Bundle of Joy - Lakeside

8VAC20-780-270-E · Complaint Related

Drinking fountains or individual disposable cups with safe drinking water shall be accessible at all times. On 5/26/2026, Staff #1 brought the children's drinking water inside the classroom at approximately 5:00 pm while a group of two year old children played outside until approximately 5:30pm. In interview, Staff #1 stated that they routinely brough the water inside at 5:00 pm when they left for the day. Administration stated that the children could remain outside for an additional 30 minutes to one hour after Staff #1's departure.

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8VAC20-780-350-B-1 · Complaint Related

Systemic Deficiency The required ratio for children from birth to 16 months (infants) is one staff per four children. On 5/27/2026, two staff supervised 11 infant aged children for approximately 10 minutes before a third staff arrived.

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8VAC20-780-40-E · COMPLAINT RELATED

The center shall ensure that their activities and services are maintained in compliance with the center's own policies and procedures that are required by the standards. The center's written procedures for safe sleeping state that state that infants are required to always be placed on their backs to sleep in approved cribs with a mattress and fitted sheet only. Infants shall not sleep in equipment other than safety approved cribs. Anything other than a crib is strictly prohibited, including but not limited to and infant carrier, bouncey seat, high chair, swing, or Boppy pillow of any kind. In interviews, staff stated that Child #2, age 8 months, was regularly allowed to sleep in a bouncer seat and was not relocated to their crib. On 5/13/2026, an infant wearable sleep sack was observed in the corner of an occupied crib where Child #1, age 10 months, was sleeping. Administration acknowledged that the incidents were a violation of the center's safe sleep policy.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

The record of Child #1, enrolled for over two years, was missing the name, address, and phone number of one of the two designated people to call in an emergency if a parent cannot be reached and documentation of child updates and confirmation of up-to-date information in the child's record.

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

On 3/23/2026, Child #1, age 4, sustained an injury while in the care of the center. Staff stated that the child did not have any visible injuries upon arrival. At pickup, the parent of Child #1 observed a red mark on the child's face. Staff were unaware of how the injury occurred. Child #1 stated that Staff #1 kicked him in the face during nap.

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8VAC20-780-350-B-4 · The required ratio for children ages 3 years old up to school age eligible is 1:10.

On 3/24/2026, Staff #2 and Staff #3 supervised approximately 27 children, ages 3-5, for 15-20 minutes on the preschool playground.

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22.1-289.035-B-4 · REPEAT VIOLATION

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for over four months, did not have documentation of a sex offender name check from one state.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #6, employed for over two months, did not have documentation of requesting a central registry check and a sex offender name check from one state. Staff #9, employed for over one month, did not have documentation of requesting a central registry check from one state.

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8VAC20-780-550-N · The center shall notify the parent immediately if a child sustains a serious injury.

1. On 3/13/2025 at approximately 4:27 pm, child #1 tripped and struck his forehead on a paved area of the playground. A quarter sized hematoma appeared within a few minutes. Child #1 was immediately brought inside for an evaluation by management and was returned to the playground within an approximate 5 minute window to sit with ice. Three witnesses stated that shortly after the head injury, child #1 demonstrated signs that were compatible with a serious head injury to include stumbling while walking and not being as verbally responsive when spoken to. Injury report documentation indicated that child #1's parent was notified via phone call at 5:05 pm, approximately 38 minutes from the time of injury. 2. Child #1 was taken to a medical facility and diagnosed with a concussion.

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8VAC20-790-600-D-1 · Based on a review of 10 staff records and interview, the vendor did not ensure that one staff had a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Evidence: 1. The record of staff # 10 (date of employment: 2/23/2024) contained a certification that expired on 6/23/2024. 2. The vendor acknowledged that staff #10 did not have a current certification.

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