In Loving Hands Child Care Center

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The center had peeling paint, buckled vinyl flooring, and visible grime throughout. There were two child sized couches with worn vinyl covering, a twist tie, ink pens, and other items next to the changing pad on the changing table, and a cord was also dangling from the clock on the wall to the floor in the childcare rooms.”

Rule 8VAC20-780-270-A.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“There were three prepared bottles in the infant room with no date on them.”

Rule 8VAC20-780-570-E.

The staff records for each person should contain all of the required documentation.

“The record for staff #5 did not contain the two required references.”

Rule 8VAC20-780-70.

Repeat violation

“Hazardous substances must be in a locked place that prevents access by children. In the hallway to the two year old classroom, there were five cleaning solution/sanitizing solution in an unlocked closet, out of reach of children.”

Rule 8VAC20-780-280-B.

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

“The two staff members for the two and three year old classrooms left to get lunch, leaving the 11 children in the classrooms unattended.”

Rule 8VAC20-780-340-A.

Repeat violation

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Two classrooms of children were unsupervised for approximately 20 minutes during this inspection. In the 3 year old classroom there were 5 children napping with no staff supervising them. In the 2 year old classroom there were 6 children with no staff supervising them. Both staff members left the building to go on “break”.”

Rule 8VAC20-780-340-F.

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

“The most recent criminal history check for staff #2 was overdue by over two years.”

Rule 22.1-289.035-A.

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

“Child #5, almost three year old, was in a crib through out this inspection. Child #5 previously broke the bottom out of a crib identical to the one they were in during this inspection. The crib occupied by child #4, a seven month old, had a broken mattress board. The mattress was folding in around the perimeter due to the mattress board being broken. Staff stated that the mattress board had been previously broken by child #5. These cribs were unsafe for child #4 and #5 to be in.”

Rule 8VAC20-780-340-A.

The center shall inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“Child #1, in care during inspection and enrolled for two weeks, has a diagnosed allergy to peanuts and milk. Staff stated that they did not have any children enrolled with food allergies and were unaware of child #1’s allergies.”

Rule 8VAC20-780-40-L.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“There was no allergy list on site, child #1 has peanut and milk allergies.”

Rule 8VAC20-780-40-M.

Furnishings, equipment, and materials shall be of an appropriate size for the child using it.

“The crib being utilized by child #5, an almost three year old child, was not appropriate to be used by this child.”

Rule 8VAC20-780-430-A.

Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

“In the two to three year old room there were seven children on cots, five did not have bottom covers, and all seven did not have top covers.”

Rule 8VAC20-780-450-A.

The record for each child enrolled 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.

“Child #1, in care during inspection and enrolled for two weeks, has a diagnosed allergy to peanuts and milk. There was no written care plan available.”

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

Staff records shall contain documentation to demonstrate the individual has the orientation required for their position.

“There was no record of orientation for staff #1, who has been working for four years.”

Rule 8VAC20-780-70.

Each staff person shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #5 did not have current CPR certification, it was overdue by one year and four months.”

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

Each staff person shall have current certification in first aid appropriate to the ages of children in care.

“Staff #5 did not have current first aid certification, it was overdue by one year and four months.”

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

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

“The most recent criminal history check for staff #2 was overdue by a year and seven months.”

Rule 22.1-289.035-A.

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

“There was no immunization updated for child #1, it was overdue by 2 years and 4 months.”

Rule 8VAC20-780-130-E.

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

“Staff #5’s updated screening was due 1 year and 4 months ago.”

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, #3, and #5 did not have the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

Hazardous substances must be in a locked place that prevents access by children.

“In the hallway to the two year old classroom, there were five cleaning solution/sanitizing solution in an unlocked closet, out of reach of children.”

Rule 8VAC20-780-280-B.

Each restroom area for children shall have soap, toilet paper, and disposable towels within reach of children.

“In the 4 year old classroom restroom there was no soap or paper towels.”

Rule 8VAC20-780-320-B.

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

“During the inspection, two to five year old children were unsupervised on four separate occasions. 4 two year old children children were unsupervised for approximately three minutes each on two occasions and 8 3-5 year old children were unsupervised for approximately five minutes.”

Rule 8VAC20-780-340-F.

The required ratio for birth up to 16 months is one staff per four children.

“Staff #1 was alone supervising the five children in the infant room at the time of this inspectors arrival.”

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

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, enrolled for three years, was missing the following required components: the city and state for the 2 required emergency contacts. The record for Child #3, was missing the following required components: 1 of the two2 required emergency contacts, first date of attendance, and proof of age and identification. The record for Child #4, was missing the following required components: the city for 1 of the 2 required emergency contacts, and first date of attendance.”

Rule 8VAC20-780-60-A.

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.

“At approximately 1:05 pm on 4/3/25, there were 17 children present in the center, but only 10 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“Based on record review and interview, the vendor did not ensure that all had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #1 (hired 5/13/24) did not contain documentation of CPR certification. 2. Staff confirmed that staff #1 did not have CPR certification.”

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

8VAC20-790-600-D-2

“Based on record review and interview, the vendor did not ensure that all staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #1 (hired 5/13/24) did not contain documentation of first aid certification. 2. The staff confirmed that staff #1 did not have first aid certification.”

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

8VAC20-780-270-A

“Based on observation and interview it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The soap dispenser in the after school room was broken and non operational. 2. There was a visible build up of grime on areas of the walls and doors of the center.”

Rule 8VAC20-780-270-A.

8VAC20-780-70

“Based on record review and interview it was determined the center did not ensure each staff record contained all the required information. Evidence: 1. The staff record for staff #1(hired 5/13/24), did not contain documentation to demonstrate that the individual possesses the orientation required for staff. 2. The record for staff #1(hired 5/13/24) did not contain documentation of the required results of the two references being checked prior to employment. 3. Staff confirmed that this documentation was not available during this inspection.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“Based on record review and interview it was determined the center did not ensure there was a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance sheet had 8 children signed in but 12 were in care at the time of the inspection. 2. Staff confirmed that 5 of the children had not been signed in.”

Rule 8VAC20-780-80-A.

8VAC20-780-130-A

“Based on record review and interview it was determined 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: 1. The record for child #6, did not contain documentation of immunizations. 2. Staff confirmed this documentation was not available during this inspection.”

Rule 8VAC20-780-130-A. From a complaint.

8VAC20-780-130-F

“Based on record review and interview it was determined the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The records for child #2 #3 did not contain documentation of updated immunizations every 6 months until the child is 2 years of age. 2. Staff confirmed this updated immunization documentation was not available during this inspection.”

Rule 8VAC20-780-130-F. From a complaint.

8VAC20-780-340-F

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

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-440-L

“Based on observation and interview it was determined the center did not ensure that pillows and filled blankets were not used by children under two years of age. Evidence: 1. There was an infant in a crib laying on a boppy type pad with a filled bumper around the edges. 2. Several of the infants in cribs had fluffy blankets in the crib with them.”

Rule 8VAC20-780-440-L.

8VAC20-780-450-A

“Based on observation an interview it was determined the center did not ensure that children other than infants during the designated rest period had linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. Evidence: 1. There were 6 children without bottom covers observed napping during this inspection. 2. Staff confirmed that there were not bottom covers available during this inspection.”

Rule 8VAC20-780-450-A.

8VAC20-780-570-B

“Based on observation and interview it was determined the center did not ensure that bottles were not used by infants in their designated sleeping locations. Evidence: 1. There were two bottles in cribs with infants during this inspection. 2. Staff confirmed the bottles were in the cribs.”

Rule 8VAC20-780-570-B.

8VAC20-780-550-F

“Based on record review and interview it was determined the center did not ensure that lockdown procedures were practiced at least annually. Evidence: 1. There was no record of lockdown drills. 2. Staff confirmed a lockdown drill has not been conducted.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Based on record review it was determined the center did not ensure that the record for each child contained all of the required information. Evidence: 1. The record for child #2 did not contain complete addresses for the two required emergency contacts. 2. Director confirmed that child #2 was in care and this information was not available during this inspection.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review an interview it was determined the center did not ensure each child’s record contained all of the required information. Evidence: 1. The records for staff #1, #2, #3, and #5 did not contain documentation of orientation. 2. Director confirmed that staff #1, #2, #3, and #5 were working and this information was not available during this inspection.”

Rule 8VAC20-780-70.

8VAC20-780-160-C

“Based on record review and interview it was determined the center did not ensure that all staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the first initial screening or testing. Evidence: 1. The record for staff #3 did not contain documentation of an updated TB screening. The documentation available was dated 6/5/20. 2. Staff confirmed updated documentation was not available during this inspection.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-A

“Based on record review it was determined the center did not ensure that staff complete the annual minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. Staff #1 had 1 hour of training documented for the 2021 year. 2. Staff #3 had 12 hours of training documented for the 2021 year. 3. Staff #4 had 15 hours of training documented for the 2021 year.”

Rule 8VAC20-780-245-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure all areas and equipment of the center, inside and outside, were be maintained in a safe. Evidence: 1. There were 5 medium sized googly eyes on the floor in the 2 year old classroom presenting potential choking hazards. 2. Staff confirmed that there were googly eyes on the floor during the inspection.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“Based on observation it was determined that the center did not ensure that all electrical outlets have protective covers in areas with preschool children. Evidence: 1. There were two uncapped electrical outlets in rooms utilized by preschool aged children. 2. Staff confirmed these outlets were uncapped during this inspection.”

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

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There were gloves on a shelf in bathroom connected to the preschool room accessible to the children in care. 2. There was a bolt protruding from the bookshelf in the school age room.”

Rule 8VAC20-780-270-A.

8VAC20-780-270-A

“Based on observation it was determined that the center did not ensure that all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The kitchen set in the classroom in the afterschool room was not anchored and presented a potential crush/fall hazard. 2. There were loose staples on the floor in the game room which presented a potential choking hazard.”

Rule 8VAC20-780-270-A.