Creative Childcare Center

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of two references at the time of inspection.”

8VAC20-780-240-B

“Based on review of five staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of completed orientation training at the time of inspection.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe, and operable condition. Evidence: On the three-year and up playground warped boards on the fence were observed along with nail pops near the ground posing an impalement and scratch hazard. The playground had 1- ? to 3-inch gaps in the seam of the artificial grass in the area where children play, posing a trip hazard.”

8VAC20-780-80-A

“Repeat Violations Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the three-year class there were 16 children present, the written record reflected 15. 2. The toddler class had no written record of attendance when they were at the bounce house. Staff stated that the attendance was in their classroom and that they did not bring the attendance with them.”

8VAC20-780-70

“Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of two references at the time of inspection.”

8VAC20-780-240-B

“Based on review of five staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of completed orientation training at the time of inspection.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe, and operable condition. Evidence: On the three-year and up playground warped boards on the fence were observed along with nail pops near the ground posing an impalement and scratch hazard. The playground had 1- ? to 3-inch gaps in the seam of the artificial grass in the area where children play, posing a trip hazard.”

8VAC20-780-80-A

“Repeat Violations Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: 1. In the three-year class there were 16 children present, the written record reflected 15. 2. The toddler class had no written record of attendance when they were at the bounce house. Staff stated that the attendance was in their classroom and that they did not bring the attendance with them.”

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

“Based on a review of video and audio footage, the center did not always interact with children to provide needed help, comfort, and support. Evidence: On October 19,2023 at approximately 4:30 p.m. Staff #1 was observed holding, a 15-month-old, who was crying. The staff member was heard telling the child, ?Please don?t cry in my ear? and ?I?m not going to hold you if you keep crying.? The staff member was observed placing the crying child on the floor and walking away.”

8VAC20-780-210-A

“Based on a review of seven staff files, the center did not have documentation that an individual possesses the education required by the job position. Evidence: The record for Staff #6 did not contain documentation of education required for the job position”

8VAC20-780-140-A

“Repeat Violation Based on review of eight child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child # 5, with a start date of 05/30/23, did not contain documentation of a physical at the time of inspection.”

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

“Based on a review of video and audio footage, the center did not always interact with children to provide needed help, comfort, and support. Evidence: On October 19,2023 at approximately 4:30 p.m. Staff #1 was observed holding, a 15-month-old, who was crying. The staff member was heard telling the child, ?Please don?t cry in my ear? and ?I?m not going to hold you if you keep crying.? The staff member was observed placing the crying child on the floor and walking away.”

8VAC20-780-210-A

“Based on a review of seven staff files, the center did not have documentation that an individual possesses the education required by the job position. Evidence: The record for Staff #6 did not contain documentation of education required for the job position”

8VAC20-780-140-A

“Repeat Violation Based on review of eight child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child # 5, with a start date of 05/30/23, did not contain documentation of a physical at the time of inspection.”

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

“Based on a review of video and audio footage, the center did not always interact with children to provide needed help, comfort, and support. Evidence: On October 19,2023 at approximately 4:30 p.m. Staff #1 was observed holding, a 15-month-old, who was crying. The staff member was heard telling the child, ?Please don?t cry in my ear? and ?I?m not going to hold you if you keep crying.? The staff member was observed placing the crying child on the floor and walking away.”

8VAC20-780-210-A

“Based on a review of seven staff files, the center did not have documentation that an individual possesses the education required by the job position. Evidence: The record for Staff #6 did not contain documentation of education required for the job position”

8VAC20-780-140-A

“Repeat Violation Based on review of eight child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child # 5, with a start date of 05/30/23, did not contain documentation of a physical at the time of inspection.”

8VAC20-790-600-D-2

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in first aid within 90 days of employment. Evidence: The first aid certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22.”

8VAC20-790-600-D-1

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: The CPR certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22”

8VAC20-770-60-B

“Based on review of six staff records, the center did not ensure that all staff submitted a sworn statement prior to employment. Evidence: The sworn statement on record for Staff #5, with an employment date of 3/1/23, was dated 3/12/23.”

8VAC20-790-600-D-2

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in first aid within 90 days of employment. Evidence: The first aid certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22.”

8VAC20-790-600-D-1

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: The CPR certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22”

8VAC20-770-60-B

“Based on review of six staff records, the center did not ensure that all staff submitted a sworn statement prior to employment. Evidence: The sworn statement on record for Staff #5, with an employment date of 3/1/23, was dated 3/12/23.”

8VAC20-780-510-P

“Based on review of medication and medication authorization forms, the center did not ensure that when an authorization for medication expired, the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: An emergency medication was observed on site for Child B on 10/5/22. The corresponding medication authorization form contained documentation that the doctor’s authorization expired on 12/8/21.”

8VAC20-780-160-C

“Based on review of five staff records, the center did not ensure that a staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening or testing on record for Staff #4 was dated 11/11/19.”

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for one child. Evidence: The record for Child A, with a start date of 2/28/22, did not contain documentation of a physical.”

8VAC20-780-80-A

“Based on observation and review of documentation, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. At approximately 9:10am on 10/5/22, 10 children were observed in the three-year-old classroom. The attendance contained documentation of nine children present. 2. At approximately 9:20am, 13 children were observed in the two-year-old classroom. The attendance contained documentation of 12 children present. 3. At approximately 9:32am, four children were observed in the infant classroom. The attendance contained documentation of five children present.”

8VAC20-780-510-P

“Based on review of medication and medication authorization forms, the center did not ensure that when an authorization for medication expired, the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: An emergency medication was observed on site for Child B on 10/5/22. The corresponding medication authorization form contained documentation that the doctor’s authorization expired on 12/8/21.”

8VAC20-780-160-C

“Based on review of five staff records, the center did not ensure that a staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening or testing on record for Staff #4 was dated 11/11/19.”

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for one child. Evidence: The record for Child A, with a start date of 2/28/22, did not contain documentation of a physical.”

8VAC20-780-80-A

“Based on observation and review of documentation, the center did not ensure that for each group of children, a written record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: 1. At approximately 9:10am on 10/5/22, 10 children were observed in the three-year-old classroom. The attendance contained documentation of nine children present. 2. At approximately 9:20am, 13 children were observed in the two-year-old classroom. The attendance contained documentation of 12 children present. 3. At approximately 9:32am, four children were observed in the infant classroom. The attendance contained documentation of five children present.”

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

“Based on review of one staff record, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The TB screening on record for Staff #1, with a start date of 3/21/22, was dated 4/20/22.”

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

“Based on review of one staff record, the center did not ensure that orientation training included: prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children; and prevention of and response to emergencies due to food and other allergic reactions. Evidence: The record for Staff #1 did not contain documentation of the training regarding the noted policies and procedures during orientation.”

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

“Based on review of one staff record, the center did not ensure that within 30 days of the first day of employment, staff received orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: The record for Staff #1, with a start date of 3/21/22, did not contain documentation of CPR orientation training.”

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

“Based on 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: An incident report dated 3/17/22 was observed that contained documentation of a child hitting another child ?on the face leaving a mark?. There was no documentation of an injury report for the child who was hit on the face.”

8VAC20-780-430-N Complaint related: No

“Based on observation, the center did not ensure that recalled equipment was removed from the center. Evidence: Two original Bumbo seats were observed on the floor in the Infant classroom. Original Bumbo seats were recalled in 2012 and now require safety belts. The Bumbo seats observed did not contain safety belts.”

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

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place. Evidence: At approximately 10:40am three spray bottles were observed in the sink between the Infant and Toddler classrooms. One bottle was labeled ?soap and water?; another was labeled ?spray disinfectant?; and the last was not labeled but was similar in color to the spray disinfectant.”

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

“Based on observation, children’s hands were not washed with soap and running water or disposable wipes after eating a snack. Evidence: At approximately 10:23am an Infant was observed being removed from a high chair after eating a snack of crackers, cheese, and water, and being placed on the ground and being sent off to play without having their hands washed with soap and water or a disposable wipe.”

8VAC20-780-245-J-1

“Based on review of medication, documentation review, and interview, the center did not ensure that a Medication Administration trained (MAT) staff was on site at all times with medication on site. Evidence: There were four emergency medications for food allergies on site for Child A and Child B. The MAT certificates for the three managers all contained documentation that they expired on 4/13/22. Interview confirmed that there were no other MAT trained staff for the program.”

8VAC20-780-160-A-1

“Based on review of three staff records, the center did not obtain documentation of a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children for two staff. Evidence: 1. The TB test on record for Staff A, with a start date of 4/7/22, was dated 4/14/22. 2. The record for Staff B, with a start date of 3/21/22, did not contain documentation of a TB test.”

8VAC20-780-245-J-1

“Based on review of medication, documentation review, and interview, the center did not ensure that a Medication Administration trained (MAT) staff was on site at all times with medication on site. Evidence: There were four emergency medications for food allergies on site for Child A and Child B. The MAT certificates for the three managers all contained documentation that they expired on 4/13/22. Interview confirmed that there were no other MAT trained staff for the program.”

8VAC20-780-160-A-1

“Based on review of three staff records, the center did not obtain documentation of a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children for two staff. Evidence: 1. The TB test on record for Staff A, with a start date of 4/7/22, was dated 4/14/22. 2. The record for Staff B, with a start date of 3/21/22, did not contain documentation of a TB test.”

22VAC40-185-80-A

“Based on review of documentation and interview with the provider, the center did not maintain an accurate record of children in attendance. Evidence: During the virtual inspection there were three children present in the infant classroom, but only two children were documented on the attendance record; in the two-year-old classroom there were ten children present but 12 were documented on the attendance record.”

22VAC40-185-80-A

“Based on review of documentation and interview with the provider, the center did not maintain an accurate record of children in attendance. Evidence: During the virtual inspection there were three children present in the infant classroom, but only two children were documented on the attendance record; in the two-year-old classroom there were ten children present but 12 were documented on the attendance record.”