Childtime Childcare, Inc. - Harbourside

8VAC20-780-40-M

“Based on observation, the center did not ensure that all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan are kept confidential in each room or area where children are present. Evidence: In room #1, room #2, room #3, room #4, and room #5 did not have a confidential allergy posting.”

8VAC20-780-350-C Complaint related: No

“Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups. Evidence: 1. In class #1, a review of the staff to child ratio was conducted using the facility’s Face-To-Name Transition sheet for 11/30/2022. The following ratios were recorded on the Face-To-Name Transition sheet by Staff #1. At 7:00 AM, 1:9 ratio with the youngest child two years of age. At 7:08 AM, 1:10 ratio with the youngest child two years of age. At 7:15 AM, 1:14 ratio with the youngest child two years of age. At 7:28 AM, an additional staff member arrived leaving the ratio 2:14 with the youngest child two years of age. 2. The assistant director stated that room #1 was not in ratio during the morning gathering of mixed age groups.”

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

“Based on observation, review of the license and interview, the licensee failed to ensure that the center’s activities are maintained in compliance with the terms of the current license issued by the department. Evidence: 1. The center’s own Child Supervision Procedure, section 2 states procedures for blending classrooms (opening and closing rooms), ?when mixing age groups or blending classrooms,... the staff must adhere to the ratio of the youngest child.? 2. The center’s own Child Supervision Procedure, section 1 states Infant classrooms must maintain a 1:4 ratio unless a stricter ratio is required by licensing. 3. The assistant director stated that the room #1 and room #2 were out of ratio throughout the morning of 11/30/2022.”

8VAC20-780-350-B-1 Complaint related: No

“Based on observation and review of documentation, the center did not ensure staff to child ratio requirements for infants were maintained. Evidence: 1. In class #2, a review of the staff to child ratio was conducted using the facility’s Face-To-Name Transition sheet for 11/30/2022. The following ratios were recorded on the Face-to-Name Transition sheet by staff #2. At 7:08 AM, 1:5 ratio with the youngest child being three months old. At 7:14 AM, 1:6 ratio with the youngest being three months old. At 7:18 AM, 1:7 ratio with the youngest child being three months old. Staff #3, arrives at 7:20 AM leaving the ratio 2:8. At 7:58 AM, 2:9 ratio with the youngest child being three months of old. 2. The assistant director stated that the classroom was not in ratio.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #9 did not have documentation of proof of identity.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the playgrounds, three out of three swing sets had rust, chipped and peeling paint. 2. In room #2, the blue sofa cushions had tears in the material on the top and bottom. 3. In room #2, four rest mats were ripped in room #4, six rest mats were ripped.”

8VAC20-780-160-A

“Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #6 (start date 2/21/22), staff #7 (start date 5/30/22), staff #8 (start date 7/22/22), and staff #9 (start date 1/25/21) did not have documentation of the TB screening or test. 2. A member of management confirmed that the screening was not in the record for staff#6, staff #7, staff #8 and staff #9.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #7 (start date 6/12/22) and child #9 (start date 4/04/22), did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #7 (start date 6/12/22) and child # 9 (start date 4/04/22) did not include documentation of immunizations.”

8VAC20-780-160-C

“Based on a review of staff records and interview, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #3 (date of last TB screening 1/24/19) staff #4 (date of last TB screening 1/09/19) and staff #5 (date of last TB screening 5/19/18) did not contain updated TB screening results. 2. A member of management confirmed that the screening was not in the record for staff #3, staff #4, and staff #5.”

8VAC20-780-350-C Complaint related: Yes

“Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups. Evidence: In class #4, a review of the staff to child ratio was conducted using the facility’s Face-To- Name Transition sheet for 9/01/22. The following ratios and times were recorded on the Face-To-Name Transition sheet by staff #1. At 6:55 AM, 1:11 ratio with the youngest child two years of age. At 7:10 AM, 1:11 ratio with the youngest child two years of age. At 7:15 AM, eight pre-k children are separated from the group to go to class with staff #2. The Face-To-Name Transition sheet continues to document the following times and ratios: 7:53 AM 1:11 ratio; 7:55 AM 1:12; 8:00 AM 1:14 with the youngest child two years of age. At 8:05 AM, five preschool children are separated from the group to go to class with staff #3 At 8:25 AM, staff #4 arrives leaving the ratio 2:10 with the youngest child age two years. At 8:47 AM, 2:14 with the youngest child a one year old. At 8:55 AM, 2:15 with the youngest child a one year old. At 9:06 AM, 2:16 with the youngest child a one year old. At 9:08 AM, 2:17 with youngest child one year old. At 9:10 AM, 2:19 with the youngest child one year old. At 9:15 AM, staff #5 arrives and three children are transitioned to another classroom leaving the ratio at 2:16 with the youngest child age two years. When children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. The ratio for children 16 months to 24 months is 1:5 and the ratio for children two years old is 1:8.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #9 did not have documentation of proof of identity.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the playgrounds, three out of three swing sets had rust, chipped and peeling paint. 2. In room #2, the blue sofa cushions had tears in the material on the top and bottom. 3. In room #2, four rest mats were ripped in room #4, six rest mats were ripped.”

8VAC20-780-160-A

“Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #6 (start date 2/21/22), staff #7 (start date 5/30/22), staff #8 (start date 7/22/22), and staff #9 (start date 1/25/21) did not have documentation of the TB screening or test. 2. A member of management confirmed that the screening was not in the record for staff#6, staff #7, staff #8 and staff #9.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #7 (start date 6/12/22) and child #9 (start date 4/04/22), did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #7 (start date 6/12/22) and child # 9 (start date 4/04/22) did not include documentation of immunizations.”

8VAC20-780-160-C

“Based on a review of staff records and interview, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #3 (date of last TB screening 1/24/19) staff #4 (date of last TB screening 1/09/19) and staff #5 (date of last TB screening 5/19/18) did not contain updated TB screening results. 2. A member of management confirmed that the screening was not in the record for staff #3, staff #4, and staff #5.”

8VAC20-780-350-C Complaint related: Yes

“Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups. Evidence: In class #4, a review of the staff to child ratio was conducted using the facility’s Face-To- Name Transition sheet for 9/01/22. The following ratios and times were recorded on the Face-To-Name Transition sheet by staff #1. At 6:55 AM, 1:11 ratio with the youngest child two years of age. At 7:10 AM, 1:11 ratio with the youngest child two years of age. At 7:15 AM, eight pre-k children are separated from the group to go to class with staff #2. The Face-To-Name Transition sheet continues to document the following times and ratios: 7:53 AM 1:11 ratio; 7:55 AM 1:12; 8:00 AM 1:14 with the youngest child two years of age. At 8:05 AM, five preschool children are separated from the group to go to class with staff #3 At 8:25 AM, staff #4 arrives leaving the ratio 2:10 with the youngest child age two years. At 8:47 AM, 2:14 with the youngest child a one year old. At 8:55 AM, 2:15 with the youngest child a one year old. At 9:06 AM, 2:16 with the youngest child a one year old. At 9:08 AM, 2:17 with youngest child one year old. At 9:10 AM, 2:19 with the youngest child one year old. At 9:15 AM, staff #5 arrives and three children are transitioned to another classroom leaving the ratio at 2:16 with the youngest child age two years. When children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. The ratio for children 16 months to 24 months is 1:5 and the ratio for children two years old is 1:8.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The record for child #9 did not have documentation of proof of identity.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On the playgrounds, three out of three swing sets had rust, chipped and peeling paint. 2. In room #2, the blue sofa cushions had tears in the material on the top and bottom. 3. In room #2, four rest mats were ripped in room #4, six rest mats were ripped.”

8VAC20-780-160-A

“Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #6 (start date 2/21/22), staff #7 (start date 5/30/22), staff #8 (start date 7/22/22), and staff #9 (start date 1/25/21) did not have documentation of the TB screening or test. 2. A member of management confirmed that the screening was not in the record for staff#6, staff #7, staff #8 and staff #9.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The records for child #7 (start date 6/12/22) and child #9 (start date 4/04/22), did not have documentation of a physical examination.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #7 (start date 6/12/22) and child # 9 (start date 4/04/22) did not include documentation of immunizations.”

8VAC20-780-160-C

“Based on a review of staff records and interview, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 1. The record for staff #3 (date of last TB screening 1/24/19) staff #4 (date of last TB screening 1/09/19) and staff #5 (date of last TB screening 5/19/18) did not contain updated TB screening results. 2. A member of management confirmed that the screening was not in the record for staff #3, staff #4, and staff #5.”

8VAC20-780-350-C Complaint related: Yes

“Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups. Evidence: In class #4, a review of the staff to child ratio was conducted using the facility’s Face-To- Name Transition sheet for 9/01/22. The following ratios and times were recorded on the Face-To-Name Transition sheet by staff #1. At 6:55 AM, 1:11 ratio with the youngest child two years of age. At 7:10 AM, 1:11 ratio with the youngest child two years of age. At 7:15 AM, eight pre-k children are separated from the group to go to class with staff #2. The Face-To-Name Transition sheet continues to document the following times and ratios: 7:53 AM 1:11 ratio; 7:55 AM 1:12; 8:00 AM 1:14 with the youngest child two years of age. At 8:05 AM, five preschool children are separated from the group to go to class with staff #3 At 8:25 AM, staff #4 arrives leaving the ratio 2:10 with the youngest child age two years. At 8:47 AM, 2:14 with the youngest child a one year old. At 8:55 AM, 2:15 with the youngest child a one year old. At 9:06 AM, 2:16 with the youngest child a one year old. At 9:08 AM, 2:17 with youngest child one year old. At 9:10 AM, 2:19 with the youngest child one year old. At 9:15 AM, staff #5 arrives and three children are transitioned to another classroom leaving the ratio at 2:16 with the youngest child age two years. When children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. The ratio for children 16 months to 24 months is 1:5 and the ratio for children two years old is 1:8.”

22VAC40-185-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #1 (date of enrollment 07/19/21), did not have a physical examination.”

22VAC40-185-540-C

“Based on an observation and interview, the center did not ensure that each first aid kit contained all required supplies. Evidence: The first aid kit did not have one of the two triangular bandages.”

22VAC40-185-60-A

“Based on review of children's records, the center did not ensure that each child's record contains all required information. Evidence: The record for child #3 did not contain the address for one of the two designated people to call in an emergency.”

22VAC40-185-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #1 (date of enrollment 07/19/21), did not have a physical examination.”

22VAC40-185-540-C

“Based on an observation and interview, the center did not ensure that each first aid kit contained all required supplies. Evidence: The first aid kit did not have one of the two triangular bandages.”

22VAC40-185-60-A

“Based on review of children's records, the center did not ensure that each child's record contains all required information. Evidence: The record for child #3 did not contain the address for one of the two designated people to call in an emergency.”