Lily Pad at Metro Park

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

“The most recent central registry check for staff #1 was overdue by five months. The most recent national criminal background check for staff #1 was overdue by six months.”

Rule 22.1-289.035-A.

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

“Staff #1?s updated screening was due 7 months ago, and Staff #4?s updated screening was due 6 days ago. At the time of the inspection, the updated screenings had not yet been completed.”

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 #1 obtained four of the 16 required hours in 2025. Staff #3 obtained eight of the 16 required hours in 2025.”

Rule 8VAC20-780-245-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 #2, enrolled for 3 months, was missing a second emergency contact.”

Rule 8VAC20-780-60-A.

Repeat violation

Rule 8VAC20-780-400-B.

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“At the time of the inspection, the findings from the most recent inspection, dated 12/16/2025, were not posted.”

Rule 22.1-289.011-F.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #5, who had been employed for three months, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“At the time of the inspection, the center’s annual fire inspection report was 8 days overdue.”

Rule 8VAC20-780-260-A.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present.

“At the time of the inspection, classrooms #1 and #2, which had children present, did not have an allergy list.”

Rule 8VAC20-780-40-M.

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

Rule 8VAC20-780-340-A.

The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration.

“On Friday, September 26, 2025, video footage from Classroom #1 showed that afternoon snack time lasted approximately 30 minutes. The classroom’s daily schedule stated 15 minutes for snack time. However, the children remained seated at tables without an opportunity to engage in alternative activities after completing their snack.”

Rule 8VAC20-780-360-A.

Repeat violation systemic deficiency

Rule 8VAC20-780-40-E.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: Physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment, enclosure in a small confined space, or any space that the child cannot freely exit.

Rule 8VAC20-780-410-1.

Systemic deficiency

Rule 8VAC20-780-500-A.

Systemic deficiency

“The diapering surface shall be cleaned with soap and at least room temperature water, and sanitized after each use. Individual disposable barriers may be used between each diaper change. On Friday, September 26, 2025, at approximately 2:34 pm in Classroom #1, video footage showed Staff #3 changing the diapers of 10 children without cleaning and disinfecting the diapering surface between each change. A paper roll was observed on the changing table; however, it was not replaced between several diaper changes.”

Rule 8VAC20-780-500-B.

The center shall notify the parent by the end of the day of any known minor injuries.

“On Friday, September 26, 2025, video footage showed Staff #1 grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. The parents of Child #1 were not notified by the end of the day and were contacted on the next day.”

Rule 8VAC20-780-550-O.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“On Friday, September 26, 2025, video footage showed Staff #1 grab Child #1?s left hand with their right hand. Child #1 turned slightly, and Staff #1 pulled Child #1 behind them while walking between two tables. Child #1 fell on the floor and hit the back of their head. An injury report was not completed for Child #1 on the day of the occurrence.”

Rule 8VAC20-780-550-P.

Areas inside and outside the center were not maintained in a safe condition.

“Chipped paint was observed in a classroom. A section of the playground border was loose and missing four nails, creating a tripping hazard.”

Rule 8VAC20-780-270-A.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“The family handbook states that ?unused and/or expired medications will be returned to the family.? Child #6?s medication was on site and expired a month ago.”

Rule 8VAC20-780-40-E.

Repeat violation

“The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #2 is currently working and has a TB screening that was dated 46 days after their first day of employment.”

Rule 8VAC20-780-160-A.

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

“Staff #4 and Staff #5 obtained 2 of the 16 required hours in 2024.”

Rule 8VAC20-780-245-A.

The center shall obtain annual approval from the health department for meeting requirements for water supply and sewage disposal system.

“The center’s environmental sanitation inspection is overdue by 2 months.”

Rule 8VAC20-780-260-B.

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #1 and Staff #2, who did not meet lead teacher qualifications, were alone with a group of preschool children at the time of the inspection.”

Rule 8VAC20-780-340-D.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #1 and Staff #2 were with a group of eighteen, three -to five-year-old children and were not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

Documentation shall be maintained for shelter-in-place drills.

“There was no documentation for one of the two shelter-in-place drills conducted in 2024.”

Rule 8VAC20-780-550-G.

Based on record review and interview, the center did not obtain a sworn statement prior to the 1st day of employment.

“Evidence: 1. Staff #2’s sworn statement is dated 8/23/2024. 2. Staff #2’s employment date is 08/2/2024.”

Rule 22.1-289.035-B-1.

Based on record review and interview, the center did not obtain a criminal history records check prior to 1st day of employment.

“Evidence: 1. Staff #2’s criminal history check results are dated 08/23/2024. 2. Staff #2’s employment date is 08/2/2024.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center did not request the results of a central registry check prior to employment.

“Evidence: 1. Central registry results for Staff #2 were requested on 8/7/2024. 2. Staff #2’s employment date is 08/2/2024.”

Rule 22.1-289.035-B-3.

Repeat violation

“Based on record review and staff interview, the center did not obtain documentation of a negative tuberculosis screening (TB) at the time of employment. Evidence: 1. Staff #2’s tb test is dated 08/20/2024. 2. Staff #2 employment date is 08/2/2024.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center did not have at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was no documentation to verify that any of the staff on duty during the inspection had current daily health observation training.”

Rule 8VAC20-780-245-L.

Repeat violation

“Based on record review and staff interview, 1 of 5 staff files indicated that the center failed to obtain an out-of-state child abuse and neglect search request by the end of the 30th day of employment. Evidence: 1. The record of Staff #1 (hired 08/28/2023) did not contain documentation of out-of-state central registry results. 2. Staff #1 indicated living in another state other than Virginia within the last five years on their sworn disclosure statement dated 08/28/2023.”

Rule 22.1-289.035-B-4.

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

“Evidence: In the Ducklings Classroom, a spray bottle of Lysol, Febreze, and alcohol isopropyl was stored on a shelf across from the blue napping cots.”

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, electrical outlets did not have protective covers.

“Evidence: 1. In the Ducklings classroom, there was a surge protector with 3 out of 4 outlets uncovered. 2. There was a surge protector with 4 out of 5 outlets uncovered behind the front desk.”

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

Based on record review and staff interview, the center failed to ensure all staff records had all the required documentation.

“Evidence: There was no documentation of proof of education for Staff #2.”

Rule 8VAC20-780-70.

Based on record review and interview, 1 of 5 staff files indicated that the facility did not obtain the results of a central registry check by the end of the 30th day of employment.

“Evidence: 1. There was no documentation of central registry results for staff #5. 2. The start date for Staff #5 was listed as 02/21/2023.”

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

Based on record review and interview, 1 of 5 staff files indicated that the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment and prior to coming into contact with children.

“Evidence: 1. The TB documentation on file for staff #4 was dated 06/25/2018 and 03/28/2019. 2. The start date for Staff #1 is 07/24/2023”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center failed to obtain the results of an out-of-state central registry check for all states employees have resided in within the previous five years.

“Evidence: Staff #1 (DOH: 4/12/2023) record did not contain a central registry check results from a state they have listed as residing in within the previous five years.”

Rule 22.1-289.035-B-4.

Based on a record review and interview, one of five staff records did not contain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record for staff #1 (DOH: 4/12/2023) did not contain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.”

Rule 8VAC20-780-160-A.

Based on record review and interview, the center did not meet all requirements for diaper ointment or cream.

“Evidence: There were no written authorization forms for two of the three diaper creams reviewed.”

Rule 8VAC20-780-520-C.

Based on observation, areas of the center, outside, were not maintained in a clean, safe, and operable condition.

“Evidence: 1. There was a separation in the seam of the resilient surfacing due to a tree root, causing a tripping hazard on the playground. 2. Near the burgundy and tan playhouse, the mulch edging used to keep mulch inside the playground was split, exposing a nail, and causing a tripping hazard.”

Rule 8VAC20-780-270-A.

Based on review of five children’s records, the center did not maintain complete children’s records.

“Evidence: There was no documentation of the names, addresses, and phone numbers of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.