VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Little Bear Daycare & Learning Center
2416 4th Ave. E.
Big stone gap, VA 24219
(276) 318-0529

Current Inspector: Angela Farmer (276) 608-2283

Inspection Date: July 16, 2025

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks 20 Access to minor?s records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Comments:

An unannounced, on-site monitoring inspection was initiated and completed on 7/16/2025. The on-site inspection began at 10:30 am and ended at 1:10 pm. The inspector reviewed compliance in the areas listed above. There were 11 children present and three staff. The inspector reviewed five children?s records and one staff record on-site. This inspection included: ? document review, tour of the facility, and interviews. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program. Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 7/28/25. A POC submitted after this date will not appear on the public website.

Violations:

Standard #:	22.1-289.011-F
Description:	REPEAT VIOLATION The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The Violation Notice dated 2/12/25 was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-3
Description:	The center must request a search of the central registry prior to the employee's first day of employment. Staff #1, who has been employed for two days, did not have a central registry search requested.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.057-B
Description:	REPEAT VIOLATION The lead testing plan and results of each test conducted shall be submitted to and reviewed by the Commissioner and the Department of Health's Office of Drinking Water. The lead testing plan has not been submitted to the office of Drinking Water.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.057-D
Description:	The program is required to use water from USDA approved sources for human consumption. The center did not use bottled water for human consumption in all potable water outlets.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	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. Child record #8, did not have an immunization record on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff #1, has worked two days, and does not have a TB screen on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Children's records did not contain all the required information. Child #1, 3, 5, 6, 8, 10 do not have emergency contacts addresses. The children have been in care more than two months Child #7, 9, 10 does not address school previously attended. Child #2, 3, and 8 does not list the first date of attendance. Child #3 did not have the parents address, work or work phone number listed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-90-A
Description:	A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. Children's records #8 & 10, did not have a written agreement between the parent and the center. The children have been in care over two months.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-240-C
Description:	Orientation training shall be appropriate to the age of the children in care and include facility specific topics. The orientation form being used does not cover the Standards for Licensed Child Day Centers, revised effective October 13, 2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The carpet in the pre-school area around the support post was coming unglued, causing a tripping hazard.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-420-E-3
Description:	Parents shall be provided at least semiannually in writing information on their child's development, behavior, adjustment, and needs. Child's records #7 & 9, do not have an annual update on file. Both children have been in care two years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-H
Description:	There shall be no more than one inch between the mattress and the crib. The crib mattress with a sheet on it, had more than four inches of space between the crib and mattress.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	The diapering area shall have a nonabsorbent surface for diapering or changing. The pas used for diapering children over two was torn exposing the cushion, which is absorbent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	Medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. On the counter in the infant/toddler area was three bottles of over the counter pain/fever reducing medication. The director acknowledged that it was staff's medication. This medication was not locked and was accessible to the children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-560-J
Description:	Tables and high chair trays shall be sanitized before and after each use for feeding. The tables used for snack still had crumbs and a colored liquid on them from breakfast.
Plan of Correction:	Not available online. Contact Inspector for more information.