Heavenly Playhouse Childcare Center

Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In the infant room, a cover for one overhead light was hanging off one side. Outside on the playground, the gate dividing the playground spaces was missing fasteners connecting the gate together which could entangle clothing or skin. A piece of play kitchen equipment had a broken door, exposing protruding nails.”

Rule 8VAC20-780-270-A.

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.

“In the 3-4 year old room, two bottles of cleaning materials were observed in an unlocked cabinet and accessible to children.”

Rule 8VAC20-780-280-B.

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall.

“A climbing circular structure and two separate see-saws did not have any required resilient surfacing and was located over grass. A piece of playground equipment resilient surfacing was measured and had less than 6 inches of required resilient surfacing.”

Rule 8VAC20-780-330-B.

Cribs when being used by infants shall have a bottom cover.

“One crib used by an infant did not have a bottom cover.”

Rule 8VAC20-780-450-A.

A nonabsorbent surface for diapering or changing shall be used.

“In the infant room, a changing pad used to change diapers had a tear exposing a nonabsorbent material.”

Rule 8VAC20-780-500-B.

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

“Two bottles for infants were not dated and labeled with a child’s name.”

Rule 8VAC20-780-570-E.

The licensee shall include ensuring that the center’s activities and services are maintained in compliance with the standards and the center’s own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On 3/9/2026, Staff #1 wrapped tape around the hands of Child #1, age three, for approximately 6 minutes. In Interview, Staff #1 stated that they placed tape around each of child’s hands to prevent the child from sticking their hands in their mouth.”

Rule 8VAC20-780-400-B.

The following acts are forbidden: physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment.

“On 3/09/2026, Staff #1 restricted the movement of Child #1 when they wrapped tape around each of child’s hands for approximately 6 minutes. The tape was placed from the base of the fingers up to the child’s wrist.”

Rule 8VAC20-780-410-1.

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

“In the toddler/twos room, an outlet cover/plate was broken and a gap was exposed. Children were playing next to the broken plate which was within their reach.”

Rule 8VAC20-780-270-A.

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

“Staff #3’s updated screening was due over 2 months ago. The updated screening had not yet been completed.”

Rule 8VAC20-780-160-C.

The required ratio for children school age eligible up to nine years is one staff per 18 children.

“Staff #6 was observed supervising a group of 22 school aged children for approximately 20 minutes before an additional staff member arrived.”

Rule 8VAC20-780-350-B-5.

Children who are not toilet trained may not use portable wading pools.

“On 7/28/25, non-toilet trained children were observed playing in portable wading pools.”

Rule 8VAC20-780-470-E.

At least one staff in each classroom or area where children are present shall have current certification in CPR.

“Staff #3 was alone with a group of 10 preschool aged children and did not have a current CPR certification. Staff #4 was alone with a group of four infants and did not have a current CPR certification.”

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

At least one staff in each classroom or area where children are present shall have current certification in first aid.

“Staff #3 was alone with a group of 10 preschool aged children and did not have a current first aid certification. Staff #4 was alone with a group of four infants and did not have a current first aid certification.”

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

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include the required information.

“Child #6 had an injury report that was missing the time of parent notification and any future action to prevent recurrence of the injury. Child #7 had an injury report that was missing the time of parent notification and any future action to prevent recurrence of the injury. Child #8 had an injury report that was missing the time of parent notification. Child # 9 had an injury report that was missing the time of parent notification and any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

Bottles shall not be propped or used while the child is in their designated sleeping location.

“On 7/28/25, staff #4 fed an infant a bottle in their crib.”

Rule 8VAC20-780-570-B.

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 half door leading into the two year old classroom had chipped and peeling paint. The children could reach the areas that were peeling.”

Rule 8VAC20-780-270-A.

Crib sheets shall be clean and washed daily.

“Staff stated that the crib sheets were washed weekly.”

Rule 8VAC20-780-450-C.

Based on a review of five staff records and interview, the vendor did not ensure that one staff annually completed the department’s health and safety update course as required.

“Evidence: 1. The record of staff #2 (date of employment: 1/19/2022) contained an annual update course dated 2/7/2023. 2. The vendor acknowledged that the staff member did not complete the annual update course by 2/7/2024.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis (TB) screening for one staff at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department.

“Evidence: 1. The record of staff #2 (date of employment: 1/19/2022) contained a TB screening dated 1/11/2022. 2. Administration acknowledged that staff #2 did not submit the results of a follow up TB screening.”

Rule 8VAC20-780-160-C.

Based on a review of five child records and interview, the center did not ensure that two children’s records contained the required information.

“Evidence: 1. The record of child #3 (date of enrollment: 8/19/2024) was missing two emergency contact addresses. The record of child #5 (date of enrollment: 6/10/2024) was missing one emergency contact address. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of staff records and interview, the center did not ensure to request an out of state child abuse and neglect background check for one staff by the end of the 30th date of employment from any state in which the individual had resided in the preceding five years as required.

“Evidence: 1. The record of staff #4 (date of employment: 10/16/2023) contained a sworn statement that indicted that the staff resided out of state within the preceding 5 years. The record did not contain a central registry request for the state listed. 2. Administration acknowledged that the request was not in the record and had not been completed.”

Rule 22.1-289.035-B-4.

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

“Evidence: 1. In the toddler room, areas of chipped and peeling paint were observed on a window sill and walls. On the playground, a rusted shelf was observed and splintered wood was observed on a gardening table and playground barrier. The splintered barrier also exposed several metal nails. 2. Administration acknowledged that the areas required maintenance.”

Rule 8VAC20-780-270-A.

Based on a review of six staff records and interview, the center did not ensure a record was kept for two staff that contained the required information.

Rule 8VAC20-780-70.

Based on observation and interview, the center did not ensure that prepared infant formula was dated and labeled with the child’s name as required.

“Evidence: 1. On 8/23/2023, 6 bottles of formula were observed in the refrigerator that did not contain a name or date. 2. Administration acknowledged that the bottles were not labeled or dated.”

Rule 8VAC20-780-570-E.

Based on a review of five (5) staff records and interview, the vendor did not ensure that one (1) staff who worked directly with children annually completed the department’s health and safety update course as required.

“Evidence: 1. The record of staff #2 (date of employment: 9/23/2019) did not contain a 2022 annual health and safety training certificate. 2. The vendor acknowledged that it had not been completed by staff #2.”

Rule 8VAC20-790-600-F.

Based on observation and interview, the center did not ensure that when diaper ointment or cream is used, the requirements were met.

“Evidence: 1. Aquaphor was observed that was not labeled with the child’s name as required. 2. Administration acknowledged that the Aquaphor diaper ointment was not labeled.”

Rule 8VAC20-780-520-C.

Based on observation and interview, the center did not ensure that when food is brought from home, the container was clearly dated and labeled in a way that identified the owner.

“Evidence: 1. In the refrigerator, two bags were observed that contained milk bottles from home. The container and bottles were not labeled or dated in a way to identify the owner. 2. Administration acknowledged that the bottles were brought from home for the children and were not labeled or dated.”

Rule 8VAC20-780-560-G.

Based on a review of 5 staff records and interview, the vendor did not ensure that 1 staff annually completed the required department sponsored health and safety update training.

“Evidence: 1. The record of staff #5 (DOH: 07/31/2017) contained an annual health and safety update certificate dated 1/6/2021. 2. Administration acknowledged that the annual update had been initiated but not completed.”

Rule 8VAC20-790-600-F.

Based on a review of 5 staff records and interview, the center did not ensure that 1 staff record contained documentation of a negative tuberculosis (TB) screening that had been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #1 (DOH:7/08/2022) contained a negative tuberculosis screening dated 4/1/2022. 2. Administration acknowledged that the TB screening was not completed within the required time frame.”

Rule 8VAC20-780-160-A.

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

“Evidence: 1. On the playground, a wooden platform structure was observed that contained deteriorating wood. There was a wooden plank that had shifted and posed a tripping hazard. An outdoor classroom door had chipped and peeling paint in an area accessible to the children. 2. Administration acknowledged that the areas required maintenance to be safe.”

Rule 8VAC20-780-270-A.

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

“Evidence: 1. Unlocked Clorox wipes were observed on a classroom table in the preschool room and in an unlocked office. The container contained warnings to include physical and chemical hazard and hazard to humans. 2. Administration acknowledged that the cleaning wipes were not locked.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the center did not ensure that the required school age ratio was maintained when children were in care. The school age ratio for children school age eligible-9 years is 1:18.

“Evidence: 1. Two teachers were observed with 20 school age children. One teacher left for approximately 15 minutes leaving one teacher with 20 children ranging in age from 5-9 years. 2. Administration acknowledged that the classroom was out of ratio due to the teacher having to step out for 15 minutes.”

Rule 8VAC20-780-350-B-5.

Based on a review of 5 children’s records and interview, the center did not ensure that 2 records contained the required information.

“Evidence: 1. The records of child #1 (DOE:4/11/2022) and child #3 (DOE:6/27/2022) did not contain complete emergency contact information. The records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent could not be reached. 2. Administration acknowledged that child #1’s record was missing a second contact and child #3’s record listed a parent as an emergency contact.”

Rule 8VAC20-780-60-A.

Based on review of 2 children’s records and interview, the center did not ensure to obtain documentation that 1 child had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1. The record of child #2 (DOE: 6/28/2021) did not contain documentation of an immunization record. 2. Administration acknowledged that the immunization record was missing.”

Rule 8VAC20-780-130-A.

Based on review of 2 children’s records and interview, the center did not ensure to obtain documentation of additional immunizations once every six months for 1 child under the age of two years as required.

“Evidence: 1. The record of child #1 (DOE: 6/28/2021) contained an immunization record dated 6/11/2021. The child (age 1) was due for an update in December. The record did not contain the update. 2. Administration acknowledged that the immunization update was missing.”

Rule 8VAC20-780-130-E.

Based on review of 2 children’s records and interview, the center did not ensure to obtain documentation that one child had 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.

“Evidence: 1. The record of child #2 (DOE: 6/28/2021) did not contain a physical record. 2. Administration acknowledged that the physical was missing.”

Rule 8VAC20-780-140-A.

Based on observation and interview, the center did not ensure that all children under 10 years of age were always within actual sight and sound supervision of staff.

“Evidence: 1. The Pre kindergarten classroom (4’s) was observed to not be within the sight of a staff member for 1.5 minutes when the staff stepped outside of the classroom to speak to an individual at the door. 2. Administration acknowledged that they stepped outside of the classroom to talk to a parent.”

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

Based on observation and interview, the center did not ensure to maintain the required staff-to-children- ratio of 1 staff to 8 children in the preschool classroom.

“Evidence: 1. On 3/15/2022, 13 children ranging in age from 2-3 years were observed with 1 staff from 9:15 am-9:48am. 2. Administration acknowledged that the classroom was out of compliance with ratio.”

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

Based on observation and interview, the center did not ensure that diaper creams were stored in an area that was inaccessible to children.

“Evidence: 1. Two diaper ointments were observed in an unlocked cabinet in a children’s bathroom. During the inspection, children were observed utilizing the area where the unlocked diaper creams were stored. 2. Administration acknowledged that the child proof latch was not properly secured.”

Rule 8VAC20-780-520-C. From a complaint.

Based on record review and interview, the center did not ensure that in each grouping of children at least one staff member who met the qualifications of a program leader or program director was regularly present.

“Evidence: 1. In interview, administration stated that staff #2 (DOH: 11/15/2021) and staff #3: (DOH: 1/19/2022) were acting as program leaders. The staff did not have program lead qualifications in their record. Administration acknowledged that they were working on trainings and obtaining the proof of education for each staff.”

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not maintain the required ratio of one staff to four children for children from birth to 16 months as required.

“Evidence: 1. On 12/10/2021, the infant room had 5 children present with 1 staff. The children ranged in age from 4 months to 16 months. 2. Administration acknowledged that the classroom was not following the required staff to child ratio.”

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

Based on observation and interview, the center did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group applied to the entire group.

“Evidence: 1. At 12:00 on 12/10/2021 there were 15 children ranging in age from 4 to 9 years with 1 staff. One additional staff was needed to meet the required ratio of one staff to ten children. 2.The staff stated that the school aged children had early release and had joined the preschool class until the director returned. The director returned around 12:30. 3. Administration acknowledged that the classroom was out of compliance with ratio requirements.”

Rule 8VAC20-780-350-C. From a complaint.