Little Spats Preschool

22.1-289.035-A

“Repeat The center is required to have employees undergo a background check every five years. 1. The most recent national criminal fingerprint background check for staff #3 was overdue by one month. 2. The most recent central registry check for staff #3 was overdue by 14 days. There was no documentation that the national criminal fingerprint background check and central registry check had been requested.”

Rule 22.1-289.035-A.

22.1-289.057-A

“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 the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-245-A

“Repeat Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record of staff #3 did not contain documentation of any training during the period of January 22, 2025, through January 21, 2026, when 16 hours were required.”

Rule 8VAC20-780-245-A.

8VAC20-780-270-A

“Repeat Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There is a hole in the drywall in the three-year-old classroom. The hole has peeling paint and pieces of drywall that are accessible to children in care.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Repeat The center shall ensure disposable diapers are 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. Staff in the two-year-old classroom were observed placing soiled diapers in into an open trash pail. The director stated there was no hands-free diaper pail on site.”

Rule 8VAC20-780-500-B.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent national criminal fingerprint background check for staff #6 was overdue by four days. There was no documentation that the national criminal fingerprint background check had been requested.”

Rule 22.1-289.035-A.

22.1-289.035-B-3

“Repeat The center must request a search of the central registry prior to the employee’s first day of employment. Staff #1, who had been employed for three weeks, did not have documentation the central registry was requested prior to employment. The results of the central registry were received 08/21/2025.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-C

“Repeat At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening. An updated tuberculosis screening for staff #2 was due four months ago. The updated tuberculosis screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-A

“Repeat Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 obtained 10 of the required 16 hours of training between the period of September 1, 2024, through August 31, 2025.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. An annual report of Environmental sanitation was due five months ago. The most recent environmental sanitation report was dated 03/27/2024.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. An area of the playground had multiple seams of the old artificial turf mat coving that were curled upward creating a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-160-C

“Repeat A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due four days ago. The updated screening has not yet been completed.”

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

8VAC20-780-420-E-3

“Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Such sharing of information shall be documented. The record of child #1 and child #2, both enrolled for fourteen months, did not contain documentation of parent confirmation that the required information in the children’s records was up to date.”

Rule 8VAC20-780-420-E-3. From a complaint.

22.1-289.035-B-3

“The center is required to submit a request for a central registry check prior to the employee’s first day of employment. The record of staff #1 contained documentation of a request of a central registry check that was dated nine days after the date of employment.”

Rule 22.1-289.035-B-3.

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. The record of child #3, enrolled for 53 days, did not contain documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment, prior to coming into contact with the children, and shall have been completed within the last 30 days of the date of employment. The record of staff #1 contained documentation of a tuberculosis screening dated seven weeks prior to the date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-790-600-F

Rule 8VAC20-790-600-F.

8VAC20-780-160-C

“Repeat At least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. Staff #1 updated screening was due ten days ago. Staff #4 updated screening was due four months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #4 obtained three of the 16 required hours for the 2023-2024 12-month period.”

Rule 8VAC20-780-245-A.

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. The center did not have a list of allergies, sensitivities, and dietary restrictions. The record of child #2, indicated a food sensitivity.”

Rule 8VAC20-780-40-M.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

Repeat/ Repeat Based on review of six staff records and interview, the center did not ensure that one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: 1. The record of staff #5 contained documentation of a tuberculosis screening dated 02/01/ 2022, exceeding two years. 2. The director confirmed staff #5 did not have a current tuberculosis screening.”

Rule 8VAC20-780-160-C.

Based upon review of the emergency preparedness plan (EPP), the facility had not ensured that the emergency preparedness plan included all required procedural components.

“Evidence: 1. The EPP does not address the staff training requirement and the plan review and update. 2. The director stated the last review of the EPP was 01/23/2023.”

Rule 8VAC20-780-550-B.

Based on observation and interviews, the center did not maintain a written record of daily attendance for each group of children, documenting the arrival and departure of each child in care as it occurs.

Rule 8VAC20-780-80-A.

Based on the review of five staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member within the required time frame.

“Evidence: 1. The record for Staff #1 (employment 09/25/2023) contained documentation of a negative tuberculosis screening dated 07/17/2022. 2.Tuberculosis screenings are required to be obtained at the time of employment and have been completed within the last 30 calendar days prior to beginning employment and be signed by a physician, physician’s designee, or an official of the local health department.”

Rule 8VAC20-780-160-A.

Based on review of five staff records, the center did not ensure that one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: The record of staff #3 contained documentation of a tuberculosis screening dated 07/08/2021, exceeding two years.”

Rule 8VAC20-780-160-C.

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

“Evidence: Multiple seams of the artificial turf mat coving the ground of the playground were curled upward creating a tripping hazard.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure children’s hands were washed with soap and running water after toileting.

“Evidence: 1. Staff #3 did not wash the hands of child A and child B after diapering each child. 2. Staff #3 did not her hands with soap and running water before and after a diaper change.”

Rule 8VAC20-780-500-A.

Based on observation, the center did not ensure the diapering surface was cleaned with soap and at least room temperature water and sanitized after each use.

“Evidence: 1. After changing the diaper of child A, staff #3 was observed changing the diaper of child B. Staff #3 did not clean the diaper mat surface with soap and water and sanitize after each use. 2. The diaper pail in the toddler room was not a foot-operated or a system that could be used in such a way that neither the staff member’s hand nor the soiled diaper touches the exterior. Staff #4 stated she used her hand to open the pain to deposit soiled diapers.”

Rule 8VAC20-780-500-B.

Based on review of two staff records, the center did not ensure one staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course.

“Evidence: 1. The record of staff #2, employed 07/19/2021, did not contain documentation of completing the department’s annual health and safety update course for the 2022 year. 2. The record of staff #5, employed 01/22/2021, did not contain documentation of completing the department’s annual health and safety update course for the 2022 year.”

Rule 8VAC20-780-600-F.

Based on review of staff records and interview, the center did not ensure one staff member obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

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

Based on review of staff records and interview, the center did not ensure one staff member obtained current certification in first aid within 90 days of the date of employment.

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

Based on review of seven staff records and interview, the center did not ensure one staff obtained a repeat background check every five years.

“Evidence: 1. The record for staff #6 contained the results of a fingerprint national criminal record check dated 04/11/2018, exceeding the requirement to renew every five years. 2. Staff #2 was observed working during the inspection. 3. The director confirmed a request to update the fingerprint national criminal record check had not yet been requested.”

Rule 22.1-289.035-A.

Based on review of seven staff records, the center did not ensure that two staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening.

“Evidence: 1. The record of staff #5 contained documentation of a tuberculosis screening dated 01/12/2021, exceeding two years. 2. The record of staff #6 contained documentation of a tuberculosis screening dated 02/15/2021, exceeding two years.”

Rule 8VAC20-780-160-C.

Based on review of seven staff records, the center did not ensure four staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: The record of staff #1, employed 11/18/2022, did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course, exceeding 90 calendar days from employment. The director stated staff #1 had nor yet completed the course.”

Rule 8VAC20-780-240-A.

Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained.

“Evidence: At approximately 4:10 pm, the licensing inspector observed 23 children (ages two years to five years) on the playground with staff #1 and staff #6 supervising. The required staff-to-children ratio is applied to the youngest child in the group and is applicable to the entire group. The required staff-to-children ratio is one staff member for every eight children present.”

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

Based on observation and interview, the center did not ensure the required staff-to-child ratios were maintained.

“Evidence: At approximately 2:00 pm, the licensing inspector observed 15 children (ages three years to five years) with staff #6 supervising. The required staff to children ratio is one staff member for every ten children.”

Rule 8VAC20-780-350-B-4.

Based on observation, review of seven staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of children in care.

“Evidence: Staff #6 was observed working alone in a classroom with children. The record of staff #6 contained documentation of CPR certification that expired on 01/22/2023. The director confirmed the CPR certification for staff #6 has expired and a renewal certification class had not been completed.”

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

Based on observation, review of seven staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present shall have current certification in first aid as appropriate to the age of children in care.

“Evidence: Staff #6 was observed working alone in a classroom with children. The record of staff #6 contained documentation of first aid certification that expired on 01/22/2023. The director confirmed the first aid certification for staff #6 has expired and a renewal certification class had not been completed.”

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

Based on review of staff records and interview, the center did not ensure one staff member obtained current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: The record of staff #3, employed 05/09/2022, did not contain documentation of current CPR certification, exceeding 90 days from employment. The director stated staff #3 had not obtained certification in CPR.”

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

Based on review of staff records and interview, the center did not ensure one staff member obtained current certification in first aid within 90 days of the date of employment.

“Evidence: The record of staff #3, employed 05/09/2022, did not contain documentation of current first aid certification, exceeding 90 days from employment. The director stated staff #3 had not obtained certification in first aid.”

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

Based on review of four staff records, the center did not ensure one staff meet program leader qualifications.

“Evidence: The record of staff #4, identified as a program leader did not contain documentation to demonstrate how staff #4 meets program leader qualifications. The director confirmed that staff #4 did not have documentation on file to demonstrate program leader qualifications.”

Rule 8VAC20-780-210-A.

Based on review of four staff records and interview, the center did not ensure one staff completed the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

“Evidence: The record of staff #2, employed 02/03/2022, had documentation of completing the Department of Education orientation training on 05/31/2022, exceeding the 90 day requirement. The director stated the training had not been completed within 90 days of employment.”

Rule 8VAC20-780-240-A.

Based on review of staff records and interview, the center did not ensure staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care within 30 days of the first day of employment.

“Evidence: The record of staff #3, employed 05/09/2022, did not contain documentation of completing first aid and CPR training within the first 30 days of employment. The director stated staff #3 did not have training in first aid and CPR.”

Rule 8VAC20-780-240-E.

Based on observation, the center did not maintain all areas ans equipment of the center, inside and outside, in a clean, safe and operable condition.

“Evidence: The outdoor playground area is carpeted with outdoor carpet. The seam of where the two piece of carpet meet have rolled back creating a tripping hazard.”

Rule 8VAC20-780-270-A.

Based on review of staff records, the center did not obtain documentation of a tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record of staff #2, hired and working with children as of 02/03/2022, did not contain documentation of a negative tuberculosis screening. Documentation is required to be submitted at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A-1.

Based on staff record review and interview, the center did not ensure staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care within 30 days of the first day of employment.

“Evidence: The record of staff #1, hired 01/07/2022, did not have documentation of completion of first aid and CPR orientation training within 30 days of hire. 2. The director stated CPR & first aid orientation had not been conducted with staff #1.”

Rule 8VAC20-780-240-E.

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

“Evidence: A container of bleach was observed in a unlocked low cabinet in the kitchenette/ supply area. The director stated the children line up at the door of the kitchen area while lunches are being warmed creating possible access to the unlocked cabinet.”

Rule 8VAC20-780-280-B.