Blossoms Childcare Center

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

“The repeat TB in the record of Staff #4 was obtained more than a month late.”

Rule 8VAC20-780-160-C.

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“The CPR certification for Staff #5, who works directly with children, expired 22 days ago.”

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

All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“The first aid certification for Staff #5, who works directly with children, expired 22 days ago.”

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

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“The CPR certification in the record of Staff #3, who was observed working directly with children, and has been employed for over two years, expired on 10/28/25.”

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

All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care.

“The first aid certification in the record of Staff #3, who was observed working directly with children, and has been employed for over two years, expired on 10/28/25.”

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

(Repeat Violation) Staff who work directly with children shall complete the department’s health and safety update course annually.

“Staff #1 and Staff #3, who work directly with children, do not have documentation of completing the department’s health and safety update course in 2025.”

Rule 8VAC20-790-600-F.

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

“The TB in the record of Staff #3 was overdue by more than two months.”

Rule 8VAC20-780-160-C.

(Repeat Violation) Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“The record of Staff #3 did not contain documentation that the staff completed annually a minimum of 16 hours of training from August 2024-August 2025.”

Rule 8VAC20-780-245-A.

At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“The CPR certification in the record of Staff #3, who was the staff member assigned to the twos classroom, expired on 10/28/25.”

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

At least one staff in each classroom or area where children are present shall have current certification in first aid as appropriate to the age of the children in care.

“The first aid certification in the record of Staff #3, who was the staff member assigned to the twos classroom, expired on 10/28/25.”

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

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that includes the required documentation.

“The emergency evacuation drills conducted in July, August, September, and October 2025, did not contain the method used for notification of the drill; the number of staff participating; any special conditions simulated; the time it took to complete the drill; or weather conditions.”

Rule 8VAC20-780-550-G.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

“Child records shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of Child #1, who has been enrolled for more than 10 months, did not have the address for the second emergency contact listed.”

Rule 8VAC20-780-60-A.

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

“Staff #3, who works directly with children and has been employed for over three years, does not have documentation of completing the department’s health and safety update course in 2024.”

Rule 8VAC20-790-600-F.

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

“The repeat TB screening in the record of Staff #2 was completed 14 days late.”

Rule 8VAC20-780-160-C.

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

“The record of Staff #3 did not contain documentation that the staff completed annually a minimum of 16 hours of training from April 2024-April 2025.”

Rule 8VAC20-780-245-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Staff #1, Staff #2, Staff #3, and Staff #4, who were present during the inspection on 12/17/24, did not have a current certificate in daily health observation training.”

Rule 8VAC20-780-245-L.

Based on a review of five staff records and interviews, the vendor did not ensure two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: The CPR certification in the records of Staff #4 and Staff #5 expired on 01/22/2024. During interview, a member of management confirmed Staff #4 and Staff #5 do not have current certification in CPR.”

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

Based on a review of five staff records and interviews, the vendor did not ensure two staff had current certification in first aid appropriate to the ages of children in care.

“Evidence: The first aid certification in the records of Staff #4 and Staff #5 expired on 01/22/2024. During interview, a member of management confirmed Staff #4 and Staff #5 do not have current certification in first aid.”

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

Based on a review of five staff records and interviews, the center did not obtain documentation that one staff had a negative tuberculosis (TB) at least every two years from the date of the first initial screening or testing.

“Evidence: The most recent TB screening in the record of Staff #4 was completed on 01/23/24. The previous TB screening was completed on 08/10/21 and should have been repeated no later than 08/10/23. During interview, a member of management acknowledged the TB was not obtained within the required timeframe.”

Rule 8VAC20-780-160-C.

Based on a review of staff records, observations, and interviews, the center did not ensure at least one staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: 1. Staff #4 and Staff #5 were the staff members assigned to the Preschool classroom on 03/04/24. 2. The CPR certification in their records expired on 01/22/2024. 3. During interview, a member of management confirmed the staff members do not have current certification in CPR.”

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

Based on a review of staff records, observations, and interviews, the center did not ensure at least one staff in each classroom or area where children are present had current certification in first aid.

“Evidence: 1. Staff #4 and Staff #5 were the staff members assigned to the Preschool classroom on 03/04/24. 2. The first aid certification in their records expired on 01/22/2024. 3. During interview, a member of management confirmed the staff members do not have current certification in first aid.”

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

Based on a review of five staff records and interview, the vendor did not ensure one staff member who works directly with children completed the department’s health and safety update course annually.

“Evidence: 1) The most recent health and safety update course in the record of Staff #5, employed on 04/12/22, was completed on 11/09/21. The health and safety update course should have been completed no later than 04/12/23. 2) During interview, a member of management confirmed Staff #5 did not complete the training annually as required.”

Rule 8VAC20-790-600-F.

Based on a review of five staff records and interview, the center did not ensure one staff completed annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1) The record of Staff #5, employed on 04/12/22, contained a total of 12 hours of annual training from 04/2022 - 04/2023. 2) During interview, a member of management confirmed the staff member was missing 4 hours of annual training.”

Rule 8VAC20-780-245-A.

Based on a review of staff records and staff interviews, the center did not ensure at least one staff member who meets the qualifications of a program leader or program director shall be regularly present in each grouping of children.

“Evidence: 1) Staff #3, employed on 12/03/2022, was observed supervising six toddler/two year old children during the inspection. Staff #3 was the only staff member supervising this grouping of children. 2) A review of Staff #3’s record showed the staff member does not meet program leader qualifications. 3) During interview, a member of management confirmed Staff #3 is regularly in a grouping of children by herself and verified the staff member does not meet program leader qualifications.”

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not ensure the first aid kit included the required supplies.

“Evidence: 1) The center’s first aid kit did not contain a minimum of two triangular bandages. 2) During interview, a member of management confirmed there were no triangular bandages in the first aid kit or available at the center at the time of the inspection. The required first aid kits shall include a minimum: scissors; tweezers; gauze pads; adhesive tape; band-aids, assorted types; an antiseptic cleansing solution/pads; thermometer; triangular bandages; single use gloves; and the first aid instructional manual.”

Rule 8VAC20-780-540-C.

Based on a review of four staff records and interview, the center did not ensure that two staff members had a central registry finding within 30 days of employment.

“Evidence: 1) The record of Staff #1, employed 07/25/22, did not contain the results of the central registry finding. 2) The record of Staff #4, employed 10/15/21, did not contain the results of the central registry finding. 3) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1 and Staff #4. The records did not contain documentation of any further contact with the Office of Background Investigations, and the staff members had been continuously employed.”

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

Based on a review of five children’s records and interview, the center did not obtain a physical examination for one child before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: 1) The record of Child #4, date of attendance 06/27/22, did not contain documentation of a physical examination by or under the direction of a physician. 2) During interview, management reported the physical examination was obtained, but the documentation could not be located.”

Rule 8VAC20-780-140-A.

Based on a review of four staff records and interview, the center did not ensure one staff completed annually a minimum of 16 hours of training appropriate to the age of children in care.

“Evidence: 1) The record of Staff #3, date of employment 10/15/21, was missing 10 hours of annual training. 2) During interview, management acknowledged Staff #3 only completed 6 hours of annual training between 10/2021 - 10/2022.”

Rule 8VAC20-780-245-A.

Based on a review of documentation and interview, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: 1) Record review on 12/07/22 indicates the most recent fire inspection report was completed on 09/24/2021. 2) During interview, management acknowledged a fire inspection has not taken place since 09/24/2021.”

Rule 8VAC20-780-260-A.

Based on a review of records and interview, the center has not obtained annual approval from the health department for meeting requirements for water supply, sewage disposal system, and food services.

“Evidence: 1) Record reviewed on 12/07/22 indicates the most recent health inspection was completed on 10/01/21. 2) During interview, management acknowledged a health inspection has not taken place since 10/01/21.”

Rule 8VAC20-780-260-B.

Based on a review of three staff records and interviews, the vendor did not ensure one staff member had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The record for Staff #3, hired on 12/08/21, did not contain documentatin that the staff member has current certification in CPR. 2) During interviews, a member of management confirmed Staff #3 does not have current CPR ceritification.”

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

Based on a review of three staff records and interviews, the vendor did not ensure one staff member had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment.

“Evidence: 1) The record for Staff #3, hired on 12/08/21, did not contain documentatin that the staff member has current certification in first aid. 2) During interviews, a member of management confirmed Staff #3 does not have current first aid certification.”

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

Based on a review of three staff records and interviews, the center did not ensure one staff record contained all the required information.

“Evidence: 1) The record for Staff #3, hired on 12/08/21, did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. 2) During interviews, a member of management reported the references for Staff #3 were obtained prior to hire, but documentation was not kept on file as required.”

Rule 8VAC20-780-70.