Toddler Town, Inc.

Acceptable forms of documentation of tuberculosis screening include language that the individual does not have any current symptoms of active tuberculosis, does not have either a risk factor for acquiring tuberculosis infection or a risk factor for progression to active tuberculosis disease.

“Staff #1 submitted a TB screening form signed by a physician’s designee; however, the form was incomplete and lacked documented results.”

Rule 8VAC20-780-160-B.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment.

“In Classroom #1, located near the children’s sink area, chipped plaster/drywall was visible along the wall. In Classroom #2 ,an access panel above the cubby storage area, had broken and crumbling plaster/drywall with peeling paint and deteriorated edges. On the preschool playground, eight blue bicycles displayed visible rust on various metal parts. On the school age playground, the play structure has damaged rubber non slip surfacing that is cracked, split, and peeling, exposing underlying metal. The exposed metal shows significant rust and corrosion.”

Rule 8VAC20-780-270-A.

Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children.

“In Classroom #1, an electrical outlet positioned between the two restrooms located inside the classroom was observed without a protective cover. This location is directly accessible to preschool age children who regularly use both the classroom and the adjoining restrooms.”

Rule 8VAC20-780-290-3.

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall.

“On the preschool playground, the mulch in the fall zones of the slide equipment measured 2 inches. The required resilient surfacing for the equipment is six inches.”

Rule 8VAC20-780-330-B.

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

“In Classroom #3, 10 toddlers (ages 16 months up to 23 months), were seated at a kidney-shaped toddler table in bucket style feeding chairs. The bucket chairs had the seat belts removed. The provider did not follow manufacturer’s instructions that states to “use seat belts” for added safety. Staff verified that the seat belts had been removed from the bucket chairs.”

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that there is a system to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children.

Rule 8VAC20-780-340-F.

The center’s procedures for administering medication shall include methods to prevent use of outdated medication.

“Upon review of the center’s medication policy, it was identified that the policy does not include procedures to ensure outdated medication is not used or retained onsite.”

Rule 8VAC20-780-510-E.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center.

“The parent’s written authorization for Child #1 expired 16 days ago and the medication remained on the premises. An updated authorization had not been requested nor obtained. Child #2 had a prescribed medication that expired 59 days ago. Parent was not informed to pick up the medication nor was it properly disposed of by the center.”

Rule 8VAC20-780-510-P.

When food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“In classroom #5, an opened container of baby food was observed in a storage tray labeled with a child’s name, but there was no date indicating when it was opened or placed in the refrigerator.”

Rule 8VAC20-780-560-G.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“In classroom #5, Two infant bottles were observed in a storage tray labeled with a child’s name; however, neither bottle had a date indicating when they were prepared.”

Rule 8VAC20-780-570-E.

Complaint related

“Cribs, cots, mats and beds used by children other than infants during the designated rest period or during evening and overnight care shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges. During staff interviews on 7/28/2026, staff stated that when children do not bring both a top and bottom sheet for naptime, that there have been instances when the child would only be provided a top cover to use during naptime.”

Rule 8VAC20-780-450-A. From a complaint.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #2 completed the course 19 days late.”

Rule 8VAC20-780-240-A.

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

“Based on review of video on 12/18/2025, Child #1 was grabbed by the arm and walked across the classroom to sit on the floor by Staff #1 . Child #1 stood back up and Staff #1 lifted Child #1 up by his upper arms, and sat him back down on the floor, Staff #1 then held the child by the upper arms for approximately four seconds to keep the child seated on the floor.”

Rule 8VAC20-780-400-B.

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 #4 had no documentation and had been employed for seven months.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; protruding nails, bolts or other components that could entangle clothing or snag skin.

Rule 8VAC20-780-270-A.

Staff employed by a child day program who have reason to suspect that a child is abused or neglected shall report the matter immediately to the local department’s toll-free child abuse and neglect hotline.

“Staff #4 became aware of a reportable offense, and did not report it to the local department. The incident involved Staff #1 grabbing a child near the arms aggressively. Staff #5 directed Staff #4 to report the concern to Child Protective Services, but Staff #4 did not report the incident to the local department’s toll-free child abuse and neglect hotline.”

Rule 63.2-1509-A. From a complaint.

REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting of any equipment.

“In the three-year-old classroom, two of the yellow wooden chairs used in the play area, were worn with chipping paint.”

Rule 8VAC20-780-270-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting of any equipment.

“In the main hallway, a rusting step stool was being used by the children to access the water fountain. In six classrooms, there was an area rug on the floor that was stained with spots and dirt. Children were observed sitting and playing on the rugs.”

Rule 8VAC20-780-270-A.

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“The records for Staff #1 and Staff #2 , did not have documentation of their education in the files. Staff #1 has been employed for 1 year and Staff # 2 has been employed for 5 years.”

Rule 8VAC20-780-70.

8VAC20-780-150-B

“Based on review of five children’s records, the facility failed to ensure that each child’s immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 9/25/2023) was not signed by a physician or his designee.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-A

“Based on review of 2 new staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment and prior to coming in contact with children. Evidence: Staff 5 (date of employment 6/22/2023) had documentation of a TB test on 7/07/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, the facility failed to maintain areas, inside and outside, in a clean and safe condition. Evidence: there were several deflated pools outside that had dirty standing water. In the school age bathroom, a bar liner tile had come unglued from the sink and was laying loose on the sink.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-P

“Based on review of one medication, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for Child A expired 9/26/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

Rule 8VAC20-780-510-P.

8VAC20-780-240-A

“Based on review of two staff files and staff interview, the facility failed to have staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 1 (date of employment 5/31/2022) did not complete the training until 9/7/2022 and Staff 2 (date of employment 5/31/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the preschool classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-L

“Based on observation, the facility failed to ensure that medication is kept in a locked place using a safe locking method that prevents access to children. Evidence: The medication for Child A was on an upper shelf, unlocked in the infant room.”

Rule 8VAC20-780-510-L.

8VAC20-780-510-P

“Based on review of medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for one medication labeled for Child A expired in 3/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site on 6/9/2023.”

Rule 8VAC20-780-510-P.

8VAC20-780-160-A

“Based on review of 5 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test for each staff at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 1/03/2023) did not have a TB test until 1/23/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, the facility did not maintain all areas of the center in a clean, safe, and operable condition. In the preschool room, there was peeling paint and drywall, a couple of inches in diameter, on the corner of the wall near the exit. The hole was close to the floor and was accessible to the children in care. In the school age room, there was a hole on the drywall near the far exit door, accessible to children.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“Based on observation, the facility failed to use the diapering surface for diapering only. Evidence: In the twos room, the diaper table had several items such as a small bin of toys, a cell phone, and the class attendance record on the surface used for diapering.”

Rule 8VAC20-780-500-B.

22.1-289.035-B-2

“Based on review of 4 staff files, the facility failed to obtain fingerprint results prior to employment for each staff as required. Evidence: two staff did not have documentation of fingerprints on file. Staff 1 (date of hire 2/1/2022) and Staff 3 (date of hire 3/10/2022) did not have a fingerprint result on file.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-B

Rule 8VAC20-770-60-B.

8VAC20-780-240-B

“Based on review of four records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of hire 2/1/2022), Staff 2 (date of hire 2/25/2022), Staff 3 (date of hire 3/10/2022), and Staff 4 (date of hire 3/14/2022) did not have documentation of orientation on file.”

Rule 8VAC20-780-240-B.

8VAC20-780-350-B-1

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 5/19/2022, there were 9 infants ages 4 months to 15 months with 2 staff from approximately 2:00 p.m. to 3:00 p.m.”

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

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 5/19/2022, there were 7 children aged 16 months to age 2 years alone with one staff person.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-500-A

“Based on observation, the facility failed to wash children’s hands and have staff wash hands with with soap and running water after toileting or diapering. Evidence: In the toddler room, staff changed a child’s diaper and did not take the child to the sink to wash hands with soap and water. Staff did not wash hands their own hands before or immediately after changing the child’s diaper.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed cleaner on the diaper changing table and wiped with a paper towel. A sanitizer was not used. A second staff cleaned and sanitized the diaper changing table, but did not allow the bleach water solution to dry for a period of at least 2 minutes.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-G

“ased on review of the emergency drill log, the facility failed to conduct evacuation drills monthly as required. Evidence: the facility did not have documentation of an evacuation drill since October 2021.”

Rule 8VAC20-780-550-G.

8VAC20-780-60-A

“Based on review of six children’s records, the facility failed to have all required documentation in each child’s file. Evidence: Child 5 (date of enrollment 4/28/2022) did not have documentation of having viewed the child’s proof of identity and age.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of four staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of hire 2/25/2022) did not have documentation of two references and Staff 3 (date of hire 3/10/2022) only had documentation of one reference on file.”

Rule 8VAC20-780-70.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

22VAC40-665-780-A-3

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no lockdown drill documented in the past 12 months.”

Rule 22VAC40-665-780-A-3.

22.1-289.035-B-2

“Based on review of three staff files, the facility failed to obtain fingerprint results for each staff prior to hire. Evidence: Staff C (date of hire 7/19/2021) did not have documentation of fingerprint results.”

Rule 22.1-289.035-B-2.

22.1-289.036-A

“Based on review of two applicant files, the facility failed to have documentation of a repeat search of the central registry ( CPS check) for each agent. Evidence: Agent 1 did not have documentation of a repeat CPS check on file.”

Rule 22.1-289.036-A.

8VAC20-770-60-B

“Based on review of three staff records, the facility failed to have documentation of a sworn disclosure statement prior to employment. Evidence: Staff B (date of hire 7/19/2021) and Staff C (date of hire 7/19/2021) did not have documentation of a sworn disclosure statement.”

Rule 8VAC20-770-60-B.

8VAC20-770-60-C-2

“Based on review of three staff files, the facility failed to have a completed search of the central registry ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff A (date of hire 7/14/2021), Staff B (date of hire 7/19/2021), and Staff C (date of hire 7/19/2021) did not have documentation of a completed search of the central registry ( CPS check).”

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

8VAC20-780-70

Rule 8VAC20-780-70.