Horizon Child Development

8VAC20-780-230-A

“Individuals from independent contractors shall not be counted in the staff-to-children ratios unless they meet the qualifications for the applicable position. An independent contractor, who did not meet staff qualifications and was not an employee of the center, was being included in ratio for approximately 45 minutes.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. ~Bibs were observed hanging, within reach of the children, on the sides of four out of five cribs, in classroom A. Infants were napping in the cribs during this time.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment, are maintained in a clean and safe condition. ~Cots and child materials were being kept in the bathrooms (next to the toilet) in Classrooms D, E, and F, that are routinely used by the children. ~Cots were propped up in the corner of Classrooms D and F in preparation of naptime, which was over an hour ahead in the schedule. The schedule was confirmed by staff in these classrooms. This was a hazard for the children who could be hit by a falling cot.”

8VAC20-780-350-B-3

“The required ratio for children 2 years to 3 years old is one staff per eight children. Staff #1 was observed on the playground (during FitKids class) supervising twelve children (youngest child 2 years old) from approximately 10:15am-11:00am. Individuals not directly employed by the center, do not count in ratio.”

8VAC20-780-350-B-1

“The required ratio for children ages birth to 16 months is one staff per four children. Staff 4 was observed supervising five infants for a period of more than 5 minutes, while second staff was in the bathroom.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Classroom B was observed to have cleaning materials in an unlocked cabinet accessible to the children.”

8VAC20-780-270-A

“Areas and equipment of the center, shall be maintained in a clean, safe and operable condition. Multiple electrical cords that could cause choking or strangulation, were hanging accessible to the children in Classroom C.”

8VAC20-780-550-P Complaint related: Yes

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence and include all required information. The written record did not document the time the parent was notified of the sustained injury to Child 1 on January 16. 2025.”

8VAC20-780-270-A

“All areas of the center, inside and outside, shall be maintained in a safe condition. Classroom H had a plug-in air freshener, which can pose a fire hazard for the center.”

8VAC20-780-320-B

“Each bathroom will have soap, toilet paper, and paper towels within reach of the children. Classroom E had no toilet paper available for the children to use.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, and protection. One infant was observed in Classroom A sleeping with a pacifier attached to a ribbon clip presenting a strangulation hazard.”

8VAC20-780-580-K

“Staff will verify that all children have been removed from the vehicle at the conclusion of any trip. Staff member returned from taking children to school and did not check the bus for children before exiting the vehicle.”

8VAC20-780-550-D

“The center will implement a monthly practice evacuation drill. There was no fire drill recorded for September 2024.”

8VAC20-780-440-L

“The center did not ensure that a blanket was not used in the crib by a child under the age of 2 years. Children under 2 years of age should never have blankets in their crib as it can pose a suffocation hazard and can increases the risk of Sudden Infant Death Syndrome.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review and interview, staff records were missing two references. Evidence: Staff #4 (DOH: 4/15/2024) records were missing documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-520-B

“Based on observation, the facility did not ensure that sunscreen were inaccessible to children under 5 years old. Evidence: In classroom D, there was a three-drawer white plastic storage cabinet in the bathroom that contained sunscreens and was easily accessible to students.”

8VAC20-780-500-A

“REPEAT VIOLATION Based on observation of Classroom F and staff interview, hand washing procedures were not followed. Evidence: 1. The inspector walked in during snack and observed 1 out of 22 students wash their hands after snack before going to the carpet as instructed by Staff #2. 2. When the inspector asked the teacher if any other students washed their hands after eating snack, they responded that about 7 students did before the inspector walked in. 3. Approximately 8 out of 22 students washed their hands after snack.”

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper creams were inaccessible to children. Evidence: In classroom D, there was a three-drawer white plastic storage cabinet in the bathroom that contained diaper creams and was easily accessible to students.”

8VAC20-780-280-B

“Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children. Evidence: In Classroom B, a small container of bleach, a spray bottle of bleach water, a spray bottle of glass cleaner, and a bottle of all-purpose cleaner were stored under the classroom sink cabinet unlocked.”

8VAC20-780-280-D

“Based on observation, cleaning and sanitizing materials were not stored in areas physically separate from food and food utensils. Evidence: A small container of bleach, a spray bottle of bleach water, a spray bottle of glass cleaner, and a bottle of all-purpose cleaner were stored in Classroom B's sink cabinet, next to a bag of veggie straws and a container of white plastic spoons.”

8VAC20-780-330-B

“Based on observation and staff interview, the center failed to have adequate resilient surfacing as required in the fall zones underneath and surrounding equipment. Evidence: 1. There was no resilient surfacing at the bottom of two slides on the toddler's playground. 2. There was no resilient surfacing at the bottom of three slides on the 3-year-old, 4-year-old, and before and after school playground.”

8VAC20-780-500-A

“Based on observation and interview, hand washing procedures were not followed. Evidence: 1. Staff A was observed not washing their hands after changing Child A's diaper. 2. Staff A was observed returning Child A to the group without washing Child A's hands after diapering.”

8VAC20-780-550-G

“Based on record review and interview, documentation was not maintained for emergency evacuation drills. Evidence: There was no documentation of a July 2023 evacuation drill being practiced.”

8VAC20-780-160-A

“Based on record review and interview, 1 of 5 staff files indicated that the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: 1. The tuberculosis test documentation on file for Staff #1 was dated 06/09/2023. 2. The employment date for Staff #1 was listed in their record as 08/02/2023.”

22.1-289.058

“REPEAT VIOLATION Based on observation and interview, the center did not ensure that a building built before 2015 and serving preschool-age children is equipped with at least one carbon monoxide detector. Evidence: 1. The building was built prior to 2015. 2. The center currently provides care for children who are preschool-age. 3. The administration confirmed that the center has gotten a carbon monoxide detector, however, it has not been installed.”

8VAC20-770-60-B

“Based on record review and interview, a sworn statement was not completed prior to the first day of employment. Evidence: The sworn statement for Staff #2 is dated 6/26/2023 and the employment date for Staff #2 is 06/21/2023.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, outside were not maintained in a clean, safe, and operable condition. Evidence: On the toddler playground, a tree root is exposed causing a tripping hazard.”

8VAC20-780-80-B-2 Complaint related: No

“Based on staff interview, the center failed to inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: 1. On Tuesday, May 16, 2023, an outside source notified the department of an injury Child #1 (two-years-old) sustained under the supervision of the center on Tuesday, May 2, 2023. 2. Child #1(two-years-old) sought outside medical attention for the burns that were caused due to the hot tea being spilled on them. 3. On Wednesday, May 3, 2023, Staff #2 confirmed they were made aware that Child #1(two-years-old) received outside medical attention, but the center did not notify the department’s representative within the required time frame. 4. Staff#2 stated that they were also unaware that they were required to notify the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.”

8VAC20-780-340-A Complaint related: No

“Based on multiple interviews, medical documentation, and photographs, the center failed to ensure their care and protection, when supervising children. Evidence: 1. On Tuesday, May 2, 2023, at approximately 9:30 am, Child #1 (two-years-old) ran into Staff #1 who was holding a thermos cup filled with hot tea. Tea spilled out of the spout of the thermos cup and onto the right side of Child #1?s ear, face, and upper chest causing burns. 2. Medical documentation from the emergency room and burn clinic was reviewed and the document states Child #1 suffered superficial burns and partial thickness burns of multiple sites.”