Heaven Sent Child Care

(Repeat Violation) The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #1, Child #2, and Child #3 who have been attending for 3 weeks, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

The operational responsibilities of the licensee shall include ensuring compliance with the terms of the current license issued by the department.

“The center’s license is for ages 1 year and 4 months through 12 years 11 months. There was 1 child in care who was under the age of 1 year and 4 months through 12 years and 11months at the time of the inspection.”

Rule 8VAC20-780-40-E.

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

Rule 8VAC20-780-60-A.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #5, who had been attending for two months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet the qualifications of six months experience and 24 hours of training within the six months before being promoted or beginning work or one month after being promoted.

“The record for staff #2 and #3, did not contain documentation of lead teacher qualifications.”

Rule 8VAC20-780-210-A.

Based on observations, the center failed to ensure that 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.

“In the two’s classroom, there was a aerosol container of Febreze, and two bottles of hand sanitizer stored in a cubby accessible to children.”

Rule 8VAC20-780-280-B.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“The information in the record of child #1, child #2 and child #3 had not been updated in over 12 months.”

Rule 8VAC20-780-420-E-3.

Toilet chairs shall be emptied promptly and cleaned and sanitized after each use.

“In the restroom located in the Two’s classroom, a child’s toilet chair was observed with a yellow substance in the bowl.”

Rule 8VAC20-780-500-C.

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

“Staff #1, staff #2, and staff #3, has not completed the 3-hour subsidy health and safety update course for 2025.”

Rule 8VAC20-790-600-F.

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

“Staff #1 updated screening was due 3 months ago. The updated screenings have 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.

“The record for staff #1 and staff #3, did not contain 16 hours of annual training. Staff #2?s record contained 8 of the 16 hours of training.”

Rule 8VAC20-780-245-A.

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

“The provider has no documentation of a fire inspection being completed since 2023.”

Rule 8VAC20-780-260-A.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of Child #1 and child #5 had not been updated in over five months. The information in the record of Child # 2 and Child # 3, had not been updated in over four months. The information in the record of Child #4, had not been updated in over nine months.”

Rule 8VAC20-780-420-E-3.

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

“Child #6 and Child # 7 were present but did not have a record that contained all of the required information. Child # 6 and Child # 7 have been enrolled for more than 30 days.”

Rule 8VAC20-780-60-A.

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 is currently working and has a TB screening that was dated 3 months after their first day of employment, and Staff #2 TB was dated four months prior to date of employment and has been employed for over a year.”

Rule 8VAC20-780-160-A.

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

“The last documented fire inspection was conducted 9/11/2023.”

Rule 8VAC20-780-260-A.

The sponsor shall maintain public liability insurance for bodily injury for each center site with a minimum limit of at least $500,000.

“The liability insurance provided at the center expired May 20, 2025.”

Rule 8VAC20-780-40-H.

The center shall implement a monthly practice evacuation drill.

“The last documented emergency evacuation drill was documented on 4/30/2025. There was no documentation of a practiced evacuation drill for May 2025.”

Rule 8VAC20-780-550-D.

Based on observation, the center did not ensure 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.

“Evidence: 1. In the toddler room, there was a bottle of Lysol multipurpose cleaner and All-purpose cleaner stored on a table accessible to children. 2. In the school age bathroom there was a bottle of Bleach, Lysol Toilet cleaner, and Awesome Cleaner stored under the sink in an unlocked cabinet.”

Rule 8VAC20-780-280-B.

Based on observation and staff interview, the center did not ensure that the staff to children ratio of 1 staff to 5 children is not maintained in the 16 months- 24 months classroom.

“Evidence: 1. At 10:40 am the inspector observed 1 staff with 8 children, the youngest child was 17 months. 2. Staff acknowledged they usually have 9 children in the classroom but 1 was absent today and they were short staff today.”

Rule 8VAC20-780-350-B-2.

Based on a review of five child records, the center did not ensure that 2 child records were complete.

“Evidence: 1. The record for child #2, did not contain documentation of the child’s enrollment date, and the address for 1 of 2 emergency contacts. 2. The record for child #3, did not contain documentation of the child’s enrollment date, and the address for 1 of 2 emergency contacts.”

Rule 8VAC20-780-60-A.

Based on review of three staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children that had been completed within the last 30 days prior to employment for staff records.

“Evidence: 1. 1. The record of staff #1, (hire date 10/2/2022), had documentation of a negative tuberculosis screening dated 10/13/2022, exceeding the date of employment.”

Rule 8VAC20-780-160-A.

22.1-289.058

“Based on observation and interview, the center did not ensure the center was equipped with at least one carbon monoxide detector. Evidence: The center did not have a carbon monoxide detector. The administration stated they had not installed a carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-780-270-A

“Based on observation, the center did not maintain areas of the building in a clean, safe and operable condition. Evidence: 1. In the napping area near the back door, there were 5 blue cots stacked that were torn along the sides. 2. Staff was aware that the cots were torn.”

Rule 8VAC20-780-270-A.

8VAC20-780-560-F

“Based on observation and interview it was determined the center did not post the current one week menu in a location conspicuous to parents. Evidence: 1. The center did not have a menu was posted. 2. Staff confirmed the menu was not posted during this inspection.”

Rule 8VAC20-780-560-F.

Based on a review of staff records interview with staff, the center did not ensure that documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.

“Evidence: The record for staff # 4 (date of hire 10/2/2023), did not contain documentation of 2 references.”

Rule 8VAC20-780-70.