systemic Deficiency*** The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

***Repeat Violation*** Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“1. In room #5, had an unlocked closet with 1 container of bleach, one container of Lysol, one container of Shout cleaner, 1 container of Bisel Deep Clean Antibacterial, and one container of Borox. 2. In room # 2, one container of bleach and water was located in a cabinet with a broken door, unlocked and within reach of children.”

Rule 8VAC20-780-280-B.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“The record for child #1, enrolled for over 433 days, did not have annual parent confirmation the child’s record is up to date.”

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

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

“1. Staff #1 had documentation of a TB screening that was overdue by 2 years and 11 months. 2. Staff #2 had documentation of a TB screening that was overdue by more than 11 months.”

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

The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth to 16 months old whenever children are in care.

“Staff #2 stated upon arrival at 8:00 am, staff #1 was supervising 5 children between the ages of birth up to 24 months.”

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

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

“1. Staff #1 stated he was alone with a group of children between ages of birth to 24 months during the morning of January 22, 2026. 2. Staff #2 stated she was alone with a group of children between ages of birth up to 24 months during the morning of January 22, 2026.”

Rule 8VAC20-780-530-A. From a complaint.

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.

“On 2/22/2026, six children were present in the infant room and the written record did not have their arrival documented.”

Rule 8VAC20-780-80-A. From a complaint.

***Repeat Violation*** Staff shall complete the department’s health and safety update course annually.

“1. Staff #1 did not have documentation of the completed course and was overdue by more than five months. 2. Staff #3 did not have documentation of the completed course for 2024 or 2025. 3. Staff #5 did not have documentation of the completed course which was overdue by more than three years. 4. Staff #6 did not have documentation of the completed course and was overdue by more than three months.”

Rule 8VAC20-780-600-F.

***Repeat Violation*** All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“1. Staff #1 did not have a current certification in CPR and was overdue by seven days. 2. Staff #3 did not have a current certification in CPR and was overdue by four days.”

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

***Repeat Violation*** All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care.

“1. Staff #1 did not have a current certification in first aid and was overdue by seven days. 2. Staff #3 did not have a current certification in first aid and was overdue by four days.”

Rule 8VAC20-790-600-D-2.

The license and any other documents required by the Superintendent shall be posted on the licensed premises.

“The most recent inspection findings were not posted on the licensed premises.”

Rule 22.1-289.011-F.

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

“The record for staff #4 did not have a request of the central registry prior to the employee’s first day of employment. The request was made one day after employment.”

Rule 22.1-289.035-B-3.

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

“1.The record for child #3 did not have documentation of updated immunizations and was over due by 57 days. 2. The record for child #6 did not have documentation of updated immunizations and was overdue one year and five months.”

Rule 8VAC20-780-130-E.

***Repeat Violation*** Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization record for child #4 and child #6 were not signed.”

Rule 8VAC20-780-150-B.

***Repeat Violation*** Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #7 had a TB screening dated 55 days after the date of hire.”

Rule 8VAC20-780-160-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.

“1. In room #2 the half wall moves back and forth when opening the door to the room. Part of the wall is coming away which poses a risk for pinching of skin. 2. On the playground, broken Styrofoam was observed in multiple places. The plastic storage container was cracked with jagged edges.”

Rule 8VAC20-780-270-A.

Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“In room #2, two children did not have a bottom cover on their cot.”

Rule 8VAC20-780-450-A.

***Repeat Violation*** Disposable diapers shall be disposed 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.

“In room #1, there was not a trashcan or disposal system that had a lid as required for soiled disposable diapers. Diapers were observed in the trash can.”

Rule 8VAC20-780-500-B.

A first aid kit shall be wherever children are in care.

“1. In vehicle #2, there was not a first aid kit available. 2. In vehicle #3, the first aid kit was missing the following items: scissors, tweezers, adhesive tape, and thermometer. 3. In vehicle #4, the first aid kit was missing the following items: scissors, gauze pads, adhesive tape, band-aids, antiseptic cleansing solution/pads, and one triangular bandage.”

Rule 8VAC20-780-540-A.

***Repeat Violation*** When a child is placed in an infant seat the protective belt shall be fastened securely.

“Child #3 was sitting at the feeding table without the protective belt fastened.”

Rule 8VAC20-780-570-A.

***Repeat Violation*** Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In room #2, one can of glass cleaner and one can of Lysol spray with warning labels were unlocked in a cabinet within reach of children in care.”

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

The following actions or threats thereof are forbidden; verbal remarks which are demeaning to the child.

“On November 21, 2025, staff #1 used inappropriate and threatening language during a verbal interaction with child #2.”

Rule 8VAC20-780-410-6. From a complaint.

Cribs shall be identified for use by a specific child.

“In room #1, one crib was not labeled in a manner to reflect use by a specific child.”

Rule 8VAC20-780-440-B. From a complaint.

***Repeat Violation*** Staff shall wash hands with soap and running water before and after a diaper change.

“Staff did not wash hands after changing a child’s diaper.”

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

Any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles.

“1. In vehicle #2, the door used for loading and unloading children on the facility used for transporting children would not open, so the children were using the front passenger door. The door lock was hanging outside of the van.”

Rule 8VAC20-780-580-B. From a complaint.

The center shall ensure that during transportation of children, Virginia state statutes about safety belts and child restraints are followed as required by the Code of Virginia, to assure the safety of children.

“In vehicle #4, two children were observed unbuckled upon entering the shopping center where the child day center is located.”

Rule 8VAC20-780-580-C. From a complaint.

***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 preschool room had a missing doorknob.”

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

***Repeat Violation*** Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In the hallway, one container of air freshener and one container of disinfectant were unlocked and in reach of children.”

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

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 list was not updated and contained children who were no longer enrolled.”

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

***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.

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

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

“During a transition from room #4 to the playground, Staff B and staff C were not aware that child #1 was left alone in the classroom for less than 5 minutes.”

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

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

“Staff #A, staff B, and staff C stated that child #1 was left unsupervised in room #4 for less than 5 minutes during the transition to the playground.”

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

***Repeat Violation*** The operational responsibilities of the licensee shall include ensuring that the center’s services are maintained in compliance with the center’s own policies and procedures that are required by these standards.

“1. The center’s supervision policy states staff should always be within sight and sound of all children at all times. 2. The center was in violation of their policy when a was left unsupervised in room #4. The child was not in sight or sound of a staff member for less than 5 minutes.”

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

***Repeat Violation*** All staff are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“1. Staff #2, employed for over five years, did not have documentation of current CPR certification. 2. Staff 5, employed for over two years, 6 months, did not have documentation of current CPR certification.”

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

All staff are required to have current certification in first aid appropriate to the ages of children in care.

“1.Staff #2, employed for over five years did not have documentation of current first aid certification. 2. Staff #5, employed for over two years, 6 months did not have documentation of current first aid certification.”

Rule 8VAC20-790-600-D-2.

***Repeat Violation*** Staff shall complete the department’s health and safety update course annually.

“Staff #3 and staff # 5 did not have documentation of completing the annual health and safety update course for 2024.”

Rule 8VAC20-790-600-F.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #3 was overdue by 24 days.”

Rule 22.1-289.035-A.

***Repeat Violation*** Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #2, who had been employed for seven days, did not have a completed national criminal background check prior to their first day of employment.”

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.

“Staff #2, who has been employed for over seven months, did not have a central registry search requested. Staff #1 was working alone with children.”

Rule 22.1-289.035-B-3.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

***Repeat Violation*** 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.

“1. Child #2 had documentation of an immunization record which was overdue by two years. 2. Child #5 had documentation of a religious exemption which was overdue by one day.”

Rule 8VAC20-780-130-A.

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

“Child #1 who has attended the center for over 2 years, seven months did not have documentation of additional immunizations once every six months for children under two years of age.”

Rule 8VAC20-780-130-E.

Immunization records and physical examinations are required to be signed by a physician, his designee, or an official of the local health department.

“The immunization record and physical examination for child # 4 was not signed.”

Rule 8VAC20-780-150-B.

***Repeat Violation*** Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for Staff #2 was completed one month after hire and the screening for Staff #3 was completed four months after hire.”

Rule 8VAC20-780-160-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The last documented fire inspection was conducted 4/15/2024.”

Rule 8VAC20-780-260-A.

After the first license, annual approval from the health department shall be provided.

“The last documented health department inspection were conducted on 3/20/2024.”

Rule 8VAC20-780-260-B.

***Repeat Violation*** When a child is placed in a high chair, the protective belt shall be fastened securely.

“In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

Rule 8VAC20-780-570-A.

Staff records shall be kept for each staff person that contains all of the required information.

“Staff #3 did not have documentation of two or more references as to character and reputation as well as competency prior to employment.”

Rule 8VAC20-780-70.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“1. The pavement behind the building that is used for children to take walks and play has two large potholes creating an uneven surface and poses a tripping hazard. A utility box with exposed wires is in reach of children. 2. The gate enclosing the playground is unable to close.”

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

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #3 and staff #4 did not have documentation of CPR training that required in-person competency demonstration.”

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

Staff shall complete the department’s health and safety update course annually.

“Staff #5 did not have documentation of completing the annual 2024 health and safety update course.”

Rule 8VAC20-790-600-F.

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

“The sworn statement for staff #3, who is currently working, was dated two days after their first day of employment.”

Rule 22.1-289.035-B-1.

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

“Staff #3 did not have a completed national criminal background check prior to hire, the criminal background check was overdue by 6 days.”

Rule 22.1-289.035-B-2.

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.

“1. Child #1 had documentation of immunizations which were over 1 year and 2 months past the due date. 2. Child #3, who had been attending the center for over 2 years, 7 months did not have documentation of immunizations. 3. Child #4, had documentation of immunizations which were over 2 months past the due date.”

Rule 8VAC20-780-130-A.

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.

“1. Child #1 had documentation of a physical examination which was over 1 year and 1 month past the due date. 2. Child #4 had documentation of a physical examination which was over 1 month past the due date.”

Rule 8VAC20-780-140-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #4 had a TB screening dated four days after the start of employment.”

Rule 8VAC20-780-160-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“1. An outlet on the wall leading to the school age room was coming away from the wall, leaving a gap posing a risk. 2. Chipped, peeling paint , and dry wall was observed in the school age room and the pre-k room.”

Rule 8VAC20-780-270-A.

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

“1. In the two’s classroom, one bottle of bleach and water was sitting out on the counter. 2. The center’s hallway cabinet was unlocked and contained a container of bleach and water sitting on top of the cabinet and one container of bleach and water and Lysol was inside the cabinet 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 list was not current in the toddler room, two’s room, and school-age room were dated 6/20/2024. A student who is no longer enrolled was listed on the allergy list in all rooms.”

Rule 8VAC20-780-40-M.

Cribs, cots, mats and beds used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“In the two’s room, eight children were resting without a bottom cover.”

Rule 8VAC20-780-450-A.

Children’s hands shall be washed with soap and running water after toileting. Staff shall wash their hands with soap and running water after helping a child use the toilet.

“In the toddler room, staff completed a diaper change, and the staff member did not wash their hands. The child did not wash their hands.”

Rule 8VAC20-780-500-A.

Disposable diapers shall be disposed 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.

“A foot operated storage system used for disposing diapers was inoperable in the infant and two’s rooms.”

Rule 8VAC20-780-500-B.

The center is required to maintain a written record of children’s serious and minor injuries with all required components documented on the day of occurrence.

“Ten injury reports were reviewed. Three reports did not contain the type and circumstance of the injury, five did not contain the date and time parents were notified, and three did not contain documentation of how parent was notified.”

Rule 8VAC20-780-550-P.

When a child is placed in a high chair, the protective belt shall be fastened securely.

“In the toddler classroom four children were seated in the feeding table, two children did not have a protective belt.”

Rule 8VAC20-780-570-A.

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

“Child #1 was being transported from school to the childcare center. Staff #1 stated she did not see child #1 get up during transportation and move to a seat in the back of the vehicle. Staff #1 stated she asked another child if all the children were off the vehicle. Child #1 was left unsupervised in the back of the vehicle for less than 5 minutes.”

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

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

“Child #1 fell asleep in the back of the center vehicle and was unsupervised for less than five minutes.”

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

Staff shall verify that all children have been removed from the vehicle at the conclusion of any trip.

“Staff #1 did not verify that all children had been removed from the vehicle. Child #1 was left unsupervised on the vehicle for less than five minutes.”

Rule 8VAC20-780-580-K. From a complaint.

Based on observation and documentation review, the center did not maintain required staff-to-children ratio.

Rule 8VAC20-780-350-B-3. From a complaint.

Based on review of the center’s policies and procedures, the center did not ensure activities and services were maintained in compliance with the center’s own policies and procedures required by the standards.

“Evidence: 1. The centers policies and procedures state that ?State ratios are important indicators of quality. Ratio adherence is a dual responsibility between teachers and management.? ?Call the front desk for assistance? when ?the total number of children in attendance exceeds the state ratio?. 2. On September 12, 2024, in room #1, staff did not maintain staff to children ratios from 6:50 AM to 7:09 AM.”

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

Based on observation, review of the license and interview, the licensee failed to ensure that the center’s activities are maintained in compliance with the terms of the current license issued by the department.

“Evidence: 1. The center license is issued to 4501 Williamsburg Road, Suite L., Henrico, Virginia 23231. Children and staff were using another suite location in the same strip mall that was not licensed with the Virginia Department of Education. 2. Staff #1 and staff #2 stated that the staff and children use the suite located a few doors down from the licensed location for projects and activities.”

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

Based on observation the center did not ensure that portable wading pools were not used for children that are not toilet trained.

“Evidence: Administration stated that children who are not potty trained used the portable wading pool at the center.”

Rule 8VAC20-780-470-E. From a complaint.

Based on review of records, the vendor did not ensure that staff who work directly with children completed the department’s health and safety update course annually.

“Evidence: The record for staff #3 (employed:01/02/23) did not contain documentation of the most recent annual health and safety update training.”

Rule 8VAC20-790-600-F.

Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current cardiopulmonary resuscitation (CPR) certification within 90 days of employment.

“Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23) did not have current certification in CPR. During interview, management acknowledged that staff #5, staff #7, and staff #9 did not have current CPR certification.”

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

Based on review of staff records and interview, the center did not ensure that all staff who work directly with children have a current first aid certification appropriate to the ages of children in care within 90 days of employment.

“Evidence: The records for staff #5 (employed: 8/22/23), staff #7 (employed: 8/21/23), and staff # 9 (employed: 9/13/23)) did not have current certification in first aid appropriate to the ages of children in care. During interview, management acknowledged staff #5, staff #7, and staff #9 did not have current first aid certification.”

Rule 8VAC20-790-600-D-2.

Based on a review of staff records and interviews, the vendor did not ensure that staff who work directly with children completed the department’s health and safety update course annually.

“Evidence: The records for staff #1 (employed: 01/02/23), and staff #2 (employed: 2/15/21) did not contain documentation of the most recent annual health and safety update training. During interview, a member of management acknowledged staff #1 and staff #2 did not have documentation of required annual training.”

Rule 8VAC20-790-600-F.

Based on review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years.

“Evidence: The record of staff #6 did not contain an updated central registry finding or an updated satisfactory result of the fingerprint-based national criminal background check. A member of management could not locate the central registry or fingerprint-based national criminal background check.”

Rule 22.1-289.035-A.

Based on review of staff records and interview, the center did not ensure staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment.

“Evidence: The records for staff #5 (employed: 9/13/23), staff #8 (employed: 9/01/22), staff #9 (employed: 9/13/23) did not have the results of the fingerprint -based national criminal background check prior to employment. Management acknowledged that the background checks were not completed prior to employment.”

Rule 22.1-289.035-B-2.

Based on a review of staff records, the center failed to ensure that a criminal history background check and a central registry check was not more than 90 days prior to employment.

“Evidence: The record for staff #7 (employed: 4/29/24) had documentation of the criminal history background check dated 12/15/23. Staff #7 had documentation of central registry findings dated 01/11/24. A member of management verified staff #7?s first day of employment.”

Rule 8VAC20-770-40-D-6.

Based on record review and interview, the center did not ensure all staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment.

“Evidence: 1. The record of staff #9 (employed: 02/02/24) did not have documentation of a complete sworn statement prior to hire. 2. A member of management stated that staff #4 and staff #5 did not complete a sworn statement prior to hire.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the center did not have documentation of central registry findings by the end of the 30th day of employment.

“Evidence: 1. The record for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff #7 (employed: 8/21/23), staff #8 (employed: 9/01/22), and staff #9 (employed: 9/13/23) did not contain the central registry findings. 2. A member of management stated staff #4, staff #5, staff #7, staff #8, and staff #9 are still working at the center.”

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

Based on record review, the center did not have documentation of central registry findings by the end of the 30th day of employment.

“Evidence: The record for staff #6 (employed: 8/21/23) did not have documentation of central registry findings. On 12/21/23, the licensing inspector observed documentation that staff #6 had submitted the required central registry to the department of social services.”

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

Based on record review, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years.

“Evidence: The record for child #2 (birth date: 5/13/23) had documentation of immunization at time of enrollment on 06/22/23. No other immunization records were in the record for child #2.”

Rule 8VAC20-780-130-E.

Based on record review, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The record for child #6 (enrolled: 4/12/23) did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on record review, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: The record for staff #1 (employed: 01/02/23) had documentation of a TB screening dated 2/21/23. The record for staff #8 (employed: 9/01/22) had documentation of a TB screening dated 2/23/23. The records for staff #4 (employed: 8/22/23), staff #5 (employed: 9/13/23), staff 7 (employed: 8/21/23), and staff #9 (employed: 9/13/23) did not have documentation of the TB screening or test.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: The records for staff #3 (employed: 1/02/23) and staff #5 (employed: 08/22/22) did not contain documentation of the completed Virginia Department of Education sponsored 10-hour orientation course which must be completed within 90 calendar days of employment. 2. A member of management confirmed that the two staff members had not completed the course and/or the documentation could not be located.”

Rule 8VAC20-780-240-A.

Based on record review, the center did not ensure that all staff members complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: The record for staff # 2 (employed: 2/15/21) had documentation of 2.5 hours of the 16 hours of training required.”

Rule 8VAC20-780-245-A.

Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition.

“Evidence: ? In room #5, an infant was observed sitting in a bouncer seat which had been placed in a crib. The U.S. Consumer Product Safety Commission recommends bouncer seats to always be used on the floor, never on a countertop, table, or other elevated surface. Warning labels indicate use bouncer only on the floor.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In room #1 and room #2 a container labeled bleach and water was sitting on top of the children’s cubbies. In room #4, Glass Plus was sitting on the countertop.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-D

Rule 8VAC20-780-340-D.

Based on observation and documentation review, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present.

“Evidence: During the inspection on December 5, 2023, classrooms contained an allergy report dated 9/19/23.”

Rule 8VAC20-780-40-M.

Based on observation, the center did not ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“Evidence: In classroom #2, six children were on cots that did not have a bottom cover. In room #4, four children were on cots that did not have a bottom cover.”

Rule 8VAC20-780-450-A.

Based on record review, the licensee did not ensure there were a minimum of two shelter-in-place practice drills, yearly.

“Evidence: The center did not have documentation of one of the two required shelter-in-place practice drills in 2023.”

Rule 8VAC20-780-550-E.

Based on record review, the licensee did not ensure there was a minimum of two shelter-in-place practice drills, yearly.

“Evidence: The center did not have documentation of two shelter-in-place practice drills in 2022”

Rule 8VAC20-780-550-E.

Based on record review, the licensee did not ensure that there was a minimum of one lockdown drill practiced, yearly.

“Evidence: The center did not have documentation of one lockdown drill practiced in 2022.”

Rule 8VAC20-780-550-F.

Based on a record review, the center did not ensure emergency numbers as specified in 8VAC20-780-550 I and K where maintained during transportation.

“Evidence: The center did not have the following required information kept on the 2 vehicles used to transport children: local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc.”

Rule 8VAC20-780-580-C.

8VAC20-770-60-B

“Based on review of staff records and interview, documentation of the sworn statement was not completed prior to the first day of employment. Evidence: 1. The record for staff #5 (start date: 2/14/22) did not contain documentation of the sworn statement . 2. A member management stated that the sworn statement was not in the record for staff #5.”

Rule 8VAC20-770-60-B.

Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment.

“Evidence: 1. The records for staff #4 (start date: 4/22/22), staff #5 (start date: 2/14/22), staff #6 (start date: 4/13/22) did not contain central registry findings. 2. A member a management stated that the documents were not in the staff records.”

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

8VAC20-780-320-B

“Based observations, the facility failed to ensure that sinks are supplied with running warm water that does not exceed 120 degrees Fahrenheit (F). Evidence: The hot water taps in the following rooms exceeded a temperature of 120 F: Bathroom 1 registered at 139 F; bathroom 2 registered at 131 F; Classroom 3 sink registered at 136 F; and Bathroom # 3 registered at 138 F.”

Rule 8VAC20-780-320-B.

8VAC20-780-340-F

“Based on observations, the facility failed to ensure that all children under 10 years of age are within actual sight and sound supervision. Evidence: Two children age 3 and 5 were seen unsupervised in the hall.”

Rule 8VAC20-780-340-F.

8VAC20-780-500-A

“Based on observation, the center did not ensure that staff washed their hands with soap and running water after a diaper change. Evidence: In Room 1, after changing a child’s diaper staff A returned to the group with infant A without washing the staff member’s hands or the child’s hands.”

Rule 8VAC20-780-500-A.

8VAC20-780-550-H

“Based on review of the evacuation log, the center failed to ensure that drills were practiced monthly. Evidence An evacuation drill log was not provided because the assistant could not locate the documented drills.”

Rule 8VAC20-780-550-H.

8VAC20-780-70

“Based on a review of documentation and interviews, the provider did not ensure that three of five staff completed the required orientation training OR that three of five staff records contained documentation of completed orientation training Evidence: 1. Three staff files did not contain documentation that orientation was completed.”

Rule 8VAC20-780-70.

Based on record review, the center did not obtain the department’s health and safety update course for each staff member.

“Evidence: 1. The record for staff #1 (hire date 04/04/16) did not have annual health and safety update training.”

Rule 8VAC20-790-600-F.

Based on review of staff records and discussion with staff, the center failed to obtain a sworn statement prior to employment.

“Evidence: 1. The record for staff #3 (start date: 3/23/21) had a Sworn Statement dated 03/24/2021.”

Rule 8VAC20-770-60-B.

Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment.

“Evidence: 1. The record for staff # 2 (start date: 11/15/21), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #2. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

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

Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The record for staff #3 (hire date 3/23/21) had documentation of a reference checks dated 3/30/21.”

Rule 8VAC20-780-70.