Pure at Heart Childcare Center, LLC Phase 3

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

“Disinfectant cleaners with warning label, ?Keep out of reach of children,? was accessible in an unlocked, slightly ajar closet in the preschool area.”

Rule 8VAC20-780-280-B.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In preschool classroom, the toilet did not flush properly in bathroom 1. The toilet seat in bathroom 2 is loose; top metal fasteners are rusted. In the second preschool classroom the sink faucet came out of socket when used.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant spray with warning labels, ?Keep out of reach of children, was unlocked in the cabinet in the preschool classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-160-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?s TB screening was dated approximately 2 ? years prior to employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due 8 weeks ago and the updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 obtained 5 out of the 16 required hours.”

Rule 8VAC20-780-245-A.

8VAC20-780-290-A-3

“Repeat Violation In areas used by preschool age or younger children, electrical outlets shall have protective covers. There were 4 uncovered outlets in Classroom #1 and 1 uncovered in Classroom #2.”

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

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-330-C

“Repeat Violation Where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury. One of the metal car /bus spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

Rule 8VAC20-780-330-C.

8VAC20-780-430-H

“Trampolines may not be used. There was a trampoline with a surrounding net observed in Classroom #1 and Child #4 was observed on the trampoline”

Rule 8VAC20-780-430-H.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in Classroom #1 were observed eating lunch 3 children did not have their hands washed or wiped with a disposable wipe after eating.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-560-F

“When centers choose to provide meals or snacks the menu listing foods to be served for meals and snacks during the current one-week period shall be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center The meu posted was dated March 2025.”

Rule 8VAC20-780-560-F.

8VAC20-780-80-A

“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. The attendance sheet for Room #1 listed 11 children and 8 children were present, and Room #2 listed 20 children in attendance and 18 were present.”

Rule 8VAC20-780-80-A.

Based on record review and staff interviews, the licensee did not ensure each staff member shall undergo a background check every five years.

“Evidence: The Sworn Statement available for review for Staff #2 was dated 6-28-2019 and had not been updated.”

Rule 22.1-289.035-A.

Based on center documentation review and staff interview the licensee did not ensure the Central Registry Request was conducted prior to employment.

“Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed prior to hire a Central Registry Request was not conducted.”

Rule 22.1-289.035-B-3.

Based on center documentation review and staff interview the licensee did not ensure the an Out-of-State Criminal History Records Request, Out of State Child Abuse and Neglect Search Request an Out of State Sex Offender Registry Search were completed for each state an individual has resided in the past 5 years prior to employment.

“Evidence: Staff #3 began working on 8-6-2024 and center owner confirmed that an Out-of -State Central Registry Request, Sex Offender Check and Criminal Records request were not conducted prior to hire.”

Rule 22.1-289.035-B-4.

Based on observation and staff interviews, the licensee did not ensure 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.

“Evidence: In the Two’s Room inside an unlocked closet there were 4 spray containers of sanitizer and 1 sanitizing wipes container. They were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

Based on observations and staff interviews, the licensee did not ensure the restrooms have sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F and were equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children.

“Evidence: In the Two’s Room 2 out of 2 restrooms did not have toilet paper available and there was no disposable towels or an air dryer available for children to use after handwashing.”

Rule 8VAC20-780-320-B.

Based on record review, observation and staff interviews, the licensee did not ensure there shall be in each grouping of children at least one staff member who meets the qualifications of a program leader or program director.

“Evidence: Staff #5 was the only staff supervising 7 children ages 2-3 in the Two’s Room. Staff #5 is the designated program lead for the Two’s Room and there is not documentation available to confirm program leader qualifications.”

Rule 8VAC20-780-340-D.

Based on center documentation review and staff interview the licensee did not 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: Center Director confirmed they did not have an updated injury prevention plan.”

Rule 8VAC20-780-40-J.

(Repeat Violation) Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation.

“Evidence: The record for Staff #1, designated Program Director did not include documentation to demonstrate they possess the education and certification, required by the job position.”

Rule 8VAC20-780-70.

Repeat Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

“Evidence: Child #2?s immunization document did not include a signature as required.”

Rule 8VAC20-780-150-B.

Repeat Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: The following chemicals were stored insufficiently in the Preschool room 1. The key to the closet storing hazardous chemicals was observed in door knob and was accessible to children. 2.There were 2 hand sanitizer containers observed on the cubby shelves. The hazardous chemicals were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, the licensee did not ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers.

“Evidence: In the Preschool room and the Two’s room there were 3 electrical outlets in each room that were not covered and were accessible to the children”

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

Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

Rule 8VAC20-780-330-B.

Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, the ground supports shall be covered with materials that protect children from injury.

“Evidence: On the smaller and larger playgrounds, the plastic yellow airplane spring bouncer and metal car spring bouncers had metal ground supports with protruding bolts that were visible and not covered with material to protect children”

Rule 8VAC20-780-330-C.

Based on observation and staff interviews, the licensee did not ensure there was a posted daily schedule that allows for flexibility as children’s needs require.

“Evidence: Center staff confirmed there was not a posted daily schedule for the Preschool room.”

Rule 8VAC20-780-380-A.

Based on observation and staff interviews, the licensee did not toddlers and preschoolers had outdoor activity for at least one hour per day when the center operates more than five hours per day.

“Evidence: Center staff confirmed the two-year-old class did not go outside at all on Monday, May 20, Tuesday May 21 and they did not go outside during their designated outside time on Wednesday May 23. Center staff verified it was not due to weather but because they had a few children that were ?flight risk /runners?.”

Rule 8VAC20-780-380-A-1.

Repeat Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that includes all required information.

“Evidence: Five injury reports reviewed, and they were missing information to include a second signature, staff present, treatment, future action to prevent injury, the date, time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation and provider interviews, the licensee did not ensure that tables and highchair trays shall be sanitized before and after each use for feeding.

“Evidence: In the Preschool room the tables used for lunch were not sanitized before eating as they were not sprayed with not sprayed with a disinfectant /sanitizing solution and allowed to air dry or wiped down after two minutes.”

Rule 8VAC20-780-560-J.

Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation.

“Evidence: The following records were missing information as listed below; 1) Staff #1, #2, #3, #4 and #5 were missing information related to any health problems that may interfere with fulfilling the job responsibilities. 2) Staff #1, #3, and #4 were missing a copy of their diploma or transcripts 3) Staff #4 was missing the two required references to be conducted prior to employment. Date of employment 5-14-2024.”

Rule 8VAC20-780-70.

Based on record review and provider interview, the licensee did not ensure the physical examination and dates of immunizations shall include the signature of a physician, his designee, or an official of a local health department

“Evidence: The immunization documents for Child #1 and Child #2 did not include a physician or designated individual’s signature.”

Rule 8VAC20-780-150-B.

Repeat Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent copy of the fire inspection available for review was dated 1-20-2022.”

Rule 8VAC20-780-260-A.

Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual approval from the health department.

“Evidence: Staff #1 confirmed the most recent copy of the health inspection available for review was dated 6-9-2022.”

Rule 8VAC20-780-260-B.

Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that includes all required information.

“Evidence: Staff #1 confirmed 2 out of 3 injury reports did not have all required information 1.One did not have the staff and a parent signature or two staff signatures on the report and the future action to prevent injury. 2.One did not have the date, time and method of notifying a parent/guardian of the injury.”

Rule 8VAC20-780-550-P.

Repeat Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.

“Evidence: Staff #2, designated as program leader/ lead teacher for the Preschool room, did not have documentation they have the obtained all the required training/ certifications by the job position. Staff #1 verified there was only 19 hours of training available for review a and 24 hours is required.”

Rule 8VAC20-780-70.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had completed a sworn statement prior to their first day of employment.

“Evidence: Staff #2?s date of hire 2-27-2023 and the Sworn Statement did not have date of completion and the Sworn Statement for Staff #3 was signed on 1-26-2023 and first date of employment was 1-23-2023. Center owner confirmed both sworn statements were not completed prior to the first day of employment.”

Rule 8VAC20-770-40-D-1-b.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure each staff member had obtained by the end of the 30th day of hire the results of the Central Registry ( CPS ) finding for the state of Virginia.

“Evidence: the record for Staff # 3?s (date of hire 1-23-23) did not have include documentation of a CPS check conducted. Staff #3 was observed working on the day of the day of the inspection and center owner confirmed missing background checks.”

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

Based on documentation review and staff interviews, the licensee did not ensure to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: Center owner confirmed the most recent copy of the fire inspection available for review was dated 1-20-2022.”

Rule 8VAC20-780-260-A.

Based on observation, the licensee did not ensure hazardous substances and other harmful agents such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Staff #5 confirmed the closet in the two’s room was unlocked and contained 1 container of bleach, 3 containers of hand sanitizer and 1 container of disinfectant. These items are hazardous chemicals and were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma.

“Evidence: Center owner confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure that staff have all required documentation in their record.

“Evidence: Center owner confirmed the missing information for Staff #1 (date of hire 3-20-23). 1)Staff #1 is the designated Program Director and there was not documentation available for review to demonstrate they have the experience required for a Program Director. 2) There was not documentation available for review that two refences were conducted prior to hire.”

Rule 8VAC20-780-70.

Based on observation and staff interviews, the licensee did not ensure the license and any other documents required by the Superintendent were posted in a conspicuous place on the licensed premises.

“Evidence: The most recent inspection results dated 11-14-2022 were not posted in a conspicuous place. Center owner confirmed there was not a copy available for review.”

Rule 8VAC20-820-120-E-2.

8VAC20-790-600-F

“Based on a review of 3 staff records and staff interviews, the vendor did not ensure staff completed who work directly with children shall have completed the departments health and safety update course. Evidence: The record for Staff #1 did not include the required annual 3 hour health and safety update course. The most recent Health and Safety course available for review for Staff #1 was dated 3-19-2019.”

Rule 8VAC20-790-600-F.

8VAC20-780-240-C

“Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: The records for Staff # 2 (hire date 8-29-2022) did not include information indicating orientation related abusive head trauma, including procedures to cope with distraught children was conducted.”

Rule 8VAC20-780-240-C.

8VAC20-780-240-E

“Based on a review of 3 staff records and staff interviews, the licensee did not ensure each staff member had obtained within 30 days of the first day of employment, training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 2 (date of hire 8-29-2022) did not have documentation of CPR / First Aid orientation.”

Rule 8VAC20-780-240-E.

8VAC20-780-245-A

“Based on a review of 3 staff records and staff interviews, the licensee did not ensure staff completed 16 hours of annual training. Evidence: The record for Staff #1 only included 30 minutes of annual training.”

Rule 8VAC20-780-245-A.

8VAC20-780-245-L

“Based on staff interviews and review of documentation, the licensee did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation (DHO) of children. Evidence: Center owner confirmed they did not have anyone at the center during the inspection that had obtained DHO training.”

Rule 8VAC20-780-245-L.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-380-A

“Based on staff interviews and observation, the licensee did not ensure there shall be a posted daily schedule for toddlers and preschoolers that allows for flexibility as children’s needs require. Evidence: Center owner confirmed there was not a daily schedule for the preschoolers posted in the center.”

Rule 8VAC20-780-380-A.

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Director, confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-450-A

“Based on observation and staff interviews, the licensee did not ensure cribs, cots and mats used by children other than infants 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: There were 8 children ages 2 and 3 observed resting during nap time and 5 did not have a bottom cover and 3 did not have a top or bottom cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-550-G

“Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills. Evidence: Center owner confirmed they did not have documentation of evacuation drills available for review for October 2022.”

Rule 8VAC20-780-550-G.

Based on a review of staff records and staff interviews, the licensee did not ensure that all required items were in a staff record.

“Evidence: The record for staff #1, the designated program lead for the preschool room did not have documentation to demonstrate they have the education and certification, required for Program Lead.”

Rule 8VAC20-780-70.