Happy Hearts Childcare Development Center, LLC

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff #1, employed for approximately 8 months, did not have a TB screening.”

Rule 8VAC20-780-160-A.

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

“On the playground, over 5 areas of torn landscaping plastic were protruding from the mulch surface which posed a tripping hazard. The platform of a slide structure was cracked in several areas. Metal play pans that were secured to the fence had areas of rust and sharp points.”

Rule 8VAC20-780-270-A.

For each infant, the center shall post a daily record which can be easily accessed by both the parent and the staff working with the child. The record shall contain the required information.

“Staff and administration acknowledged that they had recently discontinued the use of infant daily sheets and that the information had not been documented.”

Rule 8VAC20-780-420-E-1.

Infant walkers shall not be used.

“Two infant walkers were observed in the infant/toddler classroom. Staff acknowledged that the children had used the walkers.”

Rule 8VAC20-780-430-L.

Tables and high chair trays shall be sanitized before and after each use for feeding.

“In interview, staff reported that they use sanitizing wipes to sanitize the tables before and after meals and snacks. Sanitizing wipes do not meet the requirements because the areas are not sprayed or dipped and allowed to air dry.”

Rule 8VAC20-780-560-J.

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 center did not have their daily attendance documented in a way to show which children were present in each group/classroom.”

Rule 8VAC20-780-80-A.

All staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #1, employed for approximately 8 months, did not have a current CPR certification. The vendor acknowledged that the staff member was not CPR certified.”

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

All staff who work directly with children shall have within 90 days of the date of employment, current certification in first aid appropriate to the ages of children in care.

“Staff #1, employed for approximately 8 months, did not have a current first aid certification. The vendor acknowledged that the staff member was not first aid certified.”

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

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

“Child #4, enrolled for 1 year and 2 months, did not have documentation of the additional immunizations required every six months for children under the age of two years.”

Rule 8VAC20-780-130-E.

Staff shall complete the departments health and safety update course annually.

“Staff #5 did not have documentation of completing the annual health and safety update course for 2025.”

Rule 8VAC20-790-600-F.

A menu listing foods to be served for meals and snacks during the current one-week period shall: list any substituted food.

“1. The menu posted for 7/10/2025 listed lasagna, wheat bread, peas, and applesauce. The menu was not updated with the substituted foods served on 7/10/2025: french toast, sausage, and mixed Jello fruit. 2. The Director stated that the food served on 7/10/2025 was not changed on the menu and was not communicated to families of children enrolled.”

Rule 8VAC20-780-560-F.

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

“1. The sworn statement for staff #4 was dated five days after their first day of employment. 2. The sworn statement for staff #5 was dated 20 days after their first day of employment.”

Rule 22.1-289.035-B-1.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“The national criminal background check for staff #5 was dated 16 days after the first day of employment.”

Rule 22.1-289.035-B-2.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“The screening for staff #5 was completed 19 days after hire.”

Rule 8VAC20-780-160-A.

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

“1. Boys bathroom had a broken toilet paper holder in stall #1 and stall #2. 2. Girls bathroom had one broken toilet paper holder in stall #3. 3. Infant room had peeling and chipping paint on wall with parts of the drywall exposed. Infant bathroom had broken toilet paper holder and broken door knob. When inspector tried to close the bathroom door, the door handle came off.”

Rule 8VAC20-780-270-A.

Based on observation and interviews, the center did not ensure that for each infant, the center shall post a daily record which can be easily accessed by both parent and the staff working with the child that contains all of the elements required by the standard.

“Evidence: In the infant room, a daily record was not observed for each infant in attendance. The director acknowledged that there was not a daily record for each infant in care on the day of the inspection.”

Rule 8VAC20-780-420-E-1.

Based on observation and interview, the center did not ensure that diaper creams were stored in an area that was inaccessible to children.

“Evidence: In the infant room, five diaper ointments were observed. Two tubes of Aquaphor ointment and one tube of Destin diaper rash cream were not labeled with child’s name. The five diaper ointments did not have a written parent authorization noting any known adverse reactions. The director acknowledged that the diaper ointments did not have written authorizations or a record that identified date of use, frequency of application and any adverse reactions.”

Rule 8VAC20-780-520-C.

Based on record review, the center did not ensure that each staff record contains all required information.

“Evidence: The records for staff #1 (employed: 1/08/24), staff #3 (employed: 6/20/24), staff #4 (employed: 7.22.24), and staff #5 (employed: 2/13/2024) did not contain documentation of two or more references before employment.”

Rule 8VAC20-780-70.

Based on record review, the center failed to ensure that program leaders shall meet all the required qualifications.

“Evidence: 1. The record for staff #2, staff #5, staff #6, staff #7, staff #8 did not have documentation to demonstrate how the staff meets program leader qualifications. 2. A member of management confirmed that staff #2, staff #5, staff #6, staff #7, staff #8 did not have documentation on file to demonstrate program leader qualifications”

Rule 8VAC20-780-210-A.

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

“Evidence: On the playground, the ladder to the jungle gym had a bolt missing from the top right side of the ladder. The ladder was able to move and was not secure. The jungle gym moved back and forth when children were swinging on it. One side of the jungle gym had a piece of the frame no longer attached to the jungle gym.”

Rule 8VAC20-780-270-A.

Based on observation and measurements, the center did not ensure that resilient surfacing shall comply with minimum safety standards when tested.

“Evidence: Four out of four mulch depth samples taken on the playground around the fall zones of the jungle gym and swings measured less than the required six inches.”

Rule 8VAC20-780-330-B.

Based on record review, the center did not ensure to obtain central registry results for each staff that were not dated more than 90 days prior to the start of employment.

“Evidence: 1. The record of staff #5 (employed: 01/20/2023) contained central registry findings dated 10/19/2022.”

Rule 8VAC20-770-40-D-6.

Based on a review of staff records, the center did not ensure that each staff record contains all required information.

“Evidence: The records for staff #1 (employed: 03/13/23), staff #2 (employed: 01/30/23), staff #4 (employed: 03/20/23), and staff #5 (employed: 01/20/23) did not contain documentation of two or more references before employment.”

Rule 8VAC20-770-70-A.

Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for child #2 (enrolled: 01/30/23), documentation of immunizations was not received until 03/27/23.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #3 (enrolled: 03/01/23) and child #5 (enrolled: 03/01/23), did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure all hazardous substances such as cleaning materials insecticides and pesticides, were kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on observation and interviews, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: 1. Staff #1 was observed standing in-between room #1 and room #2. Room #1 and room #2 are approximately 15 feet across from each other. Room #1 did not have lights on and there were no windows for natural light. Staff #1 did not have actual sight supervision of the 4 two year old children in room #1 and the 6 three year old children in room #2. 2. Staff #3 stated that staff #1 was standing in between the classrooms while staff #3 answered the center door.”

Rule 8VAC20-780-340-F.

Based on observation and interview, the center did not ensure the maximum group size limitations were followed when children were in care.

“Evidence: 1. In room #3, there were a total of 13 children observed as one group during the inspection. The maximum group size limitation for children ages birth-16 months is 12. At approximately 12:50 PM a total of 13 children were being supervised by three staff members. 2. Staff #3 stated that one of the children naps in room #2 however staff #3 did not want to leave that child alone in room #2 when she answered the center door.”

Rule 8VAC20-780-350-A.

Based on observation and interview, the center did not ensure that all medications shall be kept in a locked place, using a safe locking method that prevents access by children.

“Evidence: 1. One epinephrine injection (EPIPEN), was in an unlocked upper kitchen cabinet. 2. The director acknowledged that the EPIPEN was in an unlocked cabinet.”

Rule 8VAC20-780-510-L.

Based on observation, the licensee did not ensure the prepared infant formula shall be refrigerated, dated, and labeled with the child’s name.

“Evidence: In room #3, there were two bottles sitting on a table that were not dated or labeled with the child’s name. In room #4, a baby bottle was observed in the refrigerator with an orange substance. The bottle was not dated and labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Based on observation and an interview, the center failed to ensure that there is an in-service telephone.

“Evidence: 1. The inspector requested the location of an in-service, nonpay telephone. There was not a working in-service, nonpay telephone during the initial inspection. 2. The provider stated that the phone service was being connected the following day.”

Rule 8VAC20-780-270-F.

Based on observation and interview, the first aid kit did contain the minimum required supplies.

“Evidence: 1. The first aid kit did not include two triangular bandages. 2. The director stated that the two triangular bandages were not in the first aid kit.”

Rule 8VAC20-780-540-C.

Based on observation and interview, the center did not post a 911 or local dial number for police, fire, and emergency medical services, and the number of the regional poison control center in a visible place at each telephone.

“Evidence: 1. There were no emergency numbers posted at the center. 2, The owner stated the emergency numbers were not posted at this time.”

Rule 8VAC20-780-550-I.