Inspection · 2026-02-06

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

The CRS for Staff #3 was not submitted by the center prior to
hire, and the search was completed in January 2026, 5 months after employment
began.

Each child shall have a physical examination by or under the direction of a physician within the first 30-days of attendance.

There was no physical exam on-file for Child #2.

Each immunization report shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

The immunizations on-file for Child #2 were on the State immunization form but not signed by the physician.

At least every 2 years from the date of the first initial TB screening/testing, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up TB.

There was no documentation of a current TB screening/test for Staff #1. The previous TB test was completed in 2022.

Prior to working alone with children and within 7 days of the first day of employment, staff shall be provided in writing with the procedures listed below.

There was no documentation of procedures for:
- confirming the absence of a child arriving from another program;
- identifying where children are at all times, including procedures to ensure that all children are accounted for before leaving a field trip site and returning to the center;
-actions to be taken in case of lost or missing children;
-precautions in transporting children.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

Spray cleaning products were observed stored on a diaper changing table in one classroom, on the top of a storage cabinet in another room, and a spray air freshener product was stored on an open shelf in a bathroom used by the children.

In each grouping of children at least 1 staff member who meets the qualifications of a program leader shall be regularly present.

3 of 3 groupings (classrooms) of children today were not supervised by a program leader qualified staff person.

The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

There was no documentation of a written policy and procedure describing how the center will ensure each group of children receive care by consistent staff.

The center shall develop written procedures for injury prevention.

There was no documentation of written procedures for injury prevention.

The center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

There was no documentation of written procedures for the prevention of shaken baby syndrome, abusive head trauma, coping with crying babies, safe sleeping practices, and sudden infant death syndrome.

The center shall develop written playground safety procedures which shall include provisions for active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children.

The playground safety procedures did not include provisions for active supervision by staff to include positioning of staff in strategic locations, scanning play activities and circulating among children.

Before the child's first day of attending, parents shall be provided in writing the following information and procedures:

-The center's policies for sunscreen, diaper ointment/cream and insect repellent.
-The custodial parent's right to be admitted to the center a required by 22.1-289.054 of the Code of VA.
-The policy for communicating an emergency situation with parents.

Staff shall request at least annually parent confirmation that the required information in the child's record is up to date. Such sharing of information shall be documented.

The record for Child #3 did not include documentation of the parents annual review of information. The child's information form was signed by the parent in July 2024.

The information in staff and children's records shall be treated confidentially.

The Supplemental Information page of the previous inspection report, which contains confidential information, was posted in the lobby for pubic viewing.

At least 1 staff in each classroom shall have a current certifications in CPR and First Aid.

There was no staff working in classrooms with current First AidCPR.

There shall be at least 2 staff members who meet the requirements of subsection A of this section (have a current certification in CPR) present on the premises during the center's hours of operation, on fieldtrips, and wherever children are in care.

No staff working were currently certified in CPR.

The emergency preparedness plans shall contain procedural components as identified below.

The emergency evacuation procedures do not contain the methods for securing of information on children with allergies or food intolerances, methods to ensure health care needs and plans are in place, emergency contact information for staff, and supplies to be taken to the assembly point or relocation site. There was no documentation of how children will get to the off-site evacuation location, how children will be reunited with parents, or how staff will communicate with parents and emergency personnel during the evacuation.

The emergency shelter-in-place procedures do not contain the methods for securing of information on children with allergies or food intolerances, methods to ensure health care needs and plans are in place, emergency contact information for staff, and supplies to be taken to the assembly point. There was no documentation on how children will be reunited with parents, or how staff will communicate with parents and emergency personnel during the emergency shelter-in-place.

The emergency lock-down procedures do not contain the methods for securing of information on children with allergies or food intolerances, methods to ensure health care needs and plans are in place, emergency contact information for staff, and what supplies will be taken to the assembly point. There was no documentation on how children will be reunited with parents, or how staff will communicate with emergency personnel during the emergency shelter-in-place.

The emergency preparedness plan does not include procedures for the continuity of operations to ensure that essential functions are maintained during an emergency.

The emergency preparedness plan does not include procedures for reviewing and updating the plan.

Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills.

There was no documentation of emergency evacuation, shelter-in-place, and lockdown drills.

When centers choose to provide meals or snacks, a menu listing foods to be served during the current 1 week period shall be dated, posted or given to parents, list any substituted food and be kept on file for 1 week.

There was no menu posted for snacks served to children.

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

6 of 6 lunch bags/boxes in the upstairs classroom were not labeled with dates/names.

Staff records kept at the center shall include the name, address and phone number for a person to be notified in an emergency; 2 reference checks completed before employment begins; documentation of education, experience and training required for the job positions they were observed to be working today.

1. The on-site staff records for Staff #3, #4, #5 and #6 did not include the information for an emergency contact person. The inspector was told that this information was kept by a third-party company off-site.

2. Staff #4 began working in August 2025 and 1 of 2 reference checks was completed in November 2025.

3. There was insufficient documentation and/or a lack of qualifications for Staff #3, #4, #5 and #6 to qualify each for the program leader positions they were working today.

All staff who work directly with children shall have within 90-days of the date of employment or 90-days from subsidy vendor approval shall have a current certification in CPR appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

Staff #3, #4, #5 and #6 do not have a current CPR certification.

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

There was no documentation of Staff #5 having a current certification in First Aid.

Staff who work directly with children shall complete department's health and safety update course (Virginia Health and Safety Training) annually.

Documentation on-file indicated the following for each staff listed:

Staff #3-There was no documentation of the completion of the annual health and safety course. The 10-hour preservice training was completed in May 2024.

Staff #4-The annual health and safety course was last completed in April 2024.

Staff #6-The annual health and safety course was last completed in May 2023.