EL ROI Child Care, LLC

8VAC20-780-210-A

Program leaders shall have fulfilled a high school program completion or the equivalent,. Staff #4, a designated as program leader and does not have in their record documentation of high school program completion or the equivalent.

8VAC20-780-70

The provider shall keep for each staff person all the required information. Staff #1 and Staff #4 were missing information related to any health issues that may interfere with the job and an emergency contact name, address and telephone number.

8VAC20-780-600-F

Staff who work directly with children shall obtain the departments health and safety update course. Staff #4?s annual updated course is overdue by 4 months.

8VAC20-780-550-D

The center shall implement a monthly practice evacuation drill. There was not documentation of drills conducted in April 2026.

8VAC20-780-550-E

Shelter in place procedures shall be practiced a minimum of twice per year. Only one shelter in place drill was documented for 2025.

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. The record for Child #1, who had been attending for 1 day, did not have documentation of immunizations.

8VAC20-780-40-M

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The list in Room #1 was not posted in a confidential manner and the public could view it.

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all the required information. 1.The record for Child #2 and Child #4, who had been enrolled for a week, did not have documentation of the complete address (city, state and zip code) for both required emergency contacts. 2. The record for Child #3, who had been enrolled for 1 day, did not have documentation of the employment number for both parents listed and the location for one parent listed.

8VAC20-780-70

The provider shall keep for each staff person all the required information. Staff #3 was missing one out of two reference checks required prior to employment. Staff #3 has been working for approximately 1 week.

8VAC20-780-340-D

Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #4, does not have documentation to meet lead teacher qualifications, and was the designated lead teacher to work with the children in Room #1 on 9-8-2025. There were 4 children observed in care.

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. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. In Room #1 a portion of the metal baseboard cover was missing exposing the metal vent and one electrical outlet plate cover was broken and it exposing a portion of electrical outlet.

8VAC20-780-500-B

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #2 was observed diapering two children and did not wash or sanitize the diaper pad.

8VAC20-780-500-A

Staff hands and children?s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. Staff # 2 changed two children?s diapers and did not wash their hands or the child's hands with soap and water after the diaper change.

8VAC20-780-340-D

Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #2, who did not meet lead teacher qualifications, was the only staff designated to work with the children in Room #1 on 3-17-2025. There were 6 children observed in care with Staff #2 during the inspection.

8VAC20-780-40-J

The center is required to update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. There was not an updated injury plan.