Helping Hands Child Development Center

Each child shall have a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Child 1 (age 5 months) did not have a physical examination; the child has been enrolled for over two months.”

Rule 8VAC20-780-140-A.

Cleaning materials and insecticides/pesticides shall be stored in areas physically separate from each other.

“There were two containers of hornet and wasp spray and a box of Raid Ant Bait on shelves with various cleaning materials in the center’s laundry room.”

Rule 8VAC20-780-280-E.

The required staff-to-child ratio for children ages 16 months to 24 months is 1 staff for every 5 children.

“04/23/2026, for approximately 5 minutes, Staff 1 was the only staff member supervising the nine children (ages 16 months-24 months) in Class 1. Two staff were required for this group of children.”

Rule 8VAC20-780-350-B-2. From a complaint.

The center shall maintain compliance with their own policies and procedures that are required by the standards.

“The center’s required playground safety procedures state that teachers should be circulating and interacting with the children at all times. 04/23/2026, Class 1 with nine children (ages 16 months-24 months) were outside on the playground for approximately 50 minutes. The two staff supervising the children sat in stationary locations, not circulating the playground or interacting with the children while on the playground.”

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

The following actions or threats thereof are forbidden: roughly handling or shaking a child.

Rule 8VAC20-780-410-1. From a complaint.

The following actions or threats thereof are forbidden: forcing rest.

“04/14/2026, Child 2 (age 16 months) was wiggling around on their cot during rest time. Staff 1 held the child by the child’s arms and then placed their legs across the body of the child for approximately 7 minutes to hold the child still on their cot. 04/15/2026, Staff 1 placed their legs across the body of Child 2 (age 16 months) for approximately 7 minutes to hold the child still on their cot during rest time.”

Rule 8VAC20-780-410-5. From a complaint.

Children’s hands shall be washed with soap and running water or a disposable wipe before and after meals and snacks and with soap and running water after toileting (diapering) and staff shall wash their hands with soap and running water before and after a diaper change.

“03/31/2026, a staff member and a child in Class 1 did not wash their hands after a diaper change. 04/09/2026, multiple children in Class1 did not wash their hands after lunch; the children immediately went to their cots for rest time following lunch. 04/13/2026, a staff member and a child in Class 1 did not wash their hands after diaper changes.”

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

The diapering surface shall be cleaned with soap and water and sanitized after each use.

“03/31/2026, the diapering surface in Class1 was not cleaned or sanitized after use. 04/13/2026, the diapering surface in Class1 was not cleaned or sanitized after use.”

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

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

“There was not a completed sworn statement in the record for Staff 2, who has been employed for 4 months, and is currently working.”

Rule 22.1-289.035-B-1.

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 only physical examination in the record for Child 2 was dated 11 months after the child’s first day of attendance.”

Rule 8VAC20-780-140-A.

Nonprescription medication shall be given to a child only with written authorization from the parent.

“Medication 2 was administered 3 times, over a 2 month period, without written authorization from the parent.”

Rule 8VAC20-780-510-B.

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

“09/15/2025, Child 1 (age 19 months) and Child 2 (age 15 months) were in the corner behind the diapering station at the kitchen door, while behind the diapering station, Child 2 smacked Child 1 in the head multiple times, the child began to cry. Staff 1 stated that Child 2 was outside of their sight supervision at that time.”

Rule 8VAC20-780-340-F.

The following actions or threat thereof are forbidden: roughly handling a child.

“On 09/15/2025, Staff 1 roughly handled two children (age 15 months and 19 months) on three occasions. The 19-month-old child was later taken for outside medical treatment for an injury to their left arm.”

Rule 8VAC20-780-410-1.

Children’s hands shall be washed with soap and running water after toileting (diapering) and staff shall wash their hands with soap and running water before and after a diaper change.

“09/15/2025, Staff 1 changed multiple diapers and did not wash their hands before or after the diaper changes. Children did not wash their hands after the diaper change.”

Rule 8VAC20-780-500-A.

The diapering surface shall be cleaned with soap and water and sanitized after each use.

“Staff 1 did not clean the diapering surface with soap and water following a diaper change.”

Rule 8VAC20-780-500-B.

The center shall obtain documentation of additional immunizations once between the child’s fourth and sixth birthdays.

“The record for Child 2 did not contain documentation of additional immunizations between the child’s fourth and sixth birthday.”

Rule 8VAC20-780-130-F.

Repeat violation

“The VDOE sponsored orientation course shall be completed within 90 calendar days of employment. Staff 2, who has been employed for 11 months, has not completed the VDOE orientation course.”

Rule 8VAC20-780-240-A.

REPEAT VIOLATION The center’s procedures for administering nonprescription medication shall be consistent with the manufacturer’s instructions for age, duration, and dosage.

“Child 6 (age 19 months) was administered Medication 1 one time on 07/03/2025. The manufacturer’s instructions for this medication required physician’s instructions for administration to children under the age of 2 years.”

Rule 8VAC20-780-510-E.

The center shall maintain a separate record for each child enrolled that contains all of the required information.

“The records for Child 1, Child 2 and Child 4 did not contain all of the required information.”

Rule 8VAC20-780-60-A.

Repeat violation

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. The departure of the children in Classroom 4 was not documented on 07/15/2025. The arrival of the children in Classroom 4 was documented for 07/16/2025.”

Rule 8VAC20-780-80-A.

The center’s procedures for administering nonprescription medication shall be consistent with the manufacturer’s instructions for age, duration, and dosage.

“Child 3 (10 months old) was administered Medication 1 five times between 10/25/2024-11/06/2024. The manufacturer’s instructions for this medication required physician’s instructions for administration to children under the age of 2 years; there were no physician’s instructions available.”

Rule 8VAC20-780-510-E.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs.

“There were 7 children observed in the Infant Room but the attendance record had 8 children marked in attendance.”

Rule 8VAC20-780-80-A.

Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record for Staff 4 contained a documented hire date of 05/17/2024; the tuberculosis screening was dated 05/28/2024.”

Rule 8VAC20-780-160-A.

Repeat violation

“Based on record review and staff interview, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment. Evidence: The record for Staff 1 contained a documented hire date of 10/26/2023; there was not documentation that Staff 1 has completed the VDOE orientation course.”

Rule 8VAC20-780-240-A.

Based on observation and interviews, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers.

“Evidence: 1. There was a clear squeeze bottle, that resembled a condiment container, containing a blue liquid solution in a cabinet in the 2 year old classroom. Staff confirmed that the blue liquid was Dawn dish liquid. 2. There was a clear squeeze bottle, that resembled a condiment container, containing hand soap on the children’s restroom sink of the pre-k class.”

Rule 8VAC20-780-280-G.

Based on observation and interviews, the center failed to ensure that medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: 1. Medication 2 was not labeled with the child’s name. Staff confirmed that the medication belonged to Child 2. 2. Medication 3 was not labeled with a child’s name.”

Rule 8VAC20-780-510-G.

Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment.

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

Based on record review and staff interview, the center failed to ensure that staff shall complete the Virginia Department of Education sponsored orientation course within 90 calendar days of employment.

“Evidence: 1. The record for Staff 1 contained a documented hire date of 01/09/2023; there was not documentation that Staff 1 has completed the VDOE orientation course in the record for Staff 1. Staff 6 verified that the training has not been completed. 2. The record for Staff 2 contained a documented hire date of 08/29/2023; there was not documentation that Staff 2 has completed the VDOE orientation course in the record for Staff 2. Staff 6 verified that the training has not been completed.”

Rule 8VAC20-780-240-A.

Based on record review and staff interview, the center failed to ensure that staff shall complete annually a minimum of 16 hour of training appropriate to the age of children in care.

“Evidence: The record for Staff 1 did not contain documentation that a minimum of 16 hours of annual training had been completed. Staff 6 verified that Staff 1 has not completed 16 hours of training.”

Rule 8VAC20-780-245-A.

Based on document review, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection report was dated 06/01/2022.”

Rule 8VAC20-780-260-A.

Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check and a sex offender registry check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 3 contained documentation that Staff 3 had resided outside of the state of Virginia within the preceding five years. The record for Staff 3 contained a documented hire date of 08/16/2021. There was not a criminal record check from all of the states in which the individual had resided in the preceding five years available for review during the 07/25/2023 inspection.”

Rule 22.1-289.035-B-4.

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 or prior to coming into contact with children and that the documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record for Staff 1 contained a documented hire date of 06/14/023. The record for Staff 1 did not contain documentation of a negative tuberculosis screening; the tuberculosis screening was not obtained at the time of employment or prior to coming into contact with children. 2. The record for Staff 5 contained a documented hire date of 01/09/2023. The tuberculosis screening in the record for Staff 5 was dated 09/09/2022; the tuberculosis screening had not been completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Repeat violation

“Based on record review, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain documentation of viewing proof of the child’s identity and age. 2. The record for Child 2 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached (the address was incomplete for the 2nd designated person listed)”

Rule 8VAC20-780-60-A.

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

“Evidence: The record for Staff 3 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment; and documentation to demonstrate that the individual possesses the orientation training.”

Rule 8VAC20-780-70.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.

“Evidence: The record for Child 1 did not contain the following information: name and phone number of the child’s physician; and the first date of attendance.”

Rule 8VAC20-780-60-A.

Repeat violation

“Based on observation, record review and discussion with staff, the vendor failed to ensure that all staff who work directly with children shall have a current certification in CPR within 90 days of employment. Evidence: The record for Staff 5 had a documented hire date of 03/28/2022; Staff 5 does not have a current certification in CPR.”

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

Repeat violation

“Based on observation, record review and discussion with staff, the vendor failed to ensure that all staff who work directly with children shall have a current certification in first aid within 90 days of employment. Evidence: The record for Staff 5 had a documented hire date of 03/28/2022; Staff 5 does not have a current certification in first aid.”

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

Repeat violation

“Based on record review, the center failed to obtain the findings from a search of the central registry within 30 days of employment. Evidence: 1. The record for Staff 3 contained a documented hire date 09/01/2021. There was not a central registry available for review during the inspection. 2. The record for Staff 4 contained a documented hire date 07/06/2021. There was not a central registry available for review during the inspection.”

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

Repeat violation

“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: There was an aerosol can of Lysol on the counter behind the sink in the 2 year old class that was accessible to the children.”

Rule 8VAC20-780-280-B.

Based on record review, the center failed to ensure that the separate record for each child enrolled shall contain all of the elements as required by the standards.

“Evidence: 1. The record for Child 1 did not contain documentation of viewing proof of the child’s identity and age. 2. The record for Child 2 did not contain documentation of viewing proof of the child’s identity and age. 3. The record for Child 5 did not contain documentation of child updates and confirmation of up-to-date information in the child’s record.”

Rule 8VAC20-780-60-A.

Repeat violation

Rule 8VAC20-780-80-A.

Based on observation, record review and discussion with staff, the vendor failed to ensure that all staff who work directly with children shall have a current certification in CPR within 90 days of employment.

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

Based on observation, record review and discussion with staff, the vendor failed to ensure that all staff who work directly with children shall have a current certification in first aid within 90 days of employment.

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

Based on record review and discussion with staff, the center failed to obtain the findings from a search of the central registry within 30 days of employment.

“Evidence: 1. The record for Staff 3 contained a documented hire date 08/16/2021. There was not a central registry available for review during the inspection. 2. The record for Staff 4 contained a documented hire date 08/13/2021. There was not a central registry available for review during the inspection.”

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

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: There was an unlocked restroom, being used for storage, in the Toddler Classroom. There were four gallons cans of paint, two five gallon containers of paint and two Decon rodent traps on the floor of the restroom. The door to the restroom was ajar during the inspection.”

Rule 8VAC20-780-280-B.

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

“Evidence: 1. Neither of the staff members present in the infant class during the inspection had a current certification in CPR and first aid. 2. Neither of the staff members present in the 2 year old class during the inspection had a current certification in CPR and first aid.”

Rule 8VAC20-780-530-A.

Based on document review and discussion with staff, 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: As of 8:45 am on 07/21/2022, the daily attendance in the 2 Year Old Class had not been taken. There were a total of 9 children in the class during the inspection. The daily attendance record did not document the arrival of each child as it occurred.”

Rule 8VAC20-780-80-A.

Based on record review and discussion with staff, the center failed to obtain a copy of the criminal record check and a sex offender registry check from any state in which the individual has resided in the preceding five years.

“Evidence: The record for Staff 2 contained documentation that Staff 2 had resided outside of the state of Virginia within the preceding five years. The record for Staff 2 contained a documented hire date of 08/16/2021. There was not a criminal record check or a sex offender registry check from all of the states in which the individual had resided in the preceding five years available for review during the 01/27/2022 inspection.”

Rule 22.1-289.035-B-4.

Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation.

“Evidence: The record for Staff 1 had a documented hire date of 07/06/2021. The date on the sworn statement was 08/11/2021.”

Rule 8VAC20-770-60-B.

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

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

Based on record review and discussion with staff, the center failed to ensure that there shall 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: Staff 4 stated that there was not a staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.”

Rule 8VAC20-780-245-L.

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

“Evidence: Staff 4 stated that the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.