Caterpillar Clubhouse #5

8VAC20-780-280-D

“Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single service articles and shall be stored in areas physically separate from food. Cleaning and sanitizing materials were stored above single service applesauce and fruit in the closet of the infant room”

8VAC20-780-280-D

“Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single service articles and shall be stored in areas physically separate from food. Cleaning and sanitizing materials were stored above single service applesauce and fruit in the closet of the infant room”

8VAC20-780-330-B Complaint related: No

“Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The height of the of the play structure with the slide measured approximately 4 feet 6 inch. The resilient surfacing (mulch) under the climbing equipment with slide measured approximate one inch. The required amount of resilient surfacing is 6 inches.”

8VAC20-780-340-F

“SYSTEMIC DEFICIENCY Based on interviews with staff, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Staff 2, Staff 3, and Staff 5 confirmed that on 03/18/2024, Child 1 (age 3 years at time of incident) was left alone, unsupervised on the second floor of the building from approximately 11:30 am to approximately 2:15 pm (2 hours and 45 minutes). The child was in the ?Three’s 2? classroom at approximately 11:30 am when the other children in the group left the room with staff and was found at approximately 2:15 pm in the ?Three’s 1? classroom. Staff 2 stated that while changing a diaper in the ?Threes 2? room on 03/18/2024 at approximately 2:15 pm, they heard crying coming from the ?Three’s 1? room. Staff 2 confirmed that they found Child 1 alone in ?Three’s 1? room behind a shelf. Child 1 was reportedly visibly distraught, pale, crying and clutching a stuffed animal. From approximately 11:30 am to approximately 2:15 pm Child 1 was not within actual sight and sound supervision of staff. Written documentation from Staff 4 shared that after the incident, Child 1 "regressed" in potty training and was requiring more support.”

8VAC20-780-340-B

“SYSTEMIC DEFICIENCY Based on observation and interviews with staff, the center failed to ensure that during the center’s hour of operation, one adult on the premises shall be in charge of the administration of the center. This person shall be either the administrator or an adult appointed by the licensee or designated by the administrator. Evidence: 1. At approximately 1:10 pm on 06/12/2024, the inspector arrived on site and requested to speak to the administrator. The staff member that opened the door stated the administrators were on break and they could not identify an administrator in charge. Five other staff members were consulted, and they could not identify an administrator in charge. 2. At approximately 1:30 pm on 06/12/2024, Staff 5 returned and confirmed the administrators are Staff 5, Staff 3, and Staff 6. 3. Staff 5, Staff 3, and Staff 6 were not on premises from approximately 1:10 pm to approximately 1:30 pm on 06/12/2024.”

8VAC20-780-340-A

“SYSTEMIC DEFICIENCY Based on interviews with staff, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff 2, Staff 3, and Staff 5 confirmed that on 03/18/2024, Child 1 (age 3 years at time of incident) was left alone, unsupervised on the second floor of the building from approximately 11:30 am to approximately 2:15 pm (2 hours and 45 minutes). The child was in the ?Three’s 2? classroom at approximately 11:30 am when the other children in the group left the room with staff and was found at approximately 2:15 pm in the ?Three’s 1? classroom. 2. At approximately 12:30 pm on 03/18/2024, Staff 3 realized Child 1 was not on their cot for rest time in the nap room. Staff 3 stated they documented the time on a ?sticky note?, assumed Child 1 had left for the day, and did not attempt to locate Child 1. 3. Staff 2 stated that while changing a diaper in the ?Three’s 2? room on 03/18/2024 at approximately 2:15 pm, they heard crying coming from the ?Three’s 1? room. Staff 2 confirmed that they found Child 1 alone in ?Three’s 1? room behind a shelf. Child 1 was reportedly visibly distraught, pale, crying and clutching a stuffed animal. 4. Staff 2, Staff 3, and Staff 5 confirmed that on 03/18/2024, Child 1 did not receive a meal or snack between the hours of approximately 9:00 am to approximately 2:15 pm. After being located, Child 1 consumed 4 bags of Goldfish and a juice box. 5. Written documentation from Staff 4 shared that after the incident, Child 1 "regressed" in potty training and was requiring more support.”

63.2-1509-A

“Based on staff interviews, the center failed to ensure that the persons listed in the Code of Virginia, who, in their professional or official capacity (a person employed by a child day program), have reason to suspect that a child is an abused or neglected child, shall report the matter immediately to the local department of the county or city wherein the child resides or wherein the abuse or neglect is believed to have occurred or to the Department’s toll-free child abuse and neglect hotline. Evidence: 1. Staff 2, Staff 3, and Staff 5 confirmed that on 03/18/2024, Child 1 (age 3 years at time of incident) was left alone, unsupervised on the second floor of the building from approximately 11:30 am to approximately 2:15 pm (2 hours and 45 minutes). The child was in the ?Three’s 2? classroom at approximately 11:30 am when the other children in the group left the room with staff and was found at approximately 2:15 pm in the ?Three’s 1? classroom. 2. At approximately 12:30 pm on 03/18/2024, Staff 3 realized Child 1 was not on their cot for rest time in the nap room. Staff 3 stated they documented the time on a ?sticky note?, assumed Child 1 had left for the day, and did not attempt to locate Child 1. 3. Staff 2 stated that while changing a diaper in the ?Three’s 2? room on 03/18/2024 at approximately 2:15 pm, they heard crying coming from the ?Three’s 1? room. Staff 2 confirmed that they found Child 1 alone in ?Three’s 1? room behind a shelf. Child 1 was reportedly visibly distraught, pale, crying and clutching a stuffed animal. 4. Staff 2, Staff 3, and Staff 5 confirmed they were aware of Child 1 being left alone and unsupervised for 2 hours and 45 minutes and did not report the neglect of Child 1 to the local department or any other authority.”

8VAC20-780-40-E

“Based on review of required policies and procedures, and interviews with staff, the center failed to ensure that the center’s activities, services and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards. Evidence: The center’s procedures for identifying where attending children are at all times states teachers and aides are always to keep a head count and use this frequently to make sure all children are accounted for. Child 1 (age 3 years at time of incident) was unaccounted for approximately 2 hours and 45 minutes after being left alone, unsupervised on the second floor of the building from approximately 11:30 am to approximately 2:15 pm. A head count was not done after staff left the classroom. At approximately 12:30 pm on 03/18/2024, Staff 3 realized Child 1 was not on their cot for rest time in the nap room. Staff 3 stated they documented the time on a ?sticky note? and assumed Child 1 had left for the day. Staff 2 stated that while changing a diaper in the ?Three’s 2? room on 03/18/2024 at approximately 2:15 pm, they heard crying coming from the ?Three’s 1? room. Staff 2 confirmed that they found Child 1 alone in ?Three’s 1? room behind a shelf. Child 1 was reportedly visibly distraught, pale, crying and clutching a stuffed animal. Written documentation from Staff 4 shared that after the incident, Child 1 "regressed" in potty training and was requiring more support.”

8VAC20-780-330-D

“Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: Observed on the playground there was no measurable amount of resilient surfacing directly in the fall zones of the slides. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing is six inches based on the height if the equipment observed on the playground. Children were observed on the playground using the climbing equipment.”

8VAC20-780-60-A-8

“Based on review of children’s records, the center failed to ensure that 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 steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1.Child #1 has a diagnosed food allergy and there was no documentation of an allergy action plan in the child’s record.”

8VAC20-780-140-B

“Based on record review and interviews, the center failed to ensure that if the child has had a physical examination prior to attendance, it shall be within the required time frame for the age of the child. Evidence: The record for Child # 3 contained documentation that the first date of attendance for was 06/05/2023 and DOB is 06/19/2022/ On the day of the inspection the physical examination was dated 08/19/2022. Per the age of the child, the physical exam was over the required three months? time frame for the date of attendance.”

8VAC20-780-140-A

“Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child #2 contained documentation that the first date of attendance for was 06/05/2023; on the day of the inspection the physical was dated 11/23/2023.”

8VAC20-780-330-D

“Based on observation of the playground area, the center failed to ensure all immediate fall zones had the required amount of resilient surfacing. Evidence: Observed on the playground there was no measurable amount of resilient surfacing directly in the fall zones of the slides. According to the attachment VII in the Standards for Licensed Child Day Center the amount of resilient surfacing is six inches based on the height if the equipment observed on the playground. Children were observed on the playground using the climbing equipment.”

8VAC20-780-60-A-8

“Based on review of children’s records, the center failed to ensure that 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 steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1.Child #1 has a diagnosed food allergy and there was no documentation of an allergy action plan in the child’s record.”

8VAC20-780-140-B

“Based on record review and interviews, the center failed to ensure that if the child has had a physical examination prior to attendance, it shall be within the required time frame for the age of the child. Evidence: The record for Child # 3 contained documentation that the first date of attendance for was 06/05/2023 and DOB is 06/19/2022/ On the day of the inspection the physical examination was dated 08/19/2022. Per the age of the child, the physical exam was over the required three months? time frame for the date of attendance.”

8VAC20-780-140-A

“Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: The record for Child #2 contained documentation that the first date of attendance for was 06/05/2023; on the day of the inspection the physical was dated 11/23/2023.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that all substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: 1.There were two spray bottles in closet of the Infant room #2. One bottle was clear liquid, and the other spray bottle was a red transparent liquid. Both spray bottles were not clearly labeled to indicate their contents.”

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 # 3 have the up-to-date information in the child’s record annually as required by 8 VAC20-780-420 E 3. 2. The record for Child # 4 did not include the following information: the addresses for the required two designated people to call in an emergency if a parent cannot be reached. 3. The record for Child # 1 did not include the following information: the date of enrollment into the program, and allergies and intolerance to medication or any other substances and actions to take in an emergency situation. 4. The record for Child #6 has a diagnosed food allergy and did not have a Food Action Allergy Plan completed by the Physician.”

8VAC20-780-150-B

“Based on review of children’s records the center failed to ensure that physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The immunization report in the record for Child # 2 was not dated by a physician, his designee, or an official of a local health department. 2. The immunization report in the record for Child # 3 was not dated by a physician, his designee, or an official of a local health department. 3. The immunization report in the record for Child # 4 was not dated by a physician, his designee, or an official of a local health department.”

8VAC20-780-240-B

“REPEAT VIOLATION Based on review of five staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff #5 was hired on 06/15/2023. The staff record reviewed lacked documentation that orientation had been completed.”

8VAC20-780-140-A

“Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 2. The record for Child # 2 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 3. The record for Child # 2 contained documentation that the first date of attendance was 08/14/2023. There was no documentation of a physical exam on the day of the inspection.”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that all substitute containers shall clearly indicate their contents and shall not resemble food or beverage containers. Evidence: 1.There were two spray bottles in closet of the Infant room #2. One bottle was clear liquid, and the other spray bottle was a red transparent liquid. Both spray bottles were not clearly labeled to indicate their contents.”

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 # 3 have the up-to-date information in the child’s record annually as required by 8 VAC20-780-420 E 3. 2. The record for Child # 4 did not include the following information: the addresses for the required two designated people to call in an emergency if a parent cannot be reached. 3. The record for Child # 1 did not include the following information: the date of enrollment into the program, and allergies and intolerance to medication or any other substances and actions to take in an emergency situation. 4. The record for Child #6 has a diagnosed food allergy and did not have a Food Action Allergy Plan completed by the Physician.”

8VAC20-780-150-B

“Based on review of children’s records the center failed to ensure that physical examination shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. Evidence: 1. The immunization report in the record for Child # 2 was not dated by a physician, his designee, or an official of a local health department. 2. The immunization report in the record for Child # 3 was not dated by a physician, his designee, or an official of a local health department. 3. The immunization report in the record for Child # 4 was not dated by a physician, his designee, or an official of a local health department.”

8VAC20-780-240-B

“REPEAT VIOLATION Based on review of five staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff #5 was hired on 06/15/2023. The staff record reviewed lacked documentation that orientation had been completed.”

8VAC20-780-140-A

“Based on record review and interviews, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. The record for Child # 1 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 2. The record for Child # 2 contained documentation that the first date of attendance was 06/05/2023. There was no documentation of a physical exam on the day of the inspection. 3. The record for Child # 2 contained documentation that the first date of attendance was 08/14/2023. There was no documentation of a physical exam on the day of the inspection.”

8VAC20-780-70

“Based on review of ten staff records, the center failed to ensure that all records were complete per the standard. Evidence: Staff # 1 had a hire date of 08/14/2023 and did not have the two required reference checks prior to employment.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: In the bathroom of the two-year-old room, the cabinet under the sink had several containers of chemicals there were unlocked. Children were observed in the room and the cabinet was accessible to the children.”

8VAC20-780-340-D

“Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence: 1.Staff # 1 was observed working as a program leader in the toddler room on the day of the inspection. Staff # 1 stated she was the program lead. After review of Staff # 1 record, there was no documentation of the educational requirements and experience for a program leader position. 2.Staff # 3 was observed working in the toddler room as a program lead on the day of the inspection. Staff # 5 stated she was the program lead for the room. After review of Staff # 3 record, there was no documentation of the educational requirements and experience for a program leader position.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets had protective coverings. Evidence: 1. There was an electrical outlet in the infant room that did not have a protective covering. It was in by the infant swing observed being used by child in care. 2. There were two electrical outlets in the toddler room that did not have a protective covering. Observed one child continually taking out the protective covering once the staff replaced it. The director moved the bookshelf in front of the electrical outlet to ensure that children were not able to access.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that all prepared infant bottles were labeled and dated. Evidence: In the refrigerator in the Infant room A had two prepared bottles that were not labeled with the owner name or dated.”

8VAC20-780-440-N

“Based on observation of the infant room, the center failed to ensure that toys or objects hung over an infant’s crib were not for infant over five months of age or infants who are able to push up on their hands and knees. Evidence: Observed child # 2 (10 months old) sleeping in a crib. A boppy pillow was hanging over the side of the crib.”

8VAC20-780-240-B

“Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire. Evidence: Staff # 3 was hired on 07/3/2023. Staff # 4 was hired on 08/24/2023. These staff records reviewed lacked documentation that orientation had been completed. The model form was placed in each staff person’s record and but lacked signatures and dates to show if or when it was completed.”