Childtime Childcare, Inc. - Windmill

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

“Based on interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff #2 was working in the toddler room on 06/17/2024. Based on interview, child #1 was running around the room right before nap time. Staff #2 pulled child #1 by the upper arm, sat child down on the cot and told child to lay down for a nap. Staff #2 stated when they placed the child down, they left the crying child’s side to go grab a blanket. 2. Another staff in the room took the child to the changing table where blood was witnessed in the mouth due to child biting their tongue. Staff #2 stated the child bit their tongue when they sat the child down on the cot and acknowledged they sat the child down aggressively.”

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

“Based on interviews and documentation reviewed, the center did not follow their own policies and procedures regarding discipline of children. Evidence: 1. The center's handbook states that staff must create a warm, nurturing and safe environment for the children in care. 2. On 06/17/2024, staff #2 placed child #1 down on a cot for nap time aggressively, resulting in child #1 biting their tongue. 3. Another staff in the room observed blood in the child's mouth due to biting their tongue.”

8VAC20-780-410-1 Complaint related: Yes

“The following actions or threats thereof are forbidden: roughly handling a child. Evidence: 1. Staff #2 was working in the toddler room on 06/17/2024. Based on interview, child #1 was running around the room right before nap time. Staff #2 pulled child #1 by the upper arm, sat child down on the cot and told child to lay down for a nap. 2. Staff #2 stated the child bit their tongue when they sat the child down on the cot and acknowledged they sat the child down aggressively.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on observation, the center did not ensure the required ratio of 1 staff to 8 children for 2 years olds were followed. Evidence: 1. At approximately 7:58am, the licensing inspector observed 12 children with one staff in the 2 year old classroom. One additional staff was needed to meet the required ratio. At approximately 8:06am, a 2nd staff entered the classroom. 2. The youngest child in the classroom was 2 years, 11 months of age confirmed by staff and documentation, requiring a 1-8 staff to child ratio.”

8VAC20-780-350-B-2 Complaint related: Yes

“Based on observation, the center failed to maintain the required ratio of one staff to five children for ages 16 months up to 24 months. Evidence: 1. On 09/12/2024, at approximately 7:52am, the licensing inspector observed 21 children in care with three staff supervising during morning group in classroom A. The youngest child in the room was 21 months old which was confirmed by staff. Two additional staff were needed to meet the 1:5 staff-to-children ratio requirement. 2. At approximately 7:56am, the ratio requirement was met when another staff arrived and took children to classroom B, leaving 11 children in care with three teachers supervising in classroom A.”

8VAC20-780-550-P Complaint related: No

“Based on interview and review of documentation, the center did not maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. On 06/17/2024, a minor injury occurred to child #1 while in care. 2. Staff acknowledged the injury but could not locate the injury report on site. No injury report was provided to the licensing inspector to view during the inspection.”

22.1-289.035-A

“Based on record review and interview, the center did not ensure to obtain repeat background checks every 5 years for staff. Evidence: 1. The record for staff 4 contained a criminal record check dated 06/27/2019. 2. Leadership confirmed there was no updated criminal record check in the file.”

8VAC20-780-160-C

“Repeat: Based on record review and interview, the center did not ensure staff receive repeat Tuberculosis screenings at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department. Evidence: 1. Staff 2?s tuberculosis screenings were dated 05/16/2021 and 07/11/2024. 2. Staff 3?s latest tuberculosis screening was dated 06/08/2022.”

22.1-289.035-A

“Based on record review and interview, the center did not ensure to obtain repeat background checks every 5 years for staff. Evidence: 1. The record for staff 4 contained a criminal record check dated 06/27/2019. 2. Leadership confirmed there was no updated criminal record check in the file.”

8VAC20-780-160-C

“Repeat: Based on record review and interview, the center did not ensure staff receive repeat Tuberculosis screenings at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department. Evidence: 1. Staff 2?s tuberculosis screenings were dated 05/16/2021 and 07/11/2024. 2. Staff 3?s latest tuberculosis screening was dated 06/08/2022.”

8VAC20-780-350-B-2 Complaint related: Yes

“Based on observation and interview the center failed to maintain required ratio in one classroom. Evidence: 1. On 05/09/2024, two licensing staff observed a grouping of 16 children ranging in ages from 17 months to 2.5 years with two supervising staff. The ratio required for the grouping of children was one staff to five children; two additional staff were required. 2. During interviews, the two staff confirmed there were a total of 16 children present. The staff reported a third staff member would be arriving. At approximately 10:05am, a third staff member arrived in the toddler classroom, and children were moved to another classroom to comply with ratio requirements. 3. The "Face-To-Name Transition Sheet" for 05/09/2024 confirmed that the classroom was out of ratio from approximately 8:40am-10:05am.”

8VAC20-790-600-F

“Based on staff record review, the provider did not ensure that staff working directly with children shall complete annually the department's health and safety update. Evidence: At the time of inspection, the record for staff #1, staff #2, staff #8 did not have the annual health and safety update documented in the record.”

8VAC20-780-550-B

“Based upon review of documentation, the facility did not ensure that the emergency preparedness plan (EPP) includes all required procedural components. Evidence: 1. At the time of inspection, the written emergency preparedness plan on site did not list the most current contact information. The contact information had a terminated employee listed. 2. The emergency preparedness plan did not have the evacuation location, address, and phone number included in the plan under ?In the event it becomes necessary to remove children from school property the children will be evacuated to?.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots. Evidence: In the two year old classroom and the preschool classroom, occupied cots were not spaced 12 inches apart during the inspection.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. At the time of inspection, the record for staff #4 had documentation of a follow up TB screening/test on 03/06/23, exceeding the two-year allowance. 2. At the time of inspection, the record for staff #6 had documentation of a follow up TB screening/test on 10/12/23, exceeding the two-year allowance. 3. At the time of inspection, the record for staff # 8 had documentation of a follow up TB screening/test on 11/20/23, exceeding the two-year allowance.”

8VAC20-780-130-E

“Based on a review of children's records, the center did not ensure each record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. At the time of inspection, the record for child #1 (birth date: 8/15/22), who enrolled at the center on 01/03/23, had documentation of immunizations dated 12/15/22. An additional immunization document was reviewed, this immunization document did not have a written date indicating when or if the immunizations were updated. 2. At the time of inspection, the record for child #10 (birth date: 1/07/21), who enrolled at the center on 2/14/22, had documentation of immunizations dated 2/07/22. Documentation of additional immunizations once every six months was not in the record for child #10.”

8VAC20-780-270-A

“REPEAT VIOLATION 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: On the playground, one jungle gym had multiple areas where part of the plastic cover was cracking, and/or peeling from the metal, posing a risk for entangled clothing and/or snagged skin.”

8VAC20-790-600-F

“Based on staff record review, the provider did not ensure that staff working directly with children shall complete annually the department's health and safety update. Evidence: At the time of inspection, the record for staff #1, staff #2, staff #8 did not have the annual health and safety update documented in the record.”

8VAC20-780-550-B

“Based upon review of documentation, the facility did not ensure that the emergency preparedness plan (EPP) includes all required procedural components. Evidence: 1. At the time of inspection, the written emergency preparedness plan on site did not list the most current contact information. The contact information had a terminated employee listed. 2. The emergency preparedness plan did not have the evacuation location, address, and phone number included in the plan under ?In the event it becomes necessary to remove children from school property the children will be evacuated to?.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots. Evidence: In the two year old classroom and the preschool classroom, occupied cots were not spaced 12 inches apart during the inspection.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. At the time of inspection, the record for staff #4 had documentation of a follow up TB screening/test on 03/06/23, exceeding the two-year allowance. 2. At the time of inspection, the record for staff #6 had documentation of a follow up TB screening/test on 10/12/23, exceeding the two-year allowance. 3. At the time of inspection, the record for staff # 8 had documentation of a follow up TB screening/test on 11/20/23, exceeding the two-year allowance.”

8VAC20-780-130-E

“Based on a review of children's records, the center did not ensure each record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. At the time of inspection, the record for child #1 (birth date: 8/15/22), who enrolled at the center on 01/03/23, had documentation of immunizations dated 12/15/22. An additional immunization document was reviewed, this immunization document did not have a written date indicating when or if the immunizations were updated. 2. At the time of inspection, the record for child #10 (birth date: 1/07/21), who enrolled at the center on 2/14/22, had documentation of immunizations dated 2/07/22. Documentation of additional immunizations once every six months was not in the record for child #10.”

8VAC20-780-270-A

“REPEAT VIOLATION 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: On the playground, one jungle gym had multiple areas where part of the plastic cover was cracking, and/or peeling from the metal, posing a risk for entangled clothing and/or snagged skin.”

8VAC20-790-600-F

“Based on staff record review, the provider did not ensure that staff working directly with children shall complete annually the department's health and safety update. Evidence: At the time of inspection, the record for staff #1, staff #2, staff #8 did not have the annual health and safety update documented in the record.”

8VAC20-780-550-B

“Based upon review of documentation, the facility did not ensure that the emergency preparedness plan (EPP) includes all required procedural components. Evidence: 1. At the time of inspection, the written emergency preparedness plan on site did not list the most current contact information. The contact information had a terminated employee listed. 2. The emergency preparedness plan did not have the evacuation location, address, and phone number included in the plan under ?In the event it becomes necessary to remove children from school property the children will be evacuated to?.”

8VAC20-780-440-E

“Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots. Evidence: In the two year old classroom and the preschool classroom, occupied cots were not spaced 12 inches apart during the inspection.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section. Evidence: 1. At the time of inspection, the record for staff #4 had documentation of a follow up TB screening/test on 03/06/23, exceeding the two-year allowance. 2. At the time of inspection, the record for staff #6 had documentation of a follow up TB screening/test on 10/12/23, exceeding the two-year allowance. 3. At the time of inspection, the record for staff # 8 had documentation of a follow up TB screening/test on 11/20/23, exceeding the two-year allowance.”

8VAC20-780-130-E

“Based on a review of children's records, the center did not ensure each record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. At the time of inspection, the record for child #1 (birth date: 8/15/22), who enrolled at the center on 01/03/23, had documentation of immunizations dated 12/15/22. An additional immunization document was reviewed, this immunization document did not have a written date indicating when or if the immunizations were updated. 2. At the time of inspection, the record for child #10 (birth date: 1/07/21), who enrolled at the center on 2/14/22, had documentation of immunizations dated 2/07/22. Documentation of additional immunizations once every six months was not in the record for child #10.”

8VAC20-780-270-A

“REPEAT VIOLATION 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: On the playground, one jungle gym had multiple areas where part of the plastic cover was cracking, and/or peeling from the metal, posing a risk for entangled clothing and/or snagged skin.”

8VAC20-780-160-C

“Based on a review of five staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for two staff members at least every two years from the date of the initial screening or testing. Evidence: 1. The record of Staff (S) S1 documented tuberculosis screenings dated 10/10/2019 and 5/18/2022, which is beyond every 2 years. 2. The record of Staff (S) S5 documented tuberculosis screenings dated 8/21/2020 and 03/01/2023, which is beyond every 2 years.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: The record for Child #5, did not contain the address for the two designated people to call in an emergency if a parent cannot be reached. During an interview with the center director, it was acknowledged that the addresses were not documented.”

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 Preschool / Pre-K classroom had visible chipped paint on both exterior sides of the bathroom door frame. 2. The Preschool / Pre-K classroom had a missing portion of the corner floor tile surrounding the exterior frame of the bathroom entrance, creating an uneven area. 3. The two toilets in the school age classroom had brown stains and liquid around the bottom of each toilet. 4.The floor surrounding both toilets had brown stains. 5. During the observation of the bathrooms, the center director stated, ?the toilets are not working properly? and leak at the bottom which creates an odor. The director also acknowledged the stains around the toilets and the floor.”

8VAC20-780-350-B-2

“Based on observation and interview, the center failed to ensure the maximum group size is limited to 15 for children ages 16 months up to 24 months. Evidence: 1. At approximately 10:50 am, the licensing inspector observed 20 children (18 months to 2 years of age) with one teacher supervising in the toddler room. Three additional staff were required. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. Three additional staff were required. 3. During observation and interview with the director, it was acknowledged that the toddler room was out of compliance with staff -to-child ratio requirements.”

8VAC20-780-520-C

“Based on observation, record 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 a locked cabinet in the infant room, a Ziploc bag with the name of Child #6 on it contained Boudreaux’s diaper cream. 2. Teacher #1, stated during the inspection, that the diaper cream is used on Child #6 and should have an authorization form. 3. There was not a written parent authorization noting any known adverse reactions for the diaper cream. 4. During an interview with the center director, it was acknowledged that an authorization for the cream was not documented.”

8VAC20-780-350-A

“Based on observation, the center failed to ensure that the maximum group size limitations were followed whenever children are in care. Evidence: 1. At approximately 10:50 am, the licensing inspector observed a total of 20 children (ages 18 months to 2 years of age) as one group in the toddler classroom supervised by one staff. The maximum group size was exceeded by 5 children. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. The maximum group size was exceeded by 9 children.”

8VAC20-780-160-C

“Based on a review of five staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for two staff members at least every two years from the date of the initial screening or testing. Evidence: 1. The record of Staff (S) S1 documented tuberculosis screenings dated 10/10/2019 and 5/18/2022, which is beyond every 2 years. 2. The record of Staff (S) S5 documented tuberculosis screenings dated 8/21/2020 and 03/01/2023, which is beyond every 2 years.”

8VAC20-780-60-A

“Based on record review and interview, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: The record for Child #5, did not contain the address for the two designated people to call in an emergency if a parent cannot be reached. During an interview with the center director, it was acknowledged that the addresses were not documented.”

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 Preschool / Pre-K classroom had visible chipped paint on both exterior sides of the bathroom door frame. 2. The Preschool / Pre-K classroom had a missing portion of the corner floor tile surrounding the exterior frame of the bathroom entrance, creating an uneven area. 3. The two toilets in the school age classroom had brown stains and liquid around the bottom of each toilet. 4.The floor surrounding both toilets had brown stains. 5. During the observation of the bathrooms, the center director stated, ?the toilets are not working properly? and leak at the bottom which creates an odor. The director also acknowledged the stains around the toilets and the floor.”

8VAC20-780-350-B-2

“Based on observation and interview, the center failed to ensure the maximum group size is limited to 15 for children ages 16 months up to 24 months. Evidence: 1. At approximately 10:50 am, the licensing inspector observed 20 children (18 months to 2 years of age) with one teacher supervising in the toddler room. Three additional staff were required. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. Three additional staff were required. 3. During observation and interview with the director, it was acknowledged that the toddler room was out of compliance with staff -to-child ratio requirements.”

8VAC20-780-520-C

“Based on observation, record 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 a locked cabinet in the infant room, a Ziploc bag with the name of Child #6 on it contained Boudreaux’s diaper cream. 2. Teacher #1, stated during the inspection, that the diaper cream is used on Child #6 and should have an authorization form. 3. There was not a written parent authorization noting any known adverse reactions for the diaper cream. 4. During an interview with the center director, it was acknowledged that an authorization for the cream was not documented.”

8VAC20-780-350-A

“Based on observation, the center failed to ensure that the maximum group size limitations were followed whenever children are in care. Evidence: 1. At approximately 10:50 am, the licensing inspector observed a total of 20 children (ages 18 months to 2 years of age) as one group in the toddler classroom supervised by one staff. The maximum group size was exceeded by 5 children. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. The maximum group size was exceeded by 9 children.”

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 infant playground, one wire was frayed at the end hanging above the water spout. The protective, insulating material was missing at the end of the wire, exposing the wires. 2. In the Preschool/Pre-k room, there were 5 rest mats with tears, exposing foam. 3. The bathroom in the Preschool/Pre-k room had two toilets that were dirty with brown and black marks on both toilets. On the surrounding walls and on the toilet seats and toilet bowl was visible dirt and grime. The floor surrounding the two toilets had a liquid around the outside of the toilets.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that all diapering areas had the required supplies. Evidence: 1. In the Two’s room, there is a diaper changing area. The diaper changing area did not include a working leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings for three staff members. Evidence: 1. The record for staff #2 (hire date 06/14/22) and staff #8 (hire date 12/04/18), did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry findings had not been received as of 08/29/22.”

8VAC20-790-600-F

“Based on record review and interview, the center did not ensure that five out of eight staff completed all required annual training. Evidence: The records for staff #1, staff #3, staff #6, staff #7, and staff #8 did not contain documentation of the department’s Health and Safety Update training. 2. A member of management stated that the Health and Safety Update training was not in the records for staff #1, staff #3, staff #6, staff #7, staff #8.”

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 infant playground, one wire was frayed at the end hanging above the water spout. The protective, insulating material was missing at the end of the wire, exposing the wires. 2. In the Preschool/Pre-k room, there were 5 rest mats with tears, exposing foam. 3. The bathroom in the Preschool/Pre-k room had two toilets that were dirty with brown and black marks on both toilets. On the surrounding walls and on the toilet seats and toilet bowl was visible dirt and grime. The floor surrounding the two toilets had a liquid around the outside of the toilets.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that all diapering areas had the required supplies. Evidence: 1. In the Two’s room, there is a diaper changing area. The diaper changing area did not include a working leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings for three staff members. Evidence: 1. The record for staff #2 (hire date 06/14/22) and staff #8 (hire date 12/04/18), did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry findings had not been received as of 08/29/22.”

8VAC20-790-600-F

“Based on record review and interview, the center did not ensure that five out of eight staff completed all required annual training. Evidence: The records for staff #1, staff #3, staff #6, staff #7, and staff #8 did not contain documentation of the department’s Health and Safety Update training. 2. A member of management stated that the Health and Safety Update training was not in the records for staff #1, staff #3, staff #6, staff #7, staff #8.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to update required background checks every five years for all employees. Evidence: The record for staff #1, contained a Central Registry dated 03/29/2016 with an updated Central Registry dated 03/25/2022. The record for staff #1, contained a Sworn Statement dated 03/01/2016 with an updated Sworn Statement dated 02/25/2022.”

8VAC20-780-160-C

“Based on a review of staff records, 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 #4 had a TB screening dated 06/08/2022. The last TB documented was dated 09/04/2019.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to update required background checks every five years for all employees. Evidence: The record for staff #1, contained a Central Registry dated 03/29/2016 with an updated Central Registry dated 03/25/2022. The record for staff #1, contained a Sworn Statement dated 03/01/2016 with an updated Sworn Statement dated 02/25/2022.”

8VAC20-780-160-C

“Based on a review of staff records, 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 #4 had a TB screening dated 06/08/2022. The last TB documented was dated 09/04/2019.”