Caterpillar Clubhouse #2

8VAC20-780-280-H

“Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children. On 05/14/2025, Child 1 (age 10) was allowed access to a storage area where harmful substances were accessible to the child.”

8VAC20-780-130-A

“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. There was no immunization documentation in the record of Child #6, who had been enrolled for over 7 months.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: one working, battery-operated radio in each building used by children. There was no working, battery-operated radio in either building available during the inspection.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children, ages two and three years, were observed consuming mini corn dog nuggets for lunch. The mini corn dog nuggets contained a whole mini hot dog inside batter. These mini hot dogs are a potential choking hazard.”

8VAC20-780-60-A-8

“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 #6 was missing the following required components: written care plan for each child with a diagnosed food allergy, to include instruction 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. The record for Child #6 contained documentation of a diagnosed food allergy.”

8VAC20-780-130-A

“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. There was no immunization documentation in the record of Child #6, who had been enrolled for over 7 months.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required: one working, battery-operated radio in each building used by children. There was no working, battery-operated radio in either building available during the inspection.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Children, ages two and three years, were observed consuming mini corn dog nuggets for lunch. The mini corn dog nuggets contained a whole mini hot dog inside batter. These mini hot dogs are a potential choking hazard.”

8VAC20-780-60-A-8

“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 #6 was missing the following required components: written care plan for each child with a diagnosed food allergy, to include instruction 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. The record for Child #6 contained documentation of a diagnosed food allergy.”

8VAC20-780-80-A

“Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: 1. In the 3-year-old classroom, one child that was present was not marked present on the attendance sheet at approximately 11:15 AM. The child is normally in another classroom and is marked present on that attendance sheet.”

8VAC20-780-80-A

“Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: 1. In the 3-year-old classroom, one child that was present was not marked present on the attendance sheet at approximately 11:15 AM. The child is normally in another classroom and is marked present on that attendance sheet.”

8VAC20-780-130-A

“Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 3, with a documented first day of attendance of 09/25/2023, did not have the immunization prior to attending.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 4 has a diagnosed food allergy and did not have a physician completed food allergy action plan.”

8VAC20-780-130-A

“Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance. Evidence: The record for Child # 3, with a documented first day of attendance of 09/25/2023, did not have the immunization prior to attending.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 4 has a diagnosed food allergy and did not have a physician completed food allergy action plan.”

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems. The enrollment date was 4/2/2023. 2. The record for Child # 5 was missing Chronic physical problems. The enrollment date was 04/11/2022.”

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems. The enrollment date was 4/2/2023. 2. The record for Child # 5 was missing Chronic physical problems. The enrollment date was 04/11/2022.”

8VAC20-780-60-A

“Based on review of five children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 was missing Chronic physical problems. The enrollment date was 4/2/2023. 2. The record for Child # 5 was missing Chronic physical problems. The enrollment date was 04/11/2022.”

8VAC20-780-410-1

“Based on document review and interviews conducted by licensing staff and an outside partner agency, the center failed to ensure that physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment did not occur. Evidence: 1.Child 1 (age 6) stated that ?a teacher hurt my arm?. Child 1 identified the teacher as Staff 1. Child 1 also stated Staff 1 ?squeezed my arm and put me on the wall.? 2.Child 2 (age 7) observed the incident and stated that Child 1 was running around the classroom and Staff 1 grabbed the child’s arm and screamed in the child’s ear. Then Child 2 observed Staff 1 placing Child 1 into time out at the wall. 3.Forensic Nurse Examiner Report documented the following observed on Child 1: an area of purple bruising noted to the right upper arm, an abrasion noted to the right forearm, and an abrasion noted to left upper arm. Child 1 was asked by the Forensic Nurse Examiner ?Can you tell me what happened the other day at daycare??. Child 1?s documented response was ?A teacher hurt my arm, really tight?.”

8VAC20-780-350-B-5

“Based on interviews and attendance, the center failed to ensure the staff-to-children ratio for school age eligible children up to age 9 years. Evidence: On 12/27/2022, there were 25 school age children with one staff person. Staff 2 confirmed the 25 children in attendance under 1 staff. The youngest child was 5 years old. The ratio for this age group would be 1 staff to 18 children. Two staff would be required.”

8VAC20-780-60-A

“Based on review of five children’s records the center failed to ensure that all records were complete per the standard. Evidence: 1. Child # 1 did not have, chronic physical problems completed on the enrollment form by the parent or the guardian. 2. Child # 3 was missing father’s information, chronic physical problems and any noted allergies.”

8VAC20-780-210-A-1

“Based on review of five staff’s records, the center failed to ensure that all program leads had the required education documented per the standard. Evidence: 1. Staff # 1, 3, and 4 were working as a program lead and did not have documentation of High Diploma or equivalent.”