Childtime Childcare, Inc. - Sailboat

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2, under the age of 2, and enrolled for eight months did not have an updated immunization record on file.”

8VAC20-780-500-A

“Staff shall wash hands with soap and running water after any contact with body fluids. A staff member in the 2-year-old room wiped mucus off of two children’s noses and did not wash hands in between or afterwards.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. The screening for Staff #6 was completed seven months before employment. The screening for Staff #7 was completed three months before employment.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that diapering areas had a nonabsorbent surface for diapering or changing. Evidence: 1. In classroom 2 for children 16-months to two-years-old, the changing pad had a large hole in the top corner, making the surface absorbent. 2. Leadership acknowledged the rip and ordered a new changing pad.”

8VAC20-780-70

“Based on record review, the center did not ensure staff records had documentation to demonstrate that the individual possesses training as required in 8VAC20-780-245. Evidence: 1. Out of 10 staff records reviewed, seven staff did not contain the required documentation regarding annual trainings. a.Staff 1 (DOH 03/28/2022) did not have annual training hours documented for 2023. b.Staff 5 (DOH 07/27/2015) had 2.5 hours documented for annual training in 2023. c.Staff 6 (DOH 02/14/2022) did not have annual training hours documented for 2023. d.Staff 7 (DOH 11/03/2020) did not have annual training hours documented for 2023. e.Staff 8 (DOH 11/20/2020) did not have annual training hours documented for 2023. f.Staff 9 (DOH 10/19/2021) did not have annual training hours documented for 2023. g.Staff 10 (DOH 12/22/2021) did not have annual training hours documented for 2023. 2. Leadership acknowledged the missing documentation in staff records.”

8VAC20-780-245-A

“Based on review of staff records, the center did not ensure 16 hours of ongoing training was completed annually. Evidence: 1. The record for Staff #12 (date of employment: 7/24/2014) failed to document 16 hours of annual training for the 2021-2022 year. 2. No additional information was provided regarding completed annual training.”

8VAC20-780-270-A

“Based on observation and interview, 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. The concrete path located on the infant playground had cracked cement exposing tree roots posing a trip hazard. 2. The concrete path located on the school age playground had cracked and missing cement which created a hole of approximately less than one inch in depth posing a trip hazard. 3. The bottom of the gutter on the school aged playground was detached from the building exposing a metal bracket within the reach of children which could snag the skin of a child. 4. One fence picket on the gate surrounding the air conditioning unit had a protruding nail that could snag the skin of a child. 5. One fence picket was missing from the gate surrounding the air conditioning unit on the playground.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure repeat sworn disclosure statements and criminal history checks were completed every five years. Evidence: The record for Staff #11 (date of hire: 1/8/2007) documented a sworn disclosure statement, dated 5/7/18 and criminal history check dated 5/8/18 which are beyond 5 years.”

22.1-289.035-B-4

“Based on record review and interview, the center failed to obtain a child abuse and neglect search from any state in which the individual has resided in the preceding five years. Evidence: 1.The record for Staff #9 (date of hire: 4/20/23) documented a sworn disclosure statement, indicating having resided outside of the state of Virginia within the preceding five years. 2.There was not an out of state child abuse and neglect search documented in the record for Staff #9 and no additional information was provided. 3. During an interview, with the center director, it was acknowledged that the record did not document a search request or results for Staff #9.”

8VAC20-770-60-C-2

“Based on review of eleven staff records and interview, the center failed to ensure a search of the central registry was completed for each staff by the end of the 30th day of employment. Evidence: 1. Staff #10 (date of employment 5/15/2023) search of the central registry is dated 6/22/2023, which is beyond 30 days of employment. 2. No additional information was provided and the director acknowledged the central registry search was beyond 30 days of employment.”

8VAC20-780-520-C

“Based on observation, documentation review and interview with staff, the center failed to ensure that if diaper ointment or cream is used written parent authorization noting any known adverse reactions shall be obtained. Evidence: 1. In the toddler room, Aquaphor cream was observed with Child #11?s name on it. There was not a written parent authorization noting any known adverse reactions for the skin cream. 2.During an interview, with the Teacher #1 it was acknowledged that the cream was being used on Child #11. 3.During an interview with the center director, it was acknowledged that an authorization for the cream was not documented.”

8VAC20-780-280-B

“Based on observation and interview, the center did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.There were five cans of paint and one can of wood stain with the warning: keep out of reach of children and vapor harmful stored on the bottom shelf in an unlocked closet in the school aged children’s bathroom. 2.During an interview, the center director observed and acknowledged the paint and wood stain were not properly stored.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff have completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: 1.Staff #1 (Date of Hire: 1/23/23) The record for Staff #1 did not document completion of the Virginia Department of Education-sponsored orientation course. No additional documentation was provided. 2.Staff #2 (Date of Hire: 4/13/23) The record for Staff #2 did not document completion of the Virginia Department of Education-sponsored orientation course. No additional documentation was provided. 3.Staff #3 (Date of Hire: 4/10/23) The record for Staff #3 did not document completion of the Virginia Department of Education-sponsored orientation course. No additional documentation was provided. 4.Staff #4 (Date of Hire: 3/13/23) The record for Staff #4 did not document completion of the Virginia Department of Education-sponsored orientation course. No additional documentation was provided. 5.Staff #9 (Date of Hire: 4/20/23) The record for Staff #9 did not document completion of the Virginia Department of Education-sponsored orientation course. No additional documentation was provided.”

8VAC20-780-160-A

“Based on review of eleven staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening completed at the time of employment and within the last 30 calendar days of the date of employment. Evidence: 1. The record for staff #3 (date of employment: 4/10/23) documented a tuberculosis screening dated 8/29/22 which is beyond the last 30 calendars days of the date of employment. 2. The record for staff #6 (date of employment: 5/17/23) documented a tuberculosis screening dated 6/7/23 which is beyond the date of employment.”

8VAC20-780-260-A

“Based on interview and review of documentation, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection report was dated 11/11/2021, exceeding the requirement to renew annually. The director stated that a fire inspection had not been completed”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas, inside and outside, were maintained in a clean, safe and operable condition. Evidence: one fence pickets at the gate entering the playground had an exposed nail head that could snag the skin of a child in care. Two additional fence pickets around the a/c unit on the playground had exposed nails that could puncture or snag the skin of a child in care.”