Q’s Precious Angels Daycare LLC

The required ratio for children ages Birth-16 month is one staff per four children.

“Staff #4 was observed supervising five children (youngest child 13 months old) from approximately 9:15 AM -10:21AM.”

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

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

“1. The carpet in the infant room shows several signs of stains and/or soiled marks. The carpet appears darkened with a buildup of grime over years of use. 2. In the infant room, two crib mattresses were found to be ripped and torn exposing the interior of the mattresses. 3. The changing table in the infant room had crumbs and dirt build up around the edges of the changing pad.”

Rule 8VAC20-780-270-A.

When centers choose to provide meals or snacks a menu listing foods to be served for meals and snacks during the current one-week period shall list any substituted food.

“The menu posted had sloppy joe listed to be served for lunch on 10/1/2025. The menu was not updated with the substitute food to show that chicken would be served instead for lunch on 10/1/2025.”

Rule 8VAC20-780-560-F.

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

“1. On the outside play area, there was wire exposed on a broken ride on toy. 2. All of the carpeted area in the infant room was observed to be heavily stained. 3. In the Infant classroom, two bouncy chair that a three-month-old and an 8-month-old was sitting in, had several stains on the seat covering and was torn at in the back of the chair.”

Rule 8VAC20-780-270-A.

When centers choose to provide meals or snacks, the following shall apply: Centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA) and must have a menu listing foods to be served for meals and snacks during the current one-week period.

“On the day of the inspection, 6/12/25, the menu displayed that the children would only be served four of five of the nutritional requirements for lunch. A vegetable component was missing from the days lunch.”

Rule 8VAC20-780-560-F.

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.

“The Name to Face roster for classrooms #1, #3, #4, and #5 were not updated to reflect the number of children present in each classroom.”

Rule 8VAC20-780-80-A.

8VAC20-780-60-A

“(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information. The record for child # 4, was missing documentation of viewing proof of the child’s identity and age and the child’s first day in attendance.”

Rule 8VAC20-780-60-A.

Based on review of staff records, the center failed to ensure that all staff had current certification in CPR.

“Evidence: 1. Staff #3’s CPR certification expired on 3/31/2024. 2. Administration verified that the CPR certification for staff #3 was expired”

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

Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid.

“Evidence: 1. Staff #3’s first aid certification expired on 3/31/2024. 2. Administration verified that the first aid certification for staff #3 had expired.”

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

Based on a review of 5 children’s records, it was determined that the facility did not ensure that, before attending the center, they obtained documentation of the child’s immunizations.

“Evidence: The record for child #5 contained immunizations documented on 9/14/2023. Child # 5?s date of enrollment was 8/21/2023.”

Rule 8VAC20-780-130-A.

Based on observation the center failed to ensure that restroom sinks are supplied with warm water that does not exceed 120 F.

“Evidence: The sink in the infant classroom had a water temperature of 124.7 F, exceeding 120 F.”

Rule 8VAC20-780-320-B.

Based on observation, the center failed to ensure that staff and children’s hands were washed with soap and running water after a diaper change.

“Evidence: 1. In the infant classroom staff #3 did not wash their hands with soap and running water before or after diapering children. 2. Staff #3 did not wash the child’s hands after diapering. Staff placed the child back on the carpet.”

Rule 8VAC20-780-500-A.

Based on observation, the center did not ensure the diapering surface shall be cleaned and sanitized after each use.

“Evidence: In the infant room, staff #3 was observed changing a child on the diaper table. The staff didn’t clean and sanitize the diaper table after the diaper change.”

Rule 8VAC20-780-500-B.

Based on review of records, the center failed to ensure that each child’s record contained the required information.

“Evidence: 1. The record for child #1, did not contain a physical. Child #1?s enrollment date was 10/2/2023. 2. The record for child #3, did not contain proof if Identity. Child # 3?s enrollment date was 8/16/2021.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“(Repeat violation) Based on review of staff records, the center failed to ensure that all staff had current certification in CPR. Evidence: 1. Staff #2s CPR certification expired on 5/18/2023. 2. Administration verified that the CPR certification was expired.”

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

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff held a current certification in First Aid. Evidence: 1. Staff #2’s first aid certification expired on 5/18/2023. 2. Administration verified that the first aid certification had expired.”

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

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, the center did not ensure that all staff completed a sworn statement prior to the 1st day of employment or service. Evidence: 1. The record for staff #1 contained a sworn statement that was dated 3/29/2023. Staff #1?s date of hire was 2/13/2023.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“(Repeat Violation) Based on review of staff records and interview, the center did not obtain a central registry finding within 30 days of employment or volunteer service for one staff member. Evidence: 1. Staff #1, previously employed with the center was rehired on 2/13/2023. The central registry background check on file was dated 3/30/2021. 2. The administrator stated a central registry search had not been completed within 30 of the rehire date of 2/13/2023.”

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

8VAC20-780-160-A

“(Repeat Violation) Based on record review, the center did not obtain a Tuberculosis (TB) test/screening for all staff within the last 30 calendar days of the date of employment. 1. The record for staff #1, contained a tuberculosis (TB) test dated 2/14/2023. Staff 5?s dated of hire was 2/13/2023. 3. The record for staff #6, did not contain a tuberculosis (TB) test. Staff # 6?s date of hire was 10/9/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, the center failed to keep areas and equipment of the center, inside and outside, maintained in a clean, safe and operable condition. 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. Evidence: 1 of 2 wooden playhouses in the fenced play area outside, has 3 protruding nails that can snag skin or clothes.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In 3?s classroom, there were 2 electrical outlets not covered with protective covers. 2. Staff was aware that outlets were not covered.”

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

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In 3?s classroom, there were 2 electrical outlets not covered with protective covers. 2. Staff was aware that outlets were not covered.”

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

8VAC20-790-600-D-1

“Based on review of five staff files, the facility failed to have documentation of current first aid certification for each staff person. Evidence: 1. Staff #3 have expired First Aid CPR certification. 2. Staff #3?s First Aid CPR documented 10/29/2020.”

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

8VAC20-780-160-C

“Based on review of staff records, the center failed to obtain the results of a follow-up tuberculosis screening every two years after the first initial screening or testing. Evidence: 1. The record for Staff #3 did not contain documentation of an updated TB test or screening. Last documented update was 12/15/2020. 2. Staff verified that the record did not contain documentation of an updated TB test or screening.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-B

“Based on a review of the most recent health inspection, the center did not ensure that annual approval from the health department shall be provided for meeting requirements for water supply, sewage disposal system and food service. Evidence: 1. Documentation of the most recent health inspection is dated 12/31/2022. 2. The director confirmed that the most recent health inspection is expired.”

Rule 8VAC20-780-260-B.

8VAC20-780-320-B

“Based upon measurements and staff interview, the facility has not ensured that each restroom used by the children has sinks with water that does not exceed 120 degrees F. Evidence: 1. Hot water temperature in the bathroom sink located in the infant room used by the children in care registered 129 degrees F. 2 Hot water temperature in the bathroom sink located in the toddler classroom used by the children in care registered at 130 degrees F.”

Rule 8VAC20-780-320-B.

8VAC20-780-550-E

“Based on review of the drill log and interview, the center failed to ensure a minimum of two shelter-in-place practice drills were completed each year. Evidence: 1. There was no documentation of a shelter in place drill. 2. Per the director, there were no shelter-in-place drill conducted during the 2022 year.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-E

“Based on review of the drill log and interview, the center failed to ensure a minimum of two shelter-in-place practice drills were completed each year. Evidence: 1. There was no documentation of a shelter in place drill. 2. Per the director, there were no shelter-in-place drill conducted during the 2022 year.”

Rule 8VAC20-780-550-E.

8VAC20-780-570-E

“Based on observation, the center failed to ensure that all prepared infant formula was labeled with the date. Evidence: I 1. In the infant room there were four bottles with prepared formula that were not labeled with the date. 2. Staff verified that the bottles were not labeled with the date.”

Rule 8VAC20-780-570-E.

8VAC20-770-60-C-2

“Based on review of documentation and interview with staff, it was determined that the center did not have documentation of a central registry background check within 30 days of employment. Evidence: Staff #3, hire date 11/1/2021, did not have documentation of a central registry background check in the record.”

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

8VAC20-780-140-A

“Based upon review of five children’s records, the facility has not ensured that each child’s record includes documentation that a physical examination by a physician has been conducted prior to attending or within 30 days after attending. Evidence: Three of five children’s records, did not include documentation that a physical examination by a physician.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on record review, staff members did not have a tuberculosis (TB) test or screening within 30 days of hire the date of employment. Evidence: 1. The inspector reviewed five records. Three out of five records (#2, employed 6/27/22 and #2 employed 11/1/21, and staff # 3 employed 6/27/2022) did not have a TB test within 21 days of hire. 2. Staff #1 TB test was completed more than 30 days of the date of employment. (Staff #1 DOH 7/26/21.)”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on review of staff records, five staff records were missing documentation of receiving orientation training prior to the staff member working along with children and no later than seven days of the date of assuming job responsibilities. Evidence: 5 staff files did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-70

“Based on review of staff files records, the center failed to obtain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. 5 Staff files records did not contain documentation of two references. 2. Four staff records did not have document qualifications.”

Rule 8VAC20-780-70.