Lakeside Presbyterian Preschool

22.1-289.057-A

“The program is required to submit and implement a plan to test potable water for lead to the Virginia Department of Health (VDH). During September 21, 2026, a member of management stated the water testing needs to be completed.”

Rule 22.1-289.057-A.

8VAC20-780-270-A

“Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Two boards located on the wooden fence perimeter surrounding the playground were broken with sharp edges. Children were observed playing on the playground during the inspection.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation: 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. Two classrooms had cleaning products on shelves that were out of the reach of children. Children were observed in the classrooms during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A-8

“A written care plan is required 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 #7 has a diagnosed food allergy and did not have a written care plan in their file.”

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

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #3’s file only had the original immunization records dated 8/16/2024. No updated immunizations were received, and the child is still in care. Child #7?s file only had the original immunization records dated 7/27/2024. No updated immunizations were received, and the child is still in care.”

Rule 8VAC20-780-130-E.

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

“A bottle of bleach water was stored on a changing table in the infant classroom. A bottle of bleach water was stored on the side of a sink accessible to children in the toddler classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A

“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 #3, enrolled for one year and 10 months, was missing the following required components: a work number for each parent. The record for child #4, enrolled for one week, was missing the a work number for one parent, and proof of identity. The record for child #5, enrolled for one year, was missing the work number for one parent.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for S6 was completed one day after the employee’s first day of employment.”

Rule 22.1-289.035-B-1.

22.1-289.035-B-3

Rule 22.1-289.035-B-3.

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. S3, employed for more than 4 months, did not have documentation of requesting a central registry check or sexual offender check from one state.”

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. A power strip observed in the 3-C room had a power strip on the floor with uncovered outlets.”

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

8VAC20-780-550-P

“Repeat Violation The center shall maintain written records of children’s injuries that contain all of the required information. Injury reports dated 12/ 3,10,11,15, 16,19, 29, 30/2025 did not document the time of parental notification.”

Rule 8VAC20-780-550-P.

8VAC20-780-560-G

“Repeat Violation When food is brought from home the container must be clearly labeled with the child’s name. Multiple thermos bottles were observed in the C-A classroom were not labeled with the children’s names.”

Rule 8VAC20-780-560-G.

8VAC20-780-70

“Each center shall maintain a record for each staff that contains all the required information. The record for S2 did not document a second employment reference.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation. The record for S3 did not contain the certification due by 11/18/2025.”

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

8VAC20-790-600-D-2

“Staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. The record for S3 did not contain the certification due by 11/18/2025.”

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

8VAC20-780-340-A

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

8VAC20-780-340-F

“On 07/01/2025 licensing inspector observed a seven-year-old child leave the playground out of the actual sight and sound supervision of staff and enter the center’s building to use the restroom.”

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

8VAC20-780-40-E

“Complaint Related The licensee shall ensure that the center’s activities are maintained in compliance with their own policies and procedures. The center requires that staff should position themselves in quadrants of the playground to ensure adequate supervision while children are playing and circulate among the children while playing. On 06/30/2025 staff did not position or circulate around the play area used by children when a child went to the street to retrieve a ball that was kicked into the street.”

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

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #3, #4, and #5 have not completed department’s health and safety update course within the last 12 months.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record of Child #3, age 2, did not contain updated immunizations every six months as required.”

Rule 8VAC20-780-130-E.

8VAC20-780-270-C

“Inside areas occupied by children shall be maintained no lower than 68 degrees F. The temperature in nine occupied classrooms and hallways were below 68 degrees. Children and staff were observed wearing coats and gloves. Center administrator acknowledged the classrooms were cold despite the use of space heaters, and reported that the main pump on the boiler system was broken the week before and they are awaiting repair parts.”

Rule 8VAC20-780-270-C. From a complaint.

Based on a review of seven staff records, the center did not ensure one staff obtained a national criminal background check prior to employment.

“The record for S2, did not contain the results of a national criminal background check prior to completing the center’s staff orientation and training on 05/21/2024. The background check was completed 06/06/2024.”

Rule 22.1-289.035-B-2.

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

“The record for C3, under the age of 2, did not contain additional immunizations due within six months of enrollment.”

Rule 8VAC20-780-130-E.

8VAC20-780-240-A

“Based on record review, the provider failed to ensure that staff shall complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: The record for S3 did not contain a certificate of completion of the Virginia Preservice Training within 90 days.”

Rule 8VAC20-780-240-A.

Based on observation, the center did not ensure areas and equipment of the center, inside, were maintained in a clean, safe and operable condition.

“The ceiling tile in the Pink Room showed evidence of water damage. The portable sink in the Orange Room used to wash child and staff hands emitted a strong foul odor. The bathroom on the second floor used by children in the 2-A room had a broken window blind and the metal floor threshold was missing creating a trip hazard. The bathrooms on the third floor used by children in the 3-C and 3-B classrooms had peeling laminate exposing wood particle board on the sink vanities.”

Rule 8VAC20-780-270-A.

Based on review of injury reports, the provider failed to document required information.

“Licensing inspector reviewed injury reports dated July 2024 ? September 2024. Six injury reports for July 2024 and five injury reports in September 2024 did not document future action to prevent recurrence of the injury. Five injury reports in August 2024 and eight injury reports in September 2024 did not document the time when the parents were notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation, the provider failed to ensure food brought from home was clearly dated.

“Licensing inspector observed multiple thermos bottles brought from home in the Pre-K, 3-A, and 3-B classrooms that were not dated.”

Rule 8VAC20-780-560-G.

Based on observation, the provider failed to ensure that infant bottles were dated.

“Multiple infant bottles observed in the refrigerator near the Orange Room were not dated.”

Rule 8VAC20-780-570-E.

Based on a review of seven staff records, the center did not ensure that one record was kept that contained the required information.

“The record of S1 did not document the experience required by the job position. The record of S2 did not document the experience required by the job position and two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

Repeat violation

“Based on a review of seven staff records and interview, the center did not ensure that one staff completed a sworn statement background check prior to employment as required. Evidence: 1. The record of staff # 7 (date of employment: 8/28/2023) contained a sworn statement dated 8/29/2023. 2. Administration acknowledged that the sworn statement was not completed prior to employment.”

Rule 8VAC20-770-60-B.

Based on a review of seven child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required.

“Evidence: 1.The record of child #4 (date of attendance: 8/22/2023) contained an immunization record dated 9/7/2023. 2. Administration acknowledged that the immunization record was reviewed after the first date of attendance.”

Rule 8VAC20-780-130-A.

Based on a review of seven child records and interview, the center did not ensure that two children had a physical examination by or under the direction of a physician: 1. Before the child’s attendance; or 2. Within 30 days after the first day of attendance.

“Evidence: 1. The record of child #6 (date of attendance: 8/21/2023) did not contain a physical record. The record of child #7 (date of attendance: 11/7/2023) did not contain a physical record. 2. Administration acknowledged that they had not received a physical record for the children.”

Rule 8VAC20-780-140-A.

REPEAT VIOLATION Based on a review of seven child records and interview, the center did not ensure that two records contained the required information.

“Evidence: 1. The record of child #3 (date of attendance: 2/5/2024) was missing two emergency contact addresses. The record of child #4 (date of attendance: 8/22/2023) was missing one emergency contact address. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the records were incomplete.”

Rule 8VAC20-780-60-A.

Based on a review of seven staff records and interview, the center did not ensure that one record was kept that contained the required information.

“Evidence: 1. The record of staff #7 (date of employment: 8/28/2023) contained two references dated 8/29/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were obtained after the start of employment.”

Rule 8VAC20-780-70.

8VAC20-780-290-A-3

“Based on observation the center did not ensure electrical outlets had protective covers in areas used by children of preschool age or younger. Evidence: 1. The Pre-K classroom had three uncovered electrical outlets located on an extension cord within the reach of children in care. 2. The 2A classroom had five uncovered electrical outlets located on an extension cord out of the reach of children in care.”

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

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-520-C

“Based on observation and record review, the center did not ensure that used diaper creams had written parent authorizations. Evidence: Two out of five diaper creams did not have parent authorizations in the child’s record.”

Rule 8VAC20-780-520-C.

8VAC20-780-570-A

“Based on observation, the center did not ensure to place children in high chairs with the protective belt fastened securely. Evidence: There were eight infants whose protective belts were not fastened securely while sitting in high chairs during meal time.”

Rule 8VAC20-780-570-A.

8VAC20-780-60-A

“Based on record review, the center did not ensure two of ten children’s records contained documentation of viewing proof of the child’s identity and age. Evidence: The record of child #1 (enrollment date: 3/13/2023) did not have documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on record review, the provider did not ensure 3 of 17 staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (start date: 9/14/22) had documentation of fingerprint based national criminal history search results dated 10/3/2022. 2. The record of staff #7 (start date: 3/28/22) had documentation of fingerprint based national criminal history search results dated 9/28/2022.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

“Based on record review, the provider did not ensure 3 of 17 staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #2 (start date: 9/14/22) had documentation of a completed sworn statement or affirmation dated 11/18/22. 2. The record of staff #5 (start date: 11/15/22) had documentation of a completed sworn statement or affirmation dated 11/18/22. 3. The record of staff #7 (start date: 3/28/22) had documentation of a completed sworn statement or affirmation dated 9/20/22.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure 3 of 17 staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 10/17/22) had documentation of central registry results dated 11/22/22. 2. The record of staff #4 (start date: 10/17/22) had documentation of central registry results dated 11/22/22. 3. The record of staff #7 (start date: 3/28/22) had documentation of central registry results dated 1/2/23.”

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

Based on a review of eight staff records and interview, the center did not ensure three staff obtained a national criminal background check prior to employment.

Rule 22.1-289.035-B-2.

Based on a review of eight staff records and interview, the center did not obtain a completed sworn statement or affirmation for three staff members prior to employment.

“Evidence: 1) The record for Staff #4, employed 08/01/22, contained a completed sworn statement dated 09/10/19. 2) The record for Staff #5, employed 03/28/22, contained a completed sworn statement dated 07/23/19. 3) During interview, Staff #9 reported Staff #4 and Staff #5 did not complete a new sworn statement prior to employment with the current employer. 4) The sworn statement in the record for Staff #8, employed 03/28/22, was not complete. The sworn statement was missing the date it was completed.”

Rule 8VAC20-770-60-B.

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

“Evidence: 1) The following staff records did not have the results of a central registry finding ? Staff #3 (employed 08/26/22); Staff #4 (employed 08/01/22); Staff #6 (employed 04/26/22); Staff #7 (employed 03/28/22); and Staff #8 (employed 03/28/22). 2) During interview, Staff #9 reported the central registry searches were sent, but have not been received to date.”

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

Based on a review of eight children’s records and interview, the center did not obtain documentation that one child had received the immunizations required by the State Board of Health before the child attended the center.

“Evidence: 1) The immunizations in the record for Child #3, date of attendance 05/31/22, were dated 06/27/22. 2) During interview, a member of management confirmed the immunizations for Child #3 were not obtained before the child attended the center.”

Rule 8VAC20-780-130-A.

Based on a review of eight children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1) The immunizations in the record for Child #4 (11 months old), date of attendance 03/28/22, were dated 01/28/22. 2) During interview, a member of management reported there were no additional immunizations in the record for Child #4.”

Rule 8VAC20-780-130-E.

Based on a review of eight staff records, the center did not ensure eight staff submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

Rule 8VAC20-780-160-A.

Based on interview and observation, the center did not 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.

“Evidence: 1) Staff #9 was identified as the Program Director that is on site at least 50% of the center’s hours of operation and was present during the renewal inspection. 2) During interview, Staff #9 reported she did not have the complete education background required to meet director qualifications. Staff #9 reported there are no other staff members that meet director qualifications.”

Rule 8VAC20-780-200-A.

Based on a review of eight staff records and interview, the center did not ensure one staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

“Evidence: 1) The record for Staff #8, employed 03/28/22, did not contain a certificate for the Virginia Department of Education-sponsored orientation course. 2) During interview, Staff #9 confirmed Staff #8 has not completed the required orientation course.”

Rule 8VAC20-780-240-A.

Based on a review of five medications, the center did not ensure the medication authorizations for four medications were available to staff during the entire time they were effective.

“Evidence: 1) On 09/20/22, two medications were observed on site for Child #5, but the authorizations to administer the medications were not on available on site. 2) On 09/21/2022, two medications were observed on site for Child #10, but the authorizations to administer the medications were not on available on site.”

Rule 8VAC20-780-510-F.

Based on a review of eight staff records, the center did not ensure seven staff records contained the required information.

Rule 8VAC20-780-70.

22.1-289.035-B-2

Rule 22.1-289.035-B-2.

Based on record review, the center did not ensure one of 33 staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.

“Evidence: The record of staff #8 (start date: 3/28/2022) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.”

Rule 22.1-289.035-B-4.

8VAC20-770-60-B

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

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

8VAC20-780-140-A

“Based on record review, the center did not ensure one of ten children’s records contained documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #8 (start date: 3/28/2022) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The unlocked staff break room had several cleaners located in unlocked cabinets out of the reach of children in care. 2. The Red Room had several cleaners located in an unlocked cabinet within the reach of children in care. 3. The Pre-K classroom had an unlocked closet with two cleaners located in it.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure that where play equipment is provided, resilient surfacing complied with minimum safety standards described in the American Society for Testing and Materials. Evidence:

“1. Both slides located on the center’s toddler playground did not have enough resilient surfacing throughout the entire fall zone. There must be at least six inches of resilient surfacing throughout the fall zone. The center had about 1 inch of wooden mulch and decomposed mulch/dirt in the fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-60-A

“Based on record review, the center did not ensure two of ten children’s records contained documentation of viewing proof of the child’s identity and age. Evidence: 1. The record of child #3 (start date: 4/4/2022) did not have documentation of viewing proof of the child’s identity and age. 2. The record of child #7 (start date: 3/28/2022) did not have documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review, the center did not ensure one of ten staff records had documentation to demonstrate that the individual possesses the education and training as required by their assigned job position. Evidence: 1. The record of staff #8 (start date: 3/28/2022) did not have documentation showing that the staff member possesses the education and training required by the job position. 2. The record of staff #10 (start date: 3/28/2022) did not have documentation showing that the staff member possesses the education required by the job position.”

Rule 8VAC20-780-70.

8VAC20-770-40-C-1-a

“Based on record review, the center’s applicant did not have documentation of central registry results. Evidence: The record of the applicant did not have documentation of central registry results.”

Rule 8VAC20-770-40-C-1-a.

8VAC20-780-330-B

“Based on observation, it was determined that where playground equipment is provided, resilient surfacing did not comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Evidence: Resilient surfacing under the blue portable slide was not compliant with the requirements in the standards. The center had very little mulch scattered on top of compacted dirt in various places around the slide and on the playground.”

Rule 8VAC20-780-330-B.

8VAC20-780-500-B

“Based on observation, the center did not ensure that the diapering area had a sink with running warm water not to exceed 120?F. Evidence: The Orange Infant room had a sink with hot running water that measured 168?F.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-A

“Based on record review, the center did not ensure that the emergency plan was developed in consultation with local or state authorities. Evidence: The center’s emergency plan was not developed in consultation with local or state authorities.”

Rule 8VAC20-780-550-A.

8VAC20-780-550-B

“Based on record review, the center did not ensure the emergency plan contained all of the procedural components. Evidence: The center’s emergency plan did not contain all of the required procedural components.”

Rule 8VAC20-780-550-B.