Buildin Blocks Daycare

8VAC20-780-60-A

“The facility shall have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child 3 has diagnosed food allergies but did not have a written allergy action plan completed by a physician on file.”

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 3 (date of employment (10/20/2023) indicated on the sworn disclosure statement dated 8/12/2022 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry was submitted within 30 days as required.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff 6 (date of employment 4/25/2024) had a tuberculosis test dated 5/16/2022.”

22.1-289.035-B-2

“Documentation of a fingerprint based national criminal check shall be obtained for each staff prior to employment. Staff 4 (date of employment 9/19/2022) did not have a fingerprint result until 9/22/2022, Staff 5 (date of employment 3/05/2024) did not have a fingerprint result until 3/12/2024), and Staff 6 (date of employment 4/25/2024) did not have a fingerprint result until 4/29/2024.”

8VAC20-780-570-B

“Bottles shall not be used while the child is in his designated sleeping location. In the infant room, 4 children were observed with bottles while lying down inside their (crib) designated sleeping area.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. The toddler teacher walked out of the toddler classroom several times, leaving a sleeping toddler alone in the classroom. The twos classroom was pitch dark during rest time, and the licensing inspector could not see the children.”

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. The center's hallway closet was unlocked and contained several cleaners and detergents.”

8VAC20-780-60-A

“Based on review of five children’s records, the center did not two children’s records contained the required information. Evidence: The records for Child #3 (first date of attendance 09/14/2023) and Child #5 (first date of attendance 06/07/2021) did not contain documentation of child updates and confirmation of up-to-date information in the child's record.”

8VAC20-780-500-B

“Based on observation, the changing table did not contain a nonabsorbent surface. Evidence: The diaper changing pad contained several small tears exposing the foam inside.”

8VAC20-780-60-A

“Based on review of five children’s records, the center did not two children’s records contained the required information. Evidence: The records for Child #3 (first date of attendance 09/14/2023) and Child #5 (first date of attendance 06/07/2021) did not contain documentation of child updates and confirmation of up-to-date information in the child's record.”

8VAC20-780-500-B

“Based on observation, the changing table did not contain a nonabsorbent surface. Evidence: The diaper changing pad contained several small tears exposing the foam inside.”

8VAC20-780-160-A

“Based on the review of four staff records, the center did not obtain documentation of a negative tuberculosis screening for one staff member. Evidence: The record for Staff #1 (date of employment 01/24/2023) did not contain documentation of a negative tuberculosis screening submitted at the time of employment and prior to coming into contact with children.”

8VAC20-780-140-A

“Based on review of five children’s records, the center did not ensure documentation of a physical exam was obtained within the required timeframe for one child attending the center. Evidence: The record for Child #1 (first date of attendance 12/01/2020) did not contain documentation of a physical exam.”

8VAC20-780-60-A

“Based on review of five children’s records, the center did not obtain the required information for two children’s records. Evidence: 1. The records for Child #3 (first date of attendance 08/02/2022) and Child #5 (first date of attendance 03/21/2022) contained the name, address, and phone number of one designated person to call in an emergency if a parent cannot be reached. 2. Child Day Centers standards require two designated people to call in case of an emergency”

8VAC20-780-70

“Based on review of four staff records, the center did not obtain the required information for one staff record. Evidence: 1. The record for Staff #1 (date of employment 01/24/2023) did not contain two or more references as to the character and reputation as well as competency that were checked before employment. 2. The record for Staff #1 listed two references to contact but did not include documentation of the dates of contact, names of person contacted, the firms contacted, results, and signature of person making call.”

8VAC20-780-280-B

“Based on observation, the center did not ensure heat was supplied from a heating system approved in accordance with the Uniform Statewide Building Code (USBC, 13VAC5-62) except for camps. The heating system is required to be installed to prevent accessibility of children to the system; and have appropriate barriers to prevent children from being burned, shocked, or injured from heating equipment. Evidence: A portable heater was observed sitting on the floor of the Infant room. The heater was on and hot to the touch. Four infants were observed in the classroom where the heater was located during the inspection.”

8VAC20-780-140-A

“Based on record review, the center did not ensure two of five children’s records had documentation of a physical exam within 30 days of enrollment. Evidence: 1. The record of child #4 (enrollment date: 8/15/2022) did not have documentation of a physical exam. 2. The record of child #3 (enrollment date: 4/6/2021) had documentation of a physical exam dated 5/20/2021.”

8VAC20-780-290-A-3

“Based on observation the center did not ensure electrical outlets had protective covers in areas used by children of preschool age or younger. Evidence: 1. The two year old classroom had two uncovered electrical outlets located on an extension cord within the reach of children in care. 2. The two year old diapering area had an uncovered electrical outlet.”

8VAC20-780-430-B

“Based on observation, the center did not ensure materials and equipment available to the two year old children were age and stage appropriate. Evidence: The two year old children were observed playing with several small toys approximately ? inch wide by 1 inch long which presented a choking hazard.”

8VAC20-780-530-A

“Based on record review and an interview, the center did not ensure at least one staff in each classroom or area where children are present have current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training should include an in-person competency demonstration. Evidence: 1. The infant, toddler, and preschool groups did not have at least one staff supervising with a current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. 2. The center director stated that the supervising staff completed an online first aid and CPR training which did not include an in-person competency demonstration.”

8VAC20-780-580-C

“Based on record review, the center did not ensure to maintain all required emergency information documentation as specified in 8VAC20-780-550-I and K. Evidence: The center’s vehicle did not have documentation of the following: 911 or local dial number for police, fire and emergency medical services, the number of the regional poison control, potential shelters, hospitals, evacuation routes that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure one of five staff records had documentation of central registry results within 30 days of employment. Evidence: The record of staff #2 (employment date: 9/19/2022) did not have documentation of central registry results.”

8VAC20-780-130-A

“Based on record review, the center did not ensure one of five children’s records had documentation of immunizations prior to the child's enrollment. Evidence: The record of child #2 (enrollment date: 4/11/2022) did not have documentation of the child’s immunizations.”

8VAC20-780-140-A

“Based on record review, the center did not ensure two of five children’s records had documentation of a physical exam within 30 days of enrollment. Evidence: 1. The record of child #4 (enrollment date: 8/15/2022) did not have documentation of a physical exam. 2. The record of child #3 (enrollment date: 4/6/2021) had documentation of a physical exam dated 5/20/2021.”

8VAC20-780-290-A-3

“Based on observation the center did not ensure electrical outlets had protective covers in areas used by children of preschool age or younger. Evidence: 1. The two year old classroom had two uncovered electrical outlets located on an extension cord within the reach of children in care. 2. The two year old diapering area had an uncovered electrical outlet.”

8VAC20-780-430-B

“Based on observation, the center did not ensure materials and equipment available to the two year old children were age and stage appropriate. Evidence: The two year old children were observed playing with several small toys approximately ? inch wide by 1 inch long which presented a choking hazard.”

8VAC20-780-530-A

“Based on record review and an interview, the center did not ensure at least one staff in each classroom or area where children are present have current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training should include an in-person competency demonstration. Evidence: 1. The infant, toddler, and preschool groups did not have at least one staff supervising with a current certification in first aid and CPR from an organization such as American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. 2. The center director stated that the supervising staff completed an online first aid and CPR training which did not include an in-person competency demonstration.”

8VAC20-780-580-C

“Based on record review, the center did not ensure to maintain all required emergency information documentation as specified in 8VAC20-780-550-I and K. Evidence: The center’s vehicle did not have documentation of the following: 911 or local dial number for police, fire and emergency medical services, the number of the regional poison control, potential shelters, hospitals, evacuation routes that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure one of five staff records had documentation of central registry results within 30 days of employment. Evidence: The record of staff #2 (employment date: 9/19/2022) did not have documentation of central registry results.”

8VAC20-780-130-A

“Based on record review, the center did not ensure one of five children’s records had documentation of immunizations prior to the child's enrollment. Evidence: The record of child #2 (enrollment date: 4/11/2022) did not have documentation of the child’s immunizations.”

8VAC20-780-570-A

“Based on observation, the center did not ensure to place children in high chairs with the protective belt fastened securely. Evidence: There were three infants whose protective belts were not fastened securely while sitting in high chairs during lunch time.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Three preschool children were observed walking back and forth, from the kitchen to the preschool classroom alone. The preschool classroom and kitchen are about 25 feet apart. The children were not able to be seen or heard while walking in the hallway. 2. The toddler teacher walked out of the toddler classroom several times, leaving a sleeping toddler alone in the classroom. 3. A school age child was observed walking around the building unsupervised and later during the inspection, the same child was observed sleeping in a room with the door closed. Throughout the duration of the inspection, the school age child could not be seen or heard.”

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: The center's hallway closet was unlocked and contained several cleaners.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The infant room had a heater sitting in the middle of the floor with a cord traveling from the heater to the wall presenting a tripping and falling hazard. 2. The infant bathroom sink and toilet was inoperable during the inspection. 3. Several areas in the infant room and bathrooms had holes in the wall exposing crumbling drywall. The girl’s bathroom had a loose wall board exposing drywall, pipes and protruding nails.”

8VAC20-780-70

“Based on record review, the center did not ensure four of ten staff records had all of the required documentation. Evidence: 1. The record of staff #6 (start date: 10/14/2021) did not have documentation showing that the individual possesses the training as required by the job position. The center director stated that staff #6 is a program leader. Staff #6 had 19 of the 24 required training hours. 2. The record of staff #8 (start date: 11/09/2021) did not have documentation that the individual possesses the training as required by the job position. The center director stated that staff #8 is a program leader. Staff #8 had 20 of the 24 required training hours. 3. Staff #10 (start date: center was unable to determine) did not have any required staff record documentation.”

8VAC20-780-130-A

“Based on record review, the center did not ensure two of three childrens records had documentation of immunizations prior to the child's enrollment. Evidence: 1. The record of child #1 (start date: 11/30/20) had documentation of immunizations dated 5/18/2021. 2. The record of child #2 (start date: 6/7/21) had documentation of immunizations dated 9/29/21.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure four of ten staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 11/8/21) did not have documentation of central registry results. 2. The record of staff #6 (start date: 10/14/21) had documentation of central registry results dated 1/25/22. 3. The record of staff #9 (start date: 7/20/21) had documentation of central registry results dated 1/25/22. 4. The record of staff #10 (start date: center was unable to determine) did not have documentation of central registry. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

8VAC20-770-60-B

“Based on record review, the center did not ensure one of ten staff records contained documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #10 (start date: center was unable to determine) did not have documentation of a completed sworn statement or affirmation. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

22.1-289.035-B-4

“Based on record review, the center did not ensure three of ten staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #1 (start date: 11/08/2021) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. 2. The record of staff #4 (start date: 1/27/2022) did not have documentation of criminal history record results and sex offender registry check results from any state in which the individual has resided in the past five years. 3. The record of staff #5 (start date: 11/14/2021) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.”

22.1-289.035-B-2

“Based on record review, the center did not ensure one of ten staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #10 (start date: center unable to determine) did not have documentation of fingerprint based national criminal history search results. 2. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. 3. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

8VAC20-780-140-A

“Based on record review, the center did not ensure three of three childrens records had documentation of a physical exam within 30 days of enrollment. Evidence: 1. The record of child #1 (start date: 11/30/20) had documentation of a physical exam dated 5/18/2021. 2. The record of child #2 (start date: 6/7/21) did not have documentation of a physical exam.”

8VAC20-780-570-A

“Based on observation, the center did not ensure to place children in high chairs with the protective belt fastened securely. Evidence: There were three infants whose protective belts were not fastened securely while sitting in high chairs during lunch time.”

8VAC20-780-340-F

“Based on observation, the center did not ensure children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Three preschool children were observed walking back and forth, from the kitchen to the preschool classroom alone. The preschool classroom and kitchen are about 25 feet apart. The children were not able to be seen or heard while walking in the hallway. 2. The toddler teacher walked out of the toddler classroom several times, leaving a sleeping toddler alone in the classroom. 3. A school age child was observed walking around the building unsupervised and later during the inspection, the same child was observed sleeping in a room with the door closed. Throughout the duration of the inspection, the school age child could not be seen or heard.”

8VAC20-780-280-B

“Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: The center's hallway closet was unlocked and contained several cleaners.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. The infant room had a heater sitting in the middle of the floor with a cord traveling from the heater to the wall presenting a tripping and falling hazard. 2. The infant bathroom sink and toilet was inoperable during the inspection. 3. Several areas in the infant room and bathrooms had holes in the wall exposing crumbling drywall. The girl’s bathroom had a loose wall board exposing drywall, pipes and protruding nails.”

8VAC20-780-70

“Based on record review, the center did not ensure four of ten staff records had all of the required documentation. Evidence: 1. The record of staff #6 (start date: 10/14/2021) did not have documentation showing that the individual possesses the training as required by the job position. The center director stated that staff #6 is a program leader. Staff #6 had 19 of the 24 required training hours. 2. The record of staff #8 (start date: 11/09/2021) did not have documentation that the individual possesses the training as required by the job position. The center director stated that staff #8 is a program leader. Staff #8 had 20 of the 24 required training hours. 3. Staff #10 (start date: center was unable to determine) did not have any required staff record documentation.”

8VAC20-780-130-A

“Based on record review, the center did not ensure two of three childrens records had documentation of immunizations prior to the child's enrollment. Evidence: 1. The record of child #1 (start date: 11/30/20) had documentation of immunizations dated 5/18/2021. 2. The record of child #2 (start date: 6/7/21) had documentation of immunizations dated 9/29/21.”

8VAC20-770-60-C-2

“Based on record review, the provider did not ensure four of ten staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 11/8/21) did not have documentation of central registry results. 2. The record of staff #6 (start date: 10/14/21) had documentation of central registry results dated 1/25/22. 3. The record of staff #9 (start date: 7/20/21) had documentation of central registry results dated 1/25/22. 4. The record of staff #10 (start date: center was unable to determine) did not have documentation of central registry. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

8VAC20-770-60-B

“Based on record review, the center did not ensure one of ten staff records contained documentation of a completed sworn statement or affirmation prior to the first day of employment. Evidence: 1. The record of staff #10 (start date: center was unable to determine) did not have documentation of a completed sworn statement or affirmation. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

22.1-289.035-B-4

“Based on record review, the center did not ensure three of ten staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: 1. The record of staff #1 (start date: 11/08/2021) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. 2. The record of staff #4 (start date: 1/27/2022) did not have documentation of criminal history record results and sex offender registry check results from any state in which the individual has resided in the past five years. 3. The record of staff #5 (start date: 11/14/2021) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.”

22.1-289.035-B-2

“Based on record review, the center did not ensure one of ten staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #10 (start date: center unable to determine) did not have documentation of fingerprint based national criminal history search results. 2. Staff #10 met the department’s definition of `staff? by supervising children alone during nap time and transportation. 3. The center director stated that staff #10 periodically relieved staff for breaks during nap time and drove the center’s van to pick children up from school.”

8VAC20-780-140-A

“Based on record review, the center did not ensure three of three childrens records had documentation of a physical exam within 30 days of enrollment. Evidence: 1. The record of child #1 (start date: 11/30/20) had documentation of a physical exam dated 5/18/2021. 2. The record of child #2 (start date: 6/7/21) did not have documentation of a physical exam.”