Childtime Learning Center #1052

22.1-289.035-B-4

“Based on review of six staff records, it was determined that Out of State background checks (Child Abuse and Neglect search) were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #2, (Date of hire: 2/8/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of child abuse and neglect search request.”

8VAC20-780-160-C

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #2 had a negative TB test/screening dated: 2/2/2022.”

8VAC20-780-160-A

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #1 (date of hire: 1/2/2024) had documentation of a negative TB test/screening dated: 11/6/2023; the record for staff #5 (date of hire: 8/28/2023) had documentation of a negative TB test/screening dated: 9/7/2023.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards. Staff did not was their hands after changing a baby’s diaper.”

8VAC20-780-245-L

“Based on documentation review, and staff interview, the facility failed to ensure that there is always at least one staff member on duty who has obtained instruction in performing the daily health observation of children. Evidence: there was no documentation of, and staff stated that they did not have, anyone on staff with the daily health observation training.”

8VAC20-780-70

“Based on review of six staff records, it was determined that not all records contained all required information. Evidence: 1) The record for staff #1 did not contain documentation of two reference checks; 2) The records for staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by the (lead teacher) job position, and was observed working alone in the two year old classroom; 3) The records for staff #2 and staff #4 did not contain documentation of orientation training”

22.1-289.035-B-4

“Based on review of six staff records, it was determined that Out of State background checks (Child Abuse and Neglect search) were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #2, (Date of hire: 2/8/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of child abuse and neglect search request.”

8VAC20-780-160-C

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #2 had a negative TB test/screening dated: 2/2/2022.”

8VAC20-780-160-A

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #1 (date of hire: 1/2/2024) had documentation of a negative TB test/screening dated: 11/6/2023; the record for staff #5 (date of hire: 8/28/2023) had documentation of a negative TB test/screening dated: 9/7/2023.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards. Staff did not was their hands after changing a baby’s diaper.”

8VAC20-780-245-L

“Based on documentation review, and staff interview, the facility failed to ensure that there is always at least one staff member on duty who has obtained instruction in performing the daily health observation of children. Evidence: there was no documentation of, and staff stated that they did not have, anyone on staff with the daily health observation training.”

8VAC20-780-70

“Based on review of six staff records, it was determined that not all records contained all required information. Evidence: 1) The record for staff #1 did not contain documentation of two reference checks; 2) The records for staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by the (lead teacher) job position, and was observed working alone in the two year old classroom; 3) The records for staff #2 and staff #4 did not contain documentation of orientation training”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-510-P

“Based on review of eight medications and authorization forms, the facility did not ensure when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: the medication authorization form for child #2 expired 6/30/2022, the medication authorization for child #10 expired 11/26/2023 and the medication authorization form for child #11 expired on 11/29/2023. The medication has not been returned to the parents nor have the medication authorization forms been renewed.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter in place procedures were practiced a minimum of twice per year. Evidence: there was no documentation of a shelter-in-place drill during the past year.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: 1) The list posted in the classrooms was dated: 8/24/23 2) Staff confirmed that there were children in attendance and/or enrolled since then with allergies, sensitivities and restrictions that were not included on the list 3) Staff confirmed there were children on the list who no longer are enrolled 4) Child #1 (date of first attendance: 9/7/2023) has a diagnosed food allergy and is not included on the written list”

8VAC20-780-130-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021) did not have documentation of immunizations.”

8VAC20-780-140-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021), child #5 (date of first attendance: 10/4/2022) and child 7 (date of first attendance: 8/23/2023) did not have documentation of a physical examination.”

8VAC20-780-530-A

“Based on observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present, with current certification in CPR and first aid. Evidence: the record for staff #4, who was observed working alone in the infant classroom, did not have documentation of CPR and first aid training. The record for staff #2, who was observed alone in the toddler/two’s classroom, did not have documentation of an approved CPR/first aid training program. The record for staff #3, who was observed working alone in the early preschool classroom had CPR/first aid certification dated: 11/7/17 and was expired.”

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

8VAC20-780-510-P

“Based on review of eight medications and authorization forms, the facility did not ensure when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: the medication authorization form for child #2 expired 6/30/2022, the medication authorization for child #10 expired 11/26/2023 and the medication authorization form for child #11 expired on 11/29/2023. The medication has not been returned to the parents nor have the medication authorization forms been renewed.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards.”

8VAC20-780-550-E

“Based on review of documentation, not all shelter in place procedures were practiced a minimum of twice per year. Evidence: there was no documentation of a shelter-in-place drill during the past year.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: 1) The list posted in the classrooms was dated: 8/24/23 2) Staff confirmed that there were children in attendance and/or enrolled since then with allergies, sensitivities and restrictions that were not included on the list 3) Staff confirmed there were children on the list who no longer are enrolled 4) Child #1 (date of first attendance: 9/7/2023) has a diagnosed food allergy and is not included on the written list”

8VAC20-780-130-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021) did not have documentation of immunizations.”

8VAC20-780-140-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021), child #5 (date of first attendance: 10/4/2022) and child 7 (date of first attendance: 8/23/2023) did not have documentation of a physical examination.”

8VAC20-780-530-A

“Based on observation and review of documentation, the facility failed to have at least one staff in each classroom where children are present, with current certification in CPR and first aid. Evidence: the record for staff #4, who was observed working alone in the infant classroom, did not have documentation of CPR and first aid training. The record for staff #2, who was observed alone in the toddler/two’s classroom, did not have documentation of an approved CPR/first aid training program. The record for staff #3, who was observed working alone in the early preschool classroom had CPR/first aid certification dated: 11/7/17 and was expired.”

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

“Based on review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: 1.) In the toddler room on 7/20/2023 at 7:40 am Staff A is seen grabbing child B (Age 22 Months) by the right arm and roughly places the child on the ground. Staff A then places child B's shoes on their feet while subsequently grabbing the child roughly by both arms and lifts the child up off of the ground. Staff A then places their face close to the child's face and says something to the child which was unable to be determined. 2.) In the toddler room on 7/20/2023 at 3:50 pm staff B is seen roughly pulling and pushing child B (Age 22 months) by the shirt and retrieves a toy out of the child's hand. 3.) In the toddler room on 7/20/2023 at 3:56 pm child A (age 21 months) is seen kicking their feet towards child C (age 16 months). Staff B picks up child A and roughly places them on the floor away from child C.”

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

“Based on review of video footage it was determined that behavioral guidance was not always constructive in nature. Evidence: 1.) In the toddler room on 7/20/2023 at 7:40 child B (age 22 months) is seen taking off their shoes. Staff A is seen grabbing child B by the right arm and roughly places the child on the ground. Staff A then places child B's shoes on their feet while subsequently grabbing the child roughly by both arms and lifts the child up off of the ground. Staff A is seen putting their face close to the child's face in an intimidating manner and speaks something to the child that was unable to be determined. 2.) In the toddler room on 7/20/2023 at 3:50 pm child B (age 22 months) is seen playing in the kitchen center of the toddler classroom. Child B moves towards another child and retrieves a toy. Staff B then roughly pulls child B back and forth by the shirt and roughly retrieves the toy from child B's hand. 3.) In the toddler room on 7/20/2023 at 3:56 pm child A (age 21 months) is seen crying and kicking their feet towards child C (age 16 months). Staff B intervenes by picking up child A and roughly places them on the floor away from child C. Staff B does not attempt to console or provide any positive guidance techniques with child A.”

8VAC20-780-240-B Complaint related: No

“Based on review of two staff records it was determined that not all records contained documentation that orientation training had been completed within the first seven days of assuming job responsibilities. Evidence: The record for staff B (start date: 04/10/2023) did not contain documentation of orientation training.”

8VAC20-780-500-A Complaint related: No

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: 1.) On 7/20/2023 at 7:40 am staff A is seen diapering one child. Staff A failed to wash their hands after completing the diaper change. 2.) On 7/20/2023 between 3:30 pm - 4:00 pm staff B was observed diapering three children. Staff B failed to wash their hands between the three diaper changes.”

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

“Based on review of two children's records it was determined that not all records contained updated documentation of immunizations once every six months for children under age two. Evidence: The most recent immunization on record for child A (dob: 10/17/2021) is dated 10/18/2021.”

8VAC20-770-60-C-2 Complaint related: No

“Based on review of two staff records it was determined that not all records contained documentation of a completed central registry check within the first 30 days of employment. Evidence: The record for staff B (start date: 04/10/2023) did not have documentation of a completed central registry check.”

8VAC20-780-500-B Complaint related: No

“Based on review of video footage it was determined that not all procedures for diapering were followed. Evidence: 1.) On 7/20/2023 at 7:40 am staff A is seen diapering one child. Staff A failed to clean and sanitize the diaper surface after completing the diaper change. 2.) On 7/20/2023 between 3:30 pm - 4:00 pm staff B was observed diapering three children. Staff B failed to clean and sanitize the diaper surface between the three diaper changes.”

8VAC20-780-500-B

“Based on observation of the two's/three's classroom it was determined that not all procedures for diapering were followed. Evidence: Glitter, a cloth bag, and stuffed animal was observed on the changing table. These items are not utilized for diapering.”

8VAC20-780-140-A

“Based on review of seven children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The record for child B (start date: 10/03/2022) did not have documentation of a physical on file.”

8VAC20-780-130-A

“Based on review of seven children's records it was determined that not all records contained documentation of immunizations before the first day of enrollment. Evidence: Child A (start date: 10/13/2019) did not have documentation of immunizations on file.”

8VAC20-780-260-B

“Based on review of documentation it was determined that the facility did not have a health inspection annually. Evidence: The most recent health inspection on file is dated 02/01/2021.”

8VAC20-780-500-B

“Based on observation of the two's/three's classroom it was determined that not all procedures for diapering were followed. Evidence: Glitter, a cloth bag, and stuffed animal was observed on the changing table. These items are not utilized for diapering.”

8VAC20-780-140-A

“Based on review of seven children's records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The record for child B (start date: 10/03/2022) did not have documentation of a physical on file.”

8VAC20-780-130-A

“Based on review of seven children's records it was determined that not all records contained documentation of immunizations before the first day of enrollment. Evidence: Child A (start date: 10/13/2019) did not have documentation of immunizations on file.”

8VAC20-780-260-B

“Based on review of documentation it was determined that the facility did not have a health inspection annually. Evidence: The most recent health inspection on file is dated 02/01/2021.”

8VAC20-780-60-A

“Based on review of three children's records it was determined that not all records contained the required components. Evidence: There was no address for two emergency contacts listed for child H (start date: 09/12/22) and child I (start date: 08/01/22).”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas of the center were maintained in safe condition. Evidence: 1.) The baseboard in the Toddler room next to the playground door is detaching from the wall posing a tripping hazard. 2.) A tricycle on the preschool playground was missing a pedal.”

8VAC20-780-510-E

“Based on review of medication it was determined that the center failed to follow their medication procedures in regards to expired medication. Evidence: The emergency medication for child A expired 09/15/2022. The emergency medication for child B expired 04/2022. The emergency medication for child C expired 08/2022. The emergency medication for child D expired 06/2022.”

8VAC20-780-130-A

“Based on review of three children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence: Child G (start date: 10/13/2022) did not have documentation of immunizations on file.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all authorization forms were renewed upon expiration or medication picked up by the parent within 14 days. Evidence: The authorization form for emergency medication on site for child B expired 02/15/2022. The authorization form for emergency medication on site for child E expired 02/01/2020. The authorization form for emergency medication on site for child F expired 11/18/2021.”

8VAC20-780-60-A

“Based on review of three children's records it was determined that not all records contained the required components. Evidence: There was no address for two emergency contacts listed for child H (start date: 09/12/22) and child I (start date: 08/01/22).”

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas of the center were maintained in safe condition. Evidence: 1.) The baseboard in the Toddler room next to the playground door is detaching from the wall posing a tripping hazard. 2.) A tricycle on the preschool playground was missing a pedal.”

8VAC20-780-510-E

“Based on review of medication it was determined that the center failed to follow their medication procedures in regards to expired medication. Evidence: The emergency medication for child A expired 09/15/2022. The emergency medication for child B expired 04/2022. The emergency medication for child C expired 08/2022. The emergency medication for child D expired 06/2022.”

8VAC20-780-130-A

“Based on review of three children's records it was determined that not all records contained documentation of immunizations before the child's first day of enrollment. Evidence: Child G (start date: 10/13/2022) did not have documentation of immunizations on file.”

8VAC20-780-510-P

“Based on review of medication it was determined that not all authorization forms were renewed upon expiration or medication picked up by the parent within 14 days. Evidence: The authorization form for emergency medication on site for child B expired 02/15/2022. The authorization form for emergency medication on site for child E expired 02/01/2020. The authorization form for emergency medication on site for child F expired 11/18/2021.”

8VAC20-780-420-B Complaint related: Yes

“Based on interviews it was determined that parents were not always notified promptly of persistent behavioral problems. Evidence: On April 20, 2022 at about 8:30 a.m. child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. This interaction between child A and staff A was not documented or verbally communicated to the parents of child A by the facility.”

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

“Based on interviews it was determined that behavioral guidance was not always appropriate and constructive in nature. Evidence: On April 20, 2022 at about 8:30 a.m. It was reported that staff A used their arm to push child A against the wall. Child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. It was reported that child A put their head down on the table until it was time to leave for school.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in safe and operable condition. Evidence: A tricycle observed on the pre-school playground was missing a foot pedal.”

8VAC20-780-420-B Complaint related: Yes

“Based on interviews it was determined that parents were not always notified promptly of persistent behavioral problems. Evidence: On April 20, 2022 at about 8:30 a.m. child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. This interaction between child A and staff A was not documented or verbally communicated to the parents of child A by the facility.”

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

“Based on interviews it was determined that behavioral guidance was not always appropriate and constructive in nature. Evidence: On April 20, 2022 at about 8:30 a.m. It was reported that staff A used their arm to push child A against the wall. Child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. It was reported that child A put their head down on the table until it was time to leave for school.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in safe and operable condition. Evidence: A tricycle observed on the pre-school playground was missing a foot pedal.”

8VAC20-780-420-B Complaint related: Yes

“Based on interviews it was determined that parents were not always notified promptly of persistent behavioral problems. Evidence: On April 20, 2022 at about 8:30 a.m. child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. This interaction between child A and staff A was not documented or verbally communicated to the parents of child A by the facility.”

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

“Based on interviews it was determined that behavioral guidance was not always appropriate and constructive in nature. Evidence: On April 20, 2022 at about 8:30 a.m. It was reported that staff A used their arm to push child A against the wall. Child A was asked to put away their toys from home. When the child refused, staff A began yelling, approached the child and asked them to put the toys away again. The child then lunged at and attempted to strike staff A. Staff A then put their arm up to block child A from lunging at them and also took hold of child A's wrist to prevent the child from striking staff A. During this interaction it was reported that Staff A used their arm to push child A against the wall. Child A then put their toy away and moved to sit down at a table. It was reported that child A put their head down on the table until it was time to leave for school.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in safe and operable condition. Evidence: A tricycle observed on the pre-school playground was missing a foot pedal.”