Precious Moments Academy, LLC

8VAC20-780-440-L

Pillows and filled comforters shall not be used by children under 2 years of age. Child #4 (3 months old) was observed sleeping with a boppy in a crib.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 10 months ago and the updated screening has not yet been completed.

8VAC20-780-80-B-2

Centers shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Child #1 received outside medical treatment for an injury sustained while in care at the center on September 29, 2026. It was noted on the injury report that EMS was called, and the Department was notified five months later.

8VAC20-780-350-B-3

The required ratio for children ages 2 years old is one staff per eight children. One staff was observed supervising twelve children (youngest child 2 years old) from approximately 10:33 am-11:40 am.

8VAC20-790-600-F

Staff shall annually complete the department's health and safety update course. Staff #2 update training was overdue by two months and had not been completed.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due 3 months ago. The updated screenings have not yet been completed.

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. A container of disinfectant wipes with warning labels, ?Keep out of reach of children,? was unlocked in the cabinet under the sink in the hall bathroom, within reach of children.

8VAC20-780-440-L

Filled comforters shall not be used by children under two years of age. Child #1, age 10 months, was observed sleeping in a crib with a filled comforter.

8VAC20-780-550-F

Lockdown procedures shall be practiced at least annually. There was not documentation of a lockdown drill completed in 2024.

8VAC20-780-550-E

Shelter in place procedures shall be practiced a minimum of twice per year. There was not documentation of shelter in place drills completed in 2024.

8VAC20-780-500-B

The diapering surface shall be a nonabsorbent surface. Staff were observed in the infant room and toddler room changing children's diapers. The children were changed on a cloth pad that was absorbent.

8VAC20-780-340-F

Children under 10 years of age shall always be within actual sight and sound supervision of staff. During the inspection, three classrooms were observed at times with no staff supervision. Staff #4 was observed walking back and forth between the classrooms to check on the children. Children were not in sight supervision of staff for approximately 2 - 4 minutes while the staff member was in a different room. Children ranged in age from infants through preschool age.

8VAC20-780-70

Staff records shall be kept for each staff person and contain all required information. The record for Staff #1, employed for three months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position. The record for Staff #2, employed for four months, was missing job title, verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #3, employed for two months, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #4, employed for one year, was missing verification of age requirement and documentation to demonstrate the individual possesses the education and training required by the job position. The record for Staff #5, employed for two years, was missing verification of age requirement, emergency contact information and documentation to demonstrate the individual possesses the education required by the job position

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, present during inspection, was missing the first date of attendance, physician name and physician phone number. The record for Child #2, enrolled for 11 months, was missing results of a physical examination. The record for Child #5, enrolled for a month, was missing the address for the second emergency contact.

8VAC20-780-160-A

(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and shall have been completed within the last 30 calendars days of the date of employment. The screening for Staff #1, employed for three months, did not have documentation of negative results. The screening for Staff #2, employed for four months, was completed eleven months prior to beginning employment. The record for Staff #4, employed for a year, was completed nine months prior to beginning employment. The record for Staff #5, employed for two years, did not have a negative tuberculosis screening.

8VAC20-790-600-D-2

All staff who work directly with children shall within 90 days of the date of employment have current certification in first aid. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current first aid certification.

8VAC20-790-600-D-1

(Repeat Violation) All staff who work directly with children shall within 90 days of the date of employment have current certification in CPR. The records for Staff #4, employed for a year, and Staff #5, employed for two years, do not have current CPR certification.

8VAC20-780-240-B

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days after the date of assuming job responsibilities. The record for Staff #2 had documentation of orientation training completed one month after beginning employment.

8VAC20-780-160-A

(Repeat violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment. Staff #4 had documentation of a TB test but did not state negative results.

8VAC20-780-350-B-1

The required ratio for children ages birth to 16 months is one staff per four children. Staff #4 was observed supervising five children (youngest child one month old) from approximately 10:30am-11:35am.

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 more than a month.

8VAC20-790-600-D-1

All staff who work directly with children shall have within 90 days of the date of employment current certification in CPR that includes an in-person competency demonstration. The records for staff #1, staff #3 and staff #4 had documentation of completing online CPR training. The training did not include an in-person demonstration of competency demonstration.