Cuddlebugs Child Development Center

8VAC20-780-160-A

“Based on review of two staff records, the center did not obtain documentation of a tuberculosis screening for one staff record that was submitted at the time of employment and shall have been completed within the last 30 calendar days prior to employment. Evidence: The record of staff #2, employed 08/25/2023, contained documentation of a tuberculosis screening dated 09/02/2023, exceeding the date of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There are three vinyl floor tiles missing in the preschool classroom near the rear door. The missing floor tiles pose a risk of tripping and expose the subfloor that had small pieces that was jagged along the edges. An additional floor tile in the middle of the room was split and missing a piece of the tile. 2. The wall under the window in the preschool classroom was cracked exposing the drywall and a nail head. The wall also had peeling paint. 3. The window seal in the school age classroom was cracked exposing the drywall and a nail head. 4. The landscape edging around the concrete pad near the steps of the porch was cracked and protruding upward from the ground posing a tripping hazard. 5. The preschool bathroom had four holes in the drywall near the toilet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There are three vinyl floor tiles missing in the preschool classroom near the rear door. The missing floor tiles pose a risk of tripping and expose the subfloor that had small pieces that was jagged along the edges. An additional floor tile in the middle of the room was split and missing a piece of the tile. 2. The wall under the window in the preschool classroom was cracked exposing the drywall and a nail head. The wall also had peeling paint. 3. The window seal in the school age classroom was cracked exposing the drywall and a nail head. 4. The landscape edging around the concrete pad near the steps of the porch was cracked and protruding upward from the ground posing a tripping hazard. 5. The preschool bathroom had four holes in the drywall near the toilet.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There are three vinyl floor tiles missing in the preschool classroom near the rear door. The missing floor tiles pose a risk of tripping and expose the subfloor that had small pieces that were jagged along the edges. An additional floor tile in the middle of the room was split and missing a piece of the tile. 2. The metal air vent in the floor of the preschool classroom was not securely attached. The corner edges of the vent curved upward posing a risk of tripping. 3. The wall under the window in the preschool classroom was cracked exposing the drywall and a screwhead. The wall also had peeling paint. 4. The landscape edging around the concrete pad near the steps of the porch was cracked and protruding upward from the ground posing a tripping hazard.”

8VAC20-780-60-A-8

“Based on review of children’s records, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: The record of child #9, diagnosed with a food allergy, did not contain an allergy care plan as required.”

8VAC20-780-510-P

“Based on review of documentation, observation and interview, the center did not ensure parents were notified to pick up medication within 14 days after the medication authorization has expired or the parent must renew the authorization. Evidence: The parent portion of the medication authorization for child #5 expired on 04/30/2023. The medication was on site and had not been returned to the parent or disposed of. The director acknowledged the medication authorization had expired.”

8VAC20-780-510-I

“Based on review of medication logs and medication authorizations, the center did not obtain written authorization from a parent or guardian before administering prescription medications. Evidence: 1. The medication authorization for child #5 expired on 04/30/2023. 2. The medication log documented that child #5 was administered the prescription medication on 05/18/2023. 3. The director acknowledged the medication had been administer on 05/18/2023.”

22.1-289.035-B-2

“Based on review of five staff records, the center did not obtain results of the national fingerprint base criminal history background check prior to employment for one staff member. Evidence: The record of staff #3, employed 10/25/2022, contained the results of a national fingerprint background check dated 11/09/2022, exceeding the date of employment.”

8VAC20-780-270-A

“Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. There are three vinyl floor tiles missing in the preschool classroom near the rear door. The missing floor tiles pose a risk of tripping and expose the subfloor that had small pieces that were jagged along the edges. An additional floor tile in the middle of the room was split and missing a piece of the tile. 2. The metal air vent in the floor of the preschool classroom was not securely attached. The corner edges of the vent curved upward posing a risk of tripping. 3. The wall under the window in the preschool classroom was cracked exposing the drywall and a screwhead. The wall also had peeling paint. 4. The landscape edging around the concrete pad near the steps of the porch was cracked and protruding upward from the ground posing a tripping hazard.”

8VAC20-780-60-A-8

“Based on review of children’s records, the center did not obtain a written care plan for each child with a diagnosed food allergy. Evidence: The record of child #9, diagnosed with a food allergy, did not contain an allergy care plan as required.”

8VAC20-780-510-P

“Based on review of documentation, observation and interview, the center did not ensure parents were notified to pick up medication within 14 days after the medication authorization has expired or the parent must renew the authorization. Evidence: The parent portion of the medication authorization for child #5 expired on 04/30/2023. The medication was on site and had not been returned to the parent or disposed of. The director acknowledged the medication authorization had expired.”

8VAC20-780-510-I

“Based on review of medication logs and medication authorizations, the center did not obtain written authorization from a parent or guardian before administering prescription medications. Evidence: 1. The medication authorization for child #5 expired on 04/30/2023. 2. The medication log documented that child #5 was administered the prescription medication on 05/18/2023. 3. The director acknowledged the medication had been administer on 05/18/2023.”

22.1-289.035-B-2

“Based on review of five staff records, the center did not obtain results of the national fingerprint base criminal history background check prior to employment for one staff member. Evidence: The record of staff #3, employed 10/25/2022, contained the results of a national fingerprint background check dated 11/09/2022, exceeding the date of employment.”

8VAC20-790-600-B

“Based on review of four staff records, the center did not ensure one staff member completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record of staff #3, hired 08/12/2021, did not contain documentation of completing the Virginia Preservice Training, exceeding 90 days from employment. 2. The administrator stated staff #3 was working on the training but had not completed it as of yet.”

8VAC20-780-240-E

“Based on review of four staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of the first day of employment. Evidence: The record of staff #1, hired 06/27/2022, did not have documentation of training in first aid and CPR, exceeding 30 days from employment.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe and operable condition. Evidence: 1. The cabinet under the sink in the toddler room had a broken front panel. 2. The wooden fence around the air conditioner unit located on the playground has several pickets that have separated from the frame exposing nails.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent shall be was notified to pick up the medication within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be disposed of by the center. Evidence: The medication authorization for child #6 expired on 05/22/2022. The medication was still on site exceeding 14 days from the date the authorization expired.”

22.1-289.035-B-2

“Based on a review of four staff records and interview, the center did not ensure that one staff obtained a fingerprint based background check determination from the Office of Background Investigation prior to employment. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain results of the fingerprint-based national criminal background check. 2. During interview, a member of management stated the staff member was currently working with the children in the child care center during the 08/25/2022 onsite inspection.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for two staff record. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 2. The record of staff #2, hired 06/24/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 3. Administration stated staff #1 and staff #2 had not submitted a tuberculosis screening.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s record. Evidence: 1. The record of child #4, child #5 and child #6, all with a diagnosed food allergy, did not contain a written care plan that included instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The administrator stated that a written allergy care plan had not been obtained for child #4 and child #5. The record of child #6 contained a letter from the physician regarding the allergy however it did not includes the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-790-600-B

“Based on review of four staff records, the center did not ensure one staff member completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record of staff #3, hired 08/12/2021, did not contain documentation of completing the Virginia Preservice Training, exceeding 90 days from employment. 2. The administrator stated staff #3 was working on the training but had not completed it as of yet.”

8VAC20-780-240-E

“Based on review of four staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of the first day of employment. Evidence: The record of staff #1, hired 06/27/2022, did not have documentation of training in first aid and CPR, exceeding 30 days from employment.”

8VAC20-780-270-A

“Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe and operable condition. Evidence: 1. The cabinet under the sink in the toddler room had a broken front panel. 2. The wooden fence around the air conditioner unit located on the playground has several pickets that have separated from the frame exposing nails.”

8VAC20-780-510-P

“Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent shall be was notified to pick up the medication within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be disposed of by the center. Evidence: The medication authorization for child #6 expired on 05/22/2022. The medication was still on site exceeding 14 days from the date the authorization expired.”

22.1-289.035-B-2

“Based on a review of four staff records and interview, the center did not ensure that one staff obtained a fingerprint based background check determination from the Office of Background Investigation prior to employment. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain results of the fingerprint-based national criminal background check. 2. During interview, a member of management stated the staff member was currently working with the children in the child care center during the 08/25/2022 onsite inspection.”

8VAC20-780-160-A

“Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for two staff record. Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 2. The record of staff #2, hired 06/24/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 3. Administration stated staff #1 and staff #2 had not submitted a tuberculosis screening.”

8VAC20-780-60-A-8

“Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s record. Evidence: 1. The record of child #4, child #5 and child #6, all with a diagnosed food allergy, did not contain a written care plan that included instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The administrator stated that a written allergy care plan had not been obtained for child #4 and child #5. The record of child #6 contained a letter from the physician regarding the allergy however it did not includes the steps to be taken in the event of a suspected or confirmed allergic reaction.”