Heavenly Hearts Learning Academy

8VAC20-780-500-B Complaint related: Yes

“A nonabsorbent surface for diapering or changing shall be used. Staff report changing children who are potty training and wearing pull-ups while they are standing up in front of the toilet and not on a diaper changing surface as required.”

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 #1, who had been employed for 18months, did not have any documentation that a central registry search was requested. Staff #2 has been employed for 6 months, did not have any documentation that a central registry search was requested. Both staff were observed working alone with children.”

8VAC20-780-560-N

“Food shall be prepared in a clean and sanitary manner. School age children in care were allowed to prepare deviled eggs without first washing their hands, on a table top that was not cleaned or sanitized before preparations began, and brought the peeled eggs into a restroom to rinse them.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening prior to coming into contact with children and within the last 30 calendar days of the date of employment. Staff # 1 was employed and working with children for 13 days prior to obtaining a TB screening. Staff #2 was employed and providing direct care to children for 2.5 months prior to obtaining a TB screening.”

8VAC20-780-500-B Complaint related: Yes

“A nonabsorbent surface for diapering or changing shall be used. Staff report changing children who are potty training and wearing pull-ups while they are standing up in front of the toilet and not on a diaper changing surface as required.”

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 #1, who had been employed for 18months, did not have any documentation that a central registry search was requested. Staff #2 has been employed for 6 months, did not have any documentation that a central registry search was requested. Both staff were observed working alone with children.”

8VAC20-780-560-N

“Food shall be prepared in a clean and sanitary manner. School age children in care were allowed to prepare deviled eggs without first washing their hands, on a table top that was not cleaned or sanitized before preparations began, and brought the peeled eggs into a restroom to rinse them.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening prior to coming into contact with children and within the last 30 calendar days of the date of employment. Staff # 1 was employed and working with children for 13 days prior to obtaining a TB screening. Staff #2 was employed and providing direct care to children for 2.5 months prior to obtaining a TB screening.”

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 #1, who had been employed for an unknown length of time, did not have documentation that a central registry search was requested. Staff #3 who was employed for ten days did not have documentation of a central registry search finding.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening. The record for Staff #1 did not contain any documentation of tuberculosis screening. Additionally, there is no documentation of tuberculosis screening on file for the program director of the facility.”

8VAC20-780-70

“Staff records shall be kept for each staff person and include all required information. The record for Staff #1 did not include date of hire. The record for staff #3 did not include documentation of job title, emergency contact information or documentation of two references checked before date of hire.”

8VAC20-780-540-C

“Each center shall maintain a first aid kit that contains all required items. The first aid at the center did not contain any triangular bandages.”

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 #1, who had been employed for an unknown length of time, did not have documentation that a central registry search was requested. Staff #3 who was employed for ten days did not have documentation of a central registry search finding.”

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening. The record for Staff #1 did not contain any documentation of tuberculosis screening. Additionally, there is no documentation of tuberculosis screening on file for the program director of the facility.”

8VAC20-780-70

“Staff records shall be kept for each staff person and include all required information. The record for Staff #1 did not include date of hire. The record for staff #3 did not include documentation of job title, emergency contact information or documentation of two references checked before date of hire.”

8VAC20-780-540-C

“Each center shall maintain a first aid kit that contains all required items. The first aid at the center did not contain any triangular bandages.”

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. Upon arrival there were 11 children present in one with two staff. The ages of the children present ranged from 14months to 5years. Therefore, an additional staff was needed.”

8VAC20-780-540-E

“The following nonmedical emergency supplies are required one working, battery-operated radio in each building used by children. The battery operated radio was not working during the inspection.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in safe condition. In the infant room there is a dangling cord within reach of children from a laptop to the outlet. The dangling cord poses a toppling hazard.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection report is dated 11/1/2023.”

8VAC20-780-60-A

“Documentation of child updates and confirmation of up-to-date information in the child's record. Three out of five records reviewed did not have documentation of information update after 2023.”

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 is not an individual attendance record for each group of children. There is one attendance sheet for the entire building located at the entrance.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There are multiple cleaning chemicals stored within reach of children in an unlocked closet between the infant room and the kitchen.”

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. Upon arrival there were 11 children present in one with two staff. The ages of the children present ranged from 14months to 5years. Therefore, an additional staff was needed.”

8VAC20-780-540-E

“The following nonmedical emergency supplies are required one working, battery-operated radio in each building used by children. The battery operated radio was not working during the inspection.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in safe condition. In the infant room there is a dangling cord within reach of children from a laptop to the outlet. The dangling cord poses a toppling hazard.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent fire inspection report is dated 11/1/2023.”

8VAC20-780-60-A

“Documentation of child updates and confirmation of up-to-date information in the child's record. Three out of five records reviewed did not have documentation of information update after 2023.”

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 is not an individual attendance record for each group of children. There is one attendance sheet for the entire building located at the entrance.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There are multiple cleaning chemicals stored within reach of children in an unlocked closet between the infant room and the kitchen.”

8VAC20-780-200-A

“The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Staff #1 stated the program director was not present this week. There was not a program director qualified person present at the center during the director’s absence.”

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. The attendance documentation available showed nine children present. However, there were ten children present for care.”

8VAC20-780-540-C

“The required first aid kits shall include all required items. The first aid kit did not contain adhesive tape.”

8VAC20-780-560-F

“When centers choose to provide meals, centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The portions of protein, vegetables and milk did not meet USDA requirements.”

8VAC20-780-200-A

“The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Staff #1 stated the program director was not present this week. There was not a program director qualified person present at the center during the director’s absence.”

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. The attendance documentation available showed nine children present. However, there were ten children present for care.”

8VAC20-780-540-C

“The required first aid kits shall include all required items. The first aid kit did not contain adhesive tape.”

8VAC20-780-560-F

“When centers choose to provide meals, centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The portions of protein, vegetables and milk did not meet USDA requirements.”

8VAC20-780-70

“Based on record review and interview the center failed to ensure that each staff record contains all required information. Evidence: 1 - Four out of four records reviewed did not contain documentation of job title. 2 - Four out of four records reviewed did not contain documentation of emergency contact.”

22.1-289.035-B-4

“Based on record review and interview the center failed to ensure that background checks are requested within required time frames. Evidence: 1 - The record for Staff #2 has a documented date of hire as June 10, 2023 and documentation that she resided in North Carolina within the past five years. However, the out of state background check was not requested until October 18, 2023. 2 - The owner stated that the out of state background check was requested on October 18, 2023.”

8VAC20-780-160-A

“Based on record review the center failed to ensure that staff obtain tuberculosis (TB) screenings as required. Evidence: 1 - The record for Staff #4 did not contain any documentation of TB screening. a. Staff #4 has a documented dat of hire as September 6, 2023. b. Staff #4 was observed preparing meals for children in care during the inspection. c. The owner stated that Staff #4 is a driver for the center as well as the cook.”

8VAC20-780-60-A

“Based on record review and interview the center failed to maintain children's records as required. Evidence: 1 - Upon arrival the record for Child #1 was not available in the center. a. Staff #1 and the owner stated that the owner had taken the child's record out of the center. 2 - There is not a separate contract for Child #2 and Child #3. Rather both children's names are on one contract.”