Creative Critters Learning Center IV

8VAC20-780-280-B

“Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. 1. In classroom #1; 2 bottles of sanitizer spray were sitting on a counter and 1 bottle of toilet cleaner in the bathroom on the floor. 2. In classroom #3; 1 can of air freshener was found on a shelf. 3. In classroom #4 1 can of air freshener was found on a shelf. 4. All items were labeled keep out of reach of children and other cautionary language.”

8VAC20-780-330-E

“Sandboxes with bottoms which prevent drainage shall be covered when not in use. Two sandboxes on playground #1 and two sandboxes on playground #2 were not covered. The sandboxes were currently not in use.”

8VAC20-780-160-A

“Documentation of a negative TB screening shall be submitted at the time of employment and prior to coming into contact with children. The screening for staff #3 was completed three months after hire.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The list in the classrooms was not dated.”

8VAC20-780-160-A

“Repeat Violation Documentation of negative tuberculosis (TB) screening must be submitted at the time of employment. Staff # 3, Staff #5 and Staff #6 did not have TB screening documentation. Staff #3 has been employed for 7 months, Staff #5 has been employed for 2 months and Staff #6 has been employed for less than a week.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required for each building, one working, battery-operated flashlight and one working, battery-operated radio. There was not a flashlight or radio in the second building, where children were in care.”

8VAC20-780-240-B

“Staff shall complete orientation training no later than seven days from the date of assuming job responsibilities. Staff #3 has been employed for more than 7 months, and Staff #5 has been employed for more than 2 months, and both do have documentation of completing orientation.”

8VAC20-780-340-D

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Three out of five classrooms (Classroom A, B and E) did not have a program lead qualified staff.”

8VAC20-780-350-B-4

“The required ratio for children 3-year-olds up to school age eligible is 1:10. In Classroom E, one staff (Staff #3) was observed working alone with 11 children and the youngest child (Child #1) was age 3. The group was out ratio for more than 2 hours.”

22.1-289.035-B-1

“The center is required to obtain a complete sworn statement prior to the employee's first day of employment. Staff #3 has been employed for more than 7 months, Staff #5 has been employed for more than 2 months and Staff #6 has been employed for less than a week and they do not have a complete sworn statement.”

8VAC20-780-440-A

“Cribs, cots, rest mats or beds shall be provided for children during the designated rest period and Child #6 did not have a crib for their rest period.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. In Classroom A diapering was observed three times and Staff #6 did not wash their hands or the children’s hands after diapering.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in a leakproof 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. In Classrooms A and B there was not a trashcans/disposal system with an operable lid as required for soiled disposable diapers.”

22.1-289.035-B-2

“Repeat Violation Providers must obtain a complete national criminal background check prior to the employee's first day of employment. 1.Staff #2?s criminal record check was conducted over 2 months after the first day of employment. 2.Staff #3?s criminal record check was conducted over 1 week after the first day of employment. 3. Staff #6 does not have documentation of a criminal check and has been employed for less than a week.”

8VAC20-780-70

“All required documentation shall be maintained for staff records. Staff #3, Staff #5 and Staff #6 did not have staff records available for review.”

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3 has been employed for more than 7 months, Staff #5 has been employed for more than 2 months, and Staff #6 has been employed less than a week and there is not documentation for requesting a central registry check or the results of a central registry check for the three staff.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There was not an attendance sheet for Classroom A to document the 7 children observed in care.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1.There was not a record for Child #6. 2. Child #1?s record did not include one parent’s home address and employment location and phone number. 3.Child #2?s record did not include the record did not include one parent’s employment location and phone number and previous school/program attended. 4. Child #3?s record did not include two emergency contacts (name, address and phone number) and the physician’s name, phone number and previous school/program attended. 5. Child #4?s record did not include two emergency contacts (name, address and phone number), the physician’s name and phone number, both parents? employment location and phone number and one parents? home address, phone number and previous school/program attended. 6. Child #5?s record did not include two emergency contacts address, physician’s name and phone number, one parent’s employment location and phone number and one parent’s home address, phone number and previous school/program attended.”

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have resilient surfacing in appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. There was less than 1" depth of resilient surfacing at the foot of the two slides on the composite piece of equipment on the outside playground when there should have a been a depth of 6".”

22.1-289.035-B-2

“Centers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #3, who had been employed for two months, did not have a completed national criminal background check.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 had no documentation and had been employed for two months.”

22.1-289.057-A

“(Repeat violation) The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.035-B-4

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to beginning employment. Staff #2, employed for 5 days, did not have documentation of requesting a criminal history check, central registry check and a sex offender search from a state the individual previously lived in the past 5 years.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child#1 was not signed and dated.”

8VAC20-780-160-A

“Based on review of staff record and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening. Evidence: In Staff#4's record (date of hire: 12/29/23), the documentation for a negative tuberculosis screening was not available for review. Interview with staff confirmed the documentation available for review during the inspection.”

8VAC20-780-350-B-1

“Based on observation, interview, and electronic device, the center did not ensure the staff to children ratios are followed whenever children in care. Evidence: 1.In the Caterpillar 1 group, the staff to children ratio was 1:9 during the inspection. The required ratio for the staff to children is 1:4. 2. Interview with staff confirmed the group was combined while other staff was on break, and the youngest child was 10 months. 3. A review of the electronic device revealed the current staff to child ratio during the inspection.”

8VAC20-780-500-A

“Based on observation, the center did not ensure children and staff hands are washed with soap and running water after toileting. Evidence: Staff#2 was observed diapering a child in care and returning the child to the table with the other children prior to handwashing. Staff#2 was observed reaching for another child after toileting and prior to completion of handwashing.”

8VAC20-780-500-B

“Based on observation and photographs, the center did not ensure the diapering surface is only used for diapering or cleaning children and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: 1. In Caterpillar 1 room, the diapering surface was observed with two bottles placed on it. 2. Photographs of the observation during the inspection. 3. Staff#2 completed diapering of one child in care, and did not clean and sanitize after each use.”

8VAC20-780-280-B

“Based on observations and photograph, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Butterflies classroom, there was a bottle of antibacterial hand soap with the labels "keep out of reach of children" and "warning" unlocked and accessible to the children. Photograph of the observation was taken during the inspection.”

8VAC20-770-60-C-2

“Based on review of staff records, and interview, the center did not ensure to obtain a copy of central registry findings within 30 days of employment or volunteer service. Evidence: In Staff #2's record (date of hire: 03/02/2023) there were no central registry findings found. Interview with staff confirmed the findings were not available for review during the inspection.”

8VAC20-780-60-A

“Based on review of records and interview, the center did not ensure to obtain all record information for each children's records. Evidence: In Child#2 record, there was no documentation of proof of the child's identify and age found. Interview with staff confirmed this documentation was not available for review during the inspection. In Child# 4 record, there was not a written care plan for a diagnosed food allergy found. Interview with staff confirmed this documentation was not available for review during the inspection.”

8VAC20-780-270-A

“Based on observations and photographs, the center did not ensure all areas and equipment of the center, inside and outside shall be maintained in a clean, safe, and operable condition. Evidence: 1. In the Cat 1 classroom, there were multiple areas of peeling paint along the side of the window sills accessible to the children in care. 2. The center's school aged playground area had visible peeling paint on multiple areas of the playground equipment. 3. The black border surrounding the school age playground equipment was observed with a split in the center that could create a tripping hazard. 4. Photographs were taken of these observations at the center during the inspection.”

22.1-289.035-B-4

“Based on review of staff records and interview, the center did not ensure to obtain a copy of the results of a search of child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years., Evidence: 1. In Staff#1's record (date of hire: 12/22/2022), there was no results of a central registry finding found. 2. In Staff#3's record(date of hire: 01/27/23) there was no results of a central registry finding found. 3. Interview with staff confirmed results from out of state central registry searches were not available for review during the inspection.”

8VAC20-780-60-A

“Based on review of children's records and interview, in 3 of 5 children's records the center did not ensure to obtained all information for each child enrolled. Evidence: 1. In Child#1's record one of the emergency contact address was incomplete. 2. In Child#3's record one of the emergency contact address as incomplete. 3. In Child #4's record both of the emergency contacts addresses were incomplete. 4. Interview with staff confirmed the information for children's records wasn't available for review during the inspection.”