Childtime Childcare, Inc. - Old Lane

8VAC20-780-400-B

“Repeat Violation Based on observation, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: While the licensing inspector was in classroom #6 reviewing records a staff member was overheard in the adjacent classroom, classroom #5, yelling at the children repeatedly making comments such as "stop crying! you cry every day for no reason!" "sit down and catch a bubble!" "if you don't stay in your seat I will take it for the rest of the day!" and "eat your food and stop talking!".”

8VAC20-780-270-A

“Repeat violation Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom in classroom #3 had several large areas of peeling paint and exposed drywall. 2. The bathroom in classroom #5 had several large areas of peeling paint and exposed drywall. 3. The wall in classroom #6 had several areas of exposed drywall.”

8VAC20-780-140-A

“Repeat Violation Based on record review, and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. The record for child #4, date of enrollment 11/20/2023, did not contain documentation of a physical examination. Documentation of the physical examination was due on or before 12/20/2023. 2. Interview with administration confirmed that the record did not contain documentation of the physical examination.”

8VAC20-780-400-B

“Repeat Violation Based on observation, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: While the licensing inspector was in classroom #6 reviewing records a staff member was overheard in the adjacent classroom, classroom #5, yelling at the children repeatedly making comments such as "stop crying! you cry every day for no reason!" "sit down and catch a bubble!" "if you don't stay in your seat I will take it for the rest of the day!" and "eat your food and stop talking!".”

8VAC20-780-270-A

“Repeat violation Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom in classroom #3 had several large areas of peeling paint and exposed drywall. 2. The bathroom in classroom #5 had several large areas of peeling paint and exposed drywall. 3. The wall in classroom #6 had several areas of exposed drywall.”

8VAC20-780-140-A

“Repeat Violation Based on record review, and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. The record for child #4, date of enrollment 11/20/2023, did not contain documentation of a physical examination. Documentation of the physical examination was due on or before 12/20/2023. 2. Interview with administration confirmed that the record did not contain documentation of the physical examination.”

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff annually attend the department's health and safety update course. Evidence: The record for staff # 2, date of employment 04/26/21, contained documentation of the department's annual health and safety update course dated 09/06/2022. The health and safety update course should have been completed no later than 09/06/2023.”

8VAC20-780-245-A

“Based on a review of 6 staff records, and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for staff #2, date of employment 04/26/2021, contained documentation of 7.5 hours of annual training. Interview with the Director confirmed that staff #2 has 7.25 hours of annual training. An additional 8.5 hours of annual training was needed.”

8VAC20-780-510-F

“Based on review of medications on site the center failed to ensure that two medication authorizations were available to staff during the entire time it was effective for two out of seven children. Evidence: 1. A non-prescription medication was on site for child B. There was not written authorization from the child's parent or physician. 2. A prescription inhaler medication was on site for child G. There was not written authorization from the child's parent or physician.”

8VAC20-780-510-P

“Based on review of medications on site, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. Medication was on site for child A. The authorization form was signed by the parent on 04/18/2023. No end date was written. There was not written authorization from the child's physician. 2. Medication was on site for child C. The authorization form was signed by the parent on 11/15/23. No end date was written. There was not written authorization from the child's physician. 3. Medication was on site for child D. The authorization form was signed by the parent on 06/26/23. No end date was written. There was not written authorization from the child's physician. 4. Medication was on site for child E. The authorization form was signed by the parent on 11/14/23. No end date was written. There was not written authorization from the child's physician. 5. Medication was on site for child F. The authorization form for the medication expired on 09/01/2023. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-60-A-8

“Based on review of records and documentation, the center failed to obtain 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 the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The posted allergy list listed child #3 as having a food allergy. The record for child #3 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The posted allergy list listed child #4 as having a food allergy. The record for child #4 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 3. The posted allergy list listed child #5 as having a food allergy. The record for child #5 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff annually attend the department's health and safety update course. Evidence: The record for staff # 2, date of employment 04/26/21, contained documentation of the department's annual health and safety update course dated 09/06/2022. The health and safety update course should have been completed no later than 09/06/2023.”

8VAC20-780-245-A

“Based on a review of 6 staff records, and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for staff #2, date of employment 04/26/2021, contained documentation of 7.5 hours of annual training. Interview with the Director confirmed that staff #2 has 7.25 hours of annual training. An additional 8.5 hours of annual training was needed.”

8VAC20-780-510-F

“Based on review of medications on site the center failed to ensure that two medication authorizations were available to staff during the entire time it was effective for two out of seven children. Evidence: 1. A non-prescription medication was on site for child B. There was not written authorization from the child's parent or physician. 2. A prescription inhaler medication was on site for child G. There was not written authorization from the child's parent or physician.”

8VAC20-780-510-P

“Based on review of medications on site, the center failed to ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: 1. Medication was on site for child A. The authorization form was signed by the parent on 04/18/2023. No end date was written. There was not written authorization from the child's physician. 2. Medication was on site for child C. The authorization form was signed by the parent on 11/15/23. No end date was written. There was not written authorization from the child's physician. 3. Medication was on site for child D. The authorization form was signed by the parent on 06/26/23. No end date was written. There was not written authorization from the child's physician. 4. Medication was on site for child E. The authorization form was signed by the parent on 11/14/23. No end date was written. There was not written authorization from the child's physician. 5. Medication was on site for child F. The authorization form for the medication expired on 09/01/2023. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.”

8VAC20-780-60-A-8

“Based on review of records and documentation, the center failed to obtain 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 the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The posted allergy list listed child #3 as having a food allergy. The record for child #3 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The posted allergy list listed child #4 as having a food allergy. The record for child #4 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 3. The posted allergy list listed child #5 as having a food allergy. The record for child #5 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

22.1-289.035-A Complaint related: No

“Repeat Violation Based on records review, the center failed to ensure that background checks are conducted every five years. Evidence: 1. The record for staff #4, date of employment 05/26/2015, contained criminal background check dated 03/12/2018. A repeat criminal background check was due on or before 03/12/2023.”

8VAC20-780-430-A Complaint related: Yes

“Repeat Violation Based on interview, and documentation review, the center failed to ensure that furnishings, equipment, and materials shall be of an appropriate size for the child using it. Evidence: Review of child injury report and interviews with staff #1, staff #2, staff #3, and staff #4 revealed that child #1, age 2 years, was sitting on the bench of an adult sized picnic table and fell off. When child #1 fell off the table child #1 hit their eye causing it to swell and close. Child #1 was taken to the hospital for follow up treatment.”

8VAC20-780-160-C Complaint related: No

“Based on record review, the center failed to ensure that staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #4, date of employment 05/26/2015 contained documentation of tuberculosis screening dated 05/15/21. A follow up screening was due on or before 05/15/2023.”

8VAC20-780-140-A Complaint related: No

“Repeat Violation Based on record review, and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of a physical examination. Staff #1 confirmed that the record did not contain documentation of a physical examination.”

8VAC20-780-130-A Complaint related: No

“Based on record review, and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of immunizations. Staff #1, confirmed that the record did not contain immunizations.”

22.1-289.035-B-4 Complaint related: No

“Based on record review, the center failed to obtain a copy of the results of a criminal history check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #2, date of employment 08/22/2023, indicated that staff #2 has lived outside of Virginia in the preceding five years. The record did not contain out of state background checks for that state.”

8VAC20-780-160-A Complaint related: No

“Repeat Violation 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: 1. The record for staff #2, date of employment 08/22/2023, contained a tuberculosis screening dated 08/31/23.”

8VAC20-780-430-A Complaint related: Yes

“Based on review of video footage, interviews, observation, and documentation review, the center failed to ensure that equipment shall be of an appropriate size for the child using it. Evidence: Interviews with staff #1, staff #2, staff #3, and staff #4 and review of video footage revealed that on July 17th, child #1 (age 5 years 5 months) was observed improperly riding a tricycle which caused child #1 to flip backwards and hit child #1's head on the chain link fence. Child #1 required a visit to the emergency room and received medical intervention. Observation and measurement of the tricycle revealed that it is approximately 10 inches in height. Documentation review of the manufacturers label revealed that the tricycle is designed for children ages 3 years to 4 years.”

8VAC20-780-430-A Complaint related: Yes

“Based on review of video footage, interviews, observation, and documentation review, the center failed to ensure that equipment shall be of an appropriate size for the child using it. Evidence: Interviews with staff #1, staff #2, staff #3, and staff #4 and review of video footage revealed that on July 17th, child #1 (age 5 years 5 months) was observed improperly riding a tricycle which caused child #1 to flip backwards and hit child #1's head on the chain link fence. Child #1 required a visit to the emergency room and received medical intervention. Observation and measurement of the tricycle revealed that it is approximately 10 inches in height. Documentation review of the manufacturers label revealed that the tricycle is designed for children ages 3 years to 4 years.”

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance for 3 out of 4 children whose records were reviewed. Evidence: The record for child #1, date of enrollment 07/21/20, the record for child #2, date of enrollment 05/22/23, and the record for child #3, date of enrollment 02/02/22, did not contain evidence of an original physical exam or any updated physical exams.”

8VAC20-780-550-D

“Based on documentation review, and interview, the center failed to implement a monthly practice evacuation drill. Evidence: Documentation of emergency evacuation drills indicated that a monthly practice drill was not conducted in February 2023 or May 2023. The Director confirmed that a drill was not conducted in February or May of 2023.”

22.1-289.035-A

“Based on records review, the center failed to ensure that background checks are repeated every five years. Evidence: 1. The record for staff #1, date of employment 12/09/15, contained criminal background check results dated 04/17/18. 2. The record for staff #1, date of employment 12/09/15, contained a sworn statement dated 02/13/18.”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment or within the last 30 calendar days of the date of employment. Evidence: 1) The record for staff #2, date of employment 06/26/23, contained a tuberculosis screening dated 02/26/21. 2) The record for staff #3, date of employment 02/06/23, contained a tuberculosis screening dated 02/19/23.”

8VAC20-780-340-A Complaint related: Yes

“Based on review of video footage, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1) Video footage reviewed revealed that on 05/02/23 staff #1 grabbed toddler child #1 by the arm and forcefully walked the child to the table and sat the child down. 2) Video footage revealed that on 05/03/23 staff #1 grabbed toddler child #1 by the arm and forcefully walked the child to the table, sat the child down, and forced the chair to slide into the table hitting the child’s stomach. Approximately one minute later staff #1 is observed throwing a bib on top of child #1?s head which covers the child’s face and obstructs their view, and leaving it there while staff #1 helps another child with their bib.”

8VAC20-780-400-B Complaint related: Yes

“Based on review of video footage, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: 1) Video footage reviewed revealed that on 05/02/23 staff #1 grabbed toddler child #1 by the arm and forcefully walked the child to the table and sat the child down. 2) Video footage revealed that on 05/03/23 staff #1 grabbed toddler child #1 by the arm and forcefully walked the child to the table, sat the child down, and forced the chair to slide into the table hitting the child’s stomach.”

8VAC20-780-240-B Complaint related: Yes

“Based on record review, the center failed to ensure that staff complete orientation training prior to working alone with children and no later than 7 days of the date of assuming job responsibilities Evidence: The record for staff #1, date of employment 12/6/21, did not contain documentation demonstrating completion of recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required to be included in orientation training by 8VAC20-780-240 subsection C.”

8VAC20-780-245-H Complaint related: Yes

“Based on record review, the center failed to ensure that all staff obtain annual training on behavior management and positive guidance techniques. Evidence: The record for staff #1, date of employment 12/6/21, did not contain documentation of annual training on behavior management and positive guidance techniques.”

8VAC20-780-70

“Based on interview, the center failed to keep a staff record for each staff person. Evidence: The record for staff #7 was not at the center. The Director stated that the record was at another center.”

8VAC20-780-270-A

“Based on observation, and interview, the center failed to ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition. Evidence: 1) There were three wooden tables on the playground that were deteriorating and were warped and splintered. 2) There was a storage bin on the playground that had several large cracks with sharp broken edges on the top and on the lower side. The Director acknowledged that the equipment was broken and needed to be disposed.”

8VAC20-780-550-G

“Based on interview, the center failed to maintain documentation of emergency evacuation, shelter-in-place, and lockdown drills. Evidence: The Director stated that she did not have documentation of the drills.”

8VAC20-780-560-F

“Based on observation, and interview, the center failed to post a current menu. Evidence: The menu that was posted was for the prior week. The Director acknowledged that the menu that was posted was not for the current week.”

8VAC20-780-580-B

“Based on observation, and interview, the center failed to ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: Bus #1 had a state inspection that expired on 9/22/22 and Bus #2 had a state inspection that expired on 2/22/22. The Director stated that the buses are still being used every day to transport the children and she acknowledged that the state inspections were expired.”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment. Evidence: The record for staff #3, date of employment 12/27/22, and the record for staff #5, date of employment 1/10/23, did not contain documentation of a negative tuberculosis screening.”

8VAC20-780-70

“Based on interview, the center failed to keep a staff record for each staff person. Evidence: The record for staff #7 was not at the center. The Director stated that the record was at another center.”

8VAC20-780-270-A

“Based on observation, and interview, the center failed to ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition. Evidence: 1) There were three wooden tables on the playground that were deteriorating and were warped and splintered. 2) There was a storage bin on the playground that had several large cracks with sharp broken edges on the top and on the lower side. The Director acknowledged that the equipment was broken and needed to be disposed.”

8VAC20-780-550-G

“Based on interview, the center failed to maintain documentation of emergency evacuation, shelter-in-place, and lockdown drills. Evidence: The Director stated that she did not have documentation of the drills.”

8VAC20-780-560-F

“Based on observation, and interview, the center failed to post a current menu. Evidence: The menu that was posted was for the prior week. The Director acknowledged that the menu that was posted was not for the current week.”

8VAC20-780-580-B

“Based on observation, and interview, the center failed to ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. Evidence: Bus #1 had a state inspection that expired on 9/22/22 and Bus #2 had a state inspection that expired on 2/22/22. The Director stated that the buses are still being used every day to transport the children and she acknowledged that the state inspections were expired.”

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment. Evidence: The record for staff #3, date of employment 12/27/22, and the record for staff #5, date of employment 1/10/23, did not contain documentation of a negative tuberculosis screening.”

8VAC20-790-600-F

“Based on a review of documentation, the center did not ensure staff completion of the required department's health and safety update course annually. Evidence: The Licensing Inspector requested that documentation of the required training be sent by email for review, for 6 out of 7 staff reviewed on-site. As of the date of this report the documentation had not been sent.”

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance for 2 out of 7 children whose records were reviewed. Evidence: Child #3?s record (age 3yrs) and Child #5?s record (age 16 mos) did not contain evidence of an original physical exam or any updated physical exams.”

8VAC20-780-40-M

“Based on observation and interview, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list, dated 4/1/22 contained children that were no longer enrolled at the center. When asked, the Assistant Director stated that she knew that she needed to update the list but hadn?t yet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) Several areas of the fence on the playground were leaning and not secured. 2) Several areas of the fence had broken slats and rough edges. 3) There were several protruding nails on the fence. 4) There was peeling paint in the bathroom of classroom #4. 5) There was peeling paint on the outside of the building with direct access to the children on the playground. 6) There were two broken and hanging screens on the outside of the building with direct access to the children on the playground.”

8VAC20-780-270-D

“Based on observation and interview, the center did not ensure to use a fan or other cooling system when the temperature of inside areas occupied by children exceeds 80 degrees. Evidence: The temperature outside was 95 degrees. The air conditioner system was not operating properly on one side of the building. The Director and center staff stated that the system on that side of the building does not work. They have requested that it be fixed but it has not yet. There were no fans to help cool it down.”

8VAC20-780-320-B

“Based on observation, the center did not ensure that the running water does not exceed 120 degrees. Evidence: The water temperature measured 122.4 degrees.”

8VAC20-780-330-A

“Based on observation, the center did not ensure that the playground was located and designed to protect children from hazards. Evidence: The playground contains a 3 ft x 3 ft x 3 ft box labeled ?Warning. Hazardous voltage. Keep out! Can shock, burn, or cause death.? There is not a fence surrounding the box and the children have direct access to it.”

8VAC20-780-330-F

“Based on observation, the center did not ensure that a shady area was provided on the playground during the months of June, July, and August. Evidence: The inspection took place in the month of July during the middle of the day. There was no shade on the playground and nothing to provide shade”

8VAC20-780-350-B-2

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #5 had 12 children ages 16 to 24 months and two teachers. The staff to children ratio for children this age is 1:5.”

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #4 had 20 children aged 2 years old and two teachers. The staff to children ratio for children this age is 1:8.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers were disposed of in a leak proof or plastic-lined storage system that is used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The same trash can that had dirty diapers in it was being used for the children and staff to throw away their lunch dishes and food. The trash can was overstuffed to the point that the lid was propped open and not shutting properly and not able to be opened and closed by only using a foot. When asked, the Director and center staff stated that they only had one trash can in each classroom to use for both diapers and all other forms of trash.”

8VAC20-780-550-D

“Based on records review, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document any drills occurring during the months of Feb 2022 or March 2022.”

8VAC20-780-550-E

“Based on review of documentation, the center did not ensure to practice a shelter in place drill a minimum of twice per year. Evidence: The drill log only contained 1 shelter in place drill in 2021 (4/9/21) and one in 2020 (4/19/20).”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure to have a menu listing foods to be served for meals and snacks during the current one-week period. Evidence: When asked to see the menu the Director stated that they did not have any menu’s created. The Assistant Director stated that she was not aware that was a requirement.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: There was a bottle in the infant refrigerator with milk in it that did not contain a name or a date. When asked the infant teachers stated that they knew who the bottle belonged to.”

8VAC20-780-330-B

“Based on observation, the center did not ensure to comply with minimum safety standards for resilient surfacing underneath and surrounding equipment. Evidence: When measured there was less than ? an inch of mulch in some areas and no mulch in other areas directly underneath and surrounding the two climbing structures on the playground.”

8VAC20-790-600-F

“Based on a review of documentation, the center did not ensure staff completion of the required department's health and safety update course annually. Evidence: The Licensing Inspector requested that documentation of the required training be sent by email for review, for 6 out of 7 staff reviewed on-site. As of the date of this report the documentation had not been sent.”

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance for 2 out of 7 children whose records were reviewed. Evidence: Child #3?s record (age 3yrs) and Child #5?s record (age 16 mos) did not contain evidence of an original physical exam or any updated physical exams.”

8VAC20-780-40-M

“Based on observation and interview, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list, dated 4/1/22 contained children that were no longer enrolled at the center. When asked, the Assistant Director stated that she knew that she needed to update the list but hadn?t yet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1) Several areas of the fence on the playground were leaning and not secured. 2) Several areas of the fence had broken slats and rough edges. 3) There were several protruding nails on the fence. 4) There was peeling paint in the bathroom of classroom #4. 5) There was peeling paint on the outside of the building with direct access to the children on the playground. 6) There were two broken and hanging screens on the outside of the building with direct access to the children on the playground.”

8VAC20-780-270-D

“Based on observation and interview, the center did not ensure to use a fan or other cooling system when the temperature of inside areas occupied by children exceeds 80 degrees. Evidence: The temperature outside was 95 degrees. The air conditioner system was not operating properly on one side of the building. The Director and center staff stated that the system on that side of the building does not work. They have requested that it be fixed but it has not yet. There were no fans to help cool it down.”

8VAC20-780-320-B

“Based on observation, the center did not ensure that the running water does not exceed 120 degrees. Evidence: The water temperature measured 122.4 degrees.”

8VAC20-780-330-A

“Based on observation, the center did not ensure that the playground was located and designed to protect children from hazards. Evidence: The playground contains a 3 ft x 3 ft x 3 ft box labeled ?Warning. Hazardous voltage. Keep out! Can shock, burn, or cause death.? There is not a fence surrounding the box and the children have direct access to it.”

8VAC20-780-330-F

“Based on observation, the center did not ensure that a shady area was provided on the playground during the months of June, July, and August. Evidence: The inspection took place in the month of July during the middle of the day. There was no shade on the playground and nothing to provide shade”

8VAC20-780-350-B-2

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #5 had 12 children ages 16 to 24 months and two teachers. The staff to children ratio for children this age is 1:5.”

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #4 had 20 children aged 2 years old and two teachers. The staff to children ratio for children this age is 1:8.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure that disposable diapers were disposed of in a leak proof or plastic-lined storage system that is used in such a way that neither the staff members hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The same trash can that had dirty diapers in it was being used for the children and staff to throw away their lunch dishes and food. The trash can was overstuffed to the point that the lid was propped open and not shutting properly and not able to be opened and closed by only using a foot. When asked, the Director and center staff stated that they only had one trash can in each classroom to use for both diapers and all other forms of trash.”

8VAC20-780-550-D

“Based on records review, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document any drills occurring during the months of Feb 2022 or March 2022.”

8VAC20-780-550-E

“Based on review of documentation, the center did not ensure to practice a shelter in place drill a minimum of twice per year. Evidence: The drill log only contained 1 shelter in place drill in 2021 (4/9/21) and one in 2020 (4/19/20).”

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure to have a menu listing foods to be served for meals and snacks during the current one-week period. Evidence: When asked to see the menu the Director stated that they did not have any menu’s created. The Assistant Director stated that she was not aware that was a requirement.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: There was a bottle in the infant refrigerator with milk in it that did not contain a name or a date. When asked the infant teachers stated that they knew who the bottle belonged to.”

8VAC20-780-330-B

“Based on observation, the center did not ensure to comply with minimum safety standards for resilient surfacing underneath and surrounding equipment. Evidence: When measured there was less than ? an inch of mulch in some areas and no mulch in other areas directly underneath and surrounding the two climbing structures on the playground.”

8VAC20-780-570-E

“Based on observation, the center did not ensure all prepared infant formula was dated and labeled with the child's name. Evidence: Bottles for Child #4 were observed in the refrigerator. The bottles were labeled with the child's name but did not have the date on them.”

8VAC20-780-280-B

“Based on observations, the center did not ensure Hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. The laundry room door was observed opened with the key in the door knob. in the laundry room, cleaning products were sitting on the low counter. 2. The kitchen door was open and cleaning products were observed sitting on the counter and table.”

8VAC20-780-60-A

“Based on review of children's records, the center did not obtain all required documentation for each child's record. Evidence: The record of child #3, with a diagnosed food allergy, did not have an allergy care plan on file.”

8VAC20-780-570-E

“Based on observation, the center did not ensure all prepared infant formula was dated and labeled with the child's name. Evidence: Bottles for Child #4 were observed in the refrigerator. The bottles were labeled with the child's name but did not have the date on them.”

8VAC20-780-280-B

“Based on observations, the center did not ensure Hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. The laundry room door was observed opened with the key in the door knob. in the laundry room, cleaning products were sitting on the low counter. 2. The kitchen door was open and cleaning products were observed sitting on the counter and table.”

8VAC20-780-60-A

“Based on review of children's records, the center did not obtain all required documentation for each child's record. Evidence: The record of child #3, with a diagnosed food allergy, did not have an allergy care plan on file.”