Forest Hill Child Care Center

**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 #2, who had been attending for one month, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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 child #3 was not signed.”

Rule 8VAC20-780-150-B.

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 one month, was missing the following required components: documentation of viewing proof of child’s identity and age.”

Rule 8VAC20-780-60-A.

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

“On July 14, 2026, staff #2 and staff #6 were observed supervising 9 children (youngest child 14 months old) from approximately 3:45pm-4:10pm on the playground. One additional staff was needed.”

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

The required ratio for two year old children is one staff per eight children.

“On July 14, 2026, upon arrival for the inspection, four staff were observed supervising 40 children (youngest child 2 years old) on the playground. One additional staff was needed. During the inspection, this area of the playground was left out of ratio at least one other time when staff were observed going back inside of the building without taking the appropriate number of children to remain in ratio.”

Rule 8VAC20-780-350-B-3. From a complaint.

**Repeat Violation** 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.

“The record for child #4, enrolled for over 6 months, did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

**Repeat Violation** 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 #5 TB was dated 49 days prior to their date of employment.”

Rule 8VAC20-780-160-A.

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

“Staff #5 completed the pre-service training 141 after their date of hire.”

Rule 8VAC20-780-240-A.

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: 1. Current certification in CPR appropriate to the ages of children in care.

“Staff #5 completed their CPR certification 129 days after their date of hire.”

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

All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval: 2. Current certification in first aid appropriate to the ages of children in care.

“Staff #5 completed their first aid certification 129 days after their date of hire.”

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

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

“The sworn statement for Staff #6, who is currently working, was dated one day after their first day of employment.”

Rule 22.1-289.035-B-1.

**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.

“Immunizations for child #2 were dated 3 months after their first date of attendance.”

Rule 8VAC20-780-130-A.

**Repeat Violation** 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.

“The physical examination in the record of child #2, was dated 90 days after the first day of attendance.”

Rule 8VAC20-780-140-A.

**Repeat Violation** 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 #2 TB was dated 48 days prior to their date of employment.”

Rule 8VAC20-780-160-A.

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks.

“On 5/13/2026, a child in the blue room was observed waking up from rest time and being offered snack without washing the child’s hands or using disposable wipes. On 5/13/2026, a child in the orange room was observed finishing snack and immediately beginning to play with toys without washing their hands or using disposable wipes.”

Rule 8VAC20-780-500-A.

The medication authorization for a child shall be available to staff during the entire time it is effective.

“The record for child #8 did not contain a complete medication authorization for one over the counter medication stored for the child on-site.”

Rule 8VAC20-780-510-F.

Children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“On 5/13/2026, children from the toddler classroom (green room) and 2 year old classrooms (orange and purple rooms) were observed eating pretzels from a prepared package for afternoon snack.”

Rule 8VAC20-780-560-F.

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

“Staff #3, who has been actively working at the center for the past 3 months, is missing one completed reference verification in their file.”

Rule 8VAC20-780-70.

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, enrolled for over 3 months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

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 #1, who had been enrolled for over 3 months.”

Rule 8VAC20-780-140-A.

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

“On March 13, 2026, staff were unaware that child #1 (age 4) climbed over the playground fence and entered the roadway which has a posted speed limit of 30 miles per hour. Witness #1 reported seeing the child walking into the road from the second story of the building next to the center. Witness #1 immediately ran from the building, down the stairs, out an emergency exit and into the roadway to rescue Child #1 from oncoming traffic.”

Rule 8VAC20-780-340-A.

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

“On March 13, 2026, child #1 (age 4) was reunited with center staff after witness #1 rescued the child from oncoming traffic on a nearby road. Child #1 was out of sight and sound supervision for approximately 2 minutes and 20 seconds.”

Rule 8VAC20-780-340-F.

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.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #4, who had been employed for three weeks, had a background check completed 11 days after their first date of employment.”

Rule 22.1-289.035-B-2.

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 had no documentation of a complete TB screening.”

Rule 8VAC20-780-160-A.

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

“Staff #3 and staff #4 were observed supervising nine children (ages 3 months to 11 months) in the infant room for approximately 5 minutes until Staff #5 returned from a break. Staff #1 was observed supervising six children (ages 12 months to 18 months) at rest time.”

Rule 8VAC20-780-350-B-1.

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

“Staff #1, who has been employed for one month, did not have any completed reference verifications on file. Staff #4, who has been employed for three weeks, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Applicants for licensure are required to complete a national criminal background check.

“Board officer #1?s record did not contain a completed national criminal background check.”

Rule 22.1-289.036-B-2.

Applicants for licensure must have a completed central registry check.

“Board officers #1, #2 and #3?s records did not contain a completed central registry check.”

Rule 22.1-289.036-B-3.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“The ceiling in room #5 (orange room) was observed to have a large crack in the lefthand corner of the room with part of the ceiling protruding open. In room #2 (blue room), chipped and missing paint was observed on the wall in 3 areas. In outdoor play area A, a window A/C unit was observed to have rusting on one side. In outdoor play area B, an external door with splintered and cracked wood was observed.”

Rule 8VAC20-780-270-A.