Melrose Adventist Child Development Center

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

“Staff 1 was alone with a group of seven, three and four-year-old children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

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

“There was no documentation of two references for Staff 1 (employed one month).”

Rule 8VAC20-780-70.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood feces, or urine.

“A child was observed returning to activities after a diaper change without washing hands.”

Rule 8VAC20-780-500-A.

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

“Staff 1 updated screening was overdue by 8 months and Staff 2 updated screening was overdue by 1 month.”

Rule 8VAC20-780-160-C.

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

“On 12/04/2025, seven children (ages 2 years - 3 years) in Room 1 were left unattended while napping for approximately one minute.”

Rule 8VAC20-780-340-F.

Centers shall be in compliance with the terms of the current license issued by the department.

“The term of current license issued by the department is for ages 2 years through 12 years. For five months in 2025, Child 1 regularly attended the center and was under the age of 2 years.”

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

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

“The most recent criminal history check for Staff 1 was overdue by four weeks.”

Rule 22.1-289.035-A.

SYSTEMIC VIOLATION The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“There was no criminal background check for Staff 4, who has been employed for four weeks.”

Rule 22.1-289.035-B-2.

SYSTEMIC VIOLATION The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not request a criminal history check or search of the child abuse and neglect registry from one state for Staff 4, who has been employed for four weeks.”

Rule 22.1-289.035-B-4.

SYSTEMIC 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.

“There was no immunization in the record of Child 2 (enrolled three weeks), Child 4 (enrolled one month), Child 7 (enrolled one year), and Child 8 (enrolled one year and six months).”

Rule 8VAC20-780-130-A.

SYSTEMIC VIOLATION 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.

“There were no physical examinations for Child 4 (enrolled for over one month) or Child 11 (enrolled for over 3 years).”

Rule 8VAC20-780-140-A.

SYSTEMIC 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 3 had a TB result dated two months prior to the date of employment.”

Rule 8VAC20-780-160-A.

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

“Staff 2 updated screening was due 1 day ago and Staff 6 updated screening was due 3 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

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

“The fire inspection is overdue by 1 year 10 months.”

Rule 8VAC20-780-260-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 3, a container of bleach and cleaning chemicals were located in an unlocked cabinet under the sink.”

Rule 8VAC20-780-280-B.

When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 09/24/2025, for over 15 mins, Staff 1 was supervising 13 children (preschool aged-school aged). The required staff ratio for this group of children was 1:10. Two staff would be required.”

Rule 8VAC20-780-350-C.

Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the records for Child 3 was overdue by two months, Child 6 was overdue by over one year, Child 7 was overdue by one month, Child 8 was overdue by six months, Child 9 was overdue by one month, Child 10 was overdue by one month, and Child 11 was overdue by two years.”

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

REPEAT VIOLATION Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Children returned to activities after eating snack without washing hands or using a disposable wipe.”

Rule 8VAC20-780-500-A.

SYSTEMIC VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The records for Child 6, Child 9, and Child 10 were each missing several of the required components.”

Rule 8VAC20-780-60-A.

SYSTEMIC VIOLATION The center is required to obtain a completed sworn statement prior to employment or permitting an individual to serve as a volunteer who is alone with, in control of, or supervising children.

“There was no sworn statement for Volunteer 1 acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children and transporting children for seven working days.”

Rule 22.1-289.035-B-1. From a complaint.

SYSTEMIC VIOLATION REPEAT VIOLATION The center must obtain a completed national criminal background check prior to employment or permitting an individual to serve as a volunteer who is alone with, in control of, or supervising children.

“There was no criminal background check completed for Volunteer 1, acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children and transporting children for seven working days.”

Rule 22.1-289.035-B-2. From a complaint.

SYSTEMIC VIOLATION The center must request a search of the central registry prior to hire and prior to employment or permitting an individual to serve as a volunteer who will be alone with, in control of, or supervising children.

“Volunteer 1, acting in the role of a staff member and required to meet standards for staff, did not have a central registry search requested. Volunteer 1 was working alone with children and transporting children for seven working days.”

Rule 22.1-289.035-B-3. From a complaint.

REPEAT VIOLATION Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children.

“There was no documentation of a negative tuberculosis screening for Volunteer 1, acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children for seven working days and was in contact with children.”

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

REPEAT VIOLATION Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“There was no documentation of orientation training for Volunteer 1, acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children for seven working days.”

Rule 8VAC20-780-240-B. From a complaint.

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing all of the required information.

“There was no documentation of required information provided in writing to Volunteer 1, acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children for seven working days.”

Rule 8VAC20-780-240-D. From a complaint.

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

“For seven working days in September 2025, Volunteer 1, acting in the role of a staff member and required to meet standards for staff, was alone with and transported school age children enrolled in the center. Volunteer 1 did not have any required background checks, health documentation, center orientation training, and qualifications as a driver.”

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

The center shall prepare a document containing all the required emergency information that must be kept in vehicles used to transport children to and from center.

“For seven working days in September 2025, the vehicle used to transport children by Volunteer 1 did not contain the required document.”

Rule 8VAC20-780-550-K. From a complaint.

The center shall ensure that during transportation of children the following information is in the transportation vehicles: emergency numbers; and the center’s name, address and phone number.

“The required information was not provided on the vehicle used by Volunteer 1 to transport children.”

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

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

“There was no staff record for Volunteer 1, acting in the role of a staff member and required to meet standards for staff. Volunteer 1 was working alone with children for seven working days.”

Rule 8VAC20-780-70. From a complaint.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. No documentation of the VDOE sponsored online orientation course for Staff #4 was available for review, which is overdue by 3 months.

“.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. No orientation documentation for Staff #4 was available for review, which is overdue by 6 months.”

Rule 8VAC20-780-240-B.

Based on observations, the center failed to ensure that 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: 1. In the yellow room, an aerosol container of disinfectant was in an unlocked cabinet under the sink. 2. In the orange room, a container of Dawn, Totally Awesome Disinfectant and Clorox wipes were in an unlocked closet. 3. In the red room, a container of disinfectant, Clorox Disinfectant Mist and Clorox wipes were in an unlocked closet.”

Rule 8VAC20-780-280-B.

Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“Evidence: In the yellow and red room, children were observed returning to activities without washing their hands after morning snack.”

Rule 8VAC20-780-500-A.

Based on record review and interviews with staff, the vendor failed to ensure that all staff who work directly with children shall have with 90 days of the date of employment: current certification in CPR and current certification in first aid.

“Evidence: 1. The most recent certification in CPR and First Aid for Staff 1 expired 01/2024. The hire date for Staff 1 is 11/27/2018. 2. The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. The hire date for Staff 2 is 08/10/2020.”

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

Based on record review and interviews with staff, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: The most recent tuberculosis screening for Staff 2 was dated 07/28/2020: there was not a follow-up test/screening for 2022 available for review. Staff 1 confirmed there was no 2022 test/ screening available for review.”

Rule 8VAC20-780-160-C.

Based on record review and interviews with staff, the center failed to obtain an annual approval from the health department.

“Evidence: The most recent approval from the health department available during the inspection was dated 10/11/2022. Staff 1 confirmed this was the most recent report available.”

Rule 8VAC20-780-260-B.

Based on interviews with staff, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

“Evidence: Staff 1 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on record review and interviews with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have: Current certification in CPR and current certification in first aid.

“Evidence: The most recent certification in CPR and First Aid for Staff 2 expired 01/2024. Staff 2 was observed as the only staff member providing care in the yellow room.”

Rule 8VAC20-780-530-A.

Based on observation and interviews with staff, the center failed to ensure that first aid kits contain the required supplies.

“Evidence: The first aid kits did not contain triangular bandages.”

Rule 8VAC20-780-540-C.

Based on observation and interviews with staff, the center failed to ensure the following non-medical emergency supplies shall be required: one working battery-operated radio in each building used by children.

“Evidence: Staff 1 confirmed a working battery-operated radio was not available during the inspection.”

Rule 8VAC20-780-540-E.

REPEAT VIOLATION Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. Staff 1 had a hire date of 12/08/2023. The date on the tuberculosis screening in the record was 10/09/2023. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment. 2. Staff 2 had a hire date of 12/15/2023. The date on the tuberculosis screening in the record was 10/30/2023. The tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 3-year-olds up to school age eligible.

“Evidence: 1. There were 17 children observed in the green group with 1 staff member. The youngest child was 3 years old. The required staff ratio for this group of children was 1:10. Two staff would be required. 2. There were 16 children observed in the orange group with 1 staff member. The youngest child was 4 years old. The required staff ratio for this group of children was 1:10. Two staff would be required.”

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

Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: The record for Staff 3 documented a hire date of 09/07/2023. The record for Staff 1 did not contain the following: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed this information was not available.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that the violation notice, inspection summary and any other documents required by the superintendent are posted in a conspicuous place in the licensed premises.

“Evidence: The findings of the most recent inspection conducted on 04/12/2023 were not posted in the facility.”

Rule 22.1-289.011-F.

SECOND REPEAT VIOLATION Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The employee eligibility letter was dated 06/13/2023. 2. Staff 5 had a documented hire date of 05/06/2021. The employee eligibility letter was dated 05/08/2021.”

Rule 22.1-289.035-B-2.

REPEAT VIOLATION Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment.

“Evidence: 1. Staff 1 had a documented hire date of 05/23/2023. The search of the central registry was dated 08/10/2023. 2. Staff 4 had a documented hire date of 07/25/2020. The search of the central registry was dated 02/22/2022. 3. Staff 5 had a documented hire date of 05/06/2021. The search of the central registry was dated 02/24/2022.”

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

SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: First date of attendance for Child 3 was 04/14/2022. The immunization record for Child 3 was dated 04/21/2023.”

Rule 8VAC20-780-130-A.

SYSTEMIC DEFICIENCY Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: 1. Staff 2 had a hire date of 07/31/2023. The tuberculosis screening was 08/11/2023. 2. Staff 3 had a hire date of 05/15/2023. The tuberculosis screening was 06/21/2023.”

Rule 8VAC20-780-160-A.

SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review, the center failed to ensure that at least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: The most recent tuberculosis screening for Staff 4 was dated 07/30/2020: there was not a follow-up test/screening available for review.”

Rule 8VAC20-780-160-C.

SYSTEMIC DEFICIENCY Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. The outlet in the reading area of the Yellow Room had a broken wall plate and wires were visible. Children, ages 2 years to 5 years, were observed in this area. 2. The outlet under the TV in the Orange Room had a broken wall plate and wires were visible. Children, ages 4 years to 6 years, were observed in this room.”

Rule 8VAC20-780-270-A.

SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observations the center failed to ensure that 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: 1. There was an unlocked cabinet under the left sink in the Yellow Room that contained the following materials: Spic and Span, (2) aerosol glass cleaner, Lysol toilet bowl cleaner, and degreaser. Children were observed in this area. 2. There was an unlocked aerosol can of ?Baby Air Freshener? located on the changing table in the Yellow Room. Children were observed in this area.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

SYSTEMIC DEFICIENCY Based on observation, the center failed to maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitives and restrictions documented in the allergy plan.

“Evidence: A written list of children’s allergies, sensitives and restrictions was not available for review during the inspection. Child 2 and Child 3 have documented allergies requiring an allergy care plan.”

Rule 8VAC20-780-40-M.

Based on observation and interviews with staff, the center failed to ensure a menu listing foods to be served for meals and snacks during the current one-week period shall be: dated; be 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.

“Evidence: 1. A July menu was posted in the Yellow Room. Staff 1 confirmed an August menu was not available. 2. A July menu was posted in the Green Room. Staff 6 confirmed an August menu was not available.”

Rule 8VAC20-780-560-F.

Based on observation and interviews with staff, the center failed to ensure that tables shall be sanitized before and after each use for feeding.

“Evidence: While the children were sitting at the table in the Green Room, Staff 6 was observed wiping the table with a white cloth before children were served breakfast. Staff 6 confirmed they wiped the tables with a soap and water solution and did not sanitize the tables before children ate breakfast.”

Rule 8VAC20-780-560-J.

SYSTEMIC DEFICIENCY THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards.

Rule 8VAC20-780-60-A.

SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: 1. Staff 1 had a documented hire date of 05/23/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/24/2023. 2. Staff 3 had documented hire date of 05/15/2023 and did not have two required reference checks prior to employment. Two reference checks were dated 05/17/2023.”

Rule 8VAC20-780-70.

SYSTEMIC DEFICIENCY REPEAT VIOLATION Based on observation, the center failed to ensure that 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.

“Evidence: At approximately 8:10 am on 08/08/2023, the daily attendance for the group of children in the Yellow Room documented 5 children. There were 9 children observed in care. The daily attendance record did not document the arrival of each child as it occurred.”

Rule 8VAC20-780-80-A.

22.1-289.035-A

Rule 22.1-289.035-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

“Based on record review and interview with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: The record for Staff 4 documented a hire date of 11/18/2022. The central registry search was not available for review. Staff 2 confirmed the central registry search was not available.”

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

8VAC20-780-260-A

“Based on record review and interview will staff, the center failed to provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was dated 11/09/2022. Staff 2 confirmed a more recent inspection was not available.”

Rule 8VAC20-780-260-A.

8VAC20-780-530-A

“Based on observation and record review, the center failed to ensure that at least one staff in each classroom or areas where children are present shall have: current certification in cardiopulmonary resuscitation (CPR) as appropriate to children in care and current certification in first aid. Evidence: Staff 4 was the only staff member in a classroom with children. The staff record did not contain documentation of CPR or first aid certification.”

Rule 8VAC20-780-530-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

22.1-289.035-B-2

“Based on record review, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia. Evidence: The record for Staff 5 contained a documented hire date of 04/18/2022. No eligibility letter was available for review.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on the record review and discussion with staff, the center failed to ensure an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 4 had a documented hire date of 12/19/2020. The sworn statement was dated 12/19/2021.”

Rule 8VAC20-770-60-B.

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunizations required before the child can attend the center. Evidence: 1.The record for Child 1 indicated the child first date of attendance was 04/18/2022. The immunization record was dated 04/21/2022. 2.The record for Child 5 indicated the child first date of attendance was 10/25/2021. The immunization record was dated 10/27/2021.”

Rule 8VAC20-780-130-A.

8VAC20-780-160-C

“Based on record review, the center failed to ensure that at least every two years from the date of the initial screening to testing, staff members shall obtain and submit the results of a follow-up tuberculosis screenings. Evidence: 1.The most recent tuberculosis test/screening for Staff 1 was dated 01/04/2019; there was not a follow-up screening for 2021 available at for review. 2.The most recent tuberculosis test/screening for Staff 4 was dated 07/09/2018; there was not a follow-up screening available at for review.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that 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 green room, there was an unlocked cabinet under the sink to the right of the room that contained 18 various containers of cleaning products such as Clorox wipes, Carpet Fresh, and Pine Sol. Staff 1 confirmed the lock broke earlier that day.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.