Milestones Child Development Center

8VAC20-780-245-A

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record for staff #4 who has been working at the center for approximately two years only had 11 hours of documented annual training for 2025.

8VAC20-780-280-B

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. The infant room had a bottle of bleach and water mix and a bottle of hand sanitizer in an unlocked cabinet and a bottle of disinfectant spray on a shelf. The preschool classroom had a bottle of disinfectant spray on the sink counter. The items had the warning label, ?Keep out of reach of children? and were unlocked within reach of children.

8VAC20-780-340-D

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. The staff supervising in each classroom were not program leader qualified.

8VAC20-780-350-B-2

The staff-to-child ratio for children ages 16 months to 24 months whenever children are in care is one staff for every 5 children. On January 6, 2026 the toddler room ratio was 1 staff and 6 children and the youngest child in the room was 18 months.

8VAC20-780-350-B-4

The staff-to-child ratio for children ages 3 years to school age eligible whenever children are in care is 1 staff for every 10 children. On January 6, 2026 the pre-k room ratio was 1 staff and 14 children for approximately five minutes before another staff member arrived.

8VAC20-780-70

The following staff records shall be kept for each staff person, which shall contain all required information. Staff #1 who have been working at the center for approximately four months, did not have at least two reference verifications on file. The record for staff #3 did not have an employment application documented.

8VAC20-780-245-A

REPEAT VIOLATION Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. The record for staff #3, staff #4 and staff #5 who have all been working at the center for over a year did not have documentation of annual training for 2024.

8VAC20-780-280-B

REPEAT VIOLATION Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of hand sanitizer in the preschool room had the warning label, ?Keep out of reach of children? and was unlocked within reach of children.

8VAC20-780-270-A

REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in an operable condition. The following maintenance issues were observed outside: A broken push walker toy, broken plastic playhouse panels and a broken plastic car seat.

8VAC20-780-240-B

Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1 has been actively working in the center alone with children for at least three months and has not completed a staff orientation. The record for staff #5 who has been employed at the center for at least two years did not have documentation of a completed orientation.

8VAC20-780-210-A

REPEAT VIOLATION Program leaders shall have fulfilled a high school program completion or the equivalent. The record for staff #1 and staff #2 did not have documentation of a high school completion program or the equivalent.

8VAC20-780-60-A

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. The record for child #1 did not contain the employment phone number for one parent. The record for child #2 did not list two emergency contacts. The record for child #3 did not contain the address of both emergency contacts. The record for child #2 and #4 did not contain documentation of the first day of attendance.

8VAC20-780-160-C

REPEAT VIOLATION At least every two years from the date of the initial screening or testing staff members shall obtain and submit the results of a follow-up tuberculosis screening. The last tuberculosis screening documented for staff #3 was completed in 2022 and the last tuberculosis screening was completed for staff #4 in 2023.

8VAC20-780-140-A

REPEAT VIOLATION Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. The record for child #3 did not have documentation of a completed physical.

8VAC20-770-70-A

REPEAT VIOLATION Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. Staff #1 and Staff #2, who have been actively working at the center for at least two months, did not have any completed reference verifications on file.

8VAC20-790-600-B

REPEAT VIOLATION All staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff with 90 days of employment. Staff #1, who has been working at the center for at least three months, did not complete the 10-hour Virginia Preservice training.

8VAC20-780-60-A

REPEAT VIOLATION Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information. The record for child #1, child #4 and child # 6 did not have documentation of work information for both parents and child #2 did not have the work information for one parent. The record for child #1 and child #5 did not have documentation of the contact information of two emergency contacts. The record for child #3 did not have the first day of attendance documented.

8VAC20-780-570-A

When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. In the infant room, 2 of 4 children at the infant feeding table did not have the protective belt fastened securely.

8VAC20-780-560-G

When food is brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. In the infant room refrigerator, there were 2 baby bottles with milk that had no names or dates to identify the owner.

8VAC20-780-520-C

Diaper ointment or cream shall be labeled with the child's name. In the infant room, 7 tubes of diaper cream were unlabeled with no child?s name.

8VAC20-780-510-G

Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Prescriptive medications were observed loosely in the medication box that were not in the original container.

8VAC20-780-500-A

Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Four infant?s hands were not washed before eating.

8VAC20-780-350-B-4

The staff-to-children ratio for children ages three years old to school age eligible is one staff for every ten children and are required whenever children are in care. The ratio for the pre-k room was one staff and thirteen children for approximately two hours.

8VAC20-780-350-B-1

The staff-to-children ratio for children ages birth to 16 months is one staff for every four children and are required whenever children are in care. The ratio for the infant room was one staff and twelve children for approximately two hours.

8VAC20-780-280-B

REPEAT VIOLATION Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. There was an unlocked cabinet in the toddler room with a can of disinfectant spray with the label ?keep out if reach of children? accessible to children.