Children's Palace Academy

8VAC20-780-440-J

“Based on observation and interview, it was determined that the center did not ensure that with there shall be at least thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: 1. 1 of the 4 cribs located in the infant classroom did not have at least thirty inches of space between the service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. 2. Staff #1, Staff #2, and Staff #3 confirmed that the crib did not have the required thirty inches of space between the service sides and other furniture.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: 1. In reviewing two incident reports, one dated April 2023 and the other July 2023, there was no date and time when the parents were notified, and documentation of how the parents were notified. 2. Staff #1, Director, confirmed that the two incident reports did not have the date, time, and how the child’s parent/s were notified of the injury and incident.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food or drinks are brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the infant classroom, there were two bottles in the refrigerator with milk, that did not have names labeled that clearly identifies the owner. 2. Staff #2 and Staff #3, confirmed that the bottles were not labeled with the children’s name.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #4, (date of hire 9/25/2023 ) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Staff #1 confirmed that the references were not completed and called the references during the time of the inspection.”

8VAC20-780-280-B

“Based on observation, it was determined that the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant classroom, there was a container of disinfectant wipes on a shelf that was not locked. 2. In the toddler classroom, there was a container of disinfectant wipes and cleaner on top of a shelf that was not locked. 3. In the children’s bathroom, the disinfectant spray that has a warning label, ?Keep out of reach of children? was not locked in a cabinet. 4. Staff #2 confirmed that the disinfectant wipes and spray were not locked in the classrooms and children’s restroom.”

8VAC20-780-440-J

“Based on observation and interview, it was determined that the center did not ensure that with there shall be at least thirty inches of space between service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. Evidence: 1. 1 of the 4 cribs located in the infant classroom did not have at least thirty inches of space between the service sides of occupied cribs and other furniture where that space is the walkway for staff to gain access to any occupied crib. 2. Staff #1, Staff #2, and Staff #3 confirmed that the crib did not have the required thirty inches of space between the service sides and other furniture.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: 1. In reviewing two incident reports, one dated April 2023 and the other July 2023, there was no date and time when the parents were notified, and documentation of how the parents were notified. 2. Staff #1, Director, confirmed that the two incident reports did not have the date, time, and how the child’s parent/s were notified of the injury and incident.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food or drinks are brought from home, the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the infant classroom, there were two bottles in the refrigerator with milk, that did not have names labeled that clearly identifies the owner. 2. Staff #2 and Staff #3, confirmed that the bottles were not labeled with the children’s name.”

8VAC20-780-70

“Based on record review and interview, it was determined that the center did not ensure that for staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #4, (date of hire 9/25/2023 ) did not have documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Staff #1 confirmed that the references were not completed and called the references during the time of the inspection.”

8VAC20-780-280-B

“Based on observation, it was determined that the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant classroom, there was a container of disinfectant wipes on a shelf that was not locked. 2. In the toddler classroom, there was a container of disinfectant wipes and cleaner on top of a shelf that was not locked. 3. In the children’s bathroom, the disinfectant spray that has a warning label, ?Keep out of reach of children? was not locked in a cabinet. 4. Staff #2 confirmed that the disinfectant wipes and spray were not locked in the classrooms and children’s restroom.”

8VAC20-780-40-E Complaint related: No

“Based on observation and interview, it was determined that the center did not ensure that the operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. The preschool class was observed to transition from the outdoor play area back to their classroom. There were eight (8) children observed coming out of the playground area in which the stipulation to the center’s license is that there shall be no more than six (6) children may be in the outdoor playarea at any time. 2. Staff #1, the owner, confirmed that there were 8 children on the playground and confirmed that the stipulation to the center’s license is that there is only to be 6 children at any time to the outdoor playarea.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the preschool room and in front of the children’s bathroom, the carpet was tearing and shredding from the floor which poses as a tripping hazard to the children in care. 2. A section of the baseboards in the infant room are peeling off the wall in reach of children in care. This poses as an injury and pinching hazard to the infants in care. 3. In the toddler room, there was a broken plastic push toy that was cracked which poses as a pinching hazard to children in care. 4. There is a white wired shelf in the play area of the future waddler’s room which is a tipping hazard; it is not stable against the wall and can easily fall on children in care. 5. There were several individual loose staples in the front walkway of the entrance and to the hallway to the toddler’s room. This poses as injury hazards to children in care.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the preschool room and in front of the children’s bathroom, the carpet was tearing and shredding from the floor which poses as a tripping hazard to the children in care. 2. A section of the baseboards in the infant room are peeling off the wall in reach of children in care. This poses as an injury and pinching hazard to the infants in care. 3. In the toddler room, there was a broken plastic push toy that was cracked which poses as a pinching hazard to children in care. 4. There is a white wired shelf in the play area of the future waddler’s room which is a tipping hazard; it is not stable against the wall and can easily fall on children in care. 5. There were several individual loose staples in the front walkway of the entrance and to the hallway to the toddler’s room. This poses as injury hazards to children in care.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, these products shall be in the original container and labeled with the child's name. Evidence: 1. In the infant room, there was an open tube of diaper cream that was unlabeled. 2. Staff #3 confirmed there was no name and no label to the tube of diaper cream.”

8VAC20-780-130-A

“Based on record review and interview it was determined that the center did not ensure documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1 does not have documentation of immunization. The parents have stated that it is their religious practice for no immunizations. There is no signed affidavit to the center or documentation of immunizing agents conflicts with religious tenets or practices. 2. Staff #1 confirmed that Child #1 does not have documentation of immunization to their record nor do they have the required signed affidavit to the center regarding their religious exemption.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2 (date of hire 11/25/22) does not have documentation of a negative tuberculosis screening. 2. Staff #1 confirmed that Staff #2 does not have documentation of a negative tuberculosis screening to their record.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the preschool classroom, the bookshelf in the play area is coming apart which poses as an injury or pinching hazard to the children. 2. In the 2 year old classroom, there is peeling paint where paint chips were observed on the floor. 3. Staff #1 confirmed the broken bookshelf and peeling paint to the classrooms.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, these products shall be in the original container and labeled with the child's name. Evidence: 1. In the infant room, there was an open tube of diaper cream that was unlabeled. 2. Staff #3 confirmed there was no name and no label to the tube of diaper cream.”

8VAC20-780-130-A

“Based on record review and interview it was determined that the center did not ensure documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child #1 does not have documentation of immunization. The parents have stated that it is their religious practice for no immunizations. There is no signed affidavit to the center or documentation of immunizing agents conflicts with religious tenets or practices. 2. Staff #1 confirmed that Child #1 does not have documentation of immunization to their record nor do they have the required signed affidavit to the center regarding their religious exemption.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2 (date of hire 11/25/22) does not have documentation of a negative tuberculosis screening. 2. Staff #1 confirmed that Staff #2 does not have documentation of a negative tuberculosis screening to their record.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the preschool classroom, the bookshelf in the play area is coming apart which poses as an injury or pinching hazard to the children. 2. In the 2 year old classroom, there is peeling paint where paint chips were observed on the floor. 3. Staff #1 confirmed the broken bookshelf and peeling paint to the classrooms.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The inspection from November 25, 2019 was posted at the facility which is not the most recent monitoring inspection. 2. The most recent monitoring inspection, dated April 1, 2021, was not posted in the facility. 3. The center’s owner, Staff #1, confirmed that the most recent inspection was not posted in the facility.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that they maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence including two signatures to the injury report by either a staff and/or parent. Evidence: 1. The injury report for Child #1, dated April 2022, did not have the required two signatures to the injury report. 2. Staff #1 confirmed that the injury report for Child #1 had only one signature to the report.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that a nonabsorbent surface for diapering or changing be used. Evidence: 1. The changing pad in the children’s bathroom where children are diapered and changed, has several tears and rips throughout the pad making it a nonabsorbent surface. 2. In the infant room, with four children present, the changing pad had two tears making it a nonabsorbent surface. The changing pad was used the day of the inspection. 3. The owner Staff #1 confirmed the tears on both changing pads.”

22VAC40-185-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Upon entrance of the center, there were six canisters of sanitizing wipes with a warning label stating, ?Harmful to Humans? and two disinfectant aerosol cans with a warning label stating, ?Keep out of reach of children? on a shelf not locked to prevent access by children. 2. There is a hands-free sanitizer dispenser on the wall of the infant room that is located close to a child’s crib and within reach of the child assigned to the crib. The foaming hand sanitizer poses as a hazard. 3. Staff #1 confirmed that the cleaning materials were unlocked.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that there was documentation of a negative tuberculosis screening submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2 (date of hire: 12/01/2021) did not have documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. 2. Staff #2 was present and working with children during the time of the inspection. 3. The owner Staff #1 confirmed that there was no documentation of a negative tuberculosis test for Staff #2 prior to the time of employment and prior to coming into contact with children.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the fingerprint-based criminal history ( CRC ) was not completed prior to the first day of employment. Evidence: 1. The owner, Staff #1, (date of hire: 11/05/2018) did not have the appropriate CRC background checks prior to their first day of employment. 2. Staff #1 confirmed that the fingerprints were not completed and that they continue to have contact with children in care at the center.”

8VAC20-780-70

“8VAC20-780-70.1 Based on record review and interview, it was determined that the center did not ensure that staff records be kept for each staff person including a telephone number of a person to be notified in an emergency. Evidence: 1. The owner Staff #1 (date of hire: 11/05/18) did not have a name and telephone number of a person to be notified in case of an emergency in their staff record. 2. Staff #1 confirmed the emergency contact was not in the staff record.”

8VAC20-780-70

“8VAC20-780-70.2 Based on record review and interview, it was determined that the center did not ensure that there was documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for Staff #2 (date of hire: 12/1/21) did not contain the documentation of two required reference checks before employment. 2. Staff #1 confirmed the reference checks for Staff #2 were not completed within the appropriate timeframe.”

8VAC20-780-440-B

“Based on observation and interview, it was determined that the center did not ensure that cots, rest mats, and beds shall be identified for use by a specific child. Evidence: 1. In the preschool 3 year old classroom, with eight children present, the cots were not labeled or identified for use by a specific child. 2. Staff #2 confirmed that there was no name or label located on the cots.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the center did not ensure that the children’s daily schedule was posted in the facility. Evidence: 1. In the preschool 3 year old classroom with eight children present, there was no daily schedule posted. 2. In the preschool 2 year old classroom with three children present, there was no schedule posted in the classroom. 3. The 1 and 2 year old classroom did not have a posted scheduled for the five children currently in care. 4. Staff # 1 and Staff #2 confirmed that there were no posted schedules for the children in their classrooms. 5. Staff #3 confirmed that there was no posting of the schedule’s in all classrooms in the facility.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, be maintained in a safe and operable condition. Evidence: 1. In the 2 year old preschool classroom with three children present, a broken toy baby stroller was observed in the free play area which poses as a possible injury hazard. The metal parts were detached and the cloth parts of the toy stroller poses as a strangulation hazard. 2. The bumbo sitting chair in the infant room has peeling plastic in the chair’s sitting area which poses as an injury hazard to cut or scratch the child’s legs. 3. In the infant room, there is a twin fitted sheet used for a crib sized mattress. The crib is assigned to a child in care that was present at the time of the inspection. The loose fitting oversized sheet poses as a suffocation hazard. 4. The infant room’s baseboard has peeled away from the main wall in which 3 inches of the baseboard was taken off. The baseboard is peeling off the wall which poses as a pinching and injury hazard as the area is in reach of children crawling and walking in the classroom. 5. The playground has a total of 8 large, rusted screws protruding from the mulch. Each screw is approximately 2 inches in diameter and approximately 2-4 inches out of the ground. This poses as a tripping and injury hazard to the children. 6. The large plastic play structure has a cracked walkway throughout the entire play structure. This poses as a pinching, tripping and injury hazard. 7. The placement of the large plastic play structure is approximately 1.5 to 2 feet away from the fence which prevents an appropriate fall zone area.”

22VAC40-185-330-B

“Based on observation, it was determined that the center did not ensure where playground equipment is provided, resilient surfacing be under equipment with moving parts and climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The mulch around the play equipment is less than 2 inches in height in which there is minimal resilient surfacing within the fall zone of the slide and circular play structure. 2. In the playground, the musical play structure’s base has protruded out of the ground exposing the sharp medal corners of the structure. This poses as a tripping and injury hazard.”

8VAC20-820-120-E-2

“Based on observation and interview, it was determined that the center did not ensure that the finding of the most recent inspection of the facility was posted on the premises of the facility. Evidence: 1. The inspection from November 25, 2019 was posted at the facility which is not the most recent monitoring inspection. 2. The most recent monitoring inspection, dated April 1, 2021, was not posted in the facility. 3. The center’s owner, Staff #1, confirmed that the most recent inspection was not posted in the facility.”

8VAC20-780-550-P

“Based on record review and interview, it was determined that the center did not ensure that they maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence including two signatures to the injury report by either a staff and/or parent. Evidence: 1. The injury report for Child #1, dated April 2022, did not have the required two signatures to the injury report. 2. Staff #1 confirmed that the injury report for Child #1 had only one signature to the report.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that a nonabsorbent surface for diapering or changing be used. Evidence: 1. The changing pad in the children’s bathroom where children are diapered and changed, has several tears and rips throughout the pad making it a nonabsorbent surface. 2. In the infant room, with four children present, the changing pad had two tears making it a nonabsorbent surface. The changing pad was used the day of the inspection. 3. The owner Staff #1 confirmed the tears on both changing pads.”

22VAC40-185-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Upon entrance of the center, there were six canisters of sanitizing wipes with a warning label stating, ?Harmful to Humans? and two disinfectant aerosol cans with a warning label stating, ?Keep out of reach of children? on a shelf not locked to prevent access by children. 2. There is a hands-free sanitizer dispenser on the wall of the infant room that is located close to a child’s crib and within reach of the child assigned to the crib. The foaming hand sanitizer poses as a hazard. 3. Staff #1 confirmed that the cleaning materials were unlocked.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that there was documentation of a negative tuberculosis screening submitted at the time of employment and prior to coming into contact with children. Evidence: 1. Staff #2 (date of hire: 12/01/2021) did not have documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. 2. Staff #2 was present and working with children during the time of the inspection. 3. The owner Staff #1 confirmed that there was no documentation of a negative tuberculosis test for Staff #2 prior to the time of employment and prior to coming into contact with children.”

22.1-289.035-B-2

“Based on record review and interview, it was determined that the fingerprint-based criminal history ( CRC ) was not completed prior to the first day of employment. Evidence: 1. The owner, Staff #1, (date of hire: 11/05/2018) did not have the appropriate CRC background checks prior to their first day of employment. 2. Staff #1 confirmed that the fingerprints were not completed and that they continue to have contact with children in care at the center.”

8VAC20-780-70

“8VAC20-780-70.1 Based on record review and interview, it was determined that the center did not ensure that staff records be kept for each staff person including a telephone number of a person to be notified in an emergency. Evidence: 1. The owner Staff #1 (date of hire: 11/05/18) did not have a name and telephone number of a person to be notified in case of an emergency in their staff record. 2. Staff #1 confirmed the emergency contact was not in the staff record.”

8VAC20-780-70

“8VAC20-780-70.2 Based on record review and interview, it was determined that the center did not ensure that there was documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: 1. The record for Staff #2 (date of hire: 12/1/21) did not contain the documentation of two required reference checks before employment. 2. Staff #1 confirmed the reference checks for Staff #2 were not completed within the appropriate timeframe.”

8VAC20-780-440-B

“Based on observation and interview, it was determined that the center did not ensure that cots, rest mats, and beds shall be identified for use by a specific child. Evidence: 1. In the preschool 3 year old classroom, with eight children present, the cots were not labeled or identified for use by a specific child. 2. Staff #2 confirmed that there was no name or label located on the cots.”

8VAC20-780-380-A

“Based on observation and interview, it was determined that the center did not ensure that the children’s daily schedule was posted in the facility. Evidence: 1. In the preschool 3 year old classroom with eight children present, there was no daily schedule posted. 2. In the preschool 2 year old classroom with three children present, there was no schedule posted in the classroom. 3. The 1 and 2 year old classroom did not have a posted scheduled for the five children currently in care. 4. Staff # 1 and Staff #2 confirmed that there were no posted schedules for the children in their classrooms. 5. Staff #3 confirmed that there was no posting of the schedule’s in all classrooms in the facility.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, be maintained in a safe and operable condition. Evidence: 1. In the 2 year old preschool classroom with three children present, a broken toy baby stroller was observed in the free play area which poses as a possible injury hazard. The metal parts were detached and the cloth parts of the toy stroller poses as a strangulation hazard. 2. The bumbo sitting chair in the infant room has peeling plastic in the chair’s sitting area which poses as an injury hazard to cut or scratch the child’s legs. 3. In the infant room, there is a twin fitted sheet used for a crib sized mattress. The crib is assigned to a child in care that was present at the time of the inspection. The loose fitting oversized sheet poses as a suffocation hazard. 4. The infant room’s baseboard has peeled away from the main wall in which 3 inches of the baseboard was taken off. The baseboard is peeling off the wall which poses as a pinching and injury hazard as the area is in reach of children crawling and walking in the classroom. 5. The playground has a total of 8 large, rusted screws protruding from the mulch. Each screw is approximately 2 inches in diameter and approximately 2-4 inches out of the ground. This poses as a tripping and injury hazard to the children. 6. The large plastic play structure has a cracked walkway throughout the entire play structure. This poses as a pinching, tripping and injury hazard. 7. The placement of the large plastic play structure is approximately 1.5 to 2 feet away from the fence which prevents an appropriate fall zone area.”

22VAC40-185-330-B

“Based on observation, it was determined that the center did not ensure where playground equipment is provided, resilient surfacing be under equipment with moving parts and climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1. The mulch around the play equipment is less than 2 inches in height in which there is minimal resilient surfacing within the fall zone of the slide and circular play structure. 2. In the playground, the musical play structure’s base has protruded out of the ground exposing the sharp medal corners of the structure. This poses as a tripping and injury hazard.”