HoneyTree Early Learning Center - Riverwalk

8VAC20-780-210-A

“The center shall ensure that each grouping of children has a qualified program lead. Staff 3 was working as a program leader on the day of the inspection. Staff 5 did not have documentation of the educational requirements for a program leader position.”

8VAC20-780-440-F

“If rest mats are used, they shall have cushioning and be sanitized on all sides weekly or before use by another child. In classrooms 4,5 and 6, the rest mats had rips in them exposing the foam of the mat.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for six months, had documentation of an immunization record on file that was seventeen days past required timeframe. Child #2, who had been attending for over three years, had documentation of an immunization record on file that was seventeen days past required timeframe. Child #1, who had been attending for four years, had documentation of an immunization record on file that was nine days past required timeframe.”

8VAC20-780-210-A

“The center shall ensure that each grouping of children has a qualified program lead. Staff 3 was working as a program leader on the day of the inspection. Staff 5 did not have documentation of the educational requirements for a program leader position.”

8VAC20-780-440-F

“If rest mats are used, they shall have cushioning and be sanitized on all sides weekly or before use by another child. In classrooms 4,5 and 6, the rest mats had rips in them exposing the foam of the mat.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who had been attending for six months, had documentation of an immunization record on file that was seventeen days past required timeframe. Child #2, who had been attending for over three years, had documentation of an immunization record on file that was seventeen days past required timeframe. Child #1, who had been attending for four years, had documentation of an immunization record on file that was nine days past required timeframe.”

8VAC20-780-500-A

“Repeat Violation, Staff shall wash hands with soap and running water before and after a diaper change Staff did not wash their hands after changing a diaper.”

8VAC20-780-210-A

“Repeat violation The center shall ensure that each grouping of children has a qualified program lead. Staff 5 was working as a program leader on the day of the inspection. Staff 5 did not have documentation of the educational requirements for a program leader position.”

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child #4 was not signed.”

8VAC20-780-140-A

“Repeat violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for Child 4 who had been enrolled over 30 days.”

8VAC20-780-500-B

“Repeat Violation, The diapering surface shall be cleaned with soap and water and sanitized after each use. Staff cleaned the diapering surface with a sanitizer only.”

8VAC20-780-570-C

“The record of each child on formula shall contain the child’s feeding schedule. There were no feeding schedules for the children in care.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child’s name. In the infant 1 & infant 3 class, there were multiple bottles in the refrigerator that had no date.”

8VAC20-780-440-B

“Cribs, cots, rest mats, and beds shall be identified for use by a specific child. In the younger infant room, children were in cribs not identified for use by that specific child.”

8VAC20-770-60-C-2

“For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. Staff #1 was a previous employee that was rehired for almost 2 years. Results of the new central registry search were dated over a year after the rehire date.”

8VAC20-780-280-D

“Cleaning and Sanitizing materials shall not be located above food and shall be stored in areas physically separate from food. Infant 3 classroom had cleaning supplies and food stored on the same shelf, next to each other.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #4 updated screening was due 5 months ago. The updated screenings have not yet been completed.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid. Staff #1 was alone with a group of nine preschool age children and was not currently certified in CPR or first aid. The certification was overdue by 2 weeks.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care. Staff 5?s certification in first aid was not current. It was overdue by 4 months.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 5?s certification in CPR was not current. It was overdue by 4 months.”

8VAC20-780-60-A Complaint related: No

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child 1, enrolled over three years, was missing proof of identity.”

8VAC20-780-60-A Complaint related: No

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child 1, enrolled over three years, was missing proof of identity.”

22.1-289.035-B-4 Complaint related: No

“Repeat violation The center is required to obtain background checks from any stat in which the individual has resided in the preceding five years. Staff 2, who has been employed for more than two months, did not have documentation of requestions a central registry check from a state.”

8VAC20-780-210-A-1 Complaint related: No

“Each center shall ensure that each grouping of children has a qualified program lead. Staff 1 and 2 was observed working on the day of the inspection. Neither had documentation of the educational requirements for a program leader position.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 6 days.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 6 days.”

22.1-289.035-B-3

“Staff hired after 7/1/2024 must be supervised at all times by an individual with qualifying results of all required background checks until all background check results are returned for the newly hired staff person. The results from the Virginia central registry search for Staff 4 were requested prior to employment but the results have not been returned to the center. Staff 4 was observed during the inspection alone with 9 children ages 2 to 3 years old. Staff 4 has been employed for 6 weeks and stated they are alone with the children daily.”

8VAC20-780-130-A

“Systemic Violation The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child 5, who had been attending for 2 days, did not have documentation of an immunization record on file.”

8VAC20-780-130-E

“Systemic Violation The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child 1(age 3), who had been attending for 2 years, did not have documentation of updated immunizations on file”

8VAC20-780-140-A

“Systemic violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for Child 1 who had been enrolled for 2 years.”

8VAC20-780-150-B

“Systemic Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child 3 was not signed and dated.”

8VAC20-780-60-A

“Repeat Violation, Systemic Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child 4, enrolled for seven weeks, was missing proof of identity. Child 5, enrolled for 2 days, was missing proof of identity. Child 7, enrolled for 3 months, was missing proof of identity.”

8VAC20-780-210-A

“The center shall ensure that each grouping of children has a qualified program lead. Staff 4 was observed working as a program leader on the day of the inspection. Staff 4 did not have documentation of the educational requirements for a program leader position.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 94 days, had not yet completed the required course.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.”

8VAC20-780-430-I

“If personal articles are used, they shall be individually assigned. In classroom 4, there were children’s pacifiers not labeled or assigned to show ownership.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied rest mats. 18 children were resting on rest mats in classroom 4. Multiple children on rest mats were directly touching other children’s rest mats.”

8VAC20-780-500-A

“Repeat Violation, Systemic Violation Children’s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks. Preschool age children were not observed washing hands or using a disposable wipe after eating lunch.”

8VAC20-780-500-B

“Repeat Violation, Systemic Violation Children’s hands shall be washed with soap and running water after toileting. Preschool children were observed using the restroom after lunch. No handwashing was observed after toileting.”

8VAC20-780-520-B

“Systemic violation Sunscreen shall be inaccessible to children under five years of age. In classrooms 4 and 6, there was sunscreen located in children’s cubbies. The ages of the children were 2 to 3 years old. The cubbies were accessible to the children.”

8VAC20-780-40-E

“Systemic Violation Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s policy is that children shall remain under supervision of staff at all times. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care. Staff 1?s certification in first aid was not current. It was overdue by 6 days.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff 1?s certification in CPR was not current. It was overdue by 6 days.”

22.1-289.035-B-3

“Staff hired after 7/1/2024 must be supervised at all times by an individual with qualifying results of all required background checks until all background check results are returned for the newly hired staff person. The results from the Virginia central registry search for Staff 4 were requested prior to employment but the results have not been returned to the center. Staff 4 was observed during the inspection alone with 9 children ages 2 to 3 years old. Staff 4 has been employed for 6 weeks and stated they are alone with the children daily.”

8VAC20-780-130-A

“Systemic Violation The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child 5, who had been attending for 2 days, did not have documentation of an immunization record on file.”

8VAC20-780-130-E

“Systemic Violation The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child 1(age 3), who had been attending for 2 years, did not have documentation of updated immunizations on file”

8VAC20-780-140-A

“Systemic violation Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record for Child 1 who had been enrolled for 2 years.”

8VAC20-780-150-B

“Systemic Violation Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child 3 was not signed and dated.”

8VAC20-780-60-A

“Repeat Violation, Systemic Violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child 4, enrolled for seven weeks, was missing proof of identity. Child 5, enrolled for 2 days, was missing proof of identity. Child 7, enrolled for 3 months, was missing proof of identity.”

8VAC20-780-210-A

“The center shall ensure that each grouping of children has a qualified program lead. Staff 4 was observed working as a program leader on the day of the inspection. Staff 4 did not have documentation of the educational requirements for a program leader position.”

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff 1, who had been employed 94 days, had not yet completed the required course.”

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.”

8VAC20-780-430-I

“If personal articles are used, they shall be individually assigned. In classroom 4, there were children’s pacifiers not labeled or assigned to show ownership.”

8VAC20-780-440-E

“There shall be at least 12 inches of space between occupied rest mats. 18 children were resting on rest mats in classroom 4. Multiple children on rest mats were directly touching other children’s rest mats.”

8VAC20-780-500-A

“Repeat Violation, Systemic Violation Children’s hands shall be washed with soap and running water or disposable wipes after eating meals or snacks. Preschool age children were not observed washing hands or using a disposable wipe after eating lunch.”

8VAC20-780-500-B

“Repeat Violation, Systemic Violation Children’s hands shall be washed with soap and running water after toileting. Preschool children were observed using the restroom after lunch. No handwashing was observed after toileting.”

8VAC20-780-520-B

“Systemic violation Sunscreen shall be inaccessible to children under five years of age. In classrooms 4 and 6, there was sunscreen located in children’s cubbies. The ages of the children were 2 to 3 years old. The cubbies were accessible to the children.”

8VAC20-780-40-E

“Systemic Violation Centers shall be in compliance with the center's own policies and procedures required by these standards. The center’s policy is that children shall remain under supervision of staff at all times. On 9/3/2024, Child 4 (age 4) was left alone and unsupervised in an empty classroom for approximately 10 minutes.”

8VAC20-780-80-A

“Based on interview, the center failed to ensure for each group of children, the center shall maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurs. Evidence: None of the classrooms had a written record of attendance in their classrooms.”

8VAC20-780-330-E

“Based on observation, the center failed to ensure that sandboxes with bottoms which precent drainage shall be covered when not in use. Evidence: The sandbox on the playground did not have a cover.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Multiples classrooms had no soap water for cleaning of diaper changing tables. When asked what they used for cleaning, Inspector was told they use the sanitizer or the disinfectant wipes.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure staff and children’s hands were washed with soap and running water after toileting. Evidence: 1.Staff #6 was observed during the diapering process. There was no handwashing for child or staff after the diaper change. 2. Staff #7 was observed during the diapering process. There was no handwashing for child or staff after the diaper change.”

8VAC20-780-440-G

“Based on observation, the center failed to ensure that cribs shall be used for children under 12 months of age. Evidence: In the infant class staff were asked about children sleeping in cribs. Staff replied that some children sleep in cribs but others sleep in infant chairs due to not liking the cribs”

8VAC20-780-160-A

“Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children. Evidence: 1.Staff #5, which was hired on 10/5/2023 had a TB screening on file dating 10/9/2023 during the inspection on 3/8/2024.”

8VAC20-780-80-A

“Based on interview, the center failed to ensure for each group of children, the center shall maintain a written record of daily attendance that documented the arrival and departure of each child in care as it occurs. Evidence: None of the classrooms had a written record of attendance in their classrooms.”

8VAC20-780-330-E

“Based on observation, the center failed to ensure that sandboxes with bottoms which precent drainage shall be covered when not in use. Evidence: The sandbox on the playground did not have a cover.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Multiples classrooms had no soap water for cleaning of diaper changing tables. When asked what they used for cleaning, Inspector was told they use the sanitizer or the disinfectant wipes.”

8VAC20-780-500-A

“Based on observation, the center failed to ensure staff and children’s hands were washed with soap and running water after toileting. Evidence: 1.Staff #6 was observed during the diapering process. There was no handwashing for child or staff after the diaper change. 2. Staff #7 was observed during the diapering process. There was no handwashing for child or staff after the diaper change.”

8VAC20-780-440-G

“Based on observation, the center failed to ensure that cribs shall be used for children under 12 months of age. Evidence: In the infant class staff were asked about children sleeping in cribs. Staff replied that some children sleep in cribs but others sleep in infant chairs due to not liking the cribs”

8VAC20-780-160-A

“Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children. Evidence: 1.Staff #5, which was hired on 10/5/2023 had a TB screening on file dating 10/9/2023 during the inspection on 3/8/2024.”

8VAC20-780-60-A Complaint related: No

“Based on record review, the Licensee failed to maintain children records to ensure all required information is documented. EVIDENCE: Record for Child #1 did not include the name address and telephone number of at least two designated people to call in an emergency if a parent cannot be reached. Record was missing the information for 1 emergency contact.”

8VAC20-780-160-C Complaint related: No

“Based on record review, the Center failed to ensure at least every two years from the date of the first initial screening or testing, staff members obtain and submit the results of a follow-up tuberculosis screening/testing. EVIDENCE: Staff #1 did not have an updated tuberculosis skin test/screening completed every 2 years. Most recent tuberculosis skin test for Staff #1 was completed on 10/01/2021.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition. Evidence: The sandbox on the playground had very little sand inside. The mesh of the bottom was coming through causing a tripping hazard to children.”

8VAC20-780-130-A

“Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center. Evidence: 1.The record for Child 4 did not contain documentation that they received the immunizations required by the State Board of Health. Staff 6 verified that the first day of attendance for Child 1 was 08/16/2023.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that all infant prepared formula shall be refrigerated, dated and labeled with the child’s name. Evidence: 1.In the infant classroom, there were bottles in the fridge that had no label to show ownership or dates. 2.In the Infant 2 class, there were bottles in the fridge with no label to show ownership or dates.”

8VAC20-770-60-C-2

“Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment. Evidence: Staff #5, hired on 6/27/2019 had no record of a Central Registry on file during inspection on 8/17/2023. Administration was unable to provide documentation when requested.”

8VAC20-780-160-A

“Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children. Evidence: Staff #5 which was hired on 6/27/2019 had no record of a TB screening on file during the inspection on 8/17/2023.”

8VAC20-780-60-A

“Based on record review, the center failed to keep a separate record foreach child which shall contain documentation of viewing proof of the child’s identity and age. Evidence: 1.Child #4, had an enrollment date of 8/1/2023 had no proof of ID on file during the inspection on 8/17/2023.”

8VAC20-780-270-A

“Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition. Evidence: The sandbox on the playground had very little sand inside. The mesh of the bottom was coming through causing a tripping hazard to children.”

8VAC20-780-520-B

“Based on observation the center failed to keep all sunscreen inaccessible to children. Evidence: 1.In classroom #6 there was sunscreen located in a child’s cubby. This cubby was accessible to the children. 2.In classroom #12 there was sunscreen located in one child’s cubby. There was also sunscreen located in two children’s diaper bag. All were accessible to children.”

8VAC20-780-140-A

“Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance. Evidence: Child #2, which was enrolled on 9/19/2022 had no documentation of a physical on file during the inspection on 07/25/2023”

8VAC20-780-60-A

“Based record review, the center failed to ensure that the separate record for each enrolled child shall contain name, address, and phone number of two designated people to call in a emergency if a parent cannot be reached. Evidence: 1.Child #1 had no address for emergency contacts on record. 2.Child #8 had no address for emergency contacts on record.”

8VAC20-780-520-C

“Based on observation the center failed to keep all diaper cream inaccessible to children. Evidence: Observed diaper cream in a child’s cubby in classroom #6. This cubby was accessible to children.”

8VAC20-780-510-I

“Based on review of medication the center failed to obtain written authorization from a parent or guardian for prescription medication. Evidence: Child #8 had medication on site during the inspection on 7/25/2023. There was no authorization from parent, or doctor to administer”

8VAC20-780-350-B-4 Complaint related: Yes

“COMPLAINT RELATED Based on observation, the center failed to maintain the required staff-to-children ratio for birth to 3 year to up to school age eligible. Evidence: At approximately 8:15 am, 30 preschool children were in care under the supervision of two staff on the outdoor playground area. The youngest child was 3 years old. The ratio is one staff to 11 children with an allowable variance for ratio. Three staff would be required.”

8VAC20-780-440-E Complaint related: No

“Based on observation, the center failed to ensure there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: Observed 15 children resting on cots. There were multiple children on cots that were directly touching other children’s cots.”

8VAC20-780-70

“Based on record review, the center failed to ensure documentation of two or more references with date of contact. Evidence: Staff #4 had references on file during the inspection, but there was no date as to when these references were checked.”

8VAC20-780-440-B

“Based on observation, the center failed to ensure cribs shall be identified for use by a specific child. Evidence: There were approximately nine cribs in the sleeping area of classroom #1. There was no label on the cribs to identify use of specific children.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure Sworn Statements were completed prior to first day of employment. Evidence: Staff #1 had a documented employment date of 4/23/2018. The sworn statement was dated 4/18/2019. Staff #2 had a documented employment date of 5/4/2018 The sworn statement was dated for 6/18/2018.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure hazardous substances such as cleaning materials, shall be kept in a safe locking method that prevents access by children. Evidence: Classroom #4 had cleaning chemicals in the cabinet under the sink. There was no lock on the cabinet, making it accessible to children.”

22.1-289.035-B-2

“Based on record review, the center failed to ensure a Criminal History check was completed prior to first day of employment. Evidence: Staff #2 had a documented employment date of 5/4/2018. Then Criminal History was dated for 6/12/2018. Staff #3 had a documented employment date of 4/9/202. The Criminal History was dated for 4/12/2021.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure Central Registry results by the end of thirty days of employment. Evidence: Staff #2 had a documented employment date of 5/4/2018. The Central Registry results letter was dated for 10/20/2022.”

8VAC20-780-70

“Based on record review, the center failed to ensure documentation of two or more references with date of contact. Evidence: Staff #4 had references on file during the inspection, but there was no date as to when these references were checked.”

8VAC20-780-440-B

“Based on observation, the center failed to ensure cribs shall be identified for use by a specific child. Evidence: There were approximately nine cribs in the sleeping area of classroom #1. There was no label on the cribs to identify use of specific children.”

8VAC20-770-60-B

“Based on record review, the center failed to ensure Sworn Statements were completed prior to first day of employment. Evidence: Staff #1 had a documented employment date of 4/23/2018. The sworn statement was dated 4/18/2019. Staff #2 had a documented employment date of 5/4/2018 The sworn statement was dated for 6/18/2018.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure hazardous substances such as cleaning materials, shall be kept in a safe locking method that prevents access by children. Evidence: Classroom #4 had cleaning chemicals in the cabinet under the sink. There was no lock on the cabinet, making it accessible to children.”

22.1-289.035-B-2

“Based on record review, the center failed to ensure a Criminal History check was completed prior to first day of employment. Evidence: Staff #2 had a documented employment date of 5/4/2018. Then Criminal History was dated for 6/12/2018. Staff #3 had a documented employment date of 4/9/202. The Criminal History was dated for 4/12/2021.”

8VAC20-770-60-C-2

“Based on record review, the center failed to ensure Central Registry results by the end of thirty days of employment. Evidence: Staff #2 had a documented employment date of 5/4/2018. The Central Registry results letter was dated for 10/20/2022.”

8VAC20-780-440-G Complaint related: No

“Based on observation and interview, the center failed to ensure that cribs shall be used for children under 12 months of age. Evidence: By approximately 9:40 AM, there were 12 infants under 12 months of age. There were 6 cribs in the infant classroom. An infant, age 4 months, was observed sleeping in a bouncer seat. Staff #6 stated that the smaller infants slept in the infant bouncer seats and the older infants used the cribs.”

8VAC20-780-560-M Complaint related: No

“Based on observation, the center failed to ensure no child shall be allowed to drink or eat while walking around. Evidence: In the main area, 3 children were observed with go-go squeeze pouches walking around eating them. In classroom #2, a child was observed walking around drinking a bottle.”

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

“Based on observation, the center failed to ensure when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: When the inspector arrived at approximately 7:40 AM, there were 18 children under the supervision of 2 staff. All children were combined in the main area. There were 5 infants in infant bouncer seats. The staff person sitting with the infants also had one child on their lap and another standing holding onto their leg. By approximately 7:55 AM, the total number of children was at 35 and still under the care of 2 staff. Staff #3 stated the children’s ages were up to 3 years old. There were six infants in bouncer seats crying and two children were in the staff’s lap crying. There were also two children in infant carrier seats crying and other children attempting to rock the seats to console the children. Children were observed running around, knocking children to the ground with a ride and push toy truck. Parents were dropping children off at this time. A child was dropped off with a go-go squeeze pouch and was sharing with other children. There were multiple children crying at drop off and no one to console them because the two staff were attending to others. Children were observed trying to run out the door into the entrance area behind their parents and staff trying to stop them and keep them inside the doors. Staff #3, #4 and #5 arrived to help between approximately 8:02-8:05 AM. The children were then split into 3 classrooms.”

8VAC20-780-500-A Complaint related: No

“Based on observation, the center failed to wash children’s hands or staff hands with soap and running water after toileting. Evidence: 1. Children were observed getting a diaper change by Staff # 5. Once completed, they were sent to play. There was no handwashing for the children. 2. Staff # 5 did not wash their hands after diapering the children.”

8VAC20-780-500-B Complaint related: No

“Based on observation, the center failed to ensure the diapering area shall have a nonabsorbent surface for diapering or changing. For children younger than three years, this surface shall be a changing table, or a countertop designed for changing. Evidence: 1. A child, who had a bowl movement, was observed being changed on the tiled floor. There was no nonabsorbent surface being used. 2. Other children were observed in the classroom standing up during a diaper change. There was no diaper changing table in the classroom. Staff #3 stated the children’s ages were 2 years up to 3 years old.”

8VAC20-780-350-C Complaint related: Yes

“Based on observation, the center failed to ensure that when children are in ongoing mixed age groups, the staff-to-children ratio is applicable to the youngest child in the group. Evidence: 1. When the inspector arrived on 2/22/2023 at approximately 7:40 AM, 18 children were in care under the supervision of 2 staff. All children were combined in the main area. The youngest child was 5 months.After approximately 15 minutes, there were 35 children in care, 6 children being infants, under the care of 2 staff. 9 staff would be required. 2. Staff #3 stated this has been an ongoing problem since October and they have been asking for help in the mornings to help with the number of children. 3. Staff #4 stated this has been a problem since October/ November and despite asking for help in the morning they have not received any. Staff stated the numbers are always that high in the morning.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: Playground #1, on the door of the metal gate surrounding the playground, the door as come unattached at the hinge. This creates a gap in the gate causing an entrapment hazard to children. Children were observed playing on the playground during the inspection. Playground #2: The sandbox on the playground has mesh lining that is coming through the surface of the sandbox causing a tripping hazard to children.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: Playground #1, on the door of the metal gate surrounding the playground, the door as come unattached at the hinge. This creates a gap in the gate causing an entrapment hazard to children. Children were observed playing on the playground during the inspection. Playground #2: The sandbox on the playground has mesh lining that is coming through the surface of the sandbox causing a tripping hazard to children.”