Gentle Touch Learning Center 2

8VAC20-780-560-M

“No child shall be allowed to drink or eat while walking around. 8 children were observed walking around the room while eating or drinking during snack time.”

8VAC20-780-360-C

“Children shall be allowed to sleep or rest as individually needed. Four children were awaked and moved from their nap mats to chairs at tables where they put their heads on the table and continued to sleep. One child became upset and sat at the table crying after he was awakened. This child went on to a act out violently towards another child in care.”

8VAC20-780-430-B

“Materials and equipment available shall be age and stage appropriate for the children and shall include an adequate supply as appropriate for each age group. There were 20 children ages 3 and 4 years old in a classroom with two 12inch by 12inch bins of manipulatives that they were not allowed access to.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children did not wash their hands with running water or disposable wipes before eating snack. Staff shall wash their hands with soap and running water before preparing or serving food or beverages. Staff did not wash their hands with running water before serving snacks to children in care”

8VAC20-780-360-A

“The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration. For approximately 45 minutes children were asked to sit at tables or on the floor without any activities, between 2:30 and 3:30. During this time children were observed hitting, jumping off chairs, running around the room, pushing, pulling, grabbing, poking, licking and climbing on each other.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. A child who was upset slapped another child in care in face leaving a red mark. The child who was hit immediately began to cry.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. There were 2 staff alone with 10 children ages 12months through 2 years-old. The number and ages of the children present required an additional staff.”

8VAC20-780-560-M

“No child shall be allowed to drink or eat while walking around. 8 children were observed walking around the room while eating or drinking during snack time.”

8VAC20-780-360-C

“Children shall be allowed to sleep or rest as individually needed. Four children were awaked and moved from their nap mats to chairs at tables where they put their heads on the table and continued to sleep. One child became upset and sat at the table crying after he was awakened. This child went on to a act out violently towards another child in care.”

8VAC20-780-430-B

“Materials and equipment available shall be age and stage appropriate for the children and shall include an adequate supply as appropriate for each age group. There were 20 children ages 3 and 4 years old in a classroom with two 12inch by 12inch bins of manipulatives that they were not allowed access to.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children did not wash their hands with running water or disposable wipes before eating snack. Staff shall wash their hands with soap and running water before preparing or serving food or beverages. Staff did not wash their hands with running water before serving snacks to children in care”

8VAC20-780-360-A

“The variety of daily activities for all age groups shall be age and stage appropriate and provide opportunities for teacher-directed, self-directed, and self-chosen tasks and activities; a balance of active and quiet activities; individual and group activities; and curiosity and exploration. For approximately 45 minutes children were asked to sit at tables or on the floor without any activities, between 2:30 and 3:30. During this time children were observed hitting, jumping off chairs, running around the room, pushing, pulling, grabbing, poking, licking and climbing on each other.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. A child who was upset slapped another child in care in face leaving a red mark. The child who was hit immediately began to cry.”

8VAC20-780-350-C

“When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. There were 2 staff alone with 10 children ages 12months through 2 years-old. The number and ages of the children present required an additional staff.”

8VAC20-780-270-A

“Areas and equipment of the center inside shall be maintained in safe condition. 1 - There is cabinet in the three-year-old room, approximately 3 ? feet tall that is not secured to the wall and pose a toppling hazard. 2 - There is a dangling cord in the school age room, within reach of children and pose an entanglement hazard. 3 ? An infant was observed sleeping in a crib with items including a pacifier on a cloth string which poses an entanglement hazard. A boppy pillow and bib hanging over the side of the crip, a second bib on the mattress of the crib, and a toy in the infant’s hand. 4 ? There is a pack-n-play in the two-year-old room that is used every morning for infants until the infant room teacher comes to bring them to the infant care room.”

8VAC20-780-60-A

“Documentation of child updates and confirmation of up-to-date information in the child's record. Two out of five children’s records reviewed do not include documentation of annual updated information.”

8VAC20-780-500-B

“When diapering there shall be sight and sound supervision for all children when a child is being diapered. The diaper changing table in the infant room faces a wall. There were four infants in care with one staff member. The staff could not maintain sight supervision of the other three infants present while changing the diaper of one child.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met, written parent authorization noting any known adverse reactions and a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Staff #3 stated that she had administered diaper cream to Child #1 on more than one occasion. However, there was not any documentation of written parent authorization or documentation as to when the diaper cream was applied.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Raisins were served to a child in care in the infant room. Children present for care ranged in age from 7 to 22 months old. Raisins were accessible to all four children present in the room.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. A five-year-old child was sent to the restroom alone. Staff #2 stood in the door way of the classroom. The child walked through four doorways and outside sight and sound supervision of Staff #2.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after a diaper change. Staff #1 did not wash her hands before or after changing the diaper of child in care in the 2 year-old room.”

8VAC20-780-270-A

“Areas and equipment of the center inside shall be maintained in safe condition. 1 - There is cabinet in the three-year-old room, approximately 3 ? feet tall that is not secured to the wall and pose a toppling hazard. 2 - There is a dangling cord in the school age room, within reach of children and pose an entanglement hazard. 3 ? An infant was observed sleeping in a crib with items including a pacifier on a cloth string which poses an entanglement hazard. A boppy pillow and bib hanging over the side of the crip, a second bib on the mattress of the crib, and a toy in the infant’s hand. 4 ? There is a pack-n-play in the two-year-old room that is used every morning for infants until the infant room teacher comes to bring them to the infant care room.”

8VAC20-780-60-A

“Documentation of child updates and confirmation of up-to-date information in the child's record. Two out of five children’s records reviewed do not include documentation of annual updated information.”

8VAC20-780-500-B

“When diapering there shall be sight and sound supervision for all children when a child is being diapered. The diaper changing table in the infant room faces a wall. There were four infants in care with one staff member. The staff could not maintain sight supervision of the other three infants present while changing the diaper of one child.”

8VAC20-780-520-C

“If diaper ointment or cream is used, the following requirements shall be met, written parent authorization noting any known adverse reactions and a record shall be kept that includes the child's name, date of use, frequency of application and any adverse reactions. Staff #3 stated that she had administered diaper cream to Child #1 on more than one occasion. However, there was not any documentation of written parent authorization or documentation as to when the diaper cream was applied.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Raisins were served to a child in care in the infant room. Children present for care ranged in age from 7 to 22 months old. Raisins were accessible to all four children present in the room.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. A five-year-old child was sent to the restroom alone. Staff #2 stood in the door way of the classroom. The child walked through four doorways and outside sight and sound supervision of Staff #2.”

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before and after a diaper change. Staff #1 did not wash her hands before or after changing the diaper of child in care in the 2 year-old room.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. There was not sworn statement for Staff #1 documented in the staff record. Staff #1 was currently working.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The current license and violation notice were not posted as required”

8VAC20-780-270-A

“Areas and equipment of the center inside shall be maintained in safe condition. There holes in the bathroom wall within reach of children, the bathroom is located near the 2?3-year-old room and is used by children in care. There are cubbies approximately 4 feet tall that are not secured to the wall and pose a toppling hazard. There are dangling cords in lobby, within reach of children and pose an entanglement hazard.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain date of employment. The record for Staff #1 did not include the date of employment.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. There was not sworn statement for Staff #1 documented in the staff record. Staff #1 was currently working.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The current license and violation notice were not posted as required”

8VAC20-780-270-A

“Areas and equipment of the center inside shall be maintained in safe condition. There holes in the bathroom wall within reach of children, the bathroom is located near the 2?3-year-old room and is used by children in care. There are cubbies approximately 4 feet tall that are not secured to the wall and pose a toppling hazard. There are dangling cords in lobby, within reach of children and pose an entanglement hazard.”

8VAC20-780-70

“Staff records shall be kept for each staff person and contain date of employment. The record for Staff #1 did not include the date of employment.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #3, employed for more than 6 months, did not have documentation of requesting a n out-of-state sex offenders background check.”

8VAC20-780-270-A

“The shall ensure that equipment is maintained in safe condition. There are cubbies and shelving units throughout the center that are not secured to the wall and pose a toppling hazard.”