Children of America - Lee's Hill, LLC

22VAC40-185-410-1 · Based on review of video recording and interviews conducted, a staff used the forbidden action of physical punishment of a child to correct the behavior of the child. Evidence: On September 27, 2021 staff A held her right foot over child 1's head and while the child lay on a cot. The staff used that same foot to roughly move the cot that the child lay on to another position.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The additional immunizations in the record of Child #5 (14-months-old), who had been enrolled for 11 months, were obtained four months late.

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8VAC20-780-80-B-2 · The center 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 (9-months-old) sustained injuries at the center on 02/23/26 for which they sought medical attention. The center was made aware on 02/23/26, but the center did not inform the department's representatives.

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8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

The record of Child #5 (22-month-old), who has been enrolled for 21 months, did not have documentation of additional immunizations since the child was enrolled. The record of Child #8 (15-month-old), who has been enrolled for 12 months, did not have documentation of additional immunizations since the child was enrolled.

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8VAC20-780-340-A · (Repeat Violation) When staff are supervising children, they shall always ensure their care, protection, and guidance.

On 10/08/25, Staff #1 gave Child #1 (5-month-old) breastmilk that belonged to another child. Child #1 drank approximately 3 ounces of the wrong breastmilk. Staff #1 acknowledged she did not check the labeling on the breastmilk bag and mistakenly emptied Child #2?s breastmilk into Child #1?s bottle.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance. On 03/04/2025, according to staff, Child A (13 months old) was fussy, cried continuously, and refused to eat throughout the day. The Daily Sheet indicated that Child A did not eat breakfast at 9:37 am, nor lunch at 11:19am and 2:22pm. A mark was noticed on the child?s forehead by the classroom staff. The parent arrived for pickup at 2:47 pm and was informed about the child?s fussiness. The parent observed injuries on Child A while in the car seat. At 3:29pm, Child A was seen by a physician. The physician noted multiple injuries including scratches, abrasions, and bumps on the child?s chest, abdomen, scalp, neck, ear and forehead. Photographs documented the injuries. The parent stated that the center did not provide a phone call or incident report regarding the child?s behavior and injuries. After interviewing staff, reviewing documents, and making observations, the local department of social services determined the investigation was found for physical abuse.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care, protection, and guidance.

At approximately 7:09am on 01/21/2025, Child #1 (3-year-old) ran out of his classroom and through two doors located inside the building. Staff #2, a member of management, was sitting in the lobby behind the front desk when they heard a child running and screaming "mommy, mommy." When Staff #2 got up to check what was happening, Child #1 had exited through the front doors of the building. The second door led to the parking lot, where the child?s parent saw him standing on the sidewalk as they got into their vehicle. The parent and Staff #2 met at the center?s front door and brought the child back into the building. Staff #1 was responsible for the care of Child #1, but reported they did not know the child had left the classroom because the child?s parent did not say goodbye when they dropped the child off. Staff #1 was the only staff in the classroom with 11 children, ranging from 2 to 3 years of age.

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8VAC20-780-40-E · The center is required to ensure the center's own policies and procedures that are required by these standards are in compliance.

On 12/11/24, Staff #1 and Staff #2 did not conduct the required movement log process, which includes a face to name check, when children arrived at school and got off the bus at the center. As a result, Child #1 (6-year-old) had fallen asleep and was left behind on the bus for approximately 30 minutes. The center?s procedures for identifying where attending children are at all times states: ?Anytime child(ren) are moving from their designated classroom to another area of the building including but not limited to, City Place, the playground, another classroom, to and from the bus or outside for a walk. The classroom teacher(s) and manager must complete the movement log process.?

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