Cynthia’s Child Care Center LLC

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 #1 had documentation of a TB test dated more than 30 days prior to the hire date.”

Rule 8VAC20-780-160-A.

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

“The emergency training update was more than 12 months ago, dated 3/11/2025.”

Rule 8VAC20-780-245-I.

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

“During inspection of the infant room on 6/16/2026, three children were observed in highchairs and not buckled in to the chair.”

Rule 8VAC20-780-570-A.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“One bottle found in the infant classroom containing formula was not labeled or dated. Two additional bottles were found in the refrigerator with a date of 6/11/2026.”

Rule 8VAC20-780-570-E.

Milk, formula or breast milk shall not be heated or warmed directly in a microwave.

“During interviews with infant room staff, staff acknowledged to heating formula and breast milk up in the microwave on a daily basis.”

Rule 8VAC20-780-570-G.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“1.Staff #2 and Staff #3, who are actively working, had only one documented reference. 2. Staff #4, who has been employed for almost 2 months, did not have any documented references in their file.”

Rule 8VAC20-780-70.

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

“The most recent sworn statement for Staff #4 was overdue by more than seven months.”

Rule 22.1-289.035-A.

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

“The sworn statement for Staff #1, who is currently working, was dated eight days after their first day of employment.”

Rule 22.1-289.035-B-1.

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

“1. Staff #1, who had been employed for seven months, did not have a central registry search requested. Staff #1 was working with children. 2. Staff #2, who had been employed for more than ten months, did not have a central registry search requested. Staff #2 was working with children. 3. Staff #3, who had been employed for four months, did not have a central registry search requested. Staff #3 was working with children.”

Rule 22.1-289.035-B-3.

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

“Staff #4 updated screening was due seven months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

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 of children.

“During the inspection on 1/13/2026, there was no staff member with current daily health observation training.”

Rule 8VAC20-780-245-L.

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

“Two cans of disinfectant with warning labels, ?Keep out of reach of children,? were unlocked in the infant classroom, out of reach of children.”

Rule 8VAC20-780-280-B.

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

“Staff #2’s updated screening was due more than 14 months ago and Staff #3 updated screening was due two months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Hazardous substances must be in a locked place that prevents access by children.

“In the infant classroom and the 4 year old classroom, a bottle of bleach cleaning solution and Lysol cans were in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

Hazardous substances should be kept in a locked place that prevents access by children.

“Evidence: Lysol bottle and fragrance spray with statement “keep out of reach of children” was left on shelf in infant room unlocked and accessible.”

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

A record for each child should contain the brand of formula and the feeding schedule of the child.

“Evidence: Staff did not have an up to date record for any children in the infant room. Records were improperly dated and did not have up to date information written.”

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

Bottles with infant formula should be refrigerated, dated, and labeled with all children’s names.

“Evidence: Five bottles were observed unlabeled and not dated in the infant room.”

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

Based on record review staff members did not complete annual updated health and safety course.

“Evidence: 1. The record for staff #1 did not have documentation that the required annual 3-hour health and safety update course was completed. Staff #1 hire date is 3/6/2023. 2. The record for staff #2, did not have documentation that the required annual 3-hour health and safety update course was completed. Staff #2 hire date is 8/21/2022. 3. Director acknowledged no annual training had been completed.”

Rule 8VAC20-790-600-B.

Based on staff record review, the center failed request the central registry background check within 30 days of employment.

“Evidence: 1. Staff #3 was employed in June 2024, the record did not contain the results of a central registry background check. 2. Staff #4?s record did not contain the results of a central registry background. 3. Staff #7?s, date of hire 4/29/2024, did not contain results for Central Registry check. 4.The Director acknowledged there was no follow up documentation to the status of the Central Registry requests within first 30 days of employment, and stated they had not sent request for Staff #3”

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

Based on observation and interview with staff, the center failed to ensure children in mixed age groups were within appropriate staff to children ratio.

“Evidence: Classroom #2 had 11 children present ranging in ages from 5 months to 2 years with only two staff present. 2. Director acknowledged the classroom was over ratio and should only have a maximum of 8 children.”

Rule 8VAC20-780-350-C.

Based on record review, the provider did not maintain active Public Liability Insurance.

“Evidence: 1. The liability insurance policy had an expiration date of 7/25/2024. 2. Director acknowledged that the insurance had expired and stated they would pay and send updated insurance form.”

Rule 8VAC20-780-40-H.

Based on classroom observation, staff member did not wash their hands with soap and water before or after changing a child’s diaper.

“Evidence: Staff member #1 changed a child’s diaper and did not wash hands before or after the changing.”

Rule 8VAC20-780-500-A.

Based on classroom observation disposable diapers were not disposed of in a leakproof container with a foot operated system.

“Evidence: 1. Based on Classroom 2 inspection an open trash can with no lid was being used for disposal of diapers. 2. Director acknowledged the trash can had no lid on top.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-G

“Based on classroom observation, the center did not ensure food containers were clearly dated and labeled in a way that identified the owner. Evidence: Classroom 3 had placed 10 student’s lunches out on the counter. The lunches were not labeled with names or dates.”

Rule 8VAC20-780-560-G.

Based on classroom observation, infant formula was not refrigerated, dated, or labeled with children’s names.

“Evidence: Inspector noted a total of 6 out of 14 bottles/cups were not dated or labeled in the infant room. Bottles and cups were sitting on counter and were observed to be room temperature and not in the refrigerator. Inspector observed chalkboard in classroom stated, ?Label ALL cups and bottles?.”

Rule 8VAC20-780-570-E.

Based on staff record reviews, education, experience, and job position was not presented in files.

“Evidence: 1. Staff #1?s date of hire 03/06/2023 record was missing documentation of education and experience for lead teacher qualification. 2. Staff #3?s record was missing evidence of education, experience, and date of hire. 3. Staff #5?s record, date of hire 05/26/2020, did not have documentation of experience. Staff #5 was observed in a lead position. 5. Staff #7?s record did, date of hire 04/29/2024, did not have documentation of education and experience.”

Rule 8VAC20-780-70.

Based on record review the center failed to have one staff member complete the department’s annual update health and safety course.

“Evidence: 1. The record for staff #1 did not have documentation that the required annual 3-hour health and safety update course was completed. Last documented course was dated 07/12/2019. 2. The record for staff #2, did not have documentation that the required annual 3-hour health and safety update course was completed. Last documented course was dated 2/28/2022. 3. The director confirmed the annual 3-hour update had not been taken.”

Rule 8VAC20-780-600-F.

8VAC20-790-600-D-1

“(Repeat Violation) Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. The record for staff #2 contained a CPR certification that expired on 8/5/2023. 2. The record for staff #3 contained a CPR certification that expired on 8/6/2023. 3. The record for staff #4 contained a CPR certification that expired on 7/23/2023. 4. Administration verified that the CPR certification for staff were expired.”

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

(Repeat Violation) Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid.

“Evidence: 1. The record for staff #2 contained a First Aid certification that expired on 8/5/2023. 2. The record for staff #3 contained a First Aid certification that expired on 8/6/2023. 3. The record for staff #4 contained a First Aid certification that expired on 7/23/2023. 4. Administration verified that the First Aid certification for staff were expired.”

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

Based on review of staff records and interview, the center failed to ensure that all staff had completed a minimum of 16 hours of annual training appropriate to the age of children in care.

Rule 8VAC20-780-245-A.

Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. In the infant room, there was chipped paint on the wall under the board accessible to children. 2. In 2 year old classroom, there was peeling and chipped paint on the wall under the board accessible to children.”

Rule 8VAC20-780-270-A.

Based on record review, 4 of 4 children’s records did not contain all required information.

“Evidence: 1. Child #3 was missing a second emergency contact address. Child # 3?s date of enrollment was 6/14/2021. 2. Child #4 was missing an annual update. Child # 4?s enrollment date was 9/13/2022.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“Based on records review, and observation, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for staff #5, date of employment 08/21/2022, did not contain documentation of current certification in CPR.”

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

8VAC20-790-600-D-2

“Based on records review, and observation, the center failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in First Aid. Evidence: The record for staff #5, date of employment 08/21/2022, did not contain documentation of current certification in First Aid. Staff #5 was observed working in the classroom with children”

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

8VAC20-770-60-C-2

“Based on records review, the center failed to have a Central Registry finding within 30 days of employment. Evidence: The record for staff #5, date of employment 08/21/2022, did not contain the results of a Central Registry search.”

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

8VAC20-780-160-A

“Based on records review, and observation, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #4, date of employment 05/26/20, did not contain documentation of a negative tuberculosis screening. Staff #4 was observed working in the classroom with children.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on records review, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #4, date of employment 05/26/20, and the record for staff #5, date of employment 08/21/2022, did not contain documentation of the VDOE orientation course being completed.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Based on records review, and observation, the center failed to ensure that staff complete orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for staff #5, date of employment 08/21/2022, did not contain documentation of completion of orientation. Staff # 5 was observed working in the classroom with children.”

Rule 8VAC20-780-240-B.

8VAC20-780-450-A

“Based on observation, the center failed to ensure that cots used by children during the designated rest period shall have linens consisting of a top cover and a bottom cover. Evidence: There were 7 cots occupied by sleeping children that did not have a bottom cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-550-G

“Based on documentation review, and interview, the center failed to maintain documentation of emergency evacuation drills. Evidence: There was no drill documented for May of 2023. The Assistant Director acknowledged that the drill was not documented.”

Rule 8VAC20-780-550-G.

8VAC20-780-70

“Based on records review, and observation, the center failed to document that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #5, date of employment 08/21/2022, did not contain documentation of references. Staff #5 was observed working in the classroom with children.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on records review, the center failed to ensure that all staff who work directly with children have current certification in cardiopulmonary resuscitation (CPR). Evidence: The record for staff # 5, date of employment 05/26/20, contained documentation of CPR certification dated 03/22/19.”

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

8VAC20-790-600-D-2

“Based on records review, the center failed to ensure that all staff who work directly with children have current certification in first aid. Evidence: The record for staff # 5, date of employment 05/26/20, contained documentation of first aid certification dated 03/22/19.”

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

8VAC20-790-600-F

“Based on records review, the center failed to ensure that all staff who work directly with children shall annually attend the departments health and safety update course. Evidence: 1) The record for staff #3, date of employment 11/15/21, contained documentation of the annual health and safety course dated 11/21/21. 2) The record for staff #4, date of employment 06/15/17, contained documentation of the annual health and safety course dated 05/26/20.”

Rule 8VAC20-790-600-F.

8VAC20-770-60-B

“Based on records review, the center failed to obtain a repeat Sworn Statement 5 years from the original Sworn Statement. Evidence: The record for staff #2, date of employment 09/29/17, had a Sworn Statement dated 08/03/17, and the record for staff #4, date of employment 06/15/17, had a Sworn Statement dated 08/03/17.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on a review of records, and interview, the center did not ensure that all employees have a CPS background check that is repeated every 5 years. Evidence: The record for staff #2, date of employment 09/29/17, and the record for staff #4, date of employment 06/15/17, had original CPS background checks that expired in May 2022. There was no evidence that a new CPS background check had been mailed. When asked, the Director stated that the background checks had not been repeated.”

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

8VAC20-780-140-A

“Based on records review, the center failed to ensure that each child has a physical examination within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 06/14/21, the record for child #2, date of enrollment 12/1/20, and the record for child #3, date of enrollment, 11/30/20, did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on records review, and observation, the center failed to ensure that staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for staff #5, date of employment 05/26/20, did not contain documentation of a negative tuberculosis screening. Staff #5 was observed working in the classroom with children.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on records review, the center failed to ensure that staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: The record for staff #5, date of employment, 05/26/20, did not contain documentation of the VDOE orientation course being completed.”

Rule 8VAC20-780-240-A.

8VAC20-780-550-D

“Based on interview, the center failed to ensure that they implement a monthly practice evacuation drill with all of the children in the center. Evidence: When interviewed, the Director stated that they do not take the infants out with them when they have practice evacuation drills.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-G

“Based on documentation review, and interview, the center failed to maintain documentation of emergency evacuation drills. Evidence: There were no drills documented for January or February of 2023. The Director acknowledged that the drills were not documented.”

Rule 8VAC20-780-550-G.

8VAC20-780-70

“Based on records review, and observation, the center failed to document that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #1, date of employment 03/06/23, and the record for staff #5, date of employment 05/26/20, did not contain documentation of references. Staff #1 and staff #5 were observed working in the classroom with children.”

Rule 8VAC20-780-70.

8VAC20-770-60-C-2

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

8VAC20-780-245-L

“Based on records review, and interview, the center did not ensure to always have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: 5 out of 5 records reviewed did not have evidence of daily health observation training. When asked, the Director stated that she was unaware of this requirement.”

Rule 8VAC20-780-245-L.

8VAC20-780-260-B

“Based on a review of records and interview, the center did not ensure to obtain annual approval from the health department. Evidence: The most recent health inspection was on 10/16/20. When asked, the Director stated that she has tried calling several times to schedule the inspection but no one has come out.”

Rule 8VAC20-780-260-B.

8VAC20-780-350-B-1

“Based on observation and interview, the center did not ensure that the staff to children ratios were followed at all times. Evidence: At approximately 10:25 am the infant teacher was seen down the hall coming out of the preschool classroom. There were 8 infants left in the classroom with 1 staff member. When asked, the teacher stated that she does this regularly when she needs something from the other classroom, but she always makes sure the infants are put in their cribs before she leaves.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-440-L

“Based on observation, the center did not ensure that pillows and filled comforters were not used by children under two years of age. Evidence: A stuffed dinosaur pillow was in a crib with a toddler during the designated sleep time.”

Rule 8VAC20-780-440-L.

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that a nonabsorbent surface for diapering or changing was used and that it was cleaned with soap and water and sanitized after each use. Evidence: The infant room had a diaper pad that had a cloth cover on it. When asked, the teacher stated that the cloth cover on the diaper pad is washed daily and that they do not clean and sanitize the pad in between each diaper change.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-G

“Based on observation, the center did not ensure that when food is brought from home the food container is clearly dated and labeled in a way that identifies the owner. Evidence: 1) Class # 2 had food containers lined up on the counter. None of the food containers were labeled. 2) Class #3 had lunchboxes and water bottles lined up on the counter that were not dated or labeled.”

Rule 8VAC20-780-560-G.

8VAC20-780-560-M

“Based on observation, the center did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: Classroom #2 allowed 2 children to walk around while drinking out of bottles/sippy cups.”

Rule 8VAC20-780-560-M.

8VAC20-780-570-B

“Based on observation, the center did not ensure that a bottle was not used while the child is in their designated sleeping location. Evidence: Two (2) infants were given a bottle while laying down in their crib.”

Rule 8VAC20-780-570-B.

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was refrigerated, dated, and labeled with the child’s name. Evidence: There were 8 bottles lined up on the counter. The bottles were not refrigerated and did not contain a date or a name. When asked, the staff member stated that they do not refrigerate the bottles.”

Rule 8VAC20-780-570-E.

8VAC20-770-60-C-2

“Based on a review of staff records and interview, on February 25, 2022, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #1, hired on 11/15/21, did not contain documentation of results of a central registry check. Administration acknowledged the application was returned to the center due to an error and needs to be mailed again.”

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

8VAC20-780-130-E

“Based on record review, the center did not ensure to obtain documentation of immunizations once every six months for children under the age of two years. Evidence: The record of child #2 (DOB 2/26/21) contained documentation of immunizations dated 7/13/21.”

Rule 8VAC20-780-130-E.

8VAC20-780-150-B

“Based on a review of records on February 25, 2022, the center did not ensure that physical examinations and dates immunizations received shall be signed by a physician, his designee, or an official of the local health department. Evidence: The record of child #2 contained documentation of a physical and immunizations that were not signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record of staff #1, hired on 11/15/21, contained documentation of a tuberculosis screening dated 2/23/22.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-B

“Based on a review of records and interview, the center did not ensure annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for water supply, sewage disposal system, and food service, if applicable. Evidence: The most recent health inspection report is dated 10/16/20. Administration acknowledged the inspection is overdue.”

Rule 8VAC20-780-260-B.

8VAC20-780-500-A

“Based on observation and interview on February 25, 2022, the center did not ensure that staff and children’s hands shall be washed with soap and running water after a diaper change. Evidence: After diapering, Staff #1 was observed to not wash their hands and a child’s hands with soap and running water. Staff #1 acknowledged hand washing was not completed after diapering.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation and interview on February 25, 2022, the center did not ensure a nonabsorbent surface for diapering or changing is used. Evidence: In the diaper changing area there were three changing pads observed to have several tears and holes which exposed the inner foam of the pad, which no longer makes the surface nonporous.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-D

“Based on a review of records and interview on February 24, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in January 2022. Administration confirmed the drill was not conducted.”

Rule 8VAC20-780-550-D.

8VAC20-780-560-J

“Based on observation and interview on February 25, 2022, the center did not ensure tables and high chairs are sanitized using a spray disinfectant solution before and after each use for feeding. Evidence: After lunch, a volunteer was observed using disinfectant wipes to sanitize high chair trays. Administration acknowledged the wipes were being used.”

Rule 8VAC20-780-560-J.