Child Connections Development Center, Inc.

8VAC20-780-570-E

Prepared infant formula shall be refrigerated, dated and labeled with the child's name. None of the bottles in the Cloud Puffs room were dated.

8VAC20-770-70-A

Each staff record shell contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. The record for staff #5, employed for three months, does not have references.

8VAC20-790-600-D-2

All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. However, staff who is a registered nurse or licensed practical nurse with a current license from the Board of Nursing shall not be required to obtain first aid certification. Staff #5 has been employed for 92 days and has not completed first aid certification.

8VAC20-790-600-D-1

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #5 has been employed for 92 days and has not completed CPR certification.

8VAC20-780-550-E

Shelter in place procedures shall be practiced a minimum of twice per year. Only one shelter-in-place practice was completed in 2025.

8VAC20-780-420-E-3

Parents shall be provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs. Out of the five children's records reviewed one did not contain any child assessments (child #1) and two only contained one (child #3 and child #4). The director stated they file all assessments.

8VAC20-780-350-B-4

The staff-to-children ratio for children ages 3 years up to school age is one staff member to every 10 children. Due to being short staffed, in the Shooting Stars classroom the youngest child was three and there was one staff to 12 children and in the Comets classroom the youngest child was three and there was one staff to 11 children.

8VAC20-780-260-B

REPEAT VIOLATION After the first license, annual approval from the health department shall be provided, or approvals of a

8VAC20-780-60-A-8

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan 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. Per staff, three children have food allergies and the center does not have allergy care plans for them.

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The emergency contacts for child #3 and child #4 did not contain addresses for one emergency contact.

8VAC20-780-40-M

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions . This list shall be dated and kept confidential in each room or area where children are present. In the Shooting Stars classroom the list was not accurate. In the Comets classroom there was no list and three children had food allergies.

8VAC20-780-160-C

REPEAT VIOLATION/SYSTEMIC DEFICIENCY At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. Staff #6's TB screening was due over one month ago. The updated screening has not yet been completed.

8VAC20-780-160-A

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.. Staff #5 was working with children for over two months before the screening was completed.

8VAC20-780-160-C

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. Staff #1 updated screening was due 10 months ago and the updated screening has not yet been completed.

8VAC20-780-210-A-4

Program leaders shall have six months of supervised programmatic experience. Staff #2 was working as a lead teacher in a classroom with only three months of supervised programmatic experience.

8VAC20-780-260-A

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection is dated 11/01/2023 and has not been scheduled to take place.

8VAC20-780-260-B

Annual approval from the health department shall be provided. The last documented health inspection is dated 04/23/2024 and has not been scheduled to take place.

8VAC20-780-330-B

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that the resilient surfacing shall comply with minimum safety standards when tested in the American Society for Testing and Materials. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. The fall zones resilient surfacing did not comply with the minimum safety standards.

8VAC20-780-550-D

The center shall implement a monthly practice evacuation drill. There was no indication of a monthly practice evacuation drill for the month of November 2025.

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 Child 1 and Child 4 were not signed.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff 4's updated screening was due 3 months ago and the updated screening has not yet been completed.

8VAC20-780-140-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 records of child 4, who had been enrolled for four months.