Small Hands Large Hearts LLC

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. On the outdoor playground area, the wooden barrier were cracked in multiple areas.”

Rule 8VAC20-780-270-A.

8VAC20-780-530-A-1

“At least one staff in each classroom or area where children are present shall have current certification in cardiopulmonary resuscitation (CPR). Staff #2 was alone with a group of three children in the Infant room. Staff #2 did not have current certification in cardiopulmonary resuscitation during the inspection.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“At least one staff in each classroom or area where children are present shall have current certification in first aid. Staff #2 was alone with a group of three children in the Infant room. Staff #2 did not have current certification in first aid during the inspection.”

Rule 8VAC20-780-530-A-2.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list located in the kitchen area was not dated, was not kept confidential, and did not include Child #3, who has documented allergy.”

Rule 8VAC20-780-40-M.

No child shall be allowed to drink or eat while walking around.

“On April 13, 2026, there were three children observed eating and drinking while walking around during breakfast at the center.”

Rule 8VAC20-780-560-M.

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #3, who has been enrolled for one month, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At approximately 9:36 a.m. on April 13, 2026, there were 7 children present in the Room 1, but only 5 were documented on the daily attendance.”

Rule 8VAC20-780-80-A.

The center shall obtain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required.

“Staff#1 and Staff#2 did not have documentation in the file to demonstrate experience required.”

Rule 8VAC20-780-70.

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

“On December 24, 2025, Child#1 (age four years old) left the center without the staff knowledge for approximately 20 minutes. Child#1 traveled approximately 0.2 miles on the roadway before being found by unknown person and transported to local business where child was reunited with caregiver. Staff #1 left Child #1 unattended to take a restroom break. Upon returning, Staff #1 discovered that Child #1?s whereabouts were unknown and that the entrance door was opened.”

Rule 8VAC20-780-340-A.

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

“On December 24, 2025, Child#1 (age four years old) was without actual sight and sound supervision of staff for approximately 20 minutes when the child left the center and was found unaccompanied alongside the roadway approximately 0.2 miles from the center. The child was transported by an unknown person to a local business until local agency representative arrival.”

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.

“The center’s Child Safety and Supervision Policy states that children must always be supervised and that no child shall ever be left alone. On December 24, 2025, the center failed to follow its own policy when Staff #1 left Child #1 unattended to take a restroom break. Upon returning, Staff #1 discovered that Child #1?s whereabouts were unknown and that the entrance door was opened.”

Rule 8VAC20-780-40-E.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of stain remover with warning labels, ?Keep out of reach of children,? was unlocked in the cabinet under the sink in the front bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-380-A

“Centers shall have a posted daily schedule that shows opportunities for outdoor time, sleep/rest, meals/snacks and small/large motor activities. The daily schedule was not posted in the center.”

Rule 8VAC20-780-380-A.

8VAC20-780-440-I

“Cribs shall be placed where cords from blinds or curtains are not within reach of infants or toddlers. Two cribs in the infant room were against a wall with access to blinds and camera cords.”

Rule 8VAC20-780-440-I.

8VAC20-780-550-C

“The center shall post emergency evacuation and shelter-in-place procedures or maps in a location conspicuous to staff and children. Emergency procedures and/or maps were not posted.”

Rule 8VAC20-780-550-C.

8VAC20-780-550-I

“The center shall post the following numbers in a visible place at each telephone: 911 or local number for the police, fire and emergency medical services and the number for the regional poison control center. Emergency phone numbers were not posted.”

Rule 8VAC20-780-550-I.