Barnes Family Child Care Center

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 #2 (enrolled for six months) and Child #4 (enrolled for two months).

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, was missing the work phone number for one parent. The record for Child #2, was missing the name and phone number of child's physician. The record for Child #3, was missing the name, address, and phone number for one parent, the work phone number and place of employment for one parent, and the phone number of child's physician. The record for Child #5, was missing the work phone number for one parent.

8VAC20-790-600-F

Staff who work directly with children shall, annually attend the department's health and safety update course. The record for Staff #3 did not have documentation of the 2025 annual health and safety training.

8VAC20-780-130-A

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There was no immunization documentation in the record of Child #2 (enrolled for six months) and Child #3 (enrolled for eleven months).

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 7 days ago. The updated screening has not yet been completed.

8VAC20-780-80-A

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. There were 9 children present in the two to four year old room, but only 8 were marked present on the attendance record.

8VAC20-780-260-B

Annual approval from the health department shall be provided. The form used should be for environmental health inspections and determining compliance with non-food related health requirements such as water supply and sewage disposal. The inspection provided was related to food regulations and not the required sanitation inspection.

8VAC20-780-500-B

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. The diapering surface in the sixteen month to two year old room had not been cleaned or sanitized after the last use.

8VAC20-790-600-D-2

All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #2, employed for nineteen months, did not have current certification in first aid.

8VAC20-780-550-D

The center shall implement a monthly practice evacuation drill. There was no drill practiced in March 2025.

8VAC20-780-350-B-3

The required ratio for children age two years is one staff per eight children. Staff #5 was observed supervising thirteen children (youngest child two years old) from approximately 9:40am-9:45am when Staff #4 returned to the facility after taking a child to school.

8VAC20-780-340-F

Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, a three year old child was observed sitting alone in the office unsupervised for approximately three minutes.

8VAC20-780-280-G

If hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. A spray bottle with a purple liquid was in the cabinet in the toddler classroom. Staff reported it was cleaning solution. The bottle was not labeled with its contents.

8VAC20-780-280-B

Hazardous substances must be in a locked place that prevents access by children. In the toddler classroom, the cleaning solution and sanitizing solution were in an unlocked cabinet, out of reach of children

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #1, enrolled for two months, was missing documentation of viewing proof of the child's identity and age. The record for Child #2, enrolled for eight months, was missing documentation of health information (physical).

8VAC20-790-600-D-1

All staff who work directly with children shall have withing 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2, employed for nineteen months, did not have current certification in CPR.