Childrens Lounge

8VAC20-780-340-F

“Based on observations, 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 4 was the only staff supervising the 9 children in the large classroom; the children were determined to be 3-5 years of age. Approximately 4 times, Staff 4 was observed leaving the room, closing the ?half door?, and assisting children at the water fountain while the reminder of the children were in the classroom. The remaining children were not within actual sight and sound supervision of a staff member. During one occurrence, the inspector had to inform Staff 4 that several children were fighting.”

22.1-289.035-B-4

“Based on record review and interviews with staff, the center failed to obtain a copy of a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: The record for Staff 2 contained documentation that Staff 2 has resided outside of the state of Virginia within the preceding five years. There was not an out of state child abuse and neglect registry check from all of the states in which the individual has resided in the preceding five years available for review during the inspection for Staff 2. The hire date for Staff 2 was 07/22/2023. Staff 1 confirmed this information was not available for review.”

8VAC20-780-60-A

“THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 2 did not contain the following information: name and phone number of child’s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent development information and any special accommodation needed, previous child day care and schools attended by the child, and name of any additional programs or schools that the child is concurrently attending and the grade or class level. 3. The record for Child 5 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete), written parent agreements between the parent and the center and name of any additional programs or schools that the child is concurrently attending and the grade or class level.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children, ages 2 years- 4 years, were observed participating in self-directed activities and immediately going to tables to eat breakfast. The children did not wash hands with soap and running water or disposable wipes before eating.”

8VAC20-780-560-F-4

“Based on observation, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: Children, ages 2 years- 4 years, were observed were observed during breakfast. The children were served fruit cocktail that contained whole grapes; whole grapes are considered to be potential choking hazards.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 2. The record for Staff 2 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 3. The record for Staff 3 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 4. The record for Staff 4 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 5. The record for Staff 5 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard.”

8VAC20-780-60-A

“THIRD REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: work phone number for each parent (an employer was listed but the record did not contain a work phone number) and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 2 did not contain the following information: name and phone number of child’s physician, allergies and intolerance to medication or any other substances and action to take in an emergency situation, chronic physical problems and pertinent development information and any special accommodation needed, previous child day care and schools attended by the child, and name of any additional programs or schools that the child is concurrently attending and the grade or class level. 3. The record for Child 5 did not contain the following information: name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete), written parent agreements between the parent and the center and name of any additional programs or schools that the child is concurrently attending and the grade or class level.”

8VAC20-780-500-A

“Based on observations, the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: Children, ages 2 years- 4 years, were observed participating in self-directed activities and immediately going to tables to eat breakfast. The children did not wash hands with soap and running water or disposable wipes before eating.”

8VAC20-780-560-F-4

“Based on observation, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Evidence: Children, ages 2 years- 4 years, were observed were observed during breakfast. The children were served fruit cocktail that contained whole grapes; whole grapes are considered to be potential choking hazards.”

8VAC20-780-70

“Based on record review and interviews with staff, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: 1. The record for Staff 1 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 2. The record for Staff 2 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 3. The record for Staff 3 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 4. The record for Staff 4 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard. 5. The record for Staff 5 did not contain the following: name address and telephone number of person to be notified in an emergency and information about any health problems that my interfere with fulfilling the job responsibilities. Staff 1 confirmed this information was not available at the center, as required by the standard.”

8VAC20-780-340-C Complaint related: No

“Based on observation and record review, the center failed to ensure during stated hours of operation, there shall always be on premises and on field trip when one or more children are present one staff member who meets the qualification of a program leader or program director and an immediately available staff member, or volunteer or other employee who is at least 16 years of age, with direct means for communication between the two of them. Evidence: 1. Upon the inspector’s arrival to the center on 10/17/2023 at approximately 7:25 am, Staff 1 was the only staff member present and there were 7 children in care, ages 18 months ? 4 years old. Staff 1 confirmed the first child in care arrived at approximately 7:00 am on 10/17/2023. 2. There were a total 11 children in care ages 18 months ? 4 years old, when Staff 2 and 3 arrived at approximately 7:55 am.”

8VAC20-780-350-B-2 Complaint related: No

“Based on observation and record review, the center failed to ensure that the required staff to child ratio shall be maintained for 16 months up to 24 months. Evidence: There were 11 children observed with 1 staff member. The youngest child was 18 months old. The required staff ratio for this group of children was 1:5. Three staff would be required.”

8VAC20-780-530-C Complaint related: No

“Based on observation, the center failed to ensure that there shall be at least two people who are currently certified in CPR and First Aid on the premises during the center’s hours of operation, on fieldtrips and wherever children are in care. Evidence: Staff 1 was the only staff on premises with a current certification in CPR and First Aid from approximately 7:00 am until approximately 7:55 am on 10/17/2023.”

8VAC20-780-60-A Complaint related: No

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: first and last day of attendance. 2. The record for Child 2 did not contain the following information: first day of attendance. 3. The record for Child 3 did not contain the following information: first day of attendance.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The sworn statement was dated 01/05/2023.”

8VAC20-770-60-C-2

“Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The search of the central registry was dated 03/22/2023. The search of the central registry was not obtained within 30 days of employment.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of child’s physician, and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 2 did not contain the following information: name, home address, and home phone number of each parent (no home address for one parent was available), and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 03/16/2023. The tuberculosis screening in the record was dated 04/21/2023.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 2 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 05/25/2022.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The sworn statement was dated 01/05/2023.”

8VAC20-770-60-C-2

“Based on record review and interview with staff, the center failed to obtain the finding from the search of the central registry within 30 days of employment. Evidence: The record for Staff 3 contained a documented hire date of 12/30/2022. The search of the central registry was dated 03/22/2023. The search of the central registry was not obtained within 30 days of employment.”

8VAC20-780-60-A

“REPEAT VIOLATION Based on record review, the center failed to ensure that the separate record for each enrolled child contains all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: phone number of child’s physician, and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 2 did not contain the following information: name, home address, and home phone number of each parent (no home address for one parent was available), and name address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).”

8VAC20-780-160-A

“Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: The record for Staff 5 contained a documented hire date of 03/16/2023. The tuberculosis screening in the record was dated 04/21/2023.”

8VAC20-780-130-A

“Based on record review, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center. Evidence: The record for Child 2 indicated the first date of attendance as 02/28/2022. The immunization record was obtained 05/25/2022.”

8VAC20-780-80-A Complaint related: No

“Based on observation and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: As of approximately 8:00 am on 04/12/2023, the daily attendance for the only group of children in care had not been taken. There was a total of 7 children in care. The daily attendance record did not document the arrival of each child as it occurred.”

8VAC20-780-500-A Complaint related: No

“Repeat Violation Based on observation, the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change. Evidence: Staff 1 was observed changing a child’s diaper. Staff 1 did not wash their hands after completing the diaper change.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change. Evidence: Staff 1 was observed changing a child’s diaper. Staff 1 did not wash their hands after completing the diaper change.”

8VAC20-780-70

“Based on record review and interview with staff, the center failed to ensure that staff record contain all of the elements as required by the standards. Evidence: The record for staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed the information was not available.”

8VAC20-780-60-A

“Based on record review and interviews with staff, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 2. The record for Child 2 did not contain the following information: names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 3. The record for Child 3 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 4. The record for Child 4 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 5. The record for Child 5 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). Staff 1 confirmed the information was not available.”

8VAC20-780-330-B

“Based on observation, measurements and interviews with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards described in the American Society for Testing Materials and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. There was approximately 1 inch of resilient surfacing in the fall zone of the climbing equipment. The measurement was taken at the bottom of the slide facing the back of the building. Grass was observed in many areas in the fall zone. The inspector observed children using this equipment. Staff 6 confirmed the resilient surfacing was insufficient and has been ordered. 2. There was approximately a 2 foot 5 inch fall zone on the side closest to neighboring building of the climbing equipment. The fall zone for the climbing equipment did not comply with the minimum safety standards described in the American Society for Testing and Materials.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure that staff shall wash their hands with soap and water before and after a diaper change. Evidence: Staff 1 was observed changing a child’s diaper. Staff 1 did not wash their hands after completing the diaper change.”

8VAC20-780-70

“Based on record review and interview with staff, the center failed to ensure that staff record contain all of the elements as required by the standards. Evidence: The record for staff 5 did not contain the following information: documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff 1 confirmed the information was not available.”

8VAC20-780-60-A

“Based on record review and interviews with staff, the center failed to ensure the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 2. The record for Child 2 did not contain the following information: names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 3. The record for Child 3 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 4. The record for Child 4 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete); and names of persons authorized to pick up the child. Staff 1 confirmed the information was not available. 5. The record for Child 5 did not contain the following information: name address and telephone number of two designated people to call in an emergency if parent cannot be reached (the address for both designated people was incomplete). Staff 1 confirmed the information was not available.”

8VAC20-780-330-B

“Based on observation, measurements and interviews with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards described in the American Society for Testing Materials and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. There was approximately 1 inch of resilient surfacing in the fall zone of the climbing equipment. The measurement was taken at the bottom of the slide facing the back of the building. Grass was observed in many areas in the fall zone. The inspector observed children using this equipment. Staff 6 confirmed the resilient surfacing was insufficient and has been ordered. 2. There was approximately a 2 foot 5 inch fall zone on the side closest to neighboring building of the climbing equipment. The fall zone for the climbing equipment did not comply with the minimum safety standards described in the American Society for Testing and Materials.”

8VAC20-780-60-C

“Based on review of children records the facility failed to maintain compliance with this standard as required related to proof of birth verification. Evidence: Child record #2 did not have verification of review of proof of birth as required.”

8VAC20-780-70

“Based on review of staff records the facility failed to maintain compliance with this standard as required related to references, proof of education, job title, and hire date. Evidence: Upon review of staff records the following non-compliance was noted: 1. Staff records #1-#4 did not have a hire date, references, proof of education/qualifications, or job description. 2. Staff record #5 did not have a hire date, job description, or references.”

8VAC20-780-280-B

“Based on inspection of the facility the required compliance with this standard was not met regarding locking of hazardous materials. Evidence: Under the diaper station, in the toddler-2year old area, there were cleaning agents that were not locked as required. Children within the area also had access.”

8VAC20-780-350-B-2

“Based on inspection of the facility the required compliance with this standard was not met regarding ratios. Evidence: In the toddler-2 year old class there were 8 children with 1 staff at the beginning of this inspection, which began at 10:40am. Attendance records showed that at approximately 9am, with the arrival of the 6th child into the group, the group became out of ratio. Ratio remained out of compliance until another staff member arrived at approximately 11am. At approximately 11:10am this staff member went into the adjacent kitchen area, with the door closed, to finish prepping lunch for the center. Therefore, ratio was then out of compliance since the staff member was not actively able to supervise the children. This process continued until lunch was served at approximately 11:30am. Children in this class were aged 18mths-2yrs. The required ratio for this class was 1 staff to 5 children.”

8VAC20-780-140-A

“Based on review of children records the facility failed to maintain compliance with this standard as required related to a physical. Evidence: Child records #1 and #2 did not have proof of physical as required. Both children have been in attendance.”

8VAC20-780-130-A

“Based on review of children records the facility failed to maintain compliance with this standard as required related to immunization verification. Evidence: Child record #2 did not have immunization documentation on file as required, the child has been in attendance.”

8VAC20-770-40-D-1-b

“Based on review of staff files and discussions with administration the facility failed to maintain compliance with this standard as required relating to employee background checks. Evidence: Staff file #4 did not have a completed Central Registry Clearance on file. Administration stated it had been mailed off, not within 7 days of employment, was returned for an error and as of the inspection had not been resubmitted as required. The allowed 30 days to obtain this had since expired. The staff member had been actively working with the children for more than 30 days.”

8VAC20-780-60-A

“Based on review of children records the facility failed to maintain compliance with this standard as required related to emergency contact information, parent employment information, allergies/chronic physical problems, and enrollment dates. Evidence: 1. Child record #1 did not have a start date, emergency contact addresses, no addressing of any allergies/chronic physical problems, no employment phone number for the mother, and did not have required information addressed for the father of the child. 2. Child record #2 did not have a second emergency contact listed.”

8VAC20-780-360-A

“Based on inspection of the facility the required compliance with this standard was not met regarding variety of daily activities. Evidence: The children in the preschool area and the toddler/2year old area were not engaged in a variety of activities as required. During the inspection, both classes had self-directed free play only. Children were not engaged in any teacher lead activities, or group activities.”

8VAC20-780-360-B

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to moving a child who cannot move/relocate on their own. Evidence: A child who cannot move on their own from one position/place, as stated by staff, was not moved by staff every 30 minutes as required. The child was sitting in a special chair at the start of the inspection and remained there for approximately 45 minutes. The child was asleep for approximately 20 minutes of the 45 minutes.”

8VAC20-780-440-B

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to labeling of cots. Evidence: The cots the children napped on were not labeled as required.”

8VAC20-780-500-A

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to handwashing. Evidence: The children’s hands were not washed after lunch as required. The children’s hands were not washed after diapering as required.”

8VAC20-780-500-B

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to running water and diaper disposal. Evidence: The center is using a stand-alone hand washing device that is operated by a foot pedal, and only operable with repeated foot pedal depression. However, with constant foot pedal depression the amount of water dispersed was not ?running? as required by the standard. The amount that was dispersed was only spurts of water at a time. During diapering in the preschool aged class, the teacher used her hand to open the trashcan to dispose of the soiled diaper. The teacher did not use the foot pedal on the trashcan as required.”

8VAC20-780-520-B

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to storage of sunscreen. Evidence: A basket of sunscreen was under the preschool diapering table on the bottom open shelf, accessible to the children.”

8VAC20-780-560-F

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to meal requirements. Evidence: Milk was not served with lunch as required. Children were given juice only with lunch.”

8VAC20-780-240-C

“Based on review of staff records the facility failed to maintain compliance with this standard as required relating to proof of orientation. Evidence: Staff records #1 did not have proof of orientation as required. The staff was actively working with the children, within the facility.”

8VAC20-780-560-M

“Based on observations and discussions with staff the facility failed to maintain compliance with this standard as required relating to food service. Evidence: After the children in the toddler-2year old class had gotten up from the lunch table, staff handed the children sippy cups, the children were allowed to move around the classroom while drinking from the cups. Children are to be seated while drinking or eating.”