La Petite Academy #7134

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care and protection. A four-month-old sustained a serious injury while in the care at the center that required outside medical treatment including surgery. None of the staff called 911 when they discovered that this infant’s diaper contained a significant amount of blood.”

8VAC20-780-40-E

“The licensee shall ensure that the center's services are maintained in compliance with the center's own policies and procedures required by these standards. The center staff did not follow their emergency preparedness plan in regard to medical emergencies involving bleeding.”

8VAC20-780-370-1 Complaint related: No

“When an infant is placed in his crib, he shall be placed on his back. On 9/9/2024 Staff #1 placed Child #2 in a crib, flipped him onto his stomach and walked away from the crib. Later, another unidentified child was placed in a crib on their stomach. Staff #1 proceeded to pat the child’s back. Resting or sleeping infants shall be individually checked every 15-20 minutes. On 9/9/2024 no staff checked on sleeping Child #1 for over two hours.”

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

“Staff shall wash their hands with soap and running water before and after a diaper change and after contact with bodily fluids. On 9/9/2024 Staff #1 did not wash her hands after changing the diaper of Child #1. Staff # 2 did not wash her hands after changing a diaper prior to handing a pacifier to another infant in care. Five times multiple staff were observed wiping the noses of multiple children in care and lifting the lid of a trash can without washing their hands before interacting with other children.”

8VAC20-780-340-A

“Staff will always ensure the care and protection of children when supervising them. Child #1 is seen on video outside two classrooms attempting to gain entry by jumping up at the window, kicking a door and knocking on a door. Child #1?s face was contorted in such a way to suggest he was distressed and crying. Staff #1 stated that she was unaware the child was missing from the group.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. On August 30th Staff #1 and Staff #2 did not follow center supervision policies which requires completing face to name checks when transitioning children from the playground back into the building and classroom. As a result of the policy not being followed Child #1 (30months old) was left unsupervised on the playground for approximately 2 ? minutes.”

8VAC20-780-340-F

“Staff are required to maintain actual sight and sound supervision of children under 10 years of age. Child #1 (30 months old) was left on the playground unsupervised by any staff for approximately 2 ? minutes”

8VAC20-780-340-A

“Staff will always ensure the care and protection of children when supervising them. Child #1 is seen on video outside two classrooms attempting to gain entry by jumping up at the window, kicking a door and knocking on a door. Child #1?s face was contorted in such a way to suggest he was distressed and crying. Staff #1 stated that she was unaware the child was missing from the group.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. On August 30th Staff #1 and Staff #2 did not follow center supervision policies which requires completing face to name checks when transitioning children from the playground back into the building and classroom. As a result of the policy not being followed Child #1 (30months old) was left unsupervised on the playground for approximately 2 ? minutes.”

8VAC20-780-340-F

“Staff are required to maintain actual sight and sound supervision of children under 10 years of age. Child #1 (30 months old) was left on the playground unsupervised by any staff for approximately 2 ? minutes”

8VAC20-780-340-A

“Staff will always ensure the care and protection of children when supervising them. Child #1 is seen on video outside two classrooms attempting to gain entry by jumping up at the window, kicking a door and knocking on a door. Child #1?s face was contorted in such a way to suggest he was distressed and crying. Staff #1 stated that she was unaware the child was missing from the group.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures that are required by these standards. On August 30th Staff #1 and Staff #2 did not follow center supervision policies which requires completing face to name checks when transitioning children from the playground back into the building and classroom. As a result of the policy not being followed Child #1 (30months old) was left unsupervised on the playground for approximately 2 ? minutes.”

8VAC20-780-340-F

“Staff are required to maintain actual sight and sound supervision of children under 10 years of age. Child #1 (30 months old) was left on the playground unsupervised by any staff for approximately 2 ? minutes”

8VAC20-780-280-B

“Based on observation and interview the center did not ensure that hazardous substances are kept in a locked place. Evidence: 1.There were unlocked chemicals such as bleach and sanitizer in the toddler classroom. a. The chemicals were in the lower storage cabinet of the diaper changing table and accessible to children. b. There were 10 children in care at the time of the inspection. 2. The program director confirmed that the bleach and sanitizer were left unlocked and were accessible to the children in care.”

8VAC20-780-330-B

“Based on observation and interview the center did not ensure that resilient surfacing for playground equipment complies with required safety standards. Evidence: 1.The playground used by preschool through school-age children did not have at least six inches of resilient surface. 2.The program director confirmed that there was not six inches of resilient surface in the fall zones on this playground.”

8VAC20-780-340-A

“Based on staff interviews the center did not ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On April 10, 2024, at approximately 8:30am, Staff #2 fed a seven month-old child, another child's bottle containing breast milk. a. Staff #1 reported the incident to the department, on April 10, 2024. 2. Staff #2 stated that she fed child #1 the wrong breast milk bottle on the morning of April 10th. She stated that she reached in the refrigerator and removed a bottle without checking the label. a. Additionally, Staff #2 stated that the bottle contained 8 ounces at the start of feeding. Child #1 drank an ounce when she realized it was the wrong bottle. 3. Staff #2 stated the infant bottle was not labeled. a. Staff #1 stated that the label fell off during the warming bath. 4. Incident reports obtained from the center document that Child #1 was fed a breast milk bottle that belonged to another infant in care.”

8VAC20-790-530-C

“Based on observation and interview the vendor did not maintain a written hard copy record of daily attendance that documents the arrival of each child in care as it occurs. Evidence: 1.Documentation was missing for time of arrival for one child in the Pre-k classroom. 2.Staff confirmed that the child’s arrival time was not documented at the time of arrival.”

8VAC20-780-280-B

“Based on observation and interview the center did not ensure that hazardous substances are kept in a locked place. Evidence: 1.There were unlocked chemicals such as bleach and sanitizer in the toddler classroom. a. The chemicals were in the lower storage cabinet of the diaper changing table and accessible to children. b. There were 10 children in care at the time of the inspection. 2. The program director confirmed that the bleach and sanitizer were left unlocked and were accessible to the children in care.”

8VAC20-780-330-B

“Based on observation and interview the center did not ensure that resilient surfacing for playground equipment complies with required safety standards. Evidence: 1.The playground used by preschool through school-age children did not have at least six inches of resilient surface. 2.The program director confirmed that there was not six inches of resilient surface in the fall zones on this playground.”

8VAC20-780-340-A

“Based on staff interviews the center did not ensure that when staff are supervising children, they shall always ensure their care and protection. Evidence: 1. On April 10, 2024, at approximately 8:30am, Staff #2 fed a seven month-old child, another child's bottle containing breast milk. a. Staff #1 reported the incident to the department, on April 10, 2024. 2. Staff #2 stated that she fed child #1 the wrong breast milk bottle on the morning of April 10th. She stated that she reached in the refrigerator and removed a bottle without checking the label. a. Additionally, Staff #2 stated that the bottle contained 8 ounces at the start of feeding. Child #1 drank an ounce when she realized it was the wrong bottle. 3. Staff #2 stated the infant bottle was not labeled. a. Staff #1 stated that the label fell off during the warming bath. 4. Incident reports obtained from the center document that Child #1 was fed a breast milk bottle that belonged to another infant in care.”

8VAC20-790-530-C

“Based on observation and interview the vendor did not maintain a written hard copy record of daily attendance that documents the arrival of each child in care as it occurs. Evidence: 1.Documentation was missing for time of arrival for one child in the Pre-k classroom. 2.Staff confirmed that the child’s arrival time was not documented at the time of arrival.”

8VAC20-780-40-E

“Based on interview the center failed to demonstrate operational responsibilities ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. Evidence: 1 - The center's policies states ?face to name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day? and ?line children up for the transition, confirm you have seen the child's face and said their name by putting a check mark in the row associated with their name before leaving? the policy was not followed leading to a Child #1 being left unattended on the toddler playground by Staff #2 and #3. a. Staff #2 stated that she when she filled out the face-to-name she mistakenly checked off Child #1?s name because she was looking at another child in the class that looked just like Child #1. b. Staff #2 stated that the children did not line up on the wall before entering the building nor did she count and check faces. c. Staff #3 stated she was carrying two children that were not yet walking independently. Additionally, another child ?had wondered away from door,? she had to go get that child. Once back at the door she ?continued counting children,? but ?Child #1 must have gone back to the play castle.? 2 ? Staff #1 stated that upon viewing video footage of the child left on the toddler playground she was able to confirm that Child #1 had been left on the playground for approximately four minutes”

8VAC20-780-340-F

“Based on interview the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. 1 ? On April 25, 2022, 18-month-old Child #1, was left unattended on the toddler playground for approximately four minutes. a. Staff #1 stated Child #1 was left unattended on the playground for approximately four minutes by Staff #2 and #3. b. Staff #2 stated that she wrongly identified another child as being Child #1 resulting in Child #1 being left unattended on the playground. c. Staff #3 stated that she became aware that Child #1 had been left unattended on the playground when Staff #1 told her the child had been left some time later.”

8VAC20-780-540-E

“Based on observation and interview the center did not ensure that there was a working battery-operated radio. Evidence: 1 ? There was not a working battery-operated radio in the center during the inspection. 2 ? Staff #1 and #2 confirmed that there was not a working battery-operated radio in the center during the inspection.”

8VAC20-780-330-B

“Based on observations and interview the center failed to ensure that the resilient surface depth and required fall/use zones are maintained as required. Evidence: 1 - On the toddler playground, the red and yellow climb and slide equipment had a resilient surface depth of approximately one inch where six inches are required for a climber12 inches tall. 2 ? On the toddler playground the resilient surface had grass and weeds growing into, under and around the fall/use zones for both pieces of climb and slide of equipment. 3 ? On the toddler playground there was a castle climb and slide equipment that had less than the required six feet of fall/use zone on the side closest to the fence. The area measured approximately five feet on the fence side, where six feet are required. 4 ? The resource closet in the two-year-old room was not locked or latched and the contents were accessible. The closet is stacked with items in a haphazard manner creating the potential for items toppling out and on to a child or creating a trip or climbing hazard. 5 ? Staff #2 confirmed the areas of concern on the toddler playground including resilient surface and fall/use zone. 6 ? Additionally, Staff #2 confirmed that the resource closet was not locked or latched.”

8VAC20-780-270-A

“Based on observations and interview the center failed to ensure that areas and equipment are maintained in safe, operable conditions. Evidence: 1 ? On the toddler playground there was a wooden landscape timber that had large areas of rotting, splitting wood. The deteriorating wood poses a trip hazard. 2 ? On the toddler playground the castle climb and slide equipment has areas of cracked broken plastic within reach of children. These areas have sharp jagged edges. 3 ? On the preschool playground there was a large climb and slide equipment that had large areas of rust and peeling paint throughout the piece of equipment, that was within reach of children. a. On the deck of the same piece of climb and slide equipment there are large areas of rust, the metal has warped in areas and there are holes through the metal. These areas pose trip, fall and entrapment hazards. 4 ? In the toddler room there was two pieces of plexiglass with cracks, each approximately six to eight inches in length that are within reach of children. The edges of these cracks were sharp and pose a hazard to children if the areas were touched. 5 ? Staff #1 and #2 confirmed that there were multiple areas of concern on the playgrounds including resilient surface, cracking plastic, rusting metal, peeling paint and holes in the metal deck of the large climb and slide on the preschool playground. 6 ? Staff #2 confirmed that there was cracked plexiglass, within reach of children in the toddler room. 7 - There was rust along the lower section of the bathroom stall divider in the preschool three-year-old classroom. This rust is beside the toilet and was accessible to children.”

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all required information. Evidence: 1 - The record for Child #1 did not contain the fathers work phone number. 2 ? Staff #1 and #2 confirmed that there was not documentation of the father’s work phone number on file for Child #1.”

8VAC20-780-570-A

“Based on observations and interview the center failed to ensure that when a child is placed in a high chair the protective belt is fastened securely. Evidence: 1 ? Two of out of three high chairs in the infant care room did not have complete safety belts. a. One chair had partial safety straps and red debris on the tray from where the chair was used earlier in the day. There was no way to secure the safety strap because only one strap of the set of two needed was present. b. Another chair did not have any safety straps present. 2 ? Staff present in the infant care room confirmed that that two of the three chairs did not have the necessary safety straps.”

8VAC20-780-500-B

“Based on observation and interview the center failed to ensure that the diapering surface is used only for diapering or cleaning children, and it is cleaned with soap and at least room temperature water and sanitized after each use. Additionally, the center failed to demonstrate that disposable diapers are disposed of in a leak proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1 - Staff #3 placed baggies of diaper cream on top of the changing table in the toddler room. 2 ? Staff #4 placed a tablet on top of the changing table in the older infant room. 3 ? In the older infant room, while changing multiple diapers, one right after the other, at the conclusion of each diaper change, Staff #4 stated that she sprayed the surface with soap, water and bleach/water solution then wiped the surface dry. The surface was not sanitized between each diaper change as the staff did not allow the surface to air dry for two minutes before wiping the table dry. 4 - The foot operated diaper disposal system was not operational in the two-year-old room resulting in staff needing to use their hand to open the trash can to throw soiled diapers away.”

8VAC20-780-40-E

“Based on interview the center failed to demonstrate operational responsibilities ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. Evidence: 1 - The center's policies states ?face to name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day? and ?line children up for the transition, confirm you have seen the child's face and said their name by putting a check mark in the row associated with their name before leaving? the policy was not followed leading to a Child #1 being left unattended on the toddler playground by Staff #2 and #3. a. Staff #2 stated that she when she filled out the face-to-name she mistakenly checked off Child #1?s name because she was looking at another child in the class that looked just like Child #1. b. Staff #2 stated that the children did not line up on the wall before entering the building nor did she count and check faces. c. Staff #3 stated she was carrying two children that were not yet walking independently. Additionally, another child ?had wondered away from door,? she had to go get that child. Once back at the door she ?continued counting children,? but ?Child #1 must have gone back to the play castle.? 2 ? Staff #1 stated that upon viewing video footage of the child left on the toddler playground she was able to confirm that Child #1 had been left on the playground for approximately four minutes”

8VAC20-780-340-F

“Based on interview the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. 1 ? On April 25, 2022, 18-month-old Child #1, was left unattended on the toddler playground for approximately four minutes. a. Staff #1 stated Child #1 was left unattended on the playground for approximately four minutes by Staff #2 and #3. b. Staff #2 stated that she wrongly identified another child as being Child #1 resulting in Child #1 being left unattended on the playground. c. Staff #3 stated that she became aware that Child #1 had been left unattended on the playground when Staff #1 told her the child had been left some time later.”

8VAC20-780-540-E

“Based on observation and interview the center did not ensure that there was a working battery-operated radio. Evidence: 1 ? There was not a working battery-operated radio in the center during the inspection. 2 ? Staff #1 and #2 confirmed that there was not a working battery-operated radio in the center during the inspection.”

8VAC20-780-330-B

“Based on observations and interview the center failed to ensure that the resilient surface depth and required fall/use zones are maintained as required. Evidence: 1 - On the toddler playground, the red and yellow climb and slide equipment had a resilient surface depth of approximately one inch where six inches are required for a climber12 inches tall. 2 ? On the toddler playground the resilient surface had grass and weeds growing into, under and around the fall/use zones for both pieces of climb and slide of equipment. 3 ? On the toddler playground there was a castle climb and slide equipment that had less than the required six feet of fall/use zone on the side closest to the fence. The area measured approximately five feet on the fence side, where six feet are required. 4 ? The resource closet in the two-year-old room was not locked or latched and the contents were accessible. The closet is stacked with items in a haphazard manner creating the potential for items toppling out and on to a child or creating a trip or climbing hazard. 5 ? Staff #2 confirmed the areas of concern on the toddler playground including resilient surface and fall/use zone. 6 ? Additionally, Staff #2 confirmed that the resource closet was not locked or latched.”

8VAC20-780-270-A

“Based on observations and interview the center failed to ensure that areas and equipment are maintained in safe, operable conditions. Evidence: 1 ? On the toddler playground there was a wooden landscape timber that had large areas of rotting, splitting wood. The deteriorating wood poses a trip hazard. 2 ? On the toddler playground the castle climb and slide equipment has areas of cracked broken plastic within reach of children. These areas have sharp jagged edges. 3 ? On the preschool playground there was a large climb and slide equipment that had large areas of rust and peeling paint throughout the piece of equipment, that was within reach of children. a. On the deck of the same piece of climb and slide equipment there are large areas of rust, the metal has warped in areas and there are holes through the metal. These areas pose trip, fall and entrapment hazards. 4 ? In the toddler room there was two pieces of plexiglass with cracks, each approximately six to eight inches in length that are within reach of children. The edges of these cracks were sharp and pose a hazard to children if the areas were touched. 5 ? Staff #1 and #2 confirmed that there were multiple areas of concern on the playgrounds including resilient surface, cracking plastic, rusting metal, peeling paint and holes in the metal deck of the large climb and slide on the preschool playground. 6 ? Staff #2 confirmed that there was cracked plexiglass, within reach of children in the toddler room. 7 - There was rust along the lower section of the bathroom stall divider in the preschool three-year-old classroom. This rust is beside the toilet and was accessible to children.”

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all required information. Evidence: 1 - The record for Child #1 did not contain the fathers work phone number. 2 ? Staff #1 and #2 confirmed that there was not documentation of the father’s work phone number on file for Child #1.”

8VAC20-780-570-A

“Based on observations and interview the center failed to ensure that when a child is placed in a high chair the protective belt is fastened securely. Evidence: 1 ? Two of out of three high chairs in the infant care room did not have complete safety belts. a. One chair had partial safety straps and red debris on the tray from where the chair was used earlier in the day. There was no way to secure the safety strap because only one strap of the set of two needed was present. b. Another chair did not have any safety straps present. 2 ? Staff present in the infant care room confirmed that that two of the three chairs did not have the necessary safety straps.”

8VAC20-780-500-B

“Based on observation and interview the center failed to ensure that the diapering surface is used only for diapering or cleaning children, and it is cleaned with soap and at least room temperature water and sanitized after each use. Additionally, the center failed to demonstrate that disposable diapers are disposed of in a leak proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1 - Staff #3 placed baggies of diaper cream on top of the changing table in the toddler room. 2 ? Staff #4 placed a tablet on top of the changing table in the older infant room. 3 ? In the older infant room, while changing multiple diapers, one right after the other, at the conclusion of each diaper change, Staff #4 stated that she sprayed the surface with soap, water and bleach/water solution then wiped the surface dry. The surface was not sanitized between each diaper change as the staff did not allow the surface to air dry for two minutes before wiping the table dry. 4 - The foot operated diaper disposal system was not operational in the two-year-old room resulting in staff needing to use their hand to open the trash can to throw soiled diapers away.”

8VAC20-780-40-E

“Based on interview the center failed to demonstrate operational responsibilities ensuring that the center's activities, services, and facilities are maintained in compliance with the center's own policies and procedures. Evidence: 1 - The center's policies states ?face to name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day? and ?line children up for the transition, confirm you have seen the child's face and said their name by putting a check mark in the row associated with their name before leaving? the policy was not followed leading to a Child #1 being left unattended on the toddler playground by Staff #2 and #3. a. Staff #2 stated that she when she filled out the face-to-name she mistakenly checked off Child #1?s name because she was looking at another child in the class that looked just like Child #1. b. Staff #2 stated that the children did not line up on the wall before entering the building nor did she count and check faces. c. Staff #3 stated she was carrying two children that were not yet walking independently. Additionally, another child ?had wondered away from door,? she had to go get that child. Once back at the door she ?continued counting children,? but ?Child #1 must have gone back to the play castle.? 2 ? Staff #1 stated that upon viewing video footage of the child left on the toddler playground she was able to confirm that Child #1 had been left on the playground for approximately four minutes”

8VAC20-780-340-F

“Based on interview the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. 1 ? On April 25, 2022, 18-month-old Child #1, was left unattended on the toddler playground for approximately four minutes. a. Staff #1 stated Child #1 was left unattended on the playground for approximately four minutes by Staff #2 and #3. b. Staff #2 stated that she wrongly identified another child as being Child #1 resulting in Child #1 being left unattended on the playground. c. Staff #3 stated that she became aware that Child #1 had been left unattended on the playground when Staff #1 told her the child had been left some time later.”

8VAC20-780-540-E

“Based on observation and interview the center did not ensure that there was a working battery-operated radio. Evidence: 1 ? There was not a working battery-operated radio in the center during the inspection. 2 ? Staff #1 and #2 confirmed that there was not a working battery-operated radio in the center during the inspection.”

8VAC20-780-330-B

“Based on observations and interview the center failed to ensure that the resilient surface depth and required fall/use zones are maintained as required. Evidence: 1 - On the toddler playground, the red and yellow climb and slide equipment had a resilient surface depth of approximately one inch where six inches are required for a climber12 inches tall. 2 ? On the toddler playground the resilient surface had grass and weeds growing into, under and around the fall/use zones for both pieces of climb and slide of equipment. 3 ? On the toddler playground there was a castle climb and slide equipment that had less than the required six feet of fall/use zone on the side closest to the fence. The area measured approximately five feet on the fence side, where six feet are required. 4 ? The resource closet in the two-year-old room was not locked or latched and the contents were accessible. The closet is stacked with items in a haphazard manner creating the potential for items toppling out and on to a child or creating a trip or climbing hazard. 5 ? Staff #2 confirmed the areas of concern on the toddler playground including resilient surface and fall/use zone. 6 ? Additionally, Staff #2 confirmed that the resource closet was not locked or latched.”

8VAC20-780-270-A

“Based on observations and interview the center failed to ensure that areas and equipment are maintained in safe, operable conditions. Evidence: 1 ? On the toddler playground there was a wooden landscape timber that had large areas of rotting, splitting wood. The deteriorating wood poses a trip hazard. 2 ? On the toddler playground the castle climb and slide equipment has areas of cracked broken plastic within reach of children. These areas have sharp jagged edges. 3 ? On the preschool playground there was a large climb and slide equipment that had large areas of rust and peeling paint throughout the piece of equipment, that was within reach of children. a. On the deck of the same piece of climb and slide equipment there are large areas of rust, the metal has warped in areas and there are holes through the metal. These areas pose trip, fall and entrapment hazards. 4 ? In the toddler room there was two pieces of plexiglass with cracks, each approximately six to eight inches in length that are within reach of children. The edges of these cracks were sharp and pose a hazard to children if the areas were touched. 5 ? Staff #1 and #2 confirmed that there were multiple areas of concern on the playgrounds including resilient surface, cracking plastic, rusting metal, peeling paint and holes in the metal deck of the large climb and slide on the preschool playground. 6 ? Staff #2 confirmed that there was cracked plexiglass, within reach of children in the toddler room. 7 - There was rust along the lower section of the bathroom stall divider in the preschool three-year-old classroom. This rust is beside the toilet and was accessible to children.”

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all required information. Evidence: 1 - The record for Child #1 did not contain the fathers work phone number. 2 ? Staff #1 and #2 confirmed that there was not documentation of the father’s work phone number on file for Child #1.”

8VAC20-780-570-A

“Based on observations and interview the center failed to ensure that when a child is placed in a high chair the protective belt is fastened securely. Evidence: 1 ? Two of out of three high chairs in the infant care room did not have complete safety belts. a. One chair had partial safety straps and red debris on the tray from where the chair was used earlier in the day. There was no way to secure the safety strap because only one strap of the set of two needed was present. b. Another chair did not have any safety straps present. 2 ? Staff present in the infant care room confirmed that that two of the three chairs did not have the necessary safety straps.”

8VAC20-780-500-B

“Based on observation and interview the center failed to ensure that the diapering surface is used only for diapering or cleaning children, and it is cleaned with soap and at least room temperature water and sanitized after each use. Additionally, the center failed to demonstrate that disposable diapers are disposed of in a leak proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1 - Staff #3 placed baggies of diaper cream on top of the changing table in the toddler room. 2 ? Staff #4 placed a tablet on top of the changing table in the older infant room. 3 ? In the older infant room, while changing multiple diapers, one right after the other, at the conclusion of each diaper change, Staff #4 stated that she sprayed the surface with soap, water and bleach/water solution then wiped the surface dry. The surface was not sanitized between each diaper change as the staff did not allow the surface to air dry for two minutes before wiping the table dry. 4 - The foot operated diaper disposal system was not operational in the two-year-old room resulting in staff needing to use their hand to open the trash can to throw soiled diapers away.”

8VAC20-780-570-I

“Based on observation the center failed to ensure that there was a one-day's emergency supply of disposable bottles and commercial formulas appropriate for the children in care is maintained at the center. Evidence: There were two disposable bottes and three formulas available for seven bottle fed infants during the inspection.”

8VAC20-780-500-B

“Based on observation the center failed to ensure that the diapering surface is used only for diapering or cleaning children. Additionally, the center failed to demonstrate that disposable diapers are disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1 - Staff #2 was observed working on top of the changing table with a tablet and clipboard resting on the table as she worked. 2 - The foot operated diaper disposal system is not operational and staff must use their hand to open the trash can to throw soiled diapers in.”

8VAC20-780-440-B

“Based on observation the center failed to ensure that cribs are identified for use by a specific child. Evidence: Child #1 was resting a crib identified for Child #2.”

8VAC20-780-330-B

“Based on observation the center failed to ensure that the resilient surface on the playground is in compliance with required depths. Evidence: On the toddler playground there is a resilient surface depth of three inches where six inches are required for a climber that is 12 inches tall.”

8VAC20-780-410-6

“Based on observation the center failed to ensure that staff do not use verbal remarks which are demeaning to the children. Evidence: 1 - In the three-year-old room a staff was heard using a raised voice to say SIT, SIT, SIT DOWN, PUZZEL, PUZZEL, as the staff stood over a child. 2 - In the toddler room a staff was heard saying in a raised voice "NO YOU DON'T, NO, NO STOP! 3 - In the four-year-old room a staff was heard saying in a raised voice "MY DIRECTIONS WERE TO SIT ON THE CARPET, SIT ON THE CARPET, SIT ON THE CARPET, NOT IN MY CHAIR!”

8VAC20-780-540-E

“Based on observation and interview the center failed to ensure that there is a working battery operated radio and flash light. Evidence: 1 - There was not a battery operated radio or flashlight available during the inspection. 2 - Staff #1 stated that there was not a battery operated radio or flashlight available during the inspection.”

8VAC20-780-570-I

“Based on observation the center failed to ensure that there was a one-day's emergency supply of disposable bottles and commercial formulas appropriate for the children in care is maintained at the center. Evidence: There were two disposable bottes and three formulas available for seven bottle fed infants during the inspection.”

8VAC20-780-500-B

“Based on observation the center failed to ensure that the diapering surface is used only for diapering or cleaning children. Additionally, the center failed to demonstrate that disposable diapers are disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1 - Staff #2 was observed working on top of the changing table with a tablet and clipboard resting on the table as she worked. 2 - The foot operated diaper disposal system is not operational and staff must use their hand to open the trash can to throw soiled diapers in.”

8VAC20-780-440-B

“Based on observation the center failed to ensure that cribs are identified for use by a specific child. Evidence: Child #1 was resting a crib identified for Child #2.”

8VAC20-780-330-B

“Based on observation the center failed to ensure that the resilient surface on the playground is in compliance with required depths. Evidence: On the toddler playground there is a resilient surface depth of three inches where six inches are required for a climber that is 12 inches tall.”

8VAC20-780-410-6

“Based on observation the center failed to ensure that staff do not use verbal remarks which are demeaning to the children. Evidence: 1 - In the three-year-old room a staff was heard using a raised voice to say SIT, SIT, SIT DOWN, PUZZEL, PUZZEL, as the staff stood over a child. 2 - In the toddler room a staff was heard saying in a raised voice "NO YOU DON'T, NO, NO STOP! 3 - In the four-year-old room a staff was heard saying in a raised voice "MY DIRECTIONS WERE TO SIT ON THE CARPET, SIT ON THE CARPET, SIT ON THE CARPET, NOT IN MY CHAIR!”

8VAC20-780-540-E

“Based on observation and interview the center failed to ensure that there is a working battery operated radio and flash light. Evidence: 1 - There was not a battery operated radio or flashlight available during the inspection. 2 - Staff #1 stated that there was not a battery operated radio or flashlight available during the inspection.”

8VAC20-780-340-F

“Based on interviews, documentation review and observation of the classroom the center failed to maintain actual sight and sound supervision of children under 10 years of age. Evidence: 1 - 13-month old child 1 was in a closed bathroom located within the infant room for approximately 20 minutes where staff could not see or hear the child. a. Review of face-to-name sheets confirm that child 1 was present for care on the day of incident. 2 - Staff 1, 2 and 3 were present in the classroom on October 22 and stated that they were unaware that the child was not within sight and sound supervision until he could not be located in the classroom during the scheduled feeding and diaper change time. 3 ? The three staff report that they did not see the child when they searched under and around cribs.”

8VAC20-780-340-A

“Based on interview the center failed to ensure the care and protection of children. Evidence: 1 - 13-month old child 1 was found alone, crying in a closed bathroom in the infant care room. a. It was reported that child 1 was unattended and in the bathroom for approximately 20 minutes. b. Staff responsible for the care and protection of child 1were unaware that the child was not present in the classroom until the scheduled feeding and diaper changing time when he could not be located in the classroom. c. Staff 1, 2 and 3 heard crying coming from the staff bathroom located within the infant room. A staff present discovered that the child proof latch, intended to prevent children from gaining entry to the bathroom, was not engaged.”