Bears and Blankets Academy of Early Learning

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. On June 27, 2025, Staff 1 used her foot to push Child 1's (age 4 years) head down on their mat at naptime.”

8VAC20-780-380-A-2

“Centers operating five or more hours per day shall have a designated rest period for at least one hour but no more than two hours. After the first 30 minutes, children not sleeping may engage in quiet activities. On June 27, 2025 Child 1 (age 4 years) had been lying down not sleeping for about one hour during designated rest period and had not been offered quiet activities to engage in.”

22.1-289.036-A

“Based on record review, the center failed to obtain the required repeat background checks for one agent on the business entity every five years. Evidence: 1. The record of Agent 2 did not have updated fingerprint based national criminal record background check. The documentation of the fingerprint based national criminal record background check was dated 04/13/20218. 2. Administration confirmed Agent 2 did not have an updated fingerprint background check.”

8VAC20-780-550-B

“Based on a review of the emergency preparedness plan the center did not ensure the emergency preparedness plan contained all procedural components. Evidence: 1.The emergency preparedness plan did not contain the following components: 1) securing emergency contact information and information on allergies or food intolerances; 2)methods to ensure any health care needs to include medications and care plans; emergency contact information for staff; and supplies are taken to the assembly point or relocation site; 3) includes method of communication with emergency responders; and 4) procedures to reunite children with a parent or authorized person designated by the parent to pick up the child. 2. The emergency preparedness plan was not updated when program moved to the new building in 05/2023. 3. Administration confirmed that the emergency plan was not updated.”

8VAC20-780-70

“Based on a review of records, the center failed to ensure that each staff record contains all required documentation. Evidence: 1. The record of Staff 4 contains only one reference. 2. Administration confirmed that there are not two references for Staff 4.”

8VAC20-780-160-A

“REPEAT VIOLATION/SYSTEMIC DEFICIENCY Based on a review of staff records, the center failed to ensure each staff member completed tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: 1. The record of Staff 3 (DOH: 04/12/2024) contained documentation of a tuberculosis screening dated 02/19/2024. 2. The record of Staff 5 (DOH: 02/01/2024) contained documentation of a tuberculosis screening dated 11/27/2023. 3. Administration confirmed the dates of the documentation for Staff 3 and Staff 5.”

8VAC20-780-160-A

“REPEAT Based on review of staff records, the center failed to ensure that documentation of a tuberculosis screening shall be completed at the time of employment and prior to coming into contact with children. Evidence: 1. Staff # 4's date of employment was 04/03/2023. The tuberculosis documentation was dated 05/01/2023. 2. Administration verified the date of employment and the date on the tuberculosis documentation.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Toddler Classroom there was a spray bottle of disinfectant spray, and a can of Febreze hanging on the shelf above the diaper changing table. 2. In the Two Year Old Classroom there was a bottle of disinfectant spray hanging on the shelf above the diaper changing area. 3. In the Cafeteria Area there was one bottle of disinfectant spray on a shelf near the entrance to the kitchen, and one bottle of disinfect spray on the shelf next to the storage closet.”

8VAC20-780-440-L

“Based on observation and interview, the center failed to ensure that pillows were not used by children under two years of age. Evidence: 1. The Licensing Inspector observed children under age of 2 years with "sleep sacks" that include pillows. The children were between the ages of 17-24 months. 2. Staff verified that the children use the sleep sacks on a daily basis and the age of the children.”

8VAC20-780-430-I

“Based on observation, the center failed to ensure that all personal articles used where labeled with the child's name. Evidence: 1. In the Two Year Old Classroom there four water bottles on the shelf that were not labeled with the child's name, and one water bottle in a cubbie that was not labeled with the child's name. 2. In the Oldest Pre-K Classroom there were four water bottles in cubbies that were not labeled with the child's name.”

8VAC20-780-520-A

“Based on review of diaper ointments, the center failed to ensure that over-the-counter-skin products shall not be kept beyond the expiration date of the product. Evidence: 1. In the Two Year Old Classroom there was a tube of Boudreax Butt Paste that expired in August 2023. 2. In the Toddler Classroom there was a tube of Desitin that expired in September 2023, and a tube of Boudreax Butt Paste that expired in April 2023. 3. Staff verified the dates on the diaper ointments.”

8VAC20-780-520-C

“Based on review of diaper ointment, the center failed to ensure that all products shall be labeled with the child's name. Evidence: 1. In the Two Year Old Classroom there was a tube of Blamex Zinc Oxide Diaper Cream that was not labeled with the child's name. 2. Staff verified that the ointment was not labeled with the child's name.”

8VAC20-770-60-C-2

“Based on review of staff records, the center failed to ensure that a central registry finding has been completed and in the record within 30 days of employment. Evidence: 1. Staff #4's date of employment was 04/03/2023. There was not documentation of a completed central registry finding in the record. 2. Administration verified that there was not a central registry finding in the record.”

8VAC20-780-160-A

“Based on the review of seven staff records, the program failed to ensure that each staff member submits documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment for four staff. Evidence: 1. The date of employment for Staff #3 was 1/31/2023. The TB screening in the record was dated 3/23/2021. 2. The date of employment for Staff #5 was 2/18/2023. The TB screening in the record was not dated. 3. The date of employment for Staff #6 was 4/3/2023. There was no TB screening in the record. 4. The date of employment for Staff #7 was 4/10/2023. The TB screening in the record was dated 6/3/2022.”

22.1-289.035-B-4

“Based on review of seven staff records, the program failed to ensure that a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry was obtained from any stat in which an individual has resided in the preceding five years for one staff. Evidence: 1. The first day of employment for Staff #5 was 2/18/2023. There were no results from a sex offender registry check nor child abuse and neglect registry for two previous states of residence. 2. The administrator confirmed that the checks had not been requested.”

22.1-289.035-B-2

“Based on review of three staff records, the program failed to ensure that a fingerprint check was conducted prior to first day of employment. Evidence: 1. The first day of employment for Staff #2 was 8/22/2022 after being rehired. 2. A fingerprint check was not redone upon rehire.”