Apple Tree Learning Center #1006

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 and safety issues were observed: Approximately 4 large metal bolts around the play area perimeter were protruding causing a potential tripping hazard.”

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 and child #4, under two years old has been in care for at least 10 months did not have additional immunizations in their record.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a bottle of hand sanitizer on a shelf in the two-year-old room with the label ?keep out of reach of children? The bottle was accessible to children.”

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 and safety issues were observed: Approximately 4 large metal bolts around the play area perimeter were protruding causing a potential tripping hazard.”

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 and child #4, under two years old has been in care for at least 10 months did not have additional immunizations in their record.”

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a bottle of hand sanitizer on a shelf in the two-year-old room with the label ?keep out of reach of children? The bottle was accessible to children.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training to include the department’s health and safety update course. The record for staff #1 and staff #2 did not have documentation of a completed updated 3 hour Virginia Pre-service health and safety training.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was an unlocked cabinet in the two-year-old room that had a can of air freshener with a ?keep out of reach of children? label and a roll of plastic trash bags, which could be a suffocation hazard. The items were accessible to children.”

8VAC20-790-600-F

“Staff shall annually attend at least 16 hours of training to include the department’s health and safety update course. The record for staff #1 and staff #2 did not have documentation of a completed updated 3 hour Virginia Pre-service health and safety training.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was an unlocked cabinet in the two-year-old room that had a can of air freshener with a ?keep out of reach of children? label and a roll of plastic trash bags, which could be a suffocation hazard. The items were accessible to children.”

8VAC20-780-350-B-3 Complaint related: No

“Based on record review and interview, the center failed to ensure that required ratios are followed. Evidence: 1. The name to face sheet shows that on May 1, 2024, for approximately 1 to 15 minutes Staff #1 was alone with as many as eleven children in care where two staff are required. 2. During telephone and in person interviews it was confirmed that the 2-year-old room had been out of ratio during the week of April 29, 2024. 3. Staff #2 confirmed that the ratio was that staff #1 was alone with as many as eleven children in care where two staff are required.”

8VAC20-780-500-B

“Based on observation the center failed to ensure that staff dispose of diapers 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: In the toddler room, Staff #2 used her hand to lift the lid of the foot operated trash can to dispose of a soiled dipper and other items used during diaper changing.”

8VAC20-780-570-I

“Based on observation and interview the center failed to ensure that a one-day's emergency supply of commercial formulas appropriate for children in care is maintained at the center. Evidence: 1 - There were two containers of Enfomil with expiration date stamps 1DEC2023. The date stamps were on the bottom of the boxes a. Written on the top of each box in black marker was the date 12/1/2023 2 - A single canister of Similac had a date stamp on the bottom of 1/1/2024. 3 - Staff #1 confirmed that the formulas had expired based on the date stamps.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that staff wash hands before diaper changes. Evidence: In the toddler room, Staff #2 did not wash her hand before changing the diaper of a child in care.”

8VAC20-780-500-B

“Based on observation the center failed to ensure that staff dispose of diapers 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: In the toddler room, Staff #2 used her hand to lift the lid of the foot operated trash can to dispose of a soiled dipper and other items used during diaper changing.”

8VAC20-780-570-I

“Based on observation and interview the center failed to ensure that a one-day's emergency supply of commercial formulas appropriate for children in care is maintained at the center. Evidence: 1 - There were two containers of Enfomil with expiration date stamps 1DEC2023. The date stamps were on the bottom of the boxes a. Written on the top of each box in black marker was the date 12/1/2023 2 - A single canister of Similac had a date stamp on the bottom of 1/1/2024. 3 - Staff #1 confirmed that the formulas had expired based on the date stamps.”

8VAC20-780-500-A

“Based on observation the center failed to ensure that staff wash hands before diaper changes. Evidence: In the toddler room, Staff #2 did not wash her hand before changing the diaper of a child in care.”