Creative World Learning Center - Landmark

8VAC20-780-60-A

“Based on record review the center did not maintain a complete record for each child enrolled. Evidence: Child #2s record di not contain addresses for 2:2 designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-550-F

“Based on emergency drill record review and interview, the center did not practice lockdown drill annually. Evidence: 1. No lockdown drill record in the past 12 months. 2. Staff stated no lockdown drill has occurred in the past 12 months.”

8VAC20-780-60-A

“Based on record review the center did not maintain a complete record for each child enrolled. Evidence: Child #2s record di not contain addresses for 2:2 designated people to call in an emergency if a parent cannot be reached.”

8VAC20-780-550-F

“Based on emergency drill record review and interview, the center did not practice lockdown drill annually. Evidence: 1. No lockdown drill record in the past 12 months. 2. Staff stated no lockdown drill has occurred in the past 12 months.”

22.1-289.011-F

“Based on observation, the most recently issued license and Inspection report were not posted. Evidence: At LI arrival, the most recently issued license and typed inspection reports were not posted.”

22.1-289.035-A

“Based on a review of records, staff records did not contain documentation of a nationwide fingerprint search being repeated within the allowable 5 year time frame. Evidence: 3 of 4 records reviewed did not contain repeated fingerprint searches within 5 years. Search results are now on file. *Staff A fingerprint results are dated 8/31/23. Previous results were dated 2/7/18. *Staff B's results on file are dated 8/17/23. Previous results were dated 7/23/18. *Staff C's results on file are dated 9/18/23. Previous results were dated 8/1/18.”

8VAC20-780-160-C

“Based on a review of records, staff records did not contain documentation of a repeated, negative Tuberculosis screening result. Evidence: 1 of 4 records reviewed did not contain documentation of a repeated screening result. *Staff A's - TB result was dated 10/12/22. Previous result was dated 9/17/20.”

8VAC20-780-70

“Based on a review of records, staff records did not contain documentation of all required components. Evidence: 3 of 4 record reviewed did not contain documentation of references. *Staff A's record had not second reference documented. *Staff C's record had one reference provided by a person related by blood or marriage. (Not acceptable) *Staff D's record had one reference provided by a relative. (Not acceptable)”

8VAC20-780-210-A

“Based on a review of records, one staff record did not contain documentation of meeting lead teacher qualifications. Evidence: Staff C's record did not contain documentation of education to meet lead teacher qualifications.”

8VAC20-780-245-M

“Based on a review of records, staff records did not contain documentation of all required components for annual, on-going training. Evidence: 4 of staff records reviewed did not contain the method of delivery for trainings. (Staff A,B,C,D)”

8VAC20-780-440-J

“Repeat Violation Based on observation, there was not 30 inches of space between an occupied crib and other furniture. Evidence: One child's cribs had less than 6" of space between the crib and other furniture.”

8VAC20-780-510-F

“Based on a review of medications, one medication authorization was no longer effective. Evidence: Child 1's medication authorization expired 9/20/23.”

8VAC20-780-570-A

“Based on observation, infants were placed in high chairs with no protective belt fastened securely. Evidence: 2 infants were observed in high chairs that did not have a protective belt fastened. The belts were removed from the seats.”

8VAC20-780-60-A-8

“Based on a review of records, child records did not contain all required information. Evidence: *Child #1s record did not contain an annually updated allergy action plan for a diagnosed food allergy. The record is dated 3/21/22.”

8VAC20-790-600-F

“Based on a review of records, staff records did not contain documentation of required annual training. Evidence: *Staff A's last documentation available was dated 3/25/20. *Staff B's last documentation available was dated 3/26/21.”

8VAC20-790-530-C

“Based on observation, written attendance was not maintained daily for children. Evidence: 2 of 6 classrooms did not have a complete hard copy of attendance in the rooms. *3's room had no written attendance for 10/3/23. *Older Infants had no written attendance for 10/02 or 10/03/2023.”

22.1-289.011-F

“Based on observation, the most recently issued license and Inspection report were not posted. Evidence: At LI arrival, the most recently issued license and typed inspection reports were not posted.”

22.1-289.035-A

“Based on a review of records, staff records did not contain documentation of a nationwide fingerprint search being repeated within the allowable 5 year time frame. Evidence: 3 of 4 records reviewed did not contain repeated fingerprint searches within 5 years. Search results are now on file. *Staff A fingerprint results are dated 8/31/23. Previous results were dated 2/7/18. *Staff B's results on file are dated 8/17/23. Previous results were dated 7/23/18. *Staff C's results on file are dated 9/18/23. Previous results were dated 8/1/18.”

8VAC20-780-160-C

“Based on a review of records, staff records did not contain documentation of a repeated, negative Tuberculosis screening result. Evidence: 1 of 4 records reviewed did not contain documentation of a repeated screening result. *Staff A's - TB result was dated 10/12/22. Previous result was dated 9/17/20.”

8VAC20-780-70

“Based on a review of records, staff records did not contain documentation of all required components. Evidence: 3 of 4 record reviewed did not contain documentation of references. *Staff A's record had not second reference documented. *Staff C's record had one reference provided by a person related by blood or marriage. (Not acceptable) *Staff D's record had one reference provided by a relative. (Not acceptable)”

8VAC20-780-210-A

“Based on a review of records, one staff record did not contain documentation of meeting lead teacher qualifications. Evidence: Staff C's record did not contain documentation of education to meet lead teacher qualifications.”

8VAC20-780-245-M

“Based on a review of records, staff records did not contain documentation of all required components for annual, on-going training. Evidence: 4 of staff records reviewed did not contain the method of delivery for trainings. (Staff A,B,C,D)”

8VAC20-780-440-J

“Repeat Violation Based on observation, there was not 30 inches of space between an occupied crib and other furniture. Evidence: One child's cribs had less than 6" of space between the crib and other furniture.”

8VAC20-780-510-F

“Based on a review of medications, one medication authorization was no longer effective. Evidence: Child 1's medication authorization expired 9/20/23.”

8VAC20-780-570-A

“Based on observation, infants were placed in high chairs with no protective belt fastened securely. Evidence: 2 infants were observed in high chairs that did not have a protective belt fastened. The belts were removed from the seats.”

8VAC20-780-60-A-8

“Based on a review of records, child records did not contain all required information. Evidence: *Child #1s record did not contain an annually updated allergy action plan for a diagnosed food allergy. The record is dated 3/21/22.”

8VAC20-790-600-F

“Based on a review of records, staff records did not contain documentation of required annual training. Evidence: *Staff A's last documentation available was dated 3/25/20. *Staff B's last documentation available was dated 3/26/21.”

8VAC20-790-530-C

“Based on observation, written attendance was not maintained daily for children. Evidence: 2 of 6 classrooms did not have a complete hard copy of attendance in the rooms. *3's room had no written attendance for 10/3/23. *Older Infants had no written attendance for 10/02 or 10/03/2023.”

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, areas and equipment inside the center were not maintained in a safe and operable condition. Evidence: *One toilet in the boy’s hallway bathroom had a plastic garbage bag covering the toilet because there was no toilet seat installed. *Peeling paint was observed at the sink in the boy’s hallway bathroom. *There are no toilet paper holders installed in the girl’s hallway bathroom. *One toilet in the girl’s hallway bathroom is not securely installed. The entire toilet swiveled sideways when bumped during the inspection. *There is peeling paint and caulk at the sink in the girl’s hallway bathroom. *The panels separating the toilets in the girl’s hallway bathroom are not installed securely. The metal panels are hanging loose from the wall where they were screwed into the drywall.”

8VAC20-780-350-B-1

“Based on observation and staff statement a ration of 1:4 was not maintained in a room that contained children under the age of 16 months. Evidence: The ?older infant? room contained one child that was 14 months old. The appropriate ratio for the room was 1:4. There were 5 children and 1 staff present in the room during rest time.”

8VAC20-780-40-E

“Based on interviews and observation the licensee failed to demonstrate operational responsibilities to maintain compliance with these standards. Evidence: 1.On June 15, 2023, the Department accepted an intensive plan of correction submitted by the licensee which addressed corrective actions implemented by the licensee for violations pertaining to building maintenance, supervision of children, cribs, cots, rest mats and beds and special feeding needs. On August 21, 2023 an inspection was conducted on the implementation of the plan of correction. Repeat violations were documented in the area of building maintenance.”

8VAC20-780-50-A Complaint related: No

“Based on interview, information in children's records was not treated confidentially. Evidence: 1. Staff A stated she told Parent B the name of the child that threw a toy and hit Parent B's child in the mouth. 2. Parent B stated Staff A told her the name of the child that threw a toy and hit Parent B's child in the mouth.”

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

“Based on review of the written record of a child's minor injury, the center did not maintain a written record that included all required information. Evidence: 1. The accident report dated 5/17/2023 for Child #1 was missing one more staff signature or the parent's signature, the method the parent was notified and date and time when parents were notified.”

8VAC20-780-440-L

“Based on observation, pillows were used by children under two years of age. Evidence: 1. A child (4 months old) in the infant classroom was observed laying in a crib with their head propped and surrounded by a boppy pillow.”

8VAC20-780-560-F

“Based on observation, the center provides meals and snacks and did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA), and the center's menu listing foods to be served for meals and snacks during the current one-week period was not posted in a location conspicuous to parents or given to parents. 1. A menu was posted in classrooms, but it did not include all the foods being served. The menu only listed the entree. A full menu from the caterer was inside the kitchen. 2. Lunch on 5/24/2023 consisted of a ground beef patty, cantelope, carrots and milk. The bun was not delivered by the food caterer, so there was not a grain provided for lunch.”

8VAC20-780-560-G

“Based on observation and interviews, food brought from home was not clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the older infant classroom, 3 pouches of food and 2 containers of food were inside the classroom refrigerator and were not dated or labeled to identify the owner. 2. The staff stated the food was brought from home by the children.”

8VAC20-780-570-B

“Based on observation, bottle fed infants were given bottles propped and given when the child was in his designated sleeping location. Evidence: 1. One infant (4 months old) was observed sitting in an infant swing with the bottle propped with a blanket. 2. One infant(4 months old) was observed laying in a crib with a bottle next to the child.”

8VAC20-780-420-E-3

“Based on review of children's records, one child's file did not have the parent confirmation that the required information in the child's record was up to date annually. Evidence: 1. Child #1's file (Start date 3/21/2022) did not have yearly parent confirmation that the required information in the child's record was up to date.”

8VAC20-780-340-F

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. One child was observed entering the 3's classroom by herself. The licensing representative took the child back to join her class in the hallway where they were waiting to wash their hands in the bathroom. 2. Four children were observed running from the Toddler teacher in the hallway and entered the classroom without the teacher. The teacher was assisting a child with washing their hands and not aware the 4 children had run away.”

8VAC20-780-340-D

“Based on observation and interview, the center did not have a program leader regularly present in each grouping of children. Evidence: 1. Staff #4 stated they did not have program leaders in three classrooms(Toddler 1 classroom, Toddler 2 classroom or the Infant classroom).”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method. Evidence: 1. In the older infants classroom, a Lysol spray, febreeze and disinfectant spray were inside a higher cabinet and was not kept locked. The child proof lock was hanging on the handle and not engaged.”

8VAC20-780-270-A

“Based on observation and interviews, areas and equipment inside the center were not maintained in a safe and operable condition. Evidence: 1. In the Pre-K 4's classroom, the paint was chipping on the molding near the trashcan. 2. In the infant classroom, the refrigerator was not working (teachers were using the kitchen refrigerator to store the bottles) and paint was chipping around the trim molding. 3. In the young toddler classroom, staff stated the sink was broken and not working. 4. In the older infant classroom, the cabinet near the refrigerator had a loose hinge and was hanging crooked. 5. In the main hallway bathroom, staff stated the toilet was broken and not working. 6. In the Toddler 2's classroom, staff stated the sink was broken and not working. The rugs border had come unsewn or had torn approximately 24 inches long and was creating a tripping hazard. The red children's chairs were peeling paint on the legs and had rust on them.”

8VAC20-780-260-A

“Based on interview, the center did not provide to the licensing representative an annual fire inspection report. Evidence: 1. Staff A stated the inspection was completed, but did not have a copy of the report.”

22.1-289.058

“Based on observation and interview, the center was not equipped with at least one carbon monoxide detector. Evidence: 1. A carbon monoxide detector was not observed in the center. 2. Staff #4 stated she did not know if they had a carbon monoxide detector and would call to find out if they did.”

8VAC20-780-130-E

“Based on review of children's records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1 (19 months) had immunization record updated last on 7/20/2022 and was due for an update.”

8VAC20-780-40-K

“Based on interview and review of documents, 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. Staff #4 confirmed the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness during the inspection.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1's file (Date of hire 3/07/2022) did not have documentation to demonstrate that the individual possesses the 24 hours of training required by the job position (Lead Teacher).”

8VAC20-780-180-A

“Based on observation, one staff did not meet a general qualification of communicating effectively orally. Evidence: 1. Staff B who works in the infant classroom did not demonstrate the ability to speak English.”

8VAC20-780-240-C

“Based on review of the orientation document, the center's orientation did not include all requirement topics. Evidence: 1. Staff #1 (Date of hire 3/07/2022) and Staff #2 (Date of hire 8/22/2022) had orientation, but it did not include prevention of sudden infant death syndrome and use of safe sleep practices or prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-240-E

“Based on interview and review of training, two 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 #1 (Date of hire 3/07/2022) and Staff #2 (Date of hire 8/22/2022) did not have documentation that the training in first aid and cardiopulmonary resuscitation (CPR) had been given. 2. Staff #4 stated she did not know the training was required.”

8VAC20-780-500-B

“Based on observation and interview, the center did not meet all diapering requirements. Evidence: 1. The foot operated trash can used to dispose of diapers was broken. The pedal did not work. The teacher stated it broke yesterday.”

8VAC20-780-50-A Complaint related: No

“Based on interview, information in children's records was not treated confidentially. Evidence: 1. Staff A stated she told Parent B the name of the child that threw a toy and hit Parent B's child in the mouth. 2. Parent B stated Staff A told her the name of the child that threw a toy and hit Parent B's child in the mouth.”

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

“Based on review of the written record of a child's minor injury, the center did not maintain a written record that included all required information. Evidence: 1. The accident report dated 5/17/2023 for Child #1 was missing one more staff signature or the parent's signature, the method the parent was notified and date and time when parents were notified.”

8VAC20-780-440-L

“Based on observation, pillows were used by children under two years of age. Evidence: 1. A child (4 months old) in the infant classroom was observed laying in a crib with their head propped and surrounded by a boppy pillow.”

8VAC20-780-560-F

“Based on observation, the center provides meals and snacks and did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA), and the center's menu listing foods to be served for meals and snacks during the current one-week period was not posted in a location conspicuous to parents or given to parents. 1. A menu was posted in classrooms, but it did not include all the foods being served. The menu only listed the entree. A full menu from the caterer was inside the kitchen. 2. Lunch on 5/24/2023 consisted of a ground beef patty, cantelope, carrots and milk. The bun was not delivered by the food caterer, so there was not a grain provided for lunch.”

8VAC20-780-560-G

“Based on observation and interviews, food brought from home was not clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the older infant classroom, 3 pouches of food and 2 containers of food were inside the classroom refrigerator and were not dated or labeled to identify the owner. 2. The staff stated the food was brought from home by the children.”

8VAC20-780-570-B

“Based on observation, bottle fed infants were given bottles propped and given when the child was in his designated sleeping location. Evidence: 1. One infant (4 months old) was observed sitting in an infant swing with the bottle propped with a blanket. 2. One infant(4 months old) was observed laying in a crib with a bottle next to the child.”

8VAC20-780-420-E-3

“Based on review of children's records, one child's file did not have the parent confirmation that the required information in the child's record was up to date annually. Evidence: 1. Child #1's file (Start date 3/21/2022) did not have yearly parent confirmation that the required information in the child's record was up to date.”

8VAC20-780-340-F

“Based on observation, children under 10 years of age were not always within actual sight and sound supervision of staff. Evidence: 1. One child was observed entering the 3's classroom by herself. The licensing representative took the child back to join her class in the hallway where they were waiting to wash their hands in the bathroom. 2. Four children were observed running from the Toddler teacher in the hallway and entered the classroom without the teacher. The teacher was assisting a child with washing their hands and not aware the 4 children had run away.”

8VAC20-780-340-D

“Based on observation and interview, the center did not have a program leader regularly present in each grouping of children. Evidence: 1. Staff #4 stated they did not have program leaders in three classrooms(Toddler 1 classroom, Toddler 2 classroom or the Infant classroom).”

8VAC20-780-280-B

“Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method. Evidence: 1. In the older infants classroom, a Lysol spray, febreeze and disinfectant spray were inside a higher cabinet and was not kept locked. The child proof lock was hanging on the handle and not engaged.”

8VAC20-780-270-A

“Based on observation and interviews, areas and equipment inside the center were not maintained in a safe and operable condition. Evidence: 1. In the Pre-K 4's classroom, the paint was chipping on the molding near the trashcan. 2. In the infant classroom, the refrigerator was not working (teachers were using the kitchen refrigerator to store the bottles) and paint was chipping around the trim molding. 3. In the young toddler classroom, staff stated the sink was broken and not working. 4. In the older infant classroom, the cabinet near the refrigerator had a loose hinge and was hanging crooked. 5. In the main hallway bathroom, staff stated the toilet was broken and not working. 6. In the Toddler 2's classroom, staff stated the sink was broken and not working. The rugs border had come unsewn or had torn approximately 24 inches long and was creating a tripping hazard. The red children's chairs were peeling paint on the legs and had rust on them.”

8VAC20-780-260-A

“Based on interview, the center did not provide to the licensing representative an annual fire inspection report. Evidence: 1. Staff A stated the inspection was completed, but did not have a copy of the report.”

22.1-289.058

“Based on observation and interview, the center was not equipped with at least one carbon monoxide detector. Evidence: 1. A carbon monoxide detector was not observed in the center. 2. Staff #4 stated she did not know if they had a carbon monoxide detector and would call to find out if they did.”

8VAC20-780-130-E

“Based on review of children's records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. Child #1 (19 months) had immunization record updated last on 7/20/2022 and was due for an update.”

8VAC20-780-40-K

“Based on interview and review of documents, 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. Staff #4 confirmed the center did not have written procedure for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness during the inspection.”

8VAC20-780-70

“Based on record review, staff records did not include all required information. Evidence: 1. Staff #1's file (Date of hire 3/07/2022) did not have documentation to demonstrate that the individual possesses the 24 hours of training required by the job position (Lead Teacher).”

8VAC20-780-180-A

“Based on observation, one staff did not meet a general qualification of communicating effectively orally. Evidence: 1. Staff B who works in the infant classroom did not demonstrate the ability to speak English.”

8VAC20-780-240-C

“Based on review of the orientation document, the center's orientation did not include all requirement topics. Evidence: 1. Staff #1 (Date of hire 3/07/2022) and Staff #2 (Date of hire 8/22/2022) had orientation, but it did not include prevention of sudden infant death syndrome and use of safe sleep practices or prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children.”

8VAC20-780-240-E

“Based on interview and review of training, two 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 #1 (Date of hire 3/07/2022) and Staff #2 (Date of hire 8/22/2022) did not have documentation that the training in first aid and cardiopulmonary resuscitation (CPR) had been given. 2. Staff #4 stated she did not know the training was required.”

8VAC20-780-500-B

“Based on observation and interview, the center did not meet all diapering requirements. Evidence: 1. The foot operated trash can used to dispose of diapers was broken. The pedal did not work. The teacher stated it broke yesterday.”

8VAC20-780-440-E

“Based on observation, it was determined there was not 12 inches of space between occupied cots. Evidence: 1. In 3 classrooms there were cots that were close together and not 12 inches of apart.”

8VAC20-780-440-J

“Based on observation of two occupied cribs next to each other, it was determined the cribs were not 12 inches of space between them.”

8VAC20-780-440-E

“Based on observation, it was determined there was not 12 inches of space between occupied cots. Evidence: 1. In 3 classrooms there were cots that were close together and not 12 inches of apart.”

8VAC20-780-440-J

“Based on observation of two occupied cribs next to each other, it was determined the cribs were not 12 inches of space between them.”

22VAC40-185-260-A

“Based on record review and staff interview, a current annual fire inspection report from the appropriate fire official having jurisdiction was not provided. Evidence: 1. The most recent fire inspection available for review occurred on 09/04/2020. 2. Staff acknowledged an attempt was made to schedule the inspection but it could not be completed due to an outstanding fee due that the center was unaware of.”

22VAC40-185-130-A

“Based on record review, the center did not obtain documentation that 2 of 3 children received the immunizations required by the State Board of Health before the children attended the center. Evidence: 1. Documentation of immunizations in the record for Child #1 (start date 7/6/21) were dated 7/12/21. 2. Documentation of immunizations in the record for Child #2 (start date 8/16/21) were dated 8/19/21”