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

“1. The most recent Central Registry check for Staff #2 was overdue by 3 months. 2. The most recent criminal background check for Staff #2 was overdue by over 2 months.”

Rule 22.1-289.035-A.

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 was no physical examination in the record of Child #5, who had been enrolled for more than 3 years.”

Rule 8VAC20-780-140-A.

The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation.

“Staff interviews found that the qualified program director is only on site approximately one day out of the week.”

Rule 8VAC20-780-200-A.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

“1. The outdoor play area had 6 bikes/trikes that were without handlebars creating a rusted and sharp edge. 2. The outdoor play area had a large deck box with a broken lid and toys. 3. The outdoor play area had a large bench with deteriorating wood and chipped/peeling paint.”

Rule 8VAC20-780-270-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“Child #2, Child #4, and Child #5 did not have a signed annual review in their child files.”

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

Repeat Violation: The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering; and information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities.

“1. Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 did not have a statement confirming health for job responsibilities. 2. Staff #4 had reference checks dated 11 days after their hire date.”

Rule 8VAC20-780-70.

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: an authorization for emergency medical care, 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, and a statement agreeing to notify the center if the child has a communicable disease.

“Child #1 did not have record of written parent agreements in their file.”

Rule 8VAC20-780-90-A.

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

“1. The sworn statement for Staff #1, who is currently working, was dated nine days after their first day of employment. 2. The sworn statements for Staff #2 and Staff #4, who are currently working, were not completed within the appropriate timeframe.”

Rule 22.1-289.035-B-1.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #1, Staff #2 Staff #3, and Staff #4, who are currently employed, have outdated fingerprint checks.”

Rule 22.1-289.035-B-2.

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

“1. Staff #1,Staff #3, and Staff #4, who have been employed since 12/1/2025, have an outdated Central Registry search. 2. Staff #2, who has been employed since 11/26/2025, did not have documentation of a completed Central Registry check.”

Rule 22.1-289.035-B-3.

Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“1. Staff #1, who has been employed for more than 3 months, did not have documentation of completing orientation in their staff file. 2. Staff #5, who has been employed for more than 2 months, did not have documentation of completing orientation in their staff file.”

Rule 8VAC20-780-240-B.

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

“The center was unable to provide an up to date copy of a fire inspection dated within the last 12 months.”

Rule 8VAC20-780-260-A.

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

“1. Clorox wipes and Clorox bleach spray were unlocked but out of reach sitting on cabinets near cubbies and above the sink in the toddler room. 2. Bleach water solution was also found in the unlocked upper closet in the three’s room out of reach of children.”

Rule 8VAC20-780-280-B.

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

“Staff #3 was observed feeding 4 infants lunch in the classroom. One infant was not buckled into the highchair during feeding.”

Rule 8VAC20-780-570-A.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Child #1 and Child #2 were missing a second emergency contact. Child #3 was missing the address and phone number of their second emergency contact. Child #4 did not have any emergency contacts within the child’s file.”

Rule 8VAC20-780-60-A.

The following staff records shall be kept for each staff person: documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering; and information, to be kept at the center, about any health problems that may interfere with fulfilling the job responsibilities.

“Staff #1 did not have dated references in their file. Staff #1, Staff #2, Staff #3, Staff #4, and Staff #5 did not have a statement confirming health for job responsibilities.”

Rule 8VAC20-780-70.

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

“Staff #2, who has been employed since 2018, did not have documentation of an updated criminal history fingerprint check or Central Registry check. The most recent fingerprint check for Staff #3 was overdue by a year and five months.”

Rule 22.1-289.035-A.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #1, who has been employed for over two months, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #5, under the age of two, did not have an updated copy of immunizations every six months. The last immunization record is dated 5/28/2024.”

Rule 8VAC20-780-130-E.

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 was no physical examination in the record of child #5, who had been enrolled for over six months.”

Rule 8VAC20-780-140-A.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“Staff #1, employed for more than two months, did not have documentation of a completed tuberculosis test.”

Rule 8VAC20-780-160-A.

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

“Staff #1, who has been actively working at the center for more than two months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1’s last completed health and safety course was dated 11/3/2023. Staff #2, Staff #4, and Staff #5 did not complete the annual health and safety course for 2024.”

Rule 8VAC20-790-600-F.

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

“Staff #4, who has been working for approximately four months, did not have a copy of a sworn statement in the center’s file.”

Rule 22.1-289.035-B-1.

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

“Staff #4, employed for more than four months, did not have documentation of requesting a central registry check or criminal history check from three different states.”

Rule 22.1-289.035-B-4.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #2, under the age of two, did not have an updated copy of immunizations every six months. The last immunization record is dated 6/23/2023.”

Rule 8VAC20-780-130-E.

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

“Staff #2 updated screening was due more than 16 months ago. Staff #5 updated screening was due more than 19 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #2 and Staff #5 did not obtain and of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

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

“Staff #3, who has been actively working at the center for the past 9 months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Based on review, facility did not ensure 2 staff have updated background checks every 5 years.

“Evidence: The following was found during record review: 1. The record for staff #2 had a sworn statement dated 6/30/2018, a national fingerprinting determination letter dated 10/10/18 and a central registry search dated 8/22/2018. 2. The record for staff #5 had a sworn statement dated 1/17/2019, a national fingerprinting determination letter dated 10/24/2018 and a central registry search dated 5/3/2019. 3. Staff #2 confirmed the background checks were dated beyond 5 years and updated background checks were not available.”

Rule 22.1-289.035-A.

Based on review and interview, facility did not ensure 1 of 5 child records has documentation of a physical examination within 30 days of beginning attendance.

“Evidence: The record for child #1 (start date 1/23/2023) did not have a physical. Staff #2 confirmed physical was not available during inspection.”

Rule 8VAC20-780-140-A.

Based on observation, facility did not ensure there is at least 12” of space between occupied cribs and 30” of space between the service sides of occupied cribs for staff to gain access to any occupied crib.

“Evidence: Three infants were observed sleeping in cribs in the infant room. The cribs were placed side by side with 2” - 4” of space between each of the them. Staff #2 confirmed cribs were too close and did not allow for 12” of free space between them and 30” of space for staff to gain access.”

Rule 8VAC20-780-440-J.

Repeat Violation Based on observation and interview, facility did not ensure 1 of 5 staff records has documentation of required information.

“Evidence: The record for staff #3 (start date 3/18/2024) did not have documentation of two references. Staff #2 confirmed information was not available during inspection.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Based on record review and interview the vendor failed to ensure that staff who work directly with children, in addition to preservice and orientation training annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Evidence: 1 - The record for Staff #1 did not include documentation that the department’s health and safety annual update course was completed in 2022. 2 - Staff #2 confirmed that record for Staff #1 did not include documentation of the required annual course.”

Rule 8VAC20-790-600-F.

22.1-289.035-B-2

“Based on record review and interview the center failed to ensure that the regulations regarding the timing background check were followed as required. Evidence: 1 ? The fingerprint background check for Staff #3 was not obtained prior to hire as the background check is dated April 14, 2022. However, the documented date of hire for Staff #3 is April 4, 2022. 2 ? The person in charge confirmed that the fingerprint background check was completed after Staff #3 was hired.”

Rule 22.1-289.035-B-2.

8VAC20-780-245-A

“Based on record review the center failed to ensure that staff complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1 ? The record for Staff #6 contains documentation that two hours of training was obtained during the 2022 year where 16 hours of training was required. 2 ? Staff #4 confirmed that there were only two hours of training documented for Staff #6 in the staff record.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-A

“Based on documentation review and interview the center failed to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1 ? The most recent fire inspection report available during the inspection was dated 2021. 2 ? Staff #4 confirmed that she did not have a more recent fire inspection report.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-B

“Based on observation the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 ? There is a spray bottle of bleach cleaner in an unlocked cabinet in the boy’s bathroom. 2 ? Staff #4 confirmed that the cabinet is an unlocked location.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-H

“Based on request for documentation review and interview the center failed to ensure that evidence of insurance coverage shall be made available to the department’s representative upon request. Evidence: 1 ? There was not any documentation of insurance coverage available for review during the inspection. 2 ? Staff #4 stated that she did not have documentation of current insurance coverage.”

Rule 8VAC20-780-40-H.

8VAC20-780-570-B

“Based on observations the center failed to ensure that bottles will not be used while the child is in his designated sleeping location. Evidence: 1 ? Child #1 was observed sleeping with a bottle in her mouth. 2 ? Staff #5 confirmed that the child was sleeping with a bottle in her mouth.”

Rule 8VAC20-780-570-B.

8VAC20-780-70

Rule 8VAC20-780-70.

Based on record review and interview, the vendor 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) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Evidence: 1. Staff 1, hire date 05/25/2022, lacked documentation of current CPR certification. 2. Administrative staff confirmed that staff 1 did not have documentation of CPR on file.”

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

Based on record review and interview, the vendor failed to ensure that all staff work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. Staff 1, hire date 05/25/2022, and staff 2 hire date , 04/14/2022, lacked certification in first aid. 2. Administrative staff confirmed that first aid certification was not on file for staff 1 and staff 2.”

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

Based on record review and interview, the center failed to ensure that 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.

“Evidence: 1. There was not documentation on file that staff 1, hire date 05/25/2022, had completed orientation training. a. Staff 1 was observed caring for a group of preschool children during the inspection. 2. Administrative staff confirmed that written documentation was not on file to demonstrate that staff 1 had completed this training.”

Rule 8VAC20-780-240-B.

Based on observation, the center failed to ensure that equipment of the center shall be maintained in a safe condition.

“Evidence: 1. Child 5, age 11 weeks, was observed sitting in an infant seat which had been placed in a crib. a. CPSC recommends these products be used on the floor only as placement of an occupied infant seat inside of a crib is a tip over hazard. 2. Loose crib sheets were observed in the cribs of child 6 and child 7. a. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. Unlocked cleaning agents & hazardous substances were observed in unlocked and accessible areas of the facility: a. Disinfecting wipes were observed placed inside of a high chair in the lunch room. b. Four containers of disinfecting wipes were observed on top of a storage cabinet in one preschool classroom. c. Disinfecting wipes were observed stored on the floor beside the toilet in the girls bathroom. d. A bottle of bleach was stored inside of the wall mounted cabinet, above the sink, in the boys bathroom.”

Rule 8VAC20-780-280-B.

Based on record review and interview, the center failed to ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“Evidence: 1. There was not written documentation to indicate that staff 2 met qualifications for program leader as outlined in 8VAC20-780-210 -A . 1 - 4. a. Staff 2 was observed caring for four infants, who were awake, at approximately 11:10 am. b. Staff 2 was alone with the children and verified there were no additional staff present in the infant room. 2. Administrative staff confirmed that staff 2 had not completed the required training for the program leader position.”

Rule 8VAC20-780-340-D.

Based on observation and interview, the center failed to ensure that the diapering area shall contain disposable towels.

“Evidence: 1. There were no paper towels at the hand washing sink for the infant room diaper changing area. 2. Staff 2 stated that, “We ran out of paper towels yesterday.””

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: 1. Shelter-in-place procedures were not included on the posted fire evacuation map. 2. Administrative staff verified that shelter-in-place procedures had not been included on the posted emergency procedures map.”

Rule 8VAC20-780-550-C.

Based on observation, the center failed to ensure that when a child is placed in a high chair , the protective belt shall be fastened securely.

“Evidence: 1. Three children were observed placed in high chairs without the protective belt secured. a. These children were eating lunch in the lunch room at approximately 11:30 am. b. These children, child 2, 3 and 4, ranged in age from 16 months - 2 years.”

Rule 8VAC20-780-570-A.

Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated and dated.

“Evidence: 1. Five bottles of infant formula were not dated and were stored in an insulated carrier when viewed at approximately 11:15 am. a. The bottles belonged to child 1 who had arrived at 8:14 am according to the facility attendance record.”

Rule 8VAC20-780-570-E.

Based on observation, the center failed to ensure that formula or breast milk shall not remain unrefrigerated for more than two hours.

“Evidence: 1. The inspector observed five bottles of prepared infant formula for child 1 stored in an insulated carrier at approximately 11:15 am. a. These bottles had not been refrigerated according to staff 2. 2. A review of the attendance record indicated that child 1 had arrived at 8:14 am.”

Rule 8VAC20-780-570-H.

Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

“Evidence: 1. The employment record for staff 1, hire date 05/25/2022, lacked documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administrative staff confirmed that documentation of two reference checks were not on file for staff 1.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility shall be posted on the premises of the facility.

“Evidence: 1. The findings from the most recent monitoring inspection conducted on 06/06/2022 were not posted. a. The findings from the 12/30/2021 inspection was posted on the facility lobby wall.”

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

Based on record review and interview, the center failed to ensure that staff shall submit to fingerprinting prior to employment.

“Evidence: 1. Staff 1, hire date 05/25/2022, lacked the results of a fingerprint background check. a. Staff 1 was working with children on the day of the inspection. 2. Administrative staff confirmed that a fingerprint background check had not been obtained for staff 1.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center failed to ensure that an employee or volunteer of a licensed or registered child day program must not be employed or provide volunteer service until the agency has the person’s completed sworn statement or affirmation.

“Evidence: 1. Staff 1, hire date 05/25/2022, lacked a completed sworn statement or affirmation when her record was reviewed on the date of the inspection. 2. Administrative staff confirmed that staff 1 had not completed a sworn statemen or affirmation.”

Rule 8VAC20-770-60-B.

Based on record review and interview, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The most recent immunization documentation on file for child 1 were administered 11/12/2021. a. Child 1 is under the age of two years. 2. Administrative staff confirmed that an updated immunization record had not been obtained for child 1.”

Rule 8VAC20-780-130-E.

Based on record review and interview, the center failed to ensure that 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.

“Evidence: 1. There was not documentation on file that staff 1, hire date 05/25/2022, had completed orientation training. a. Staff 1 indicated she had worked alone with a group of children on the morning of the inspection. 2. Administrative staff confirmed that while staff 1 had began orientation training she had not completed all of the required elements.”

Rule 8VAC20-780-240-B.

Based on observation, 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. The two-year old classroom cabinet, containing bleach and water solution and sanitizing wipes, was unlocked when viewed by the inspector at 12:45 pm. 2. A container of sanitizing wipes was observed stored on top of this cabinet.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety’s “Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground,” February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

Rule 8VAC20-780-330-B.

Based on interview and record review, the center failed to maintain the required staff-to-children ratio of 1:5 for children 16 months up to 24 months.

Rule 8VAC20-780-350-B-2.

Based on interview and record review, the center failed to 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 shall apply to the entire group. * 2 year olds : 1:8; *3 year olds up to school age eligible: 1:10.

Rule 8VAC20-780-350-C.

Based on observation, the center failed to ensure that pillows shall not be used by children under two years of age.

Rule 8VAC20-780-440-L.

Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence: 1. One bottle of prepared infant formula was not labeled with a name or date. 2. One bottle of prepared infant formula was not dated.”

Rule 8VAC20-780-570-E.

Based on record review, the center failed to ensure that formula or breast milk shall not remain unrefrigerated for more than two hours and may not be reheated.

“Evidence: 1. The inspector observed 2 bottles of prepared infant formula, for child 1, in the side pocket of an infant bag at approximately 1:00 pm. a. These bottles had not been refrigerated according to staff 3. 2. Staff 3, stated these bottles had been in the infant bag since child 1 had arrived at 8:36 am.”

Rule 8VAC20-780-570-H.

Based on record review and interview, the center failed to ensure that documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: 1. Staff 1, hire date 05/25/2022, lacked documentation of two reference checks. a. Staff 1 was observed caring for children during the inspection. 2. Administrative staff confirmed that reference checks were not on file for staff 1.”

Rule 8VAC20-780-70.