Little Rising Stars Daycare Center

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 7/25/2025, were not posted on the premises.”

Rule 22.1-289.011-F.

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.

“The physical examination in the record of child #2, was obtained 40 days after the first day of attending.”

Rule 8VAC20-780-140-A.

The center shall inform all staff who work with children of children’s allergies.

“The center staff were not aware that child #1 has an allergy.”

Rule 8VAC20-780-40-L.

Documentation shall be maintained of emergency evacuation drills that includes the number of children participating.

“The drill record did not have number of children participating.”

Rule 8VAC20-780-550-G.

A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

“Required emergency numbers were not posted in a visible place at each telephone.”

Rule 8VAC20-780-550-I.

The center shall maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“The center did not have a care plan for child #1 who has a diagnosed food allergy.”

Rule 8VAC20-780-60-A-8.

REPEAT VIOLATION All staff who work directly with children shall have Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #1, #2, #3 and #4 who work directly with children, do not have CPR training certificate/training that included in-person competency component.”

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

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.

“Child #3 and Child #4’s immunization were not obtained by the center, prior to attendance. Child #3 was in care for 60 days, prior to immunization record being obtained, child #4 was in care 3 weeks, prior to obtaining immunization record.”

Rule 8VAC20-780-130-A.

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

“Staff #2’s updated screening was due 6 months ago.”

Rule 8VAC20-780-160-C.

Written parental authorization is required for diaper ointment and cream, noting any adverse reactions.

“Authorizations for diaper creams/ointments for children #2, #3 and #4 did not note whether there were any adverse reactions to diaper cream/ointments used.”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required information. 1. Child #5’s record did not contain name and phone number of child’s physician; 2. Child #4’s record did not contain names of persons authorized to pick up the child 3. Child #2, #3, #4 and #5’s records did not have documentation of date of viewing proof of identity and age.”

Rule 8VAC20-780-60-A.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance. The agreement shall be signed by the parent and include authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds; a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center; and a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.

“Child #5’s record did not contain parental agreements.”

Rule 8VAC20-780-90-A.

Annual training shall be relevant to staff’s job responsibilities and the care of children, and include signs and symptoms of child abuse and neglect and requirements for mandated reporters.

“Based on record review, staff #1 had not completed training on signs and symptoms of child abuse and neglect and requirements for mandated reporters.”

Rule 8VAC20-780-245-H.

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

“Staff responsible for supervising children did not ensure their care and protection. Two children were engaged in physical touching for 10 minutes, while staff was present, without staff knowledge, while staff was present in the room.”

Rule 8VAC20-780-340-A.

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

“Children under 10 years of age were not in sight or sound supervision of staff, during nap time, staff had back to the children for 10 minutes and children were engaged in physical behaviors.”

Rule 8VAC20-780-340-F.

8VAC20-790-600-D-1

“All staff who work directly with children shall have Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. Staff #1, staff #2 and staff #3 who work directly with children, did not have CPR training certificate/training that included in-person competency component.”

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

Staff who work directly with children shall annually attend the department’s health and safety update course.

“Staff #2 did not have documentation of attending the department’s health and safety update course in 2024.”

Rule 8VAC20-790-600-F.

8VAC20-780-245-A

“REPEAT VIOALTION Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 did not have any documentation of training hours, staff #3 had documentation of 6:16 training hours, staff #4 had had documentation of 11:16 and staff #3 had documentation of 3:16 for the past year.”

Rule 8VAC20-780-245-A.

After the first license, 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.

“The center did not have an environmental sanitation health inspection on file. Director stated they were unaware that this is an annual requirement.”

Rule 8VAC20-780-260-B.

The center’s emergency preparedness and response plan shall be reviewed annually and each time the plan is updated.

“The center did not have documentation of the plan review or update since its creation over a year ago.”

Rule 8VAC20-780-550-A.

8VAC20-790-730-B

“Based on observation and interview, children were not protected from materials that could be swallowed or present a choking hazard. Evidence: 3 balloons were in a play area in use by infants. One infant attempted to put it in their mouth.”

Rule 8VAC20-790-730-B.

22.1-289.011-F

“REPEAT VIOLATION Based on observation and interview, the center did not have documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: 1. 5/16/24 signed inspection was not posted. 2. Acknowledgement form posted was not legible and behind another document.”

Rule 22.1-289.011-F.

22.1-289.035-B-3

“Based on record review and interview, the center did not have an original central registry report within 30 days of employment of a staff member. Evidence: 1. Staff #1 file states date of hire 3/7/2024 and does not have a central registry report on record. 2. Staff stated it had been submitted and returned for missing items and was resubmitted, recently.”

Rule 22.1-289.035-B-3.

8VAC20-780-160-A

“Based on record review, the center did not have documentation of a tuberculosis (TB) test or screening for staff completed within the last 30 calendar days of the date of employment or prior to coming into contact with children. Evidence: Staff #1 date of TB 11/16/2023,start date 3/7/2024 .”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on documentation review, the center did not obtain updated tuberculosis (TB) tests or screenings for each staff member every two years. Evidence: Staff #2 date of most recent TB report 7/25/2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-210-A

“Based on record review, the center did not have documentation that Program leaders met required qualifications for that role. Evidence: 1. Staff #1’s file states job title is listed as Aid and Staff #1 was alone was in infant room during the entire inspection time, approximately 1 1/2 hours. There was no documentation in Staff #1’s file that meets qualifications as program leader.”

Rule 8VAC20-780-210-A.

8VAC20-780-245-A

“Based on document and record review, staff did not complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #2 had 5 hours of training documented in record 7/2023-7/2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-430-B

“Based on observation and interview, materials and equipment available were not age and stage appropriate for the children. Evidence: 3 balloons were in a play area in use by infants. One infant attempted to put it in their mouth.”

Rule 8VAC20-780-430-B.

8VAC20-780-500-B

“Based on observation and interview, the diapering surface was not being cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Staff reported that disinfecting wipes are used to clean diapering surface.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-G

“Based on observation and interview, medication was not labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: Medication (liquid Tylenol) was found without required information (name, dosage and times)”

Rule 8VAC20-780-510-G.

8VAC20-780-510-L

“Based on observation and interview, medication was not kept in a locked place using a safe locking method that prevents access by children. Evidence: Medication (liquid Tylenol) was found in diapering storage which was not locked.”

Rule 8VAC20-780-510-L.

8VAC20-780-530-A-1

“Based on record review and interview, the center did not have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care at least one staff in each classroom or area where children are present. Evidence: Staff #2’s CPR certification expired 7/13/2024, staff was alone with 6 children taking a walk outside of the center.”

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

8VAC20-780-530-A-2

“Based on record review and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current first aid certification. Evidence: Staff #2’s first aid certification expired 7/13/2024. Staff #2 was outside of the center on a walk alone with 6 children.”

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

8VAC20-780-60-A

“Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled which contained all required information. Evidence: Child #1’s record did not have address of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

22.1-289.011-F

“Based on observation, documents required by the Superintendent were not posted in a conspicuous place on the licensed premises. Evidence: The most recent inspection of the facility was not posted.”

Rule 22.1-289.011-F.

8VAC20-780-130-A

“REPEAT VIOLATION Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3s record does not contain documentation of immunizations. Child #3 was observed at the center.”

Rule 8VAC20-780-130-A.

8VAC20-780-320-B

“Based on observation, rest rooms did not meet all requirements. Evidence: The childrens bathroom did not contain liquid hand soap.”

Rule 8VAC20-780-320-B.

8VAC20-780-350-B-1

“Based on observation, the staff to child ratio for children birth through 16 months was not followed whenever infant children were in care. Evidence: 1. Staff #3 was observed alone in the infant classroom with 6 children (infants through toddlers) for approximately 3 minutes while staff #2 left the center. 2. Child #1 (15 months) was observed sleeping in the preschool classroom with 13 children and 3 staff.”

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

8VAC20-780-450-A

“REPEAT VIOLATION Based on observation, each child did not have linens consisting of a top and bottom cover. Evidence: Three children were observed sleeping on cots in the infant classroom without a top cover/blanket.”

Rule 8VAC20-780-450-A.

8VAC20-780-570-B

“REPEAT VIOLATION Based on observation, bottles were used while a child was in their designated sleep location. Evidence: At the start of the inspection, child #2 was observed sleeping on their cot with an empty bottle next to their face.”

Rule 8VAC20-780-570-B.

8VAC20-780-70

“Based on record review and interview, staff records did not contain all required information. Evidence: Staff #1s record does not contain two reference checks. The center director confirmed that two reference checks had not been completed.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“REPEAT VIOLATION Based on record review and interview, the center did not maintain accurate daily attendance for each group of children. Evidence: At the start of the inspection, 21 children’s names were marked as present on the attendance sheet, however only 19 children were observed at the facility. Center management stated that two children had left and not marked as departed.”

Rule 8VAC20-780-80-A.

8VAC20-780-290-A-3

“Repeat Violation. Based on observation, unused electrical outlets did not have protective covers. Evidence: 1. One electrical outlet in the large classroom behind the feeding chairs did not have a protective cover. 2. One outlet in the infant classroom under the window did not have a protective cover.”

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

8VAC20-780-370-5

“Based on observation, infant play spaces did not meet all requirements. Evidence: During todays inspection, infants were observed in bouncing chairs, high chairs and in a stroller during the duration of the inspection. Infants were not given room for extensive movement. There was not a diversity of sensory and perceptual experiences offered and equipment and toys did not support large and small motor development.”

Rule 8VAC20-780-370-5.

8VAC20-780-530-A-1

“Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current cardiopulmonary resuscitation (CPR) certification. Evidence: Staff #3 was observed working alone in the infant classroom. Center management confirmed that Staff #3 does not have current CPR certification.”

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

8VAC20-780-530-A-2

“Based on observation and interview, there was not at least one staff person present in each classroom where children were present with current first aid certification. Evidence: Staff #3 was observed working alone in the infant classroom. Center management confirmed that Staff #3 does not have current first aid certification.”

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

8VAC20-780-560-F

“Based on observation, USDA food requirements were not met when the center chose to provide meals. Evidence: The toddlers were observed eating pizza and fruit for lunch. The preschoolers were observed eating pizza and salad. Both groups were not offered both a fruit and vegetable.”

Rule 8VAC20-780-560-F.

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: Child #6 was observed walking and running around the large classroom while eating a slice of pizza.”

Rule 8VAC20-780-560-M.

8VAC20-780-570-E

“Based on observation, infant bottles were not dated. Evidence: Child #7s bottles were not dated.”

Rule 8VAC20-780-570-E.

22.1-289.035-A

“Based on record review and interview, all employees did not undergo repeat background checks every five years. Evidence: Staff #1’s most recent documented fingerprint results are dated 5/8/2018. Staff #1 confirmed that they had not yet completed repeat fingerprints.”

Rule 22.1-289.035-A.

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations before the child can attend the center. Evidence: Child #1 (date of enrollment: 8/23/2023) record does not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4 (23 months) most recent immunizations are dated from when the child was 12 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-140-A

“Based on record review, the center has not obtained a physical exam for each child within the first 30 days of enrollment. Evidence: Child #3 (date of enrollment: 7/24/2023) does not contain a physical exam.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening that has been completed no more than 30 days prior to the first date of employment. Evidence: Staff #4 (date of hire: 4/3/2023) TB screening is dated 1/20/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Several spray cleaning agents were observed in the cabinet under the changing table in the infant classroom. The cabinet door is not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-290-A-3

“Based on observation electrical outlets did not have protective covers. Evidence: 1. Two uncovered outlets were observed at the entrance of the center next to the children’s cubbies. 2. Two uncovered outlets were observed next to the sink in the children’s bathroom.”

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

8VAC20-780-380-A

“Based on interview, a daily scheduled is not posted. Evidence: When asked about the daily schedule, the center director confirmed that there was no schedule posted.”

Rule 8VAC20-780-380-A.

8VAC20-780-450-A

“Based on observation, each child did not have linens consisting of a top and bottom cover. Evidence: Three children were observed napping without a top cover.”

Rule 8VAC20-780-450-A.

8VAC20-780-550-D

“Based on record review and interview, the center did not implement monthly practice evacuation drills. Evidence: There was no evacuation drill documented for August 2023. The program director confirmed that a drill was not practiced in August.”

Rule 8VAC20-780-550-D.

8VAC20-780-570-B

“Based on observation, infants who could not hold their own bottles were not held when fed. Evidence: 1. One infant was observed laying in an activity chair while staff #5 held the bottle in the child’s mouth while holding another child in their lap. 2. One infant was observed laying in an activity chair with a bottle propped up with a blanket. The bottle was observed falling away from the child.”

Rule 8VAC20-780-570-B.

8VAC20-780-60-A

“Based on record review, children’s records did not contain all required information. Evidence: Child #1’s record does not contain documentation that the center had verified the child’s age and identity.”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Based on observation and record review, the center did not maintain accurate daily attendance for each group of children. Evidence: At the start of the inspection, 15 children were observed in care. 11 children were documented as arrived at the center.”

Rule 8VAC20-780-80-A.

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #4 (21 months) most recent documented immunizations are dated from when the child was 14 months old) 2. Child #5 (21 months) most recent documented immunizations are dated from when the child was 10 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-245-A

“Based on record review and interview, staff did not complete a minimum of 16 hours of training appropriate to the age of children in care annually. Evidence: 1. Staff #1 completed 4 hours of training in 2022. 2. Staff #2 did not complete any training in 2022. 3. Staff #3 completed 4 hours of training in 2022. 4. Staff #5 did not complete any training in 2022.”

Rule 8VAC20-780-245-A.

8VAC20-780-540-E

“Based on interview, the center was not equipped with all required nonmedical emergency supplies. Evidence: The center director confirmed that they did not have a working battery operated radio.”

Rule 8VAC20-780-540-E.

8VAC20-780-550-D

“Based on record review and interview, the center did not implement monthly practice evacuation drills. Evidence: There was no evacuation drill documented for December 2022. The program director confirmed that a drill was not practiced in December.”

Rule 8VAC20-780-550-D.

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #3 was observed sitting in a high chair and was not buckled into the chair. 2. Child #4 was observed sitting in a high chair that did not have the buckles installed into the chair for the staff to buckle the child in.”

Rule 8VAC20-780-570-A.

8VAC20-780-570-E

“Based on observation, bottles were not labeled with each child’s name and/or date. Evidence: One bottle was observed in the infant refrigerator with no name or date.”

Rule 8VAC20-780-570-E.

8VAC20-820-120-A-7

“Based on observation, the center did not follow the terms of the license issued by the department. Evidence: The current license states that no more than 4 children under the age of 2.5 years shall be permitted to be present in the infant classroom. There were 5 infants present in the classroom at the time of the inspection.”

Rule 8VAC20-820-120-A-7.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection were not posted. Evidence: The findings of the most recent inspection were not posted.”

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

8VAC20-770-60-C-2

“Based on record review, the child day program did not obtain a central registry finding within 30 days of employment for each employee. Evidence: Staff #6 (date of hire: 6/10/2022) file does not contain central registry background check results. The program director confirmed that they did not follow-up regarding with the office of background investigations when the background check results were not received within 30 days.”

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

8VAC20-780-130-A

“Based on record review, the center did not documentation that each child has received the immunizations before the child can attend the center. Evidence: Child #5’s record does not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #2’s (23 months) most recent documented immunizations are from when the child was 15 months old. 2. Child #3’s (16 months) most recent documented immunizations are from when the child was 8 months old.”

Rule 8VAC20-780-130-E.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials, were not kept in a locked place using a safe locking method that prevents access by children. Evidence: Two air fresheners were observed in the bottom cabinets of the diaper changing table. The cabinet door was not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. Evidence: The diaper pail used for used diapers is not foot operated.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-G

“Based on observation, food brought from home was not clearly labeled to identify it’s owner and/or dated. Evidence: 1. Child #7 had a food container stored in the infant classroom refrigerator that was not dated. 2. Child #8 had a food container stored in the infant classroom refrigerator that was not dated. 3. Two lunch boxes were observed to be handed to the incorrect children.”

Rule 8VAC20-780-560-G.

8VAC20-780-560-M

“Based on observation, children were allowed to eat while walking around. Evidence: At the start of the inspection, a group of children was observed leaving the classroom to walk to the playground. Child #1 was observed being handed a lollipop to join the group and was observed walked down the hall with the lollipop in their mouth.”

Rule 8VAC20-780-560-M.

8VAC20-780-570-A

“Based on observation, children placed in an infant seat or high chair, the protective belt was not fastened securely. Evidence: 1. Child #1 was observed sitting in a high chair and climbed out of the chair twice during lunch. 2. Child #2 was observed sitting in a high chair without being buckled during lunch.”

Rule 8VAC20-780-570-A.

8VAC20-780-570-E

“Based on observation, prepared infant bottles were not dated. Evidence: Child #7 had two bottles stored in the infant room refrigerator. The bottles were not dated.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on record review, children’s record do not contain all required information. Evidence: Child #6’s (date of enrollment: 2/7/22) file does not contain documentation that the child’s age and identity was verified within the first 7 days of enrollment.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review, staff records do not contain all required information. Evidence: Staff #6 file does not contain documentation of two reference checks.”

Rule 8VAC20-780-70.

8VAC20-780-245-L

“Based on interview, there was not 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: When asked which staff present had completed daily health observation training, the program director confirmed that none of the staff had completed the required training.”

Rule 8VAC20-780-245-L. From a complaint.

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was toilet bowl cleaner observed on the bottom shelf of a low cabinet in the preschool classroom. The cabinet had a lock, however the lock was not used. 2. There were various air fresheners observed on the bottom shelf of an unlocked low cabinet in the infant classroom.”

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

8VAC20-780-340-C

“Based on observation, during the stated hours of operation and when children are present, there was not always one staff member who meets the qualifications of program leader or program director, and an immediately available staff member. Evidence: 1. At approximately 4:30pm, Staff #1 was observed alone in the building with 4 infants. 2. Staff #2 arrived at approximately 4:45pm to change a child’s diaper who had been playing outside, and then left the program after the diaper change. 3. Staff #3 arrived at approximately 5:00pm to assist Staff #1.”

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

8VAC20-780-340-F

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

8VAC20-780-340-F

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

8VAC20-780-350-C

“Based on observation and interview, staff-to-child ratios were not applicable to the youngest child in the group. Evidence: 1. Two children were observed being picked up from their parents on the playground. 2. Ten children were observed returned to the classroom after playing on the playground. 3. The program director confirmed that the youngest child in the group is 23 months old. 4. The ratio for a 23 month old is 1:5. 5. While on the playground, there were 12 children with 2 staff.”

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

8VAC20-780-40-M

“Based on observation, the centers written list of children’s allergies, sensitivities and dietary restrictions was not kept confidential. Evidence: There is an 8X11 laminated list of children’s full names, allergies and food restrictions post on the refrigerator door in the preschool classroom. The list is in view of anyone who enters the program.”

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

8VAC20-780-430-B

“Based on observation and interview, equipment was not age and stage appropriate for the children. Evidence: A toddler was observed sitting in a small, bouncing activity chair. Staff #1 stated that the child was 15 months old and that they were in the chair because they can’t walk.”

Rule 8VAC20-780-430-B. From a complaint.

8VAC20-780-500-A

“Based on observation, hand washing requirements were not met. Evidence: 1. Child #2 was observed having their diaper changed by Staff #1. The child’s hands were not washed after the diaper change was complete. 2. Staff #1 did not wash their hands after the completed the diaper change.”

Rule 8VAC20-780-500-A. From a complaint.

8VAC20-780-500-B

“Based on observation, diaper changing requirements were not met. Evidence: The diaper changing mat was not cleaned and sanitized after use.”

Rule 8VAC20-780-500-B. From a complaint.

8VAC20-780-530-A-1

“Based on observation and interview, there was not at least one person trained in cardiopulmonary resuscitation (CPR) when children were present. Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have CPR training.”

Rule 8VAC20-780-530-A-1. From a complaint.

8VAC20-780-530-A-2

“Based on observation and interview, there was not at least one person trained in first aid when children were present. Evidence: Staff #1 was observed working along with a group of 4 infants from approximately 30 minutes. The center director confirmed that Staff #1 does not have first aid training.”

Rule 8VAC20-780-530-A-2. From a complaint.

8VAC20-780-560-F

“Based on interview, UDSA food requirements were not met when snacks were provided by the center. Evidence: The program director confirmed that a child was served potato chips at the end of the day to keep the child occupied.”

Rule 8VAC20-780-560-F. From a complaint.

8VAC20-780-570-E

“Based on observation, prepared infant bottles were not dated and labeled with the child’s name. Evidence: 1. 4 out of 4 bottles observed in the refrigerator did not labeled with a date. 2. 2 out of 4 bottles observed in the refrigerator were not labeled with a child’s name.”

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

8VAC20-780-60-A

“Based on record review, the center did not maintain and keep at the center a separate record for each child enrolled. Evidence: 1. There was no record available for Child #1. 2. There was no record available for Child #2.”

Rule 8VAC20-780-60-A. From a complaint.

8VAC20-820-120-E-6

“Based on observation, a copy of the centers special order issued by the department was not posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: When asked about the issued special order, the program director pointed out the document which was underneath the most recently issued violation notice on a bulletin board behind the directors desk away from both school entrances.”

Rule 8VAC20-820-120-E-6. From a complaint.

8VAC20-790-600-F

“Based on record review and interview, not all staff who work directly with children have completed the departments orientation training and/or health and safety update course. Evidence: 1. Staff #1’s record does not contain documentation of completing the departments preservice training course or updated training. 2. Staff #5’s record does not contain documentation of completing the departments preservice training course or updated training. 3. The center owner confirmed that these staff have not completed the required training. This was previously cited at the programs last inspection on 1/20/2022.”

Rule 8VAC20-790-600-F.

22.1-289.058

“Based on interview, the child day program is not equipped with at least one carbon monoxide detector. Evidence: The program owner confirmed that a program does not have a carbon monoxide detector installed. This was previously cited at the last inspection on 1/20/2022.”

Rule 22.1-289.058.

8VAC20-780-245-A

“Based on record review and interview, staff have not completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #1 record does not contain documentation of any training completed in 2021. 2. Staff #3 record contains documentation of 9 hours of training completed in 2021.”

Rule 8VAC20-780-245-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place. Evidence: A bottle of a cleaning agent was observed sitting on top of the paper towel dispenser in the children’s bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-410-2

“Based on observation, children were enclosed in a confined space that they could not freely exit themselves. Evidence: At approximately 9:20am, at the start of the inspection, several toddler-aged children were observed sitting in high chairs without food in front of them. The children remained confined in the chairs during art projects and circle time, and during transitional activities. At approximately 10:35am, the inspector requested for the children to be removed from the chairs.”

Rule 8VAC20-780-410-2.

8VAC20-780-440-B

“Based on observation, cribs and cots are not identified for use by a specific child. Evidence: The cribs and cots used for the children are not labeled.”

Rule 8VAC20-780-440-B.

8VAC20-780-450-C

“Based on observation, crib sheets were not clean. Evidence: During the inspection, there were two cribs observed with sheets on the mattresses. One of the two sheets had brown stains on them.”

Rule 8VAC20-780-450-C.

8VAC20-780-500-A

“Based on observation, children’s hands were not washed with soap and running water after diapering and/or before eating. Evidence: Child #5 was observed having their diaper changed. After, the child was placed at the feeding table and was fed. The child’s hands were not washed after the diaper change or before being fed.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, diapering requirements were not met. a nonabsorbent surface for diapering or changing was not used. Evidence: 1. The diaper changing surface is covered with a canvas fabric and is not non-absorbent. 2. The diaper changing surface was not cleaned and sanitized after each use.”

Rule 8VAC20-780-500-B.

8VAC20-780-80-A

“Based on record review, the center did not maintain a written record of daily attendance that documented the arrival and departure for each child in care as it occurred. Evidence: 1. At approximately 10:20am, there were 18 children in care, however the centers daily attendance record had 5 children documented in care. 2. The program owner uses an electronic app to keep track of the children in attendance, however the app was not accurate due to parents not signing their children into care via the app.”

Rule 8VAC20-780-80-A.

8VAC20-820-120-E-2

“Based on observation, the findings of the most recent inspection of the facility was not posted. Evidence: The inspection that is currently posted at the facility is dated 3/1/2021, however the facility had an inspection on 1/20/2022.”

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

8VAC20-790-600-F

“Based on record review and interview, not all staff have completed the departments health and safety update course, annually. Evidence: 1. Staff #1 (date of hire: 12/9/2020) has not completed the health and safety update training. 2. Staff #3 (date of hire: 6/3/2019) has not completed the health and safety update training. 3. Staff #4 (date of hire: 9/7/2020) has not completed the health and safety update training. 4. The center director confirmed that the staff have not completed the health and safety update training.”

Rule 8VAC20-790-600-F.

22.1-289.058

“Based on interview, the child day program was not equipped with at least one carbon monoxide detector. Evidence: The program owner stated that they have not yet installed a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-780-160-A-1

“Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening prior to coming into contact with children. Evidence: 1. Staff #1 (date of hire: 12/9/2020) TB screening is dated 1/6/2021. 2. Staff #2 (date of hire: 10/21/2021) TB screening is dated 11/12/2021”

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

8VAC20-780-240-A

“Based on record review and interview, not all staff have completed the Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Evidence: Staff #3 (date of hire: 6/3/2019), Staff #4 (date of hire: 9/7/2020) and Staff #5 (date of hire: 9/7/2021) records do not contain documentation of the required Virginia Preservice orientation training. The program owner stated that not all staff have completed the required training within 90 days of employment.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-C

“Based on interview, staff have not completed all required training. Evidence: The program owner stated that not all staff have been trained on the prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

Rule 8VAC20-780-240-C.

8VAC20-780-40-D

“Based on observation, the license was not posted in a place conspicuous to the public. Evidence: During the inspection, the license was not posted and was located on the floor behind a filing cabinet.”

Rule 8VAC20-780-40-D.

8VAC20-780-40-K

“Based on interview, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The program owner stated that they have not yet developed written procedures for preventing shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-40-M

“Based on interview, the center has not established a current written list of all children’s allergies, sensitivities and dietary restrictions. Evidence: 1. Child #2 has a documented food sensitivity. 2. Child #5 has a documented food allergy. 3. The center owner stated that they do not have a list of each child’s allergy, sensitivity and/or dietary restriction.”

Rule 8VAC20-780-40-M.