Bundle of Joy - Bell Creek

(Repeat Violation and Systemic Deficiency) The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In classroom 2B a carpet that is used in one of the play areas had multiple stains. The carpets that are attached to a play structure in the toddler I classroom, had multiple stains.”

Rule 8VAC20-780-270-A.

(Repeat Violation) 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 records for child #8, 9, and #10, did not contain parent confirmation that the children’s record was up to date.”

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

Over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“In the toddler I classroom, one diaper cream expired.”

Rule 8VAC20-780-520-A.

The required ratio for children ages 3 years up to school age is one staff per 10 children.

“On July 20, 2026, there were 23 children between the ages of three and four years, were being supervised by two staff from approximately 8:34 am to 8:45 am.”

Rule 8VAC20-780-350-B-4. From a complaint.

(Repeat Violation) The following actions are forbidden: rough handling of a child and verbal remarks which are demeaning to the child.

“Interviews conducted confirmed that Staff #1 was observed roughly handling infants while removing them from their highchairs, and placing them on the floor. Staff #1 was observed rocking infants roughly and using profane language towards them.”

Rule 8VAC20-780-410-1. From a complaint.

22.1-289.011-F

“(Repeat Violation)The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 5/20/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

22.1-289.011-F

“The license and any other documents required shall be posted in a conspicuous place on the licensed premises. The findings from the most recent inspection, dated 4/22/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

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

“A window screen located outside of the school age building, had a large tear that disconnected the screen from the frame.”

Rule 8VAC20-780-270-A.

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

“During the inspection, two staff were observed supervising 10 children (youngest child 6 months old). Staff verified that the classroom was over ratio and had another staff from another classroom to come in and assist.”

Rule 8VAC20-780-350-B-1. From a complaint.

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

“(Repeat Violation and Systemic Deficiency) On 2/23/2026, Staff #1 forcefully pulled Child #1, (age two), by their right wrist and moved them approximately six feet across the floor until the child stood up on both feet. Child #1 was visibly upset and reportedly cried. On the same day, Staff #1 lifted Child #2 (age two) by the upper arms and forcibly placed the child at their eye level, in close proximity to their face.”

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

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

“Staff #1 forcefully moved Child #1 approximately six feet across the floor by their wrist and inappropriately lifted Child #2 to their face to speak to them. A witness stated that child #1 was crying during the interaction.”

Rule 8VAC20-780-400-B. From a complaint.

The following actions or threats thereof are forbidden: roughly handling a child.

“In video footage from 2/23/2026, Staff #1 was seen roughly handling two, two-year-old children. Child #1 was pulled across the floor by a single wrist and Child #2 was lifted off of the ground by their upper arms and held close to the staff member’s face while being spoken to. A witness reported that the incident was inappropriate, and Child #1 was observed crying.”

Rule 8VAC20-780-410-1. From a complaint.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #4 and child #8. Child #4 has been enrolled for 30 days and child #8 has been enrolled for over four months.”

Rule 8VAC20-780-140-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 #3, # 4, #5 and #8, did not contain lead teacher qualifications.”

Rule 8VAC20-780-210-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“There were no staff at the center on the day of the inspection with current daily health observation training.”

Rule 8VAC20-780-245-L.

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

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The mulch located under the swings on the preschool playground, was measuring between 1 ? - 2 inches.”

Rule 8VAC20-780-330-B.

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

“The record for child #6 and child #9, did not have a parent’s signature for an annual review of the child’s record. Child #6 has been in care for over two years and child #9 has been in care for over three years.”

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

Lockdown procedures shall be practiced at least annually.

“There was no documentation that the annual lockdown drill had been completed in 2025.”

Rule 8VAC20-780-550-F.

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #2, #6, and #7, did not complete the annual health and safety update course for the year 2025.”

Rule 8VAC20-790-600-F.

(Repeat Violation and Systemic Deficiency) When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

(Repeat Violation and Systemic Deficiency) Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“Based on video footage reviewed on December 17, 2025, Child #1 (2-year-old) was observed unattended in the school age building out of sight and sound supervision of staff for approximately 4 minutes.”

Rule 8VAC20-780-340-F.

(Repeat Violation and Systemic Deficiency) The center shall ensure their activities and services are maintained in compliance with their own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E.

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

Rule 8VAC20-780-340-A.

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

“On October 24, 2025, at 8:30am Child #1 (3-year-old) was left outside out of sight and sound supervision of staff for approximately 2 minutes.”

Rule 8VAC20-780-340-F.

(Repeat Violation) The center shall ensure their activities and services are maintained in compliance with their own policies and procedures that are required by these standards.

Rule 8VAC20-780-40-E.

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

“On October 8, 2025, at approximately 9:05am, child #1 (20-month-old), was left outside on the playground. Based on video footage reviewed on 10/21/2025, staff # 1 and staff #2 were transitioning the Toddler I classroom from the playground into the classroom when Child #1 was left outside. Child #1 was outside for approximately 3 minutes, before staff #1 and #2 realized the child wasn’t in the classroom. Staff # 2 turned around and child #1 was standing outside of the window looking into the classroom.”

Rule 8VAC20-780-340-A.

(Repeat Violation) The center shall ensure their activities and services are maintained in compliance with their own policies and procedures that are required by these standards.

“The center’s supervision policy requires that children must be supervised by sight and sound at all times. At no time is a teacher to leave a child unsupervised. On October 8, 2025, staff gathered the toddler I class to transition indoors from the playground. Child #1 stood outside of the classroom door for approximately 3 minutes before Staff #2 opened the door to retrieve the child.”

Rule 8VAC20-780-40-E.

Infants shall be fed on demand or in accordance with parental instructions.

“On August 11, 2025, Child #1 (10-month-old) was given a bottle at 6:45am and did not receive a second bottle until 1:03pm. The parental instructions dictated to staff included a bottle feeding approximately every 2-3 ? hours in addition to solid foods and snacks. The infant’s daily schedule shows that the child has a bottle every 2-3 ? hours.”

Rule 8VAC20-780-570-D. From a complaint.

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

“The record for staff #5, did not contain a completed sworn statement. The sworn statement is overdue by 2 months.”

Rule 22.1-289.035-B-1.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #2, who is working with children, has not yet completed this course which is overdue by 2 months. Staff # 6, who is working with children, has not completed this course and is overdue by 10 months,”

Rule 8VAC20-780-240-A.

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

“The provider has no documentation of a fire inspection being completed since 1/29/2024.”

Rule 8VAC20-780-260-A.

Children shall not be allowed to drink or eat while walking around.

“The licensing inspector observed a child walking and drinking a bottle in the Infant III classroom.”

Rule 8VAC20-780-560-M.

(Repeat Violation) Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: documentation of child updates and confirmation of up-to-date information in the child’s record. This is required annually.

“Six out of 10 records reviewed did not have documentation of information update after 2023.”

Rule 8VAC20-780-60-A.

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

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

The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by the standards.

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

Within the first 90 days of employment or subsidy vendor approval all staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff.

“Staff #6 did not complete the Virginia Preservice Training within 90 days of employment. Staff #6 has been employed and working in the classroom for 6 months.”

Rule 8VAC20-790-600-B.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“The record for staff # 6 and staff # 10, did not contain documentation of the departments health and safety update course for 2024.”

Rule 8VAC20-790-600-F.

Based on observation, the center did not ensure handwashing with soap and running water occurred after toileting and any contact with blood feces or urine as required.

“Evidence: 1. In the Toddler 1 classroom, Staff A did not wash their hands or the child’s hands after a diaper change. 2. In the Toddler II classroom, Staff B was observed changing a child’s diaper. After the diaper change, staff did not wash their hands or the child’s hands. Staff B placed the child on the carpet and proceeded to change another child’s diaper.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the center failed to clean and sanitize the diaper changing table as required after each use. Evidence: In the Toddler II classroom, Staff B did not clean or sanitize the changing pad after changing a diaper.”

Rule 8VAC20-780-500-B.

(Repeat violation) Based on review of children records, the center failed to ensure that all required information were in children records.

“Evidence: 1. The record for child #1 did not contain the date or signature of person viewing the proof of identification. Child #1’s date of enrollment was 6/17/2024. 2. The record for child #3 (enrollment date 6/3/24), child #4 (enrollment date 7/1/2024), child # 5 (enrollment dated 7/8/2024) and child # 10 (enrollment date 2/5/2024), did not contain a home phone number of each parent who has custody. 3. The record for child #6, child #7, and child #9, did not contain the first date of attendance.”

Rule 8VAC20-780-60-A.

Based on a review of staff records, the center did not ensure that one staff obtained criminal history records check prior to 1st day of employment.

“Evidence: Staff #7 (date of hire 2/23/2024) did not have a completed Fingerprint Background Check determination letter prior to the 1st day of employment.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to obtain a sworn statement prior to the first day of employment.

“Evidence: The record for staff #8 contained a sworn statement that was completed on 4/12/2024. Staff #8?s employment dated was 4/10/2024.”

Rule 8VAC20-770-60-B.

Based on review of eight staff records, the center failed to obtain the finding from a search of the central registry within 30 days of hire.

“Evidence: The record for staff #9 did not contain a completed central registry background. Staff #9?s hire date was 2/27/2024.”

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

Based on a review of the facility’s injury reports, all required information was not documented.

“Evidence: 1. There were 3 of 5 injury reports for March 2024 that were missing how the parent was notified and when the parent was notified.”

Rule 8VAC20-780-550-P.

Based on a review of ten children records, the center did not maintain complete children’s records for each enrolled child

“Evidence: 1. The record for child #1 (enrollment date 3/8/2024), was missing the parent’s work phone number. 2. The record for child #10, was missing one parent work phone number and the enrollment date.”

Rule 8VAC20-780-60-A.

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

“Staff #10 did not have completed sworn statement during the inspection and has been for four months.”

Rule 22.1-289.035-B-1.

The child care center shall obtain a copy of the results of a search of the central registry for any founded complaint of child abuse or neglect against him.

“Results of a search of the central registry for any founded complaint of child abuse or neglect has not been obtained for staff #6 and staff # 10. Staff # 6 has been employed for six months and staff #10 has been employed for five months.”

Rule 22.1-289.035-B-3.

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.

“A negative tuberculosis screening was not completed for staff #5. Staff #5 has been employed and working in the classroom for two months.”

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.

“Peeling and chipped paint was observed in a window located in the Two’s classroom.”

Rule 8VAC20-780-270-A.