Bundle of Joy - Goochland

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 #6, who had been attending for over 1 month, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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

“Child #3, enrolled for over 1 year, had immunization updates that were due over 6 months ago. Child #4, enrolled for 9 months, had immunization updates that were due 3 months ago.”

Rule 8VAC20-780-130-E.

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 #6, who had been enrolled for over 1 month.”

Rule 8VAC20-780-140-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 records for Child #5 and Child #6, both enrolled for over 1 month were missing an emergency contact address.”

Rule 8VAC20-780-60-A.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #9, who has been actively working at the center for approximately 4 weeks, was missing 1 of the 2 references required to be on file.”

Rule 8VAC20-780-70.

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

“The 2026 annual health and safety update course was not completed at the time of the on site inspection for Staff #2 and was approximately 5 months overdue.”

Rule 8VAC20-790-600-F.

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

“On 7/10/2026, Staff #1, left Child #1, age 2, unattended on the outdoor playground for over 4 minutes. A non-staff witness, observed Child #1 alone and unsupervised and notified the center. A center administrator retrieved the child and notified Staff #1 that they had been left outside. Staff #1 was unaware that the child had been missing.”

Rule 8VAC20-780-340-A.

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

“On 7/10/2026, Child #1, age 2, was unsupervised on the outdoor playground for approximately 4 minutes and 13 seconds.”

Rule 8VAC20-780-340-F.

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.

Rule 8VAC20-780-40-E.

Repeat violation

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #8 had a central registry request that was submitted 11 days after the start of employment.”

Rule 22.1-289.035-B-3.

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

“The metal support bar located over the toddler swings had paint that was chipped and peeling.”

Rule 8VAC20-780-270-A.

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

“Child #6 had a diaper cream that expired 4 months ago, Child #7 had a diaper cream that expired 3 months ago, and Child #8 had a diaper cream that expired over 1 year ago.”

Rule 8VAC20-780-520-A.

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

“Staff #1 had a central registry search that was requested two days after the start of employment. Staff #1 did not work with children prior to the request of the background check.”

Rule 22.1-289.035-B-3.

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

“In the preschool classroom, over five bottles of sanitizing solution/sanitizing wipes were in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

Staff are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff #4 had a CPR certification that had been expired for 11 days.”

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

Staff are required to have current certification in first aid appropriate to the ages of children in care.

“Staff #4 had a first aid certification that had been expired for 11 days.”

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

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. Staff #1, employed for more than 2 months, did not have documentation of requesting a central registry check from one state.”

Rule 22.1-289.035-B-4.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. The record shall include 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified.

“Child #1 had a minor injury report that was missing the future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P. From a complaint.

Based on a review of documentation and interview, the center did not ensure that a parent was notified by the end of the day of a minor injury as required.

“Evidence: 1. The record of child #1 (date of attendance: 2/23/2024) contained a minor injury report dated 5/10/2024. Staff interviewed stated that they did not notify the parents of child #1. 2. Administration acknowledged that the parents were not notified within the required time frame.”

Rule 8VAC20-780-550-O. From a complaint.

Based on a review of documentation and interview, the center did not ensure to maintain a written record of children’s minor injuries that included the required information.

Rule 8VAC20-780-550-P. From a complaint.