Lil' Angels Day Care Inc.

8VAC20-780-70

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #5, who has been actively working at the center for the past five months, did not have any completed reference verifications on file.

8VAC20-780-40-J

Injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. There were no injury prevention procedures to observe at the time of inspection.

8VAC20-780-510-I

The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided the center has obtained written authorization from a parent or guardian. Prescription medication for child #6 was administered to the child without written parent permission. Child #8 had prescription medication on site without written parent permission.

8VAC20-780-280-B

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. In classroom #4, a bottle of bleach was observed in an unlocked cabinet, within reach of children. In the hallway bathroom used by children, a bottle of disinfectant wipes were observed in an unlocked cabinet, out of reach of children.

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 preschool playground, two buckets holding cement to anchor poles were cracked and broken with sharp edges that could pinch skin. Two scooters were broken, leaving plastic sharp edges. Children were observed playing in the area at the time of inspection.

8VAC20-780-520-C

If diaper ointment or cream is used, written parent authorization noting any known adverse reactions shall be obtained. Child #4 and child #5 did not have written parent authorization for their diaper ointment that was on site.

8VAC20-780-550-P

The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include all required information. Two of five written injury reports did not include date/time the parents were notified. One of five reports did not include documentation of how the parent was notified.

8VAC20-780-240-D

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center?s information listed in 8VAC20-780-420.A and the following: precautions in transporting children. Staff #1, staff #2, staff #3, staff #4, staff #5, staff #6, staff #8, staff #9, staff #10 was not provided in writing precautions in transporting children.

8VAC20-780-340-A

When staff are supervising children, they shall always ensure their care, protection, and guidance. On 05/05/2025, staff #7 was driving the center?s van to pick up children from school. The van was not put in park. The van?s door was open and the van went into reverse and bumped child #1 to the ground. First aid was administered to child #1.

8VAC20-780-420-A

Before the child's first day of attending, parents shall be provided in writing the center's transportation policy. The center did not provide in writing the center?s transportation policy for child #1.

8VAC20-780-580-B

Any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Bus #1, that is used daily to transport children, had a state inspection that expired seven days ago.

8VAC20-780-580-L

Parental permission for transportation and field trips shall be secured before the scheduled activity. On 05/05/2025, the center transported child #1 and did not have parental permission to transport. The center transports children to and from school daily.

8VAC20-780-550-D

The center shall implement a monthly practice evacuation drill. There was no documentation of monthly evacuation drills for October 2024, November 2024, December 2024.

8VAC20-780-550-F

Lockdown procedures shall be practiced at least annually. There was no documentation that the annual lockdown drill had been completed in 2024.

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 record of child #1, who had been enrolled for 18 months.