Primrose School of Twin Hickory

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

“Child #2 was overdue for updated immunizations by more than 3 weeks.”

Rule 8VAC20-780-130-E.

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 #6 had a doctor signature dated 11 weeks after date of hire.”

Rule 8VAC20-780-160-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials.

“The school age playground swing had several exposed tree roots directly under the swing posing a trip hazard and potential for injury.”

Rule 8VAC20-780-330-B.

Complaint Related: No licensed child day center shall hire for compensated employment or continue to employee any person who is the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth.

“The Central Registry check for Staff #1, employed for approximately 16 months, had a disqualifying result upon date of hire. Staff #1 maintained employment until termination on 6/3/2026. Staff #1 was in direct care and supervision of children during employment. Staff #1 was terminated prior to inspection on 8/24/2026.”

Rule 22.1-289.035-A. From a complaint.

Complaint Related: 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. From a complaint.

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

“Evidence notes provided and interviews conducted on 8/24/2026, confirmed Staff #1 on multiple occasions did not ensure appropriate protection and guidance with Child #1. Staff #1 would raise her voice and tone at Child #1 to redirect him. Child #1 would become visibly upset.”

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

Complaint Related: The following acts 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.

“1. Interviews conducted on 8/24/2026 confirmed on 6/10/2026, Staff #1 roughly handled Child #1(3 year old) by aggressive hand over hand physical prompting during process of handwashing. 2. Interviews conducted on 8/24/2026 confirmed on 6/16/2026, Staff #1 flicked Child #3 (3 years old) on the head as punishment and redirection.”

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

Complaint Related: The following acts are forbidden: withholding or forcing of food or rest.

“1. Interviews conducted on 8/24/2026 confirmed on 6/10/2026, Staff #1 withheld seconds of food from Child #1 during lunchtime. 2. Interviews conducted on 8/24/2026 confirmed on 6/11/2026, Staff #1 withheld seconds of snack from Child #1 after multiple requests made.”

Rule 8VAC20-780-410-5. From a complaint.

Complaint Related: The following acts are forbidden: punishment for toileting accidents.

“Interviews conducted on 8/24/2026 confirmed on 6/16/2026, Staff #1 was observed forcing Child #2 to clean up a toileting accident by hand with paper towels sternly stating “clean it up, it was not an accident”.”

Rule 8VAC20-780-410-7. From a complaint.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. S3, who had been employed for one day, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

8VAC20-780-40-J

“The center is required to update the injury prevention procedures at least annually based on documentation of injuries and a review of the activities and services. The review of the injury prevention procedures was not documented.”

Rule 8VAC20-780-40-J.

8VAC20-780-60-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 C10, enrolled for 4 months, was missing a second emergency contact.”

Rule 8VAC20-780-60-A.

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. S4, employed for 14 days, did not have documentation of requesting a central registry check. S5, employed for over 2 months, did not have documentation of requesting a central registry check.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-B

“Staff shall complete orientation training prior to the staff member working alone with children and no later than 7 days of the date of assuming job responsibilities. The file for S10 employed for 15 days did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-240-E

“Staff shall complete within 30 days of the first day of employment an orientation training in first aid and cardiopulmonary resuscitation. The record for S3 and S5 did not document this orientation.”

Rule 8VAC20-780-240-E.

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. The record for S1 documented 12 of the 16 hours of required training for 04/2024 - 04/2025.”

Rule 8VAC20-780-245-A.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The chain link gate entering the Pre-K playground had sharp and exposed wire at the bottom of the gate.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-J

“The center is required to update annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. No documentation was available to show compliance with this requirement.”

Rule 8VAC20-780-40-J.

8VAC20-780-550-P

“Repeat Violation The center shall maintain written records of children’s injuries that contain all of the required information. Injury reports dated 09/29/2025 and 10/28/2025 did not document future actions to prevent recurrence of the injury. Injury reports dated 10/22/0225 and 10/28/2025 did not document the date and time of parental notification.”

Rule 8VAC20-780-550-P.

8VAC20-780-70

“Repeat Violation Each center shall maintain a record for each staff that contains all the required information. The record for S3 did not document a second employment reference. The record for S4 did not contain the name, address, and telephone number of a person to be notified in an emergency.”

Rule 8VAC20-780-70.

The center must request a search of the central registry prior to employment.

“1. The central registry search for staff #5 was requested 2 months after employment. 2. The central registry search for staff #6 was requested 2 weeks after employment.”

Rule 22.1-289.035-B-3.

Repeat Violation The center shall maintain a written record of children’s serious or minor injuries that contain all the required information.

Rule 8VAC20-780-550-P.

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

“Staff #7, who has been actively working at the center for one month, had one reference verification on file. One additional reference is required.”

Rule 8VAC20-780-70.

8VAC20-780-160-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. S2 employed the day of the inspection was observed in the classroom with children and had no documentation of a negative TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious or minor injuries that contain all the required information. The record for a minor injury for C6 dated 10/10/2024 was missing the time of parental notification and future actions to be taken to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-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 C9, enrolled for more than 2 months, was missing the following required component: proof of identify and age.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for S4 and S10, who are currently working, was dated more than 4 months after their first day of employment.”

Rule 22.1-289.035-B-1.

8VAC20-770-60-C-2

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

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for C2 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S4 and S18 who are working with children, completed this course after 90 days of hire. Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. S20, who is working with children, has not yet completed this course which is overdue by 3 months.”

Rule 8VAC20-780-240-A.

8VAC20-780-90-A

“A written agreement between the parent and the center shall include a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease. The agreements for C7, C8, S9, and C10 did not include this statement.”

Rule 8VAC20-780-90-A.