Childtime Learning Center - Huntington

8VAC20-790-600-D-1

“Staff shall have current CPR and first aid for the ages of children in care. Staff B had no current CPR and first aid documentation. It expired two years ago.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child B, who attended for a month and a half, had no documentation of immunizations in the record.”

22.1-289.035-B-1

“Provide a sworn statement disclosing whether he has been convicted of an offense or is the subject of pending charges within or outside the Commonwealth and whether he has been subject of a founded complaint of child abuse or neglect. Staff B had no current documentation of a current sworn statement. The most recent sworn statement was three months out of date.”

8VAC20-780-270-A Complaint related: No

“Based on direct observation by the Licensing Inspector and center staff, it was determined that the outdoor playground area was not maintained in a clean, safe and operable condition. Evidence: 1. Two ride-on toys had broken jagged edges accessible to the children in care. 2. There was trash strewn throughout the playground area. 3. There was a table located by the gate that had a warped and damaged top accessible to children in care. 4. The gate latch was not secured to ensure the safety of the children in care. It was broken and had been broken since April 2024.”

8VAC20-780-550-P Complaint related: Yes

“Based on staff interview, it was determined that the center did not have documentation of an injury record for a child in care. Evidence: The center did not have a written record of Child A's injury on the day of occurrence, June 26, 2024, as required. Staff 1 was told to create a report to give to the parent after the day of the incident. The parent did not receive the report until Monday, July 1, 2024.”

8VAC20-780-80-B-2 Complaint related: Yes

“Based on record review and staff interview, the center did not notify the department's representative of an injury that occurred while a child was under the supervision of the center and required outside medical attention. Evidence: The center failed to inform the department's representative of an injury that occurred to Child A on June 26, 2024 during outdoor play time. The child was taken to the hospital by the parent that evening upon pick-up.”

8VAC20-780-350-B-4 Complaint related: No

“Based on video observation and staff interview, the staff to children ratio for 3 year olds up to school age was not maintained. Evidence: 1. At approximately 12:00pm on 05/09/2024, the Pre-K classroom was observed having 15 children in care with one staff member supervising children. The staff to ratio for the Pre-K classroom is 1:10 ratio. 2.Staff #2 confirmed that the classroom was out of ratio for 15 minutes.”

8VAC20-780-400-B Complaint related: No

“Repeat Violation Based on video observation, behavioral guidance was not constructive in nature, age and stage appropriate, and intended to redirect children in appropriate behaviors. Evidence: 1. On 05/09/2024 at approximately 12:00pm, Child #1(4 years old) is observed in the block of the classroom after lunch. Staff #1 is observed grabbing Child #1'sleft arm and roughly placing them into chair. Child #1 gets up from their chair. Staff #1 is observed grabbing Child #1's arm, picking them up by their wrist, and roughly placing them into a chair.”

8VAC20-780-410-1 Complaint related: No

“Repeat Violation Based on video observation, staff used the forbidden action of roughly handling children in care. Evidence: 1. At approximately 12:00pm on 05/09/2024, Staff #1 was observed sweeping the floor after lunchtime. Child #1(4 years old) is observed in the block area of the classroom. Staff #1 pulls Child #1's arm and places them into a chair. Child #1 is observed getting up from the chair and walking over to the wall area near the block area. Staff #1 is observed grabbing Child #1's left arm and guiding him towards a chair. Staff #1 is observed picking Child #1 up by the wrist and forcing them into a chair.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-01/22/2024) did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, orientation and training.”

8VAC20-780-520-C

“Based on observation, diaper cream was not labeled with the child's name. Evidence: 1. A diaper cream for Child #7 was not labeled with their name.”

8VAC20-780-60-A

“Based on record review, children's records did not contain the required information. Evidence: 1. Child #3's record (Start date-10/18/2021) did not contain documentation of child updates and confirmation of up to date information in the child's record. 2. Child #5's record (Start date-11/29/2021) did not contain documentation of child updates and confirmation of up to date information in the child's record.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis(TB) screening at the time of employment. Evidence: 1. Staff #1's record (Date of hire-01/22/2024) did not contain documentation of a negative Tb screening.”

22.1-289.035-A

“Based on record review and interview, the center did not obtain repeat background checks for an employee every five years. Evidence: 1. Staff # 6's record (Date of hire-06/02/2016) did not contain a repeat criminal background check every five years. Staff #6's criminal background check expired on 08/15/2023. 2. Staff #6 confirmed that they had not completed a new criminal background check.”

8VAC20-780-510-I

“Based on documentation review, the center did not obtain written authorization from a parent and physician for a prescription medication. Evidence: 1. Child #6 has prescription diaper cream on site. Child #6's record does not documentation written authorization from a parent or physician for administration.”

8VAC20-780-70

“Based on record review, required records were not kept for each staff person. Evidence: 1. Staff #1's record (Date of hire-01/22/2024) did not contain documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, orientation and training.”

8VAC20-780-520-C

“Based on observation, diaper cream was not labeled with the child's name. Evidence: 1. A diaper cream for Child #7 was not labeled with their name.”

8VAC20-780-60-A

“Based on record review, children's records did not contain the required information. Evidence: 1. Child #3's record (Start date-10/18/2021) did not contain documentation of child updates and confirmation of up to date information in the child's record. 2. Child #5's record (Start date-11/29/2021) did not contain documentation of child updates and confirmation of up to date information in the child's record.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit documentation of a negative tuberculosis(TB) screening at the time of employment. Evidence: 1. Staff #1's record (Date of hire-01/22/2024) did not contain documentation of a negative Tb screening.”

22.1-289.035-A

“Based on record review and interview, the center did not obtain repeat background checks for an employee every five years. Evidence: 1. Staff # 6's record (Date of hire-06/02/2016) did not contain a repeat criminal background check every five years. Staff #6's criminal background check expired on 08/15/2023. 2. Staff #6 confirmed that they had not completed a new criminal background check.”

8VAC20-780-510-I

“Based on documentation review, the center did not obtain written authorization from a parent and physician for a prescription medication. Evidence: 1. Child #6 has prescription diaper cream on site. Child #6's record does not documentation written authorization from a parent or physician for administration.”

8VAC20-780-400-B

“Repeat Violation Based on video observation, behavioral guidance was not constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behaviors. Evidence: 1. On 11/30/2023, at approximately 11:19am, Staff #1 is observed sitting in a chair in the middle of the classroom while Child #1 is at a table. Staff #1 is observed saying something to Child #1. Staff #1 gets out of the chair and approaches Child #1 and strikes them on the forehead. Staff #1 grabs Child #1 under the left and right elbow and puts Child #1 roughly into a chair at the table. 2. On 11/30/2023, at approximately 11:20am, Staff #1 is observed grabbing Child #2 under the left and right elbows and roughly putting them into a chair at the table.”

8VAC20-780-410-1

“Based on video observation, staff used the forbidden action of striking and rough handling children in care. Evidence: Video recordings of the Toddler classroom on 11/30/2023 captured Staff #1 striking and roughly handling children. 1. At approximately 11:19am, Staff #1 was observed striking Child #1(23 months) on the forehead. Staff #1 grabs Child #1 under the left and right elbows and roughly places here in a chair. 2. At approximately 11:20am, Staff #2 grabs Child #2 (20 months) by the left and right elbows and placed them roughly into a chair.”

8VAC20-790-600-D-1

“Repeat Violation Based on record review and interview, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation(CPR) to the ages of children within 90 days of the date of employment . Evidence: 1. Staff #3's record (Date of hire-08/18/2003) did not have documentation of current CPR training. Documentation of an expired CPR card was dated 03/06/2021. 2. Staff #5's record (Date of hire-04/11/2023) did not contain documentation of current CPR. Staff #6 confirmed that Staff #5 did not have current CPR training.”

8VAC20-790-600-D-2

“Repeat Violation Based on record review and interview, all staff did not have current certification in first aid appropriate to ages of children in care. Evidence: 1. Staff #3's record (Date of hire-08/18/2003) did not have documentation of current certification in first aid. Documentation of first aid certification was dated 03/06/2021. 2. Staff #5's record (Date of hire-04/11/2023) did not contain documentation of current certification in first aid. 3. Staff #6 confirmed that Staff #5 did not have current certification in first aid.”

22.1-289.035-A

“Based on record review of five staff records, the center did not update criminal history record reports every five years. Evidence: 1. Staff #3's record (Date of hire-08/18/2003) contained an expired criminal history record check. Documentation of a criminal history record check was dated 03/29/2018.”

22.1-289.058

“Based on observation and interview, the child day center that serves preschool age children was not equipped with at least one carbon monoxide detector. Evidence: 1. The center that was built before 2015 was not equipped with at least one carbon monoxide detector. 2. Staff #6 confirmed that there was not one carbon monoxide detector in the center.”

8VAC20-780-270-A

“Repeat Violation Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the Two's classroom, the peddle operated trashcan was not operational. Staff members had to open the lid of the trashcan with their bare hands. 2. In the Dramatic Play area of the Early Pre-school classroom, one knob of the kitchen faucet was missing and exposing a protruding sharp one inch screw. 3. In the Pre-school classroom, there was not a peddle on the peddle operated trashcan. 4. On the playground, there were two tricycles with broken plastic seats that exposed sharp edges that could entangle clothing and snag skin.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle labeled bleach and water was sitting on a high diapering table of the classroom and not locked up. 2. In the bathroom of the Early Pre-school classroom, a container of diaper cream was located in a basket with diapers on a low shelf accessible to children.”

8VAC20-780-160-C

“Repeat Violation Based on record review, staff members did not obtain and submit subsequent tuberculosis(TB) screenings. Evidence: 1. Staff #1's record (Date of hire-03/29/2021) did not contain a subsequent TB screening. Documentation of the last Tb screening was dated 03/25/2021.”

8VAC20-780-60-A

“Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1.Child #1's record (Start date-11/18/2019) did not contain documentation of child updates and confirmation of up to date information in the child's record.”

8VAC20-780-440-B

“Repeat Violation Based on observation, cots were not identified for use by a specific child. Evidence: 1. In the Pre-K classroom, the cots were not identified for use by a specific child.”

8VAC20-790-600-D-1

“Repeat Violation Based on record review and interview, all staff who work directly with children did not have current certification in cardiopulmonary resuscitation(CPR) to the ages of children within 90 days of the date of employment . Evidence: 1. Staff #3's record (Date of hire-08/18/2003) did not have documentation of current CPR training. Documentation of an expired CPR card was dated 03/06/2021. 2. Staff #5's record (Date of hire-04/11/2023) did not contain documentation of current CPR. Staff #6 confirmed that Staff #5 did not have current CPR training.”

8VAC20-790-600-D-2

“Repeat Violation Based on record review and interview, all staff did not have current certification in first aid appropriate to ages of children in care. Evidence: 1. Staff #3's record (Date of hire-08/18/2003) did not have documentation of current certification in first aid. Documentation of first aid certification was dated 03/06/2021. 2. Staff #5's record (Date of hire-04/11/2023) did not contain documentation of current certification in first aid. 3. Staff #6 confirmed that Staff #5 did not have current certification in first aid.”

22.1-289.035-A

“Based on record review of five staff records, the center did not update criminal history record reports every five years. Evidence: 1. Staff #3's record (Date of hire-08/18/2003) contained an expired criminal history record check. Documentation of a criminal history record check was dated 03/29/2018.”

22.1-289.058

“Based on observation and interview, the child day center that serves preschool age children was not equipped with at least one carbon monoxide detector. Evidence: 1. The center that was built before 2015 was not equipped with at least one carbon monoxide detector. 2. Staff #6 confirmed that there was not one carbon monoxide detector in the center.”

8VAC20-780-270-A

“Repeat Violation Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the Two's classroom, the peddle operated trashcan was not operational. Staff members had to open the lid of the trashcan with their bare hands. 2. In the Dramatic Play area of the Early Pre-school classroom, one knob of the kitchen faucet was missing and exposing a protruding sharp one inch screw. 3. In the Pre-school classroom, there was not a peddle on the peddle operated trashcan. 4. On the playground, there were two tricycles with broken plastic seats that exposed sharp edges that could entangle clothing and snag skin.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, a bottle labeled bleach and water was sitting on a high diapering table of the classroom and not locked up. 2. In the bathroom of the Early Pre-school classroom, a container of diaper cream was located in a basket with diapers on a low shelf accessible to children.”

8VAC20-780-160-C

“Repeat Violation Based on record review, staff members did not obtain and submit subsequent tuberculosis(TB) screenings. Evidence: 1. Staff #1's record (Date of hire-03/29/2021) did not contain a subsequent TB screening. Documentation of the last Tb screening was dated 03/25/2021.”

8VAC20-780-60-A

“Repeat Violation Based on record review, children's records did not contain required information. Evidence: 1.Child #1's record (Start date-11/18/2019) did not contain documentation of child updates and confirmation of up to date information in the child's record.”

8VAC20-780-440-B

“Repeat Violation Based on observation, cots were not identified for use by a specific child. Evidence: 1. In the Pre-K classroom, the cots were not identified for use by a specific child.”

8VAC20-780-350-B-4

“Based on video observation and interview, the staff to children ratios were not maintained. Evidence: 1. The ratio for the Pre-K classroom is 1 to 10. On July 27, 2023, the Pr-K classroom had a total of 20 children with two staff. Staff #1 is observed on video going into the bathroom inside of the classroom and the door closing for one minute and four seconds. 2. Two children were in the bathroom and 18 children were observed being supervised by Staff #2. 3. Staff #1 confirmed that they left the classroom out of ratio.”

8VAC20-780-40-E

“Based on video observation, interview, and documentation review, the licensee did not ensure that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. Evidence: 1. Staff #1 is observed on the video taking Child #1(4 years old) into the bathroom within the classroom and having the door close behind them. 2. Staff #1 stated that two children were in the bathroom and 18 children were inside of the classroom with Staff #2. 3. The Center's Bathroom Supervision Policy states " The door must remain open with a staff member standing near/at the doorway with a clear view of the other children outside the bathroom as well as the child(ren) in the bathroom". 4. In Staff #1's record, there was documentation of a signed Bathroom Supervision Policy document dated 10/10/2022.”

8VAC20-780-560-J

“Based on video observation, tables were not sanitized after each use for feeding. Evidence: 1. After snack, the tables were not cleaned and sanitized.”

8VAC20-780-560-L

“Based on video observation, staff did not sit with children during meal times. Evidence: 1. Staff #1 and Staff #2 did not sit with children during lunch and snack.”

8VAC20-780-500-A

“Based on video observation, children and staff's hands were not washed with soap and running water. Evidence: 1. Child #1 is observed on video not washing their hands after eating lunch and after toileting. 2. Staff #1 did not wash their hands after returning from the bathroom, before serving food or beverages, and after wiping a child's nose.”

8VAC20-780-400-B

“Based on video observation, behavioral guidance was not constructive in nature, age and stage appropriate, and intended to redirect children to appropriate behaviors. Evidence: 1. Child #2(5 years old) is observed on video dropping a roll of paper towels on the floor after washing their hands. Staff #1 walks over to Child #2 and gets into their face and says something. Child #2 walks over to the library area and faces the wall. Child #2 shoulders are down and is upset. Staff #1 walks over to Child #2 and gets into Child #2's face. Child #2 leans to the right side.”

8VAC20-780-340-F

“Based on video observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. During naptime, a high book shelf blocked the view of three cots. Staff #1 and Staff #2 were observed on the video seated across the classroom and unable to view the three children on their cots at naptime.”

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

“Based on record review, each child did not have a physical examination by or under the direction of a physician within 30 days after the first date of attendance. Evidence: 1. Child #1's record (Start date 11/01/2022) did not contain documentation of a physical examination under the direction of a physician.”

8VAC20-780-570-E

“Based on observation, bottles were not labeled with the Child's name and date. Evidence: 1. In the infant classroom, three bottles for Child #7 were not labeled with the child's name and date. 2. In the infant classroom, two bottles for Child #8 were not dated.”

8VAC20-780-560-G

“Based on observation, food brought from home was not dated and labeled in a way that identifies the owner. Evidence: 1. In the infant classroom, two containers of infant cereal were not labeled with Child #9's name.”

8VAC20-780-510-I

“Based on medication review, the center did not maintain a prescription medication in the original labeled container. Evidence: 1. Child #6's has albuterol on site. The albuterol was maintained in a plastic bag with the child's name on it, but the original box with the prescription label attached was missing.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit a completed tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2's record (Date of hire-10/11/2022) did not contain documentation of a tuberculosis screening dated within the last 30 days of the date of employment. The tuberculosis screening was dated 07/20/2022.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. In the Two's classroom, two electrical outlets were not covered with protective covers. 2. In the Pre-K classroom, two electrical outlets were not covered with protective covers. 3. In the Toddler classroom, two electrical outlets were not covered with protective covers.”

8VAC20-780-240-I

“Based on record review, documentation of orientation was not kept by the center in a manner that allows for identification by individual staff. Evidence: 1. Staff #1's record (Date of hire-10/12/2022) did not contain documentation of orientation. 2. Staff #2's record (Start date-10/11/2022) did not contain documentation of orientation.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: 1. Staff #1's record (Date of hire-10/12/2022) did not contain documentation of a completed Virginia Department of Education sponsored orientation course within 90 days of employment.”

8VAC20-780-60-A

“Based on record review, children's records did not have required information. Evidence: 1. Child #2's record (Start date-10/31/2022) did not have documentation of a second emergency contact's name, address, and phone number.”

8VAC20-780-570-E

“Based on observation, bottles were not labeled with the Child's name and date. Evidence: 1. In the infant classroom, three bottles for Child #7 were not labeled with the child's name and date. 2. In the infant classroom, two bottles for Child #8 were not dated.”

8VAC20-780-560-G

“Based on observation, food brought from home was not dated and labeled in a way that identifies the owner. Evidence: 1. In the infant classroom, two containers of infant cereal were not labeled with Child #9's name.”

8VAC20-780-510-I

“Based on medication review, the center did not maintain a prescription medication in the original labeled container. Evidence: 1. Child #6's has albuterol on site. The albuterol was maintained in a plastic bag with the child's name on it, but the original box with the prescription label attached was missing.”

8VAC20-780-160-A

“Based on record review, each staff member did not submit a completed tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2's record (Date of hire-10/11/2022) did not contain documentation of a tuberculosis screening dated within the last 30 days of the date of employment. The tuberculosis screening was dated 07/20/2022.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. In the Two's classroom, two electrical outlets were not covered with protective covers. 2. In the Pre-K classroom, two electrical outlets were not covered with protective covers. 3. In the Toddler classroom, two electrical outlets were not covered with protective covers.”

8VAC20-780-240-I

“Based on record review, documentation of orientation was not kept by the center in a manner that allows for identification by individual staff. Evidence: 1. Staff #1's record (Date of hire-10/12/2022) did not contain documentation of orientation. 2. Staff #2's record (Start date-10/11/2022) did not contain documentation of orientation.”

8VAC20-780-240-A

“Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 days of employment. Evidence: 1. Staff #1's record (Date of hire-10/12/2022) did not contain documentation of a completed Virginia Department of Education sponsored orientation course within 90 days of employment.”

8VAC20-780-60-A

“Based on record review, children's records did not have required information. Evidence: 1. Child #2's record (Start date-10/31/2022) did not have documentation of a second emergency contact's name, address, and phone number.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #5's (Start date-01/07/2019) record did not contain documentation of additional immunizations. The last documented immunization was dated in December 2018.”

8VAC20-780-240-E

“Based on record review and interview, staff did not complete orientation training in the first aid and cardiopulmonary (CPR) as appropriate to the age of the children in care. Evidence: 1. Staff #1's (Start date-06/27/2022) record did not contain documentation of a complete orientation training of First Aid and CPR. 2. Staff #3 confirmed that Staff #1 did not complete First Aid and CPR orientation training.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the Toddler classroom, one plastic edge protector located in the home living area is cracked and broken causing sharp edges. A second plastic edge protector located near the exit door is also cracked and broken causing sharp edges. 2. In the Pre-K classroom, one foot pedal on the trashcan is broken and not operational, and another foot pedal on the trashcan is missing and not operational. 3. In the Preschool classroom, the foot pedal of the trashcan is broken, a rug located in the library area is buckling causing a tripping hazard, and the bookshelves have warped plywood. 4. In the Early Preschool classroom, the plywood on the bookshelves are warped and cracked. 5. In the two's classroom, the foot pedal of the trashcan is missing and not operational. 6. On the playground, two tricycles have plastic seats that are cracked causing sharp edges.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence: 1. In the two's classroom, the cots were not labeled for individual use by children.”

8VAC20-780-550-G

“Based on record review and interview, documentation was not maintained for emergency evacuation drills. Evidence: 1. Documentation of monthly evacuation drills were not maintained for the month of June and July. 2. Staff #3 confirmed that the evacuation drills were conducted for the months of June and July, but were not documented.”

22.1-289.035-B-4

“Based on record review and interview, an out of state child abuse and neglect search request was not conducted by the end of the 30th day of employment. Evidence: 1. Staff #1(Start date-06/27/2022) lives in Washington DC. An out of state child abuse and neglect search request was not conducted for Washington DC until 08/25/2022. 2. Staff #3 confirmed that an out of state child abuse and neglect search request had not been conducted by the 30th day of employment.”

8VAC20-780-130-E

“Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #5's (Start date-01/07/2019) record did not contain documentation of additional immunizations. The last documented immunization was dated in December 2018.”

8VAC20-780-240-E

“Based on record review and interview, staff did not complete orientation training in the first aid and cardiopulmonary (CPR) as appropriate to the age of the children in care. Evidence: 1. Staff #1's (Start date-06/27/2022) record did not contain documentation of a complete orientation training of First Aid and CPR. 2. Staff #3 confirmed that Staff #1 did not complete First Aid and CPR orientation training.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the Toddler classroom, one plastic edge protector located in the home living area is cracked and broken causing sharp edges. A second plastic edge protector located near the exit door is also cracked and broken causing sharp edges. 2. In the Pre-K classroom, one foot pedal on the trashcan is broken and not operational, and another foot pedal on the trashcan is missing and not operational. 3. In the Preschool classroom, the foot pedal of the trashcan is broken, a rug located in the library area is buckling causing a tripping hazard, and the bookshelves have warped plywood. 4. In the Early Preschool classroom, the plywood on the bookshelves are warped and cracked. 5. In the two's classroom, the foot pedal of the trashcan is missing and not operational. 6. On the playground, two tricycles have plastic seats that are cracked causing sharp edges.”

8VAC20-780-440-B

“Based on observation, cots were not identified for use by a specific child. Evidence: 1. In the two's classroom, the cots were not labeled for individual use by children.”

8VAC20-780-550-G

“Based on record review and interview, documentation was not maintained for emergency evacuation drills. Evidence: 1. Documentation of monthly evacuation drills were not maintained for the month of June and July. 2. Staff #3 confirmed that the evacuation drills were conducted for the months of June and July, but were not documented.”

22.1-289.035-B-4

“Based on record review and interview, an out of state child abuse and neglect search request was not conducted by the end of the 30th day of employment. Evidence: 1. Staff #1(Start date-06/27/2022) lives in Washington DC. An out of state child abuse and neglect search request was not conducted for Washington DC until 08/25/2022. 2. Staff #3 confirmed that an out of state child abuse and neglect search request had not been conducted by the 30th day of employment.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant classroom, a bottle of soap and water solution and a bottle of bleach and water solution was not locked up. The bottles were not accessible to the children.”

8VAC20-780-290-A-3

“Based on observation, two electrical outlets did not have protective covers. Evidence: 1. In the Toddler's classroom, two electrical outlets did not have protective covers.”

8VAC20-780-520-C

“Based on observation, diaper cream was not labeled with child's name and was accessible to children. Evidence: 1. In the bathroom on a low shelf in the Two year old classroom, two containers of diaper cream were not labeled with the children's names and was accessible to children.”

8VAC20-780-140-A

“Based on documentation review, each child did not have a physical examination within one month after attendance. Evidence: 1. Child #2's record (Start date-02/28/2022) did not have documentation of a physical examination.”

8VAC20-780-160-A-2 Complaint related: No

“Based on record review, documentation of tuberculosis (TB) screening was not completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/21) contained documentation of a TB screening that was not completed within the last 30 calendar days of the date of employment. The TB screening was dated 08/30/21.”

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

“Based on record review, staff did not resubmit TB test results every two years. Evidence: 1. Staff #4's record (Date of hire-06/02/2016) did not contain documentation of subsequent TB test results. The last TB test in the record was dated 08/23/2018).”

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

“Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1. The center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma. 2. Staff #6 confirmed that written procedures for prevention of shaken baby or abusive head trauma had not been developed at the time of the inspection.”

8VAC20-780-60-A Complaint related: No

“Based on record review, children's records did not contain required information. Evidence: 1. Child #4's record (Date of enrollment-12/13/21) did not contain an address for a second emergency contact. 2.Child #1's record (Date of enrollment-01/03/22) did not have documentation of proof of the child's identity and age.”

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

“Based on record review, staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: 1. Staff #5's record (Date of hire-11/15/21) did not contain documentation of complete orientation training if first aid and CPR.”

8VAC20-780-280-B Complaint related: No

“Based on observation, hazardous substances were not kept in a place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, hand sanitizer was located on a shelf and not kept in a locked location. 2. In the three's classroom, hand sanitizer was not kept in a locked location.”

22.1-289.035-B-4 Complaint related: No

“Based on record review, an out of state sex offender registry was not completed for staff that has resided out of the state of Virginia within the last five years. Evidence: 1. Staff #2's record (Date of hire-10/18/21) contains a sworn statement that confirms that Staff #2 has lived in the state of Maryland in the last five years. There was no documentation of a Maryland Sex Offender Registry Search in the record.”

8VAC20-780-290-A-3 Complaint related: No

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. Two electrical outlets did not have protective covers in the three's classroom. 2. One electrical outlet did not have a protective cover in the Pre-K classroom.”

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

“Based on record review and interview, the center did not develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: 1. The center did not develop written policies and procedures that describe how the center will ensure that each group of children receives care by consistent staff. 2. Staff #6 confirmed that a written policy and procedure to ensure children receive consistent care had not been developed at the time of the inspection.”

8VAC20-780-380-A Complaint related: No

“Based on observation, a daily schedule that allows for flexibility as children's needs require was not posted. Evidence: 1. There was not a posted schedule posted in the Toddlers, Twos, Three's and Preschool classrooms.”

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

“Based on record review, documentation was not maintained for emergency evacuation, shelter in place, and lockdown drills. Evidence: 1. The method used for the notification of drill and weather conditions were not documented for emergency evacuation drills for the months of November, December, and January.”

8VAC20-780-570-E Complaint related: No

“Based on observation, prepared infant formula was not dated. Evidence: 1. Three bottles for Child #5 were not dated with today's date in the refrigerator. 2. Two bottles for Child #6 were not dated with today's date in the refrigerator.”

8VAC20-790-600-D-1

“Based on record review, staff does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/2021) did not have documentation of CPR within 90 days of employment.”

8VAC20-790-600-D-2

“Based on record review, staff did not obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/21) did not contain documentation of current certification in first aid.”

8VAC20-780-160-A-2 Complaint related: No

“Based on record review, documentation of tuberculosis (TB) screening was not completed within the last 30 calendar days of the date of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/21) contained documentation of a TB screening that was not completed within the last 30 calendar days of the date of employment. The TB screening was dated 08/30/21.”

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

“Based on record review, staff did not resubmit TB test results every two years. Evidence: 1. Staff #4's record (Date of hire-06/02/2016) did not contain documentation of subsequent TB test results. The last TB test in the record was dated 08/23/2018).”

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

“Based on record review and interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1. The center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma. 2. Staff #6 confirmed that written procedures for prevention of shaken baby or abusive head trauma had not been developed at the time of the inspection.”

8VAC20-780-60-A Complaint related: No

“Based on record review, children's records did not contain required information. Evidence: 1. Child #4's record (Date of enrollment-12/13/21) did not contain an address for a second emergency contact. 2.Child #1's record (Date of enrollment-01/03/22) did not have documentation of proof of the child's identity and age.”

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

“Based on record review, staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care within 30 days of the first day of employment. Evidence: 1. Staff #5's record (Date of hire-11/15/21) did not contain documentation of complete orientation training if first aid and CPR.”

8VAC20-780-280-B Complaint related: No

“Based on observation, hazardous substances were not kept in a place using a safe locking method that prevents access by children. Evidence: 1. In the Toddler classroom, hand sanitizer was located on a shelf and not kept in a locked location. 2. In the three's classroom, hand sanitizer was not kept in a locked location.”

22.1-289.035-B-4 Complaint related: No

“Based on record review, an out of state sex offender registry was not completed for staff that has resided out of the state of Virginia within the last five years. Evidence: 1. Staff #2's record (Date of hire-10/18/21) contains a sworn statement that confirms that Staff #2 has lived in the state of Maryland in the last five years. There was no documentation of a Maryland Sex Offender Registry Search in the record.”

8VAC20-780-290-A-3 Complaint related: No

“Based on observation, electrical outlets did not have protective covers. Evidence: 1. Two electrical outlets did not have protective covers in the three's classroom. 2. One electrical outlet did not have a protective cover in the Pre-K classroom.”

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

“Based on record review and interview, the center did not develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: 1. The center did not develop written policies and procedures that describe how the center will ensure that each group of children receives care by consistent staff. 2. Staff #6 confirmed that a written policy and procedure to ensure children receive consistent care had not been developed at the time of the inspection.”

8VAC20-780-380-A Complaint related: No

“Based on observation, a daily schedule that allows for flexibility as children's needs require was not posted. Evidence: 1. There was not a posted schedule posted in the Toddlers, Twos, Three's and Preschool classrooms.”

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

“Based on record review, documentation was not maintained for emergency evacuation, shelter in place, and lockdown drills. Evidence: 1. The method used for the notification of drill and weather conditions were not documented for emergency evacuation drills for the months of November, December, and January.”

8VAC20-780-570-E Complaint related: No

“Based on observation, prepared infant formula was not dated. Evidence: 1. Three bottles for Child #5 were not dated with today's date in the refrigerator. 2. Two bottles for Child #6 were not dated with today's date in the refrigerator.”

8VAC20-790-600-D-1

“Based on record review, staff does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/2021) did not have documentation of CPR within 90 days of employment.”

8VAC20-790-600-D-2

“Based on record review, staff did not obtain current certification in first aid appropriate to the ages of children in care within 90 days of employment. Evidence: 1. Staff #2's record (Date of hire-10/18/21) did not contain documentation of current certification in first aid.”