Creative World Learning Center

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. An unlocked cabinet in the four year old classroom contained: disinfectant wipes, spray cleaner, aerosol disinfectant, and spray air freshener. 2. An unlocked cabinet in the toddler year old classroom contained: disinfectant wipes, spray cleaner, and a spray bottle of bleach and water. 3. An unlocked cabinet in the three year old classroom contained: spray cleaner.”

22.1-289.011-F

“Based on observation, the findings of the most recent licensing inspection were not posted in the facility. Evidence: The findings from the inspection conducted on 8/21/2023 were not posted in the facility on the date of inspection.”

8VAC20-780-210-A

“REPEAT VIOLATION Based on observation, staff statement, and record review, one staff member was operating as a program lead without documentation to support that they are qualified in that position. Evidence: On the date of inspection Staff 1 was operating as the program lead in the three year old classroom. Staff 1's record did not contain documentation that they have met the qualifications of a program leader.”

8VAC20-780-510-E

“Based on a review of medication, the center did not follow its procedures to administer medication. Evidence: 1. Child 6 has a written authorization to administer Diphenhydramine, however the medication present for the child on the date of inspection was Diphenhydramine and Phenylephrine. 2. Child 7 had a written authorization to administer Acetaminophen, however the medication present for the child was Ibuprofen.”

8VAC20-780-530-A-1

“Based on record review and observation, at least one teacher in each room did not have a current certification in CPR as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council that was obtained after an in-person competency demonstration. Evidence: On the date of inspection Staff 5 was the only teacher present in the classroom. Staff 5's CPR certification was obtained by completing an online course with no in-person competency componet.”

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. A canister of disinfectant wipes was observed in an unlocked cabinet in the infant room. 2. Liquid sanitizer, laundry detergent, dishwashing detergent, disinfectant wipes, and a animal glue trap was observed in an unlocked cabinet in the kitchen.”

8VAC20-780-370-5

“Based on observation, staff failed to provided awake infants not playing on the floor or ground a change of play space every thirty minutes or more often as determined by the individual infant's needs. Evidence: Infants were observed occupying bouncy seats and swing in the classroom from the start of the inspection at 9:30am until at least 10:15am.”

8VAC20-780-440-J

“Based on observation, there was not thirty inches of space between the service side of occupied cribs. Evidence: An infant was observed sleeping in a crib with both sides of the crib within 11 inches of neighboring cribs.”

8VAC20-780-430-B

“Based on observation, materials used by children were not aga appropriate. Evidence: The toddler class was using small craft pom poms in a gross motor activity. The pom poms are not age appropriate for children under the age of three due to posing a choking risk.”

8VAC20-780-210-A

“Based on record review, one classroom was operating without a staff member whose record demonstrates that they have met the requirements to operate as a program leader. Evidence: Staff 1, 2's records did not contain documentation to demonstrate that the staff members have fulfilled all requirements to be qualified as a program lead. Both staff were the only caregivers in the classroom during the inspection.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a safe and operable condition. Evidence: 1. A folding door was observed off of it's hinges in the school age room. 2. A knife block containing chef's knives was observed on the kitchen counter. The door to the kitchen was unlocked and opens into a classroom with children present.”

8VAC20-780-500-A

“Based on observation, staff did not wash hands after diapering. Evidence: Staff 3 was observed to change a child's diaper and resume caregiver tasks without washing hands.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers installed. Evidence: An electrical outlet was observed without a protective cover in the Three's classroom.”

8VAC20-780-530-A-1

“Based on record review and observation, at least one teacher in each room did not have a current certification in CPR as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council that was obtained after an in-person competency demonstration. Evidence: On the date of inspection Staff 5 was the only teacher present in the classroom. Staff 5's CPR certification was obtained by completing an online course with no in-person competency componet.”

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. A canister of disinfectant wipes was observed in an unlocked cabinet in the infant room. 2. Liquid sanitizer, laundry detergent, dishwashing detergent, disinfectant wipes, and a animal glue trap was observed in an unlocked cabinet in the kitchen.”

8VAC20-780-370-5

“Based on observation, staff failed to provided awake infants not playing on the floor or ground a change of play space every thirty minutes or more often as determined by the individual infant's needs. Evidence: Infants were observed occupying bouncy seats and swing in the classroom from the start of the inspection at 9:30am until at least 10:15am.”

8VAC20-780-440-J

“Based on observation, there was not thirty inches of space between the service side of occupied cribs. Evidence: An infant was observed sleeping in a crib with both sides of the crib within 11 inches of neighboring cribs.”

8VAC20-780-430-B

“Based on observation, materials used by children were not aga appropriate. Evidence: The toddler class was using small craft pom poms in a gross motor activity. The pom poms are not age appropriate for children under the age of three due to posing a choking risk.”

8VAC20-780-210-A

“Based on record review, one classroom was operating without a staff member whose record demonstrates that they have met the requirements to operate as a program leader. Evidence: Staff 1, 2's records did not contain documentation to demonstrate that the staff members have fulfilled all requirements to be qualified as a program lead. Both staff were the only caregivers in the classroom during the inspection.”

8VAC20-780-270-A

“Based on observation, areas inside the center were not maintained in a safe and operable condition. Evidence: 1. A folding door was observed off of it's hinges in the school age room. 2. A knife block containing chef's knives was observed on the kitchen counter. The door to the kitchen was unlocked and opens into a classroom with children present.”

8VAC20-780-500-A

“Based on observation, staff did not wash hands after diapering. Evidence: Staff 3 was observed to change a child's diaper and resume caregiver tasks without washing hands.”

8VAC20-780-290-A-3

“Based on observation, electrical outlets did not have protective covers installed. Evidence: An electrical outlet was observed without a protective cover in the Three's classroom.”

22.1-289.035-B-2 Complaint related: No

“Based on record review, the center failed to obtain the results of a criminal record check for all employees prior to their first day of employment. Evidence: The record for Staff 2, hired 6/12/2023, did not contain the results of a national criminal record check.”

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

“Based on record review, the center failed to maintain all required documentation of orientation for staff members. Evidence: The orientation record for Staff 2, did not contain documentation of the training delivery method, the name of the entity or individual providing the training, or the date the training was completed.”

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

“8VAC20-780- 340-A Complaint related (C1) Based on staff statements and record review, the center failed to ensure children’s care, protection, and guidance. Evidence: 1. A review was conducted of incident and accident reports for children in the Toddler classroom between 5/25/23 and 6/15/23, in response to a complaint of excessive biting and scratching. 2. A total 8 reports for biting and 2 reports of scratching had been completed by center staff between 5/25/23 and 6/15/23.”

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

“Based on a review of policies and staff statement, the center failed to develop and implement written policies and procedures to describe how the center will ensure that each group of children receives care by consistent staff or team members. Evidence: On the date of inspection, center management could not provide written policies and procedures to describe how the center will ensure that each group of children receives care by consistent staff or team members.”

8VAC20-780-280-H

“Based on observation, harmful agents are not stored in areas that are inaccessible to children. Evidence: 1. The center has hand sanitizer for staff and parents but it was observed in two areas in which children had easy access.”

8VAC20-780-550-P

“Based on observation, interviews, and record review it was determined the center was not maintaining a written record of children's serious and minor injuries in which they were recorded and maintained on the day of occurrence. Evidence: 1. Child in the toddler room had marks on the arm indicating a bite mark. Staff stated the child has been bit. There was not a written injury for that bite mark. 2. In the course of interviewing staff, it was revealed there had been approximately 10 bites in the last three weeks and they send home a sheet stating a bite occurred. They stated they don't typically fill out an injury report. 3. Upon review of the injury reports for the toddler room, there was only one bite injury report maintained within the last 2 weeks of injury reports.”

8VAC20-780-340-A

“Based on interviews, record review, and observation, it was determined staff supervising children in the toddler room are not always ensuring their care and protection. Evidence: 1. During the inspection on May 4, 2023, staff in the Toddler Class were asked how many children were in their care. Staff #1 stated there were 7 toddlers in care. When the staff was told that a count found 8 children present, the staff acknowledged she forgot another child had recently entered the room. 2. Upon observation of a bike mark on a child's arm, discussion revealed there have been approximately 10 biting incidents in the class, within the last two weeks. Also observed, was a child with a band aid on their face. The staff stated the child was scratched by another in the class and they are trying to work with the children to stop the scratching and biting. 3. Review of injury reports revealed several incidents of toddlers that had been scratched in the last two weeks and a bite injury on one child's face.”

8VAC20-780-340-A

“Based on interview and observation, it was determined staff on March 22, 2023, did not ensure the care and protection of a child. Evidence: 1. On March 22, interviews confirmed Staff #3 tried to guide child #1, a 23 month old, to the smaller playground by lifting the child up by one arm, twice. 2. During interviews of staff, Staff #2 stated child #1 was crying on and off while playing in the playground and then inside the class. 3. Staff #1 stated child #1 was not able to lift up the arm, and the decision was made to contact the family. 4. Child #1 was taken to the Doctor, diagnosed with a dislocated arm, and the arm was placed back in.”

8VAC20-780-410-1

“Based on observation and interviews, it was determined staff #2 roughly handled a 23 months old child on the playground. Evidence: 1. On March 22, 2023, staff #3 acknowledged that child #1 was lifted by the arm twice. Staff #3 stated child #1 was not going to the playground so it was staff #3's way to direct the child to the playground. 2. Video of the occurrence was captured by the center's cameras and played for review. The video shows the teacher lift child #1 by the arm and put the child down. Staff #3 lifted the child again and placed down again. Each occurrence was clocked and each lift was two seconds in length. 3. The lifting of child #1 by the arm resulted in dislocation of child #1's arm.”

8VAC20-780-340-F

“Based on observation, it was determined a 4 years old child was not within sight and sound supervision of a staff member when the child was found walking from the water fountain in the center's hallway. Evidence: 1. The fours group was seated in the corner back room and the children were eating snack. 2. As the Director and Inspector were walking towards the front of the building, a 4 years old child was carrying a plastic cup of water while walking towards the back of the center. 3. The four's class had one teacher in that classroom and that staff member did not have sight of the child.”

8VAC20-780-550-P

“Based on record review of recent accident reports, it was determined that one accident report did not include a plan to prevent recurrence. Evidence: 1. An accident report from July 12, 2022 listed an accident in which parent had to be contacted but the plan of correction was not complete.”

8VAC20-780-270-A

“based on observation, it was determined the support beams outside on the playground were not maintained in a safe manner. Evidence: 1. The beams around the playgrounds perimeter had bolts in at least 5 places that were pushing up and out of the beams which posed a protrusion hazard.”

8VAC20-780-70

“Based on record review of staff #1's file, it was determined the file did not contain a signed Sworn Disclosure Statement and complete orientation documentation. Evidence: 1. Staff 1's Sworn Disclosure Statement was not signed and dated. 2. Staff 1's Orientation documentation did not contain the staff's signature acknowledging individual had complete it.”

8VAC20-780-340-F

“Based on observation, it was determined a 4 years old child was not within sight and sound supervision of a staff member when the child was found walking from the water fountain in the center's hallway. Evidence: 1. The fours group was seated in the corner back room and the children were eating snack. 2. As the Director and Inspector were walking towards the front of the building, a 4 years old child was carrying a plastic cup of water while walking towards the back of the center. 3. The four's class had one teacher in that classroom and that staff member did not have sight of the child.”

8VAC20-780-550-P

“Based on record review of recent accident reports, it was determined that one accident report did not include a plan to prevent recurrence. Evidence: 1. An accident report from July 12, 2022 listed an accident in which parent had to be contacted but the plan of correction was not complete.”

8VAC20-780-270-A

“based on observation, it was determined the support beams outside on the playground were not maintained in a safe manner. Evidence: 1. The beams around the playgrounds perimeter had bolts in at least 5 places that were pushing up and out of the beams which posed a protrusion hazard.”

8VAC20-780-70

“Based on record review of staff #1's file, it was determined the file did not contain a signed Sworn Disclosure Statement and complete orientation documentation. Evidence: 1. Staff 1's Sworn Disclosure Statement was not signed and dated. 2. Staff 1's Orientation documentation did not contain the staff's signature acknowledging individual had complete it.”

22VAC40-185-70-A

“Based on record review and staff interview, 2 of 6 staff records reviewed did not contain documentation that two or more references were checked before employment. Evidence: 1. The records for Staff #1 (date of employment- 6/17/2022) and Staff #2 (date of employment 6/17/2022) contained only 1 of 2 references required. 2. The director stated a second reference had been contacted for both Staff #1 and Staff #2, however the director has not received a response from the references.”

22VAC40-185-500-A

“Based on observation, children's and staff's hands were not washed during diaper changes as required. Evidence: 1. Diaper changes for two children were observed. The staff member did not wash either child's hands after the diaper change occurred. 2. Diaper changes for two children were observed, staff did not wash their hands before and after each diaper change as required.”

22VAC40-185-270-A

“Based on observation and staff interview, areas of the center outside were not maintained in a safe condition. Evidence: 1. The gate surrounding the playground outside contained multiple areas of chipped and peeling paint. 2. The director reported awareness of the areas of chipping paint and provided documentation of an email submitted to maintenance on 5/5/2022 regarding needed repairs. The repairs had not been completed at the time of this inspection.”

22VAC40-185-70-A

“Based on record review and staff interview, 2 of 6 staff records reviewed did not contain documentation that two or more references were checked before employment. Evidence: 1. The records for Staff #1 (date of employment- 6/17/2022) and Staff #2 (date of employment 6/17/2022) contained only 1 of 2 references required. 2. The director stated a second reference had been contacted for both Staff #1 and Staff #2, however the director has not received a response from the references.”

22VAC40-185-500-A

“Based on observation, children's and staff's hands were not washed during diaper changes as required. Evidence: 1. Diaper changes for two children were observed. The staff member did not wash either child's hands after the diaper change occurred. 2. Diaper changes for two children were observed, staff did not wash their hands before and after each diaper change as required.”

22VAC40-185-270-A

“Based on observation and staff interview, areas of the center outside were not maintained in a safe condition. Evidence: 1. The gate surrounding the playground outside contained multiple areas of chipped and peeling paint. 2. The director reported awareness of the areas of chipping paint and provided documentation of an email submitted to maintenance on 5/5/2022 regarding needed repairs. The repairs had not been completed at the time of this inspection.”