Helping Hands Child Development Center

8VAC20-780-350-B-2

The required staff-to-child ratio for children ages 16 months to 24 months is 1 staff for every 5 children. 04/23/2026, for approximately 5 minutes, Staff 1 was the only staff member supervising the nine children (ages 16 months-24 months) in Class 1. Two staff were required for this group of children. Complaint related: No

8VAC20-780-40-E

The center shall maintain compliance with their own policies and procedures that are required by the standards. The center?s required playground safety procedures state that teachers should be circulating and interacting with the children at all times. 04/23/2026, Class 1 with nine children (ages 16 months-24 months) were outside on the playground for approximately 50 minutes. The two staff supervising the children sat in stationary locations, not circulating the playground or interacting with the children while on the playground. Complaint related: No

8VAC20-780-500-B

The diapering surface shall be cleaned with soap and water and sanitized after each use. 03/31/2026, the diapering surface in Class1 was not cleaned or sanitized after use. 04/13/2026, the diapering surface in Class1 was not cleaned or sanitized after use. Complaint related: No

8VAC20-780-500-A

Children?s hands shall be washed with soap and running water or a disposable wipe before and after meals and snacks and with soap and running water after toileting (diapering) and staff shall wash their hands with soap and running water before and after a diaper change. 03/31/2026, a staff member and a child in Class 1 did not wash their hands after a diaper change. 04/09/2026, multiple children in Class1 did not wash their hands after lunch; the children immediately went to their cots for rest time following lunch. 04/13/2026, a staff member and a child in Class 1 did not wash their hands after diaper changes. Complaint related: No

8VAC20-780-410-1

The following actions or threats thereof are forbidden: roughly handling or shaking a child. 04/14/2026, Staff 1 roughly handled Child 2 (age 16 months) when they jerked the child by their legs from one end of the cot to the other during rest time. 04/23/2026, Child 1 (age 22 months) sat on the outside playground playing with rocks and dirt. Staff 1, seated beside Child 1, forcefully removed the rocks from the child?s hand, causing the child?s body to lurch forward. 04/23/2026, as Child 1 (age 22 months) moved and played on the ground beside Staff 1 while on the outside playground, Child 1?s feet brushed against the pants of Staff 1. Staff 1 pushed the child twice in an effort to move the child away from them. Complaint related: Yes

8VAC20-780-410-5

The following actions or threats thereof are forbidden: forcing rest. 04/14/2026, Child 2 (age 16 months) was wiggling around on their cot during rest time. Staff 1 held the child by the child?s arms and then placed their legs across the body of the child for approximately 7 minutes to hold the child still on their cot. 04/15/2026, Staff 1 placed their legs across the body of Child 2 (age 16 months) for approximately 7 minutes to hold the child still on their cot during rest time. Complaint related: Yes

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. The only physical examination in the record for Child 2 was dated 11 months after the child?s first day of attendance.

8VAC20-780-510-B

Nonprescription medication shall be given to a child only with written authorization from the parent. Medication 2 was administered 3 times, over a 2 month period, without written authorization from the parent.

8VAC20-780-340-F

Children under 10 year of age always shall be within actual sight and sound supervision of staff. 09/15/2025, Child 1 (age 19 months) and Child 2 (age 15 months) were in the corner behind the diapering station at the kitchen door, while behind the diapering station, Child 2 smacked Child 1 in the head multiple times, the child began to cry. Staff 1 stated that Child 2 was outside of their sight supervision at that time.

8VAC20-780-410-1

The following actions or threat thereof are forbidden: roughly handling a child. On 09/15/2025, Staff 1 roughly handled two children (age 15 months and 19 months) on three occasions. The 19-month-old child was later taken for outside medical treatment for an injury to their left arm.

8VAC20-780-500-A

Children?s hands shall be washed with soap and running water after toileting (diapering) and staff shall wash their hands with soap and running water before and after a diaper change. 09/15/2025, Staff 1 changed multiple diapers and did not wash their hands before or after the diaper changes. Children did not wash their hands after the diaper change.

8VAC20-780-500-B

The diapering surface shall be cleaned with soap and water and sanitized after each use. Staff 1 did not clean the diapering surface with soap and water following a diaper change.

8VAC20-780-80-A

REPEAT VIOLATION For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child as it occurs. The departure of the children in Classroom 4 was not documented on 07/15/2025. The arrival of the children in Classroom 4 was documented for 07/16/2025.

8VAC20-780-510-E

REPEAT VIOLATION The center?s procedures for administering nonprescription medication shall be consistent with the manufacturer?s instructions for age, duration, and dosage. Child 6 (age 19 months) was administered Medication 1 one time on 07/03/2025. The manufacturer?s instructions for this medication required physician?s instructions for administration to children under the age of 2 years.

8VAC20-780-240-A

REPEAT VIOLATION The VDOE sponsored orientation course shall be completed within 90 calendar days of employment. Staff 2, who has been employed for 11 months, has not completed the VDOE orientation course.

8VAC20-780-60-A

The center shall maintain a separate record for each child enrolled that contains all of the required information. The records for Child 1, Child 2 and Child 4 did not contain all of the required information.

8VAC20-780-130-F

The center shall obtain documentation of additional immunizations once between the child?s fourth and sixth birthdays. The record for Child 2 did not contain documentation of additional immunizations between the child?s fourth and sixth birthday.

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 as it occurs. There were 7 children observed in the Infant Room but the attendance record had 8 children marked in attendance.

8VAC20-780-510-E

The center?s procedures for administering nonprescription medication shall be consistent with the manufacturer?s instructions for age, duration, and dosage. Child 3 (10 months old) was administered Medication 1 five times between 10/25/2024-11/06/2024. The manufacturer?s instructions for this medication required physician?s instructions for administration to children under the age of 2 years; there were no physician's instructions available.