Belle Croft Preschool

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. Cribs in the infant room were not identified for use for individual children. Two unidentified cribs were occupied by sleeping infants.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside,are maintained in a safe condition. In the toddler classroom there was a diaper pail stacked on top of a piece of equipment beside the changing table that posed a topple hazard.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. There were unlocked cleaning supplies in two classrooms.”

8VAC20-780-440-A

“Cribs, cots, rest mats or beds shall be provided for children during the designated rest period. A crib was not provided for Child B and Child C. A cot or mat was not provided for Child D.”

8VAC20-780-240-A

“Repeat Violation Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 completed the course more than three months late.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child A, was missing the following required components: Documentation of viewing proof of the child's identity and age.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. In the lunchroom, there were three bottles of medication on an unlocked shelf, out of reach of children.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In a two year old and a three-year-old classroom, there were cleaning solutions on an unlocked shelf, out of reach of children.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 only completed 13 of the required 16 annual training hours.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff #1 has not been completed. The updated screening was due 5 weeks ago.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal history check for staff #2 was six weeks overdue.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3 began employment one week prior to receiving completed criminal history check results.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. In a two-year-old classroom there was an uncovered outlet, within reach of children.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #3, who is working with children, has not yet completed this course which is overdue by 2 months.”

8VAC20-780-70

“Staff records shall be kept for each staff person and shall contain all of the required components. The record for Staff #1 did not contain the name, phone number and address of a person to be notified in an emergency. The record for Staff #3 contained only one reference check, two reference checks are required.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. In the lunchroom, there were three bottles of medication on an unlocked shelf, out of reach of children.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In a two year old and a three-year-old classroom, there were cleaning solutions on an unlocked shelf, out of reach of children.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #2 only completed 13 of the required 16 annual training hours.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated TB screening for Staff #1 has not been completed. The updated screening was due 5 weeks ago.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal history check for staff #2 was six weeks overdue.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3 began employment one week prior to receiving completed criminal history check results.”

8VAC20-780-290-A-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. In a two-year-old classroom there was an uncovered outlet, within reach of children.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #3, who is working with children, has not yet completed this course which is overdue by 2 months.”

8VAC20-780-70

“Staff records shall be kept for each staff person and shall contain all of the required components. The record for Staff #1 did not contain the name, phone number and address of a person to be notified in an emergency. The record for Staff #3 contained only one reference check, two reference checks are required.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone. On the outdoor playground a see saw measuring 13" high did not have resilient surfacing in the fall zones. Child #1 fell off the see saw resulting in a serious injury.”

22.1-289.035-B-2

“Repeat Violation Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4 was employed for 28 days prior to receiving the results of the criminal history check.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. The results of a central registry check were not on file for Staff #2, who had been employed for more than 60 days. There was no documentation of a follow up by the provider after 45 days of submitting the request. Staff #2 was observed alone with a group of children during the inspection.”

8VAC20-780-500-B

“Repeat Violation 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. In the two year old classroom, diapers were disposed of in a can that required staff to touch the swinging lid to dispose of the diaper.”

8VAC20-780-350-B-3

“The required ratio for children 2 years of age is one staff per 8 children. Staff #4 was observed supervising a very active classroom of 13 children when Staff #3 stepped out of the classroom.”

8VAC20-780-340-D

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #5, who did not meet lead teacher qualifications, was alone with a group of preschool children for more than 30 minutes during late morning activities.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In the toy storage area on the playground there were two wooden boards that were broken down and splintering on the ends. A nail head was sticking out of one. There were multiple tears on the diaper changing pad in the two-year-old classroom. There was peeling wallpaper in a bathroom.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #5 obtained 13 of the 16 required hours in 2024.”

8VAC20-780-70

“Repeat Violation Staff records shall contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The record for Staff #5 did not contain documentation of a high school diploma or equivalent.”

8VAC20-780-130-A

“Repeat Violation 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 #4, who had been attending for more than 3 months, did not have documentation of adequate immunizations on file. The record contained documentation that the child was not adequately immunized.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99. Resilient surfacing shall be under equipment with moving parts or climbing apparatus to create a fall zone. On the outdoor playground a see saw measuring 13" high did not have resilient surfacing in the fall zones. Child #1 fell off the see saw resulting in a serious injury.”

22.1-289.035-B-2

“Repeat Violation Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #4 was employed for 28 days prior to receiving the results of the criminal history check.”

22.1-289.035-B-3

“Repeat Violation The center must request a search of the central registry prior to the employee's first day of employment. The results of a central registry check were not on file for Staff #2, who had been employed for more than 60 days. There was no documentation of a follow up by the provider after 45 days of submitting the request. Staff #2 was observed alone with a group of children during the inspection.”

8VAC20-780-500-B

“Repeat Violation 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. In the two year old classroom, diapers were disposed of in a can that required staff to touch the swinging lid to dispose of the diaper.”

8VAC20-780-350-B-3

“The required ratio for children 2 years of age is one staff per 8 children. Staff #4 was observed supervising a very active classroom of 13 children when Staff #3 stepped out of the classroom.”

8VAC20-780-340-D

“Repeat Violation Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #5, who did not meet lead teacher qualifications, was alone with a group of preschool children for more than 30 minutes during late morning activities.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. In the toy storage area on the playground there were two wooden boards that were broken down and splintering on the ends. A nail head was sticking out of one. There were multiple tears on the diaper changing pad in the two-year-old classroom. There was peeling wallpaper in a bathroom.”

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #5 obtained 13 of the 16 required hours in 2024.”

8VAC20-780-70

“Repeat Violation Staff records shall contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The record for Staff #5 did not contain documentation of a high school diploma or equivalent.”

8VAC20-780-130-A

“Repeat Violation 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 #4, who had been attending for more than 3 months, did not have documentation of adequate immunizations on file. The record contained documentation that the child was not adequately immunized.”

8VAC20-780-510-N

“Centers shall keep a record of medication given to children which includes all the required information. There was no documentation of the medication given daily to child #6 on 7 dates between 9/30/24 and 10/8/24.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of 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. Soiled diapers were put into an open, plastic shopping bag that was hanging on the wall next to the diaper changing table. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 cleaned the diaper changing surface but did not sanitize the surface.”

8VAC20-780-570-I

“A one-day's emergency supply of commercial formulas appropriate for the children in care shall be maintained at the center. The emergency supply of infant formula had expired 4 months ago.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the products do not need to be kept locked but shall be inaccessible to children. There was a container of Equate diaper rash ointment on a low cart that was accessible to children in the infant room.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. There was a pink snack cup on the cubby in the infant room with no name or date. There were multiple bottles in the infant room that did not have dates on them.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. The preschool children came in from the playground and did not wash their hands before eating lunch. Lunch was served in the main building where soap and running water was available. Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. After changing a diaper, Staff #2 did not wash the child's hands with soap and water. Staff shall wash their hands with soap and running water before and after a diaper change. After changing a diaper, Staff #2 did not wash her hands.”

8VAC20-780-520-D

“If insect repellent is used, it does not need to be kept locked but shall be inaccessible to children. A basket containing more than 12 bottles of insect repellant sat on a low shelf, accessible to children in the preschool lunchroom.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. Child #3 sustained first degree burns when Staff #3 placed a cup of hot coffee on a low, unstable toy shelf within reach of children. The staff member left the hot coffee unattended. Child #3 crawled to the shelf, stood up and reached for the cup. The cup fell over, and the hot coffee spilled on the child’s chest.”

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. In a toddler classroom there was an electric outlet that did not have a protective cover.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In a classroom there was a can of Lysol and Clorox wipes on a cubby. In another classroom there was a bottle of room fragrance. Keep out of reach of children was written on the labels of these products.”

8VAC20-780-270-A

“Repeat Violation Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. A foldable three shelf storage unit that held infant toys, was not secured to the wall. The shelf unit was unstable and shook when it was touched, resulting in an injury to a child. A piece of clear packing tape approximately 4 inches long posed a choking hazard. The tape was wrapped around plastic that was covering a pole in the classroom. The tape was peeled back and sticking out at a child’s height.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person that includes all of the required information. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who had been hired more than 30 days prior, did not have any completed reference verifications on file. Staff records shall contain documentation of orientation and training as required by 8VAC20-780-240. Staff #4 did not have documentation of orientation training on file.”

8VAC20-780-540-E

“Repeat Violation One working battery-operated radio is required in each building used by children. There was no working, battery operated radio in either the Baby Barn or the Preschool building.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, who was under 2 years of age, did not have an updated immunization record. An updated record with additional immunizations was 6 months overdue. The immunization record for Child #2, who was under 2 years of age, had not been updated. An updated record with additional immunizations was 7 months overdue.”

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. The record for Staff #4, employed for more than 30 days, did not have documentation of requesting a central registry or sex offender check from a state the staff member lived in.”

8VAC20-780-510-N

“Centers shall keep a record of medication given to children which includes all the required information. There was no documentation of the medication given daily to child #6 on 7 dates between 9/30/24 and 10/8/24.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of 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. Soiled diapers were put into an open, plastic shopping bag that was hanging on the wall next to the diaper changing table. The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #1 cleaned the diaper changing surface but did not sanitize the surface.”

8VAC20-780-570-I

“A one-day's emergency supply of commercial formulas appropriate for the children in care shall be maintained at the center. The emergency supply of infant formula had expired 4 months ago.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the products do not need to be kept locked but shall be inaccessible to children. There was a container of Equate diaper rash ointment on a low cart that was accessible to children in the infant room.”

8VAC20-780-560-G

“Based on observation and interviews, it was determined the facility did not ensure that when food is brought from home it is clearly dated and label in a way that identifies the owner. There was a pink snack cup on the cubby in the infant room with no name or date. There were multiple bottles in the infant room that did not have dates on them.”

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals and snacks. The preschool children came in from the playground and did not wash their hands before eating lunch. Lunch was served in the main building where soap and running water was available. Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine. After changing a diaper, Staff #2 did not wash the child's hands with soap and water. Staff shall wash their hands with soap and running water before and after a diaper change. After changing a diaper, Staff #2 did not wash her hands.”

8VAC20-780-520-D

“If insect repellent is used, it does not need to be kept locked but shall be inaccessible to children. A basket containing more than 12 bottles of insect repellant sat on a low shelf, accessible to children in the preschool lunchroom.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. Child #3 sustained first degree burns when Staff #3 placed a cup of hot coffee on a low, unstable toy shelf within reach of children. The staff member left the hot coffee unattended. Child #3 crawled to the shelf, stood up and reached for the cup. The cup fell over, and the hot coffee spilled on the child’s chest.”

8VAC20-780-290-A-3

“In areas used by children of preschool age or younger, electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. In a toddler classroom there was an electric outlet that did not have a protective cover.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In a classroom there was a can of Lysol and Clorox wipes on a cubby. In another classroom there was a bottle of room fragrance. Keep out of reach of children was written on the labels of these products.”

8VAC20-780-270-A

“Repeat Violation Areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. A foldable three shelf storage unit that held infant toys, was not secured to the wall. The shelf unit was unstable and shook when it was touched, resulting in an injury to a child. A piece of clear packing tape approximately 4 inches long posed a choking hazard. The tape was wrapped around plastic that was covering a pole in the classroom. The tape was peeled back and sticking out at a child’s height.”

8VAC20-780-70

“Repeat Violation Staff records shall be kept for each staff person that includes all of the required information. Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #4, who had been hired more than 30 days prior, did not have any completed reference verifications on file. Staff records shall contain documentation of orientation and training as required by 8VAC20-780-240. Staff #4 did not have documentation of orientation training on file.”

8VAC20-780-540-E

“Repeat Violation One working battery-operated radio is required in each building used by children. There was no working, battery operated radio in either the Baby Barn or the Preschool building.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1, who was under 2 years of age, did not have an updated immunization record. An updated record with additional immunizations was 6 months overdue. The immunization record for Child #2, who was under 2 years of age, had not been updated. An updated record with additional immunizations was 7 months overdue.”

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. The record for Staff #4, employed for more than 30 days, did not have documentation of requesting a central registry or sex offender check from a state the staff member lived in.”

8VAC20-780-550-D

“Repeat Violation Based on record reviews and interviews, it was determined that the center did not ensure that the center shall implement a monthly practice evacuation drill. Evidence: 1.There was no documentation of emergency evacuation drills for the months of November and December 2023. 2. The Director confirmed the documentation of these drills was not available.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: The record for child #5 did not contain the work phone number for both parents.”

8VAC20-780-70

“Based on a review of staff records it was determined that the center did not ensure that a record was kept for each staff member with all the required information. Evidence: 1.The record for staff #1 did not contain documentation that two or more references were checked before employment or volunteering. 2.The Director confirmed the references were not in the record.”

8VAC20-780-420-B

“Based on record review and interviews, it was determined that the center did not ensure that staff request at least annually parent confirmation that the required information in the child's record is up to date. Evidence: 1.The records for child #2 (date of enrollment 7/28/21), child #3(date of enrollment 2/28/20), and child #4 (date of enrollment 8/10/22) did not contain documentation of annual parent confirmation that the information in the record was up to date. 2.The Director confirmed the annual update was not documented.”

8VAC20-780-540-E

“Based on observation and interviews, it was determined the facility did not ensure the required nonmedical emergency supplies were available on each floor of the building. Evidence: 1.The battery-operated radio was missing batteries and did not work. 2.The Director confirmed the radio was not working.”

22.1-289.035-A

“Based on record review and interview it was determined the center did not ensure that a repeat child abuse and neglect, central registry check and was performed for each staff member at least every five years from the date of the last search. Evidence: 1. The record for staff #5 did not contain documentation of an updated central registry check. The documentation available was dated 12/7/2018. 2. The Director confirmed the updated background check was not in the record.”