Apple Tree Learning Center #1001

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2 under two years old has been in care for over a year did not have additional immunizations in their record.”

8VAC20-780-500-A

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Staff in the infant room were observed using their hands to open the trash can to dispose soiled diapers.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations before the child can attend the center. Child #1 who has been in care for three months did not have documentation ofl immunizations in their record.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. The following maintenance issues were observed: 3 metal foot pedal bikes in the outdoor play area were rusted and had the missing rubber covers on the handle bars which creates a potential cutting or poking injury.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain when applicable, work phone number and place of employment of each parent who has custody. The record for Child #1 was missing the employment phone number for both parents and the record for Child #2 was missing the employment information and employment phone number for one parent. Both children were present during the inspection and had been in care for at least two months.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The foot pedal on the step can in the two year old (Jr. Explorers 1) bathroom was broken and could only be opened using hands. There were soiled diapers in the can. 2. Staff #1 confirmed that the can was opened using hands to dispose of soiled diapers.”

8VAC20-780-510-E

“Based on medication review and interview, the center did not ensure that the center's procedures for administering medication shall include duration of the parent's authorization for medication. Evidence: 1. The asthma action plan form for child #7 did not have effective dates listed. 2. Staff #1 confirmed that the asthma action plan did not have the effective dates listed.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain when applicable, the work phone number and place of employment of each parent who has custody. Evidence: 1. The record for child # 3 did not contain the work number for the father. 2. The record for child # 4 did not contain the work number for both parents. 3. The record for child # 5 did not contain the employer’s name for the father. 4. Staff #1 confirmed that the records above were missing the required information.”

8VAC20-780-280-D

“Based on observation and interview, the center did not ensure that cleaning and sanitizing materials shall not be located above food. Evidence: 1. The storage area of the Pre-K 4 and 5 year old (Challenger 2) classroom had a bottle of sanitizing spray stored above a plastic jar of candy. 2. Staff #1 confirmed that the sanitizing material was stored above food.”

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure that cribs, cots, rest mats, and beds shall be identified for use by a specific child. Evidence: 1. The center used name labels on each crib in the infant room. However, two occupied cribs did not have labels on the crib to identify the specific children. 2. Staff #1 confirmed that the two occupied cribs did not have labels on the crib to identify the specific children.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1. The foot pedal on the step can in the two year old (Jr. Explorers 1) bathroom was broken and could only be opened using hands. There were soiled diapers in the can. 2. Staff #1 confirmed that the can was opened using hands to dispose of soiled diapers.”

8VAC20-780-510-E

“Based on medication review and interview, the center did not ensure that the center's procedures for administering medication shall include duration of the parent's authorization for medication. Evidence: 1. The asthma action plan form for child #7 did not have effective dates listed. 2. Staff #1 confirmed that the asthma action plan did not have the effective dates listed.”

8VAC20-780-60-A

“Based on record review and interview, the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain when applicable, the work phone number and place of employment of each parent who has custody. Evidence: 1. The record for child # 3 did not contain the work number for the father. 2. The record for child # 4 did not contain the work number for both parents. 3. The record for child # 5 did not contain the employer’s name for the father. 4. Staff #1 confirmed that the records above were missing the required information.”

8VAC20-780-280-D

“Based on observation and interview, the center did not ensure that cleaning and sanitizing materials shall not be located above food. Evidence: 1. The storage area of the Pre-K 4 and 5 year old (Challenger 2) classroom had a bottle of sanitizing spray stored above a plastic jar of candy. 2. Staff #1 confirmed that the sanitizing material was stored above food.”

8VAC20-780-440-B

“Based on observation and interview, the center did not ensure that cribs, cots, rest mats, and beds shall be identified for use by a specific child. Evidence: 1. The center used name labels on each crib in the infant room. However, two occupied cribs did not have labels on the crib to identify the specific children. 2. Staff #1 confirmed that the two occupied cribs did not have labels on the crib to identify the specific children.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that staff wash their hands with soap and running water after any contact with body fluids. Evidence: A staff in the three/four-year-old room wiped the runny of noses of three children, present for care, one right after the other ,without washing her hands between cleaning each child's nose.”

8VAC20-780-500-A

“Based on observation and interview the center failed to ensure staff wash their hands with soap and running water after any contact with body fluids. Evidence: 1 - Staff #1 did not was her hands after and between wiping the noses of three children. 2 - Staff #1 stated that she wiped the noses of three children and confirmed that she did not wash her hands after or between each wiping each child's nose.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that staff wash their hands with soap and running water after any contact with body fluids. Evidence: A staff in the three/four-year-old room wiped the runny of noses of three children, present for care, one right after the other ,without washing her hands between cleaning each child's nose.”

8VAC20-780-500-A

“Based on observation and interview the center failed to ensure staff wash their hands with soap and running water after any contact with body fluids. Evidence: 1 - Staff #1 did not was her hands after and between wiping the noses of three children. 2 - Staff #1 stated that she wiped the noses of three children and confirmed that she did not wash her hands after or between each wiping each child's nose.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that staff wash their hands with soap and running water after any contact with body fluids. Evidence: A staff in the three/four-year-old room wiped the runny of noses of three children, present for care, one right after the other ,without washing her hands between cleaning each child's nose.”

8VAC20-780-500-A

“Based on observation and interview the center failed to ensure staff wash their hands with soap and running water after any contact with body fluids. Evidence: 1 - Staff #1 did not was her hands after and between wiping the noses of three children. 2 - Staff #1 stated that she wiped the noses of three children and confirmed that she did not wash her hands after or between each wiping each child's nose.”

8VAC20-780-440-L Complaint related: No

“Based on observation the center failed to ensure that children under two years of age do not use pillows or filled comforters. Evidence: 1 - In the toddler room Child #1, a 19 month old and Child #2, a 22 month old, were observed nappling with under filled comforter covers. 2 - Child #2, a 22 month old child, was napping with a pillow. 3 - Staff present in the room confirmed that the children were not yet two years old.”

8VAC20-780-370-1

“Based on observation the center failed to ensure that when an infant is able to easily turn over from the back (supine) to the belly (prone) position and he is placed in his crib, he shall still be put on his back (supine) but allowed to adopt whatever position he prefers. Evidence: Staff 1 stated that she placed child 1 in his crib on his stomach.”

8VAC20-780-370-1

“Based on observation the center failed to ensure that when an infant is able to easily turn over from the back (supine) to the belly (prone) position and he is placed in his crib, he shall still be put on his back (supine) but allowed to adopt whatever position he prefers. Evidence: Staff 1 stated that she placed child 1 in his crib on his stomach.”