Little Achievers Childcare and Learning Center

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all the required information. Evidence: 1.The records for Child #1 and Child #2 were missing confirmation of up-to-date information in the child's record. 2.The record for Child #3 did not contain the home address of one parent, the phone number for one parent’s place of employment, the child’s first date of attendance, or confirmation of up-to-date information in the child's record.”

8VAC20-780-260-A

“8VAC20-780-260. Approval from other agencies; requirements subsequent to initial licensure. Based on record review the center did not ensure to provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1.There was no documentation that an annual fire inspection was completed in the past year. a. The center could not locate an annual fire inspection.”

8VAC20-780-270-A

“Based on observation and interview the center did not ensure that areas and equipment of the center, outside, are maintained in a safe condition. Evidence: 1. There was a window ledge in the outdoor play area, accessible to children, that had splintered wood, posing an injury hazard. 2. There was poison ivy growing on the lower part of a brick wall in the outdoor play area. a. The poison ivy was accessible to the children, posing an allergic reaction. b. Administrative staff confirmed that there was poison ivy growing in the outdoor play area.”

8VAC20-780-560-G

“Based on observation the center did not ensure that when food is brought from home the food container shall be clearly dated and labeled in a way that identifies the owner. Evidence: 1.Three of 13 water bottles inspected were not dated and labeled in a way that identifies the owner.”

8VAC20-780-280-B

“Based on the observation and interview center did not ensure that 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. Evidence: 1.In the four-year-old classroom, there was disinfectant, all-purpose cleaner, and an air freshener stored in an unlocked file cabinet. a. The above hazardous substances had a manufacturer’s label that stated, ?Keep Out of Reach of Children.? 2. Classroom staff confirmed that the hazardous substances were left unlocked.”

8VAC20-780-440-B

“Based on observation and interview the center did not ensure that cribs are identified for use by a specific child. Evidence: 1.Only two of three cribs inspected identified which child uses the crib. 2.Administrative staff confirmed that one crib did not identify which child uses the crib.”

8VAC20-780-70

“Based on record review the center did not ensure that staff records contain all the required information. Evidence: 1. The record for Staff #1 did not contain documentation to demonstrate that the individual has completed orientation no later than seven days of the date of assuming job responsibilities. 2.The record for Staff #2 did not contain documentation to demonstrate that the individual possesses the education required by the job position.”

22.1-289.011-F

“Based on observation and interview the center did not ensure that all required documents are posted in a conspicuous place on the licensed premises. Evidence: 1.The most recent inspection findings for the inspection completed on February 7, 2024 were not posted on the licensed premises. 2.The program director confirmed that the most recent inspection findings were not posted.”

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

“Based on record review and interview, it was determined that the center did not ensure that they maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the staff and parent signatures or two staff signatures. Evidence: 1. In reviewing the incident report written for January 15, 2024, there were no signatures of the staff and parent signatures or two staff signatures. 2. Staff #1 confirmed that there were no staff and parent signatures or two staff signatures to the injury report written for January 15, 2024.”

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

“Based on record review and interview, it was determined that the center did not ensure that they maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the staff and parent signatures or two staff signatures. Evidence: 1. In reviewing the incident report written for January 15, 2024, there were no signatures of the staff and parent signatures or two staff signatures. 2. Staff #1 confirmed that there were no staff and parent signatures or two staff signatures to the injury report written for January 15, 2024.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the infant room, with two children present, there were outlets that did not have protective covers and in reach of the two children in care. 2. Staff #1 and infant staff confirmed that there were no protective outlet covers to the electrical outlets which were also in reach of the children in care.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the infant room, there is a small bookshelf that stays on the floor that is very unstable and loose. This is in the area where the children crawl and play. This bookshelf poses as a tipping and injury hazard to the infants in care. 2. Staff #1 confirmed that the bookshelf is unstable and loose which poses as a hazard to the infants in care.”

8VAC20-780-160-C

“Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing for tuberculosis, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #1 has a tuberculosis screening that expired on August 30, 2023. 2. Staff #1 confirmed that their tuberculosis screening was expired.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined that the center did not ensure that electrical outlets have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In the infant room, with two children present, there were outlets that did not have protective covers and in reach of the two children in care. 2. Staff #1 and infant staff confirmed that there were no protective outlet covers to the electrical outlets which were also in reach of the children in care.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the infant room, there is a small bookshelf that stays on the floor that is very unstable and loose. This is in the area where the children crawl and play. This bookshelf poses as a tipping and injury hazard to the infants in care. 2. Staff #1 confirmed that the bookshelf is unstable and loose which poses as a hazard to the infants in care.”

8VAC20-780-160-C

“Based on record review and interview, it was determined that the center did not ensure that at least every two years from the date of the initial screening or testing for tuberculosis, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Staff #1 has a tuberculosis screening that expired on August 30, 2023. 2. Staff #1 confirmed that their tuberculosis screening was expired.”

8VAC20-780-80-A

“Based on observation and interview, it was determined that for each group of children, the center did not ensure that they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were no observed daily attendance sheets for each group of children that documented the arrival and departure of each child in care. 2. Staff #1 confirmed there was no daily attendance sheet for each group of children that documented the arrival and departure of each child in care.”

8VAC20-780-260-A

“Based on observation and interview, it was determined that the center did not ensure they provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last Fire Inspection was conducted on June 1, 2021. 2. Staff #1 confirmed the Fire Inspection is due for an annual review.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The children’s railing to hold going to the playground has a screw protruding out from the wooden railing. This poses as a injury and snagging hazard to the children in care. 2. Staff #1 confirmed the screw was protruding out of the wooden railing and that it poses as injury and snagging hazard to the children in care.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area have a nonabsorbent surface for diapering or changing. Evidence: 1. All 4 diaper changing pads throughout the center have several tears and holes on the lining of the pad. 2. Staff #2 and Staff #1 confirmed that all changing pads were torn.”

8VAC20-780-60-A

“Based on record review and interview it was determine that the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #1 (date of enrollment 07/11/2023) did not have the emergency contact listed if a parent cannot be reached. 2. Staff #1 confirmed that the required two designated emergency contacts were not listed for Child #1.”

8VAC20-780-80-A

“Based on observation and interview, it was determined that for each group of children, the center did not ensure that they maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. There were no observed daily attendance sheets for each group of children that documented the arrival and departure of each child in care. 2. Staff #1 confirmed there was no daily attendance sheet for each group of children that documented the arrival and departure of each child in care.”

8VAC20-780-260-A

“Based on observation and interview, it was determined that the center did not ensure they provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last Fire Inspection was conducted on June 1, 2021. 2. Staff #1 confirmed the Fire Inspection is due for an annual review.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The children’s railing to hold going to the playground has a screw protruding out from the wooden railing. This poses as a injury and snagging hazard to the children in care. 2. Staff #1 confirmed the screw was protruding out of the wooden railing and that it poses as injury and snagging hazard to the children in care.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area have a nonabsorbent surface for diapering or changing. Evidence: 1. All 4 diaper changing pads throughout the center have several tears and holes on the lining of the pad. 2. Staff #2 and Staff #1 confirmed that all changing pads were torn.”

8VAC20-780-60-A

“Based on record review and interview it was determine that the center did not ensure that each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Evidence: 1. Child #1 (date of enrollment 07/11/2023) did not have the emergency contact listed if a parent cannot be reached. 2. Staff #1 confirmed that the required two designated emergency contacts were not listed for Child #1.”

8VAC20-780-160-A

“Based on record review and interview, it was determined that the center did not ensure that documentation of the Tuberculosis (TB) screening shall be completed within the last 30 calendar days of employment and prior to coming into contact with children. Evidence: 1. The TB screening for staff #2 was obtained on 11/5/2022 which is more than 30 days before the hire date of 5/4/2022. 2. Staff #1 confirmed the TB screening for Staff #2 is dated more than 30 days before the hire date of 5/4/2022.”

8VAC20-780-40-M

“Based on record review and interview it was determined that the center did not ensure that they shall maintain, in a way that is accessible to all staff who work with children, a dated, current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan. Evidence: 1. An undated list of children with allergies or sensitivities was posted in the one year old classroom. 2. Staff #1 confirmed there was no date. Staff #1 stated the allergy list was old and the children on the list were no longer in the classroom.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that a record for each child enrolled shall contain all of the required information. Evidence: 1.The record for Child #1 did not have a work phone number for the father. 2.The records for Child #1 and Child #5 did not contain an emergency contact address 3.Staff #1 confirmed the records did not contain the required information.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. The playhouse on the playground is cracked and broken around the window area, leaving jagged edges and pinch points. This poses injury and pinching hazards for the children in care. a. Staff #1 confirmed that the plastic was broken and cracked around the window area of the playhouse. 2. The white plastic privacy fence on the playground has broken bottom edges and unsecured boards along the bottom of the fence leaving an 8? space that children could crawl under. This poses an injury and entrapment hazard for the children in care. 3. There were broken floor tiles in a bathroom near the 3-4year old classroom and a bathroom near the 1-2 year old classrooms. 4. The bathroom near the 3-4 year old classroom has 7 holes in the wall, approximately the diameter of a child’s where a toilet paper dispenser used to be. A child could put their finger through and get it stuck. 5. A trash can accessible and used by children is broken and had jagged edges in the 3-4 year old bathroom. 6. The safety gate at the door of the one year old classroom has a broken vertical rail with an exposed screw. a.The licensing inspector observed a child was moving the broken rail with the exposed screw. 7. The 1-2 year old classroom and the infant room had loose fitting sheets on crib mattresses posing a suffocation safety hazard. a. In the infant room there were four loose sheets on crib mattresses. b.In the 1-2 year old room there were 9 cribs with loose fitting sheets. 8. The wooden cribs in the infant room have chipped or peeling paint on the cribs in areas accessible to children. 9. There was chipped paint on the walls in the hallways and in the classrooms. 10.Staff #1 confirmed the areas and equipment stated above, were not in safe and operable condition.”

8VAC20-780-290-A-3

“Based on observation and interview, it was determined the center did not ensure that in areas used by children of preschool age or younger electrical outlets shall have protective covers. Evidence: 1 .In the infant classroom there was an electrical socket next to changing table that was not covered. 2. In the two Year old classroom (Classroom G) there was an electrical outlet at the sink. In the breast feeding room there was an electrical socket on the wall close to the floor that was not covered. In the main hallway there was an electrical outlet that did not have a cover. 3. Staff #1 confirmed that the electrical outlets in the above area were not covered.”

8VAC20-780-350-B-3

“Based on observation and interview, it was determined that the center did not ensure that the staff-to-children ratios for the age of 2 years olds is one staff to eight children. Evidence: 1. In the two year old classroom there were 2 staff members for 18 children. The number of children, and their ages required 3 staff to be present. 2. Staff #1 confirmed that the 2 year old classroom was out of ratio.”

8VAC20-780-440-B

“Based on evidence and interview the center did not ensure that cribs shall be identified for use by a specific child. Evidence: 1. Child #7 was observed sleeping in a crib assigned to Child #8. 2. Staff #5 confirmed the child sleeping in the crib was not the child assigned to the crib.”

8VAC20-780-440-G

“Based on observation the center did not ensure that cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat Evidence: 1.In the toddler classroom there were 7 children ages 12 months to 2 years old 2.Child #7 was over 12 months and was observed during the inspection sleeping in a crib. 3.Staff #5 confirmed the child was over 12 months of age.”

8VAC20-780-450-B

“Based on observation and interviews the center failed to ensure that linens shall be assigned for individual use. Evidence: 1. A child was observed sleeping in a crib with linens assigned to another child. 2. Staff #5 confirmed the child sleeping in the crib was sleeping on linens assigned to another child.”

8VAC20-780-560-F

“Based on observation and interview the center did not ensure that a menu listing the foods to be served during the current week is posted. Evidence: 1.The menu posted was for the prior week. 2.When asked, Staff #6 was unable to tell the inspector what was on the menu for the current day.”

8VAC20-780-560-G

“Based on observation the center did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: In the infant room a can of formula was in a child’s cubby but it was not labeled with the child’s name.”

8VAC20-780-60-A-8

“Based on record review and interview, it was determined that the center did not ensure that there was written care plan for each child with a diagnosed food allergy, including written instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Child #2 has a peanut allergy that is documented on the child’s physical dated 9/14/2022. 2. There is no food allergy care plan on file for Child #2. 3. Staff #1 confirmed that the child has a peanut allergy and there is was no written care plan.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #3 (date of hire 5/16/22) does not have a current certification in CPR appropriate to the ages of children in care. 2. Staff #1 confirmed Staff #2 did not have a current certification in CPR.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a criminal record and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1) The record for Staff #3, (date of hire 05/16/2022) did not contain documentation of a completed criminal record check and child abuse and neglect registry check from outside of the state of Virginia. The sworn statement, signed 04/08/2022, indicated by Staff #3 had previously lived outside of the state of Virginia within the last five years. 2) Staff #1 confirmed the required out of state background checks were not obtained for the staff record for Staff #3.”

8VAC20-780-260-A

“Based on observation and interview, it was determined that the center did not ensure they provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last Fire Inspection was conducted on June 1, 2021. 2. Staff #1 confirmed the Fire Inspection is due for an annual review.”

8VAC20-780-280-B

“Based on observation and interview, it was determine that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 2 year old room, there was a bottle of disinfectant wipes with the warning label, ?Hazardous to humans? unlocked and in reach of children. 2. In the preschool and school age classroom, there were four containers of disinfectant wipes with the warning label, ?Hazardous to humans? unlocked and in reach of children. 3. In the toddler room, there were disinfectant wipes with the warning label, ?Hazardous to human? in a bin full of crayons. 4. In the 2 year old room, there was an aerosol bottle of deodorizer with a warning label, ?Keep out of reach of children? that was unlocked and in reach of children.”

8VAC20-780-330-F

“Based on observation and interview, it was determined that the center did not ensure that a shady area be provided on playgrounds during the months of June, July, and August. Evidence: 1. Both playgrounds at the center did not have shady areas during the time of the inspection in August 2022. 2. Staff #1 confirmed that there are no shady area for the children in the playgrounds during the months of June, July, and August.”

8VAC20-780-340-A

“Based on observation and interview, it was determined that the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: 1. During the monitoring inspection, licensing inspector walked into the cafeteria area and found Child #1, age 2 years old, eating breakfast alone without adult supervision. 2. Staff #2 confirmed the child was alone without adult supervision.”

8VAC20-780-440-G

“Based on observation and interview, it was determined that the center did not ensure that cribs were used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: 1. In the toddler room of 4 children, with the youngest child being 18 months, all 4 children sleep in cribs during naptime. 2. Staff #1 and Staff #2 confirmed that children above 12 months old in the toddler room are sleeping in cribs.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area have a nonabsorbent surface for diapering or changing. Evidence: 1. All 4 diaper changing pads throughout the center have several tears and holes on the lining of the pad. 2. Staff #2 and Staff #1 confirmed that all changing pads were torn.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that when disposing diapers that they be 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. In the infant room, the storage system for soiled diapers did not have a lid or leakproof lining. 2. In the 2 year old room, the foot-operated pedal was broken. To dispose of soiled diapers, staff would have to use their hands to touch the exterior surface of the storage system during disposal. 3. Staff #1 confirmed there was no lid and lining to the infant room garbage and that the foot pedal was broken to the garbage in the 2 year old room.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that when diaper ointment or cream is used, the products be labeled with the child's name. Evidence: 1. In the 2 year old classroom, there are two unlabeled diaper cream tubes that are unlabeled. 2. In the infant room, there is one tube of diaper cream that is unlabeled.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the playground, all the steps to the plastic slide were cracked and broken off. This poses an injury and fall hazard to the children. 2. In the playground, the little tike’s bike had cracks to the back of the bike which poses an injury and pinching hazard to children. 3. In the infant room, the crib sheets are loose and not fitted to the sized mattress. The cribs are assigned to children in care that were present at the time of the inspection. The loose fitting oversized sheets pose as a suffocation hazard.”

8VAC20-790-600-D-1

“Based on record review and interview, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #3 (date of hire 5/16/22) does not have a current certification in CPR appropriate to the ages of children in care. 2. Staff #1 confirmed Staff #2 did not have a current certification in CPR.”

22.1-289.035-B-4

“Based on record review and interview, it was determined that the center did not ensure that they obtain a copy of the results of a criminal record and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1) The record for Staff #3, (date of hire 05/16/2022) did not contain documentation of a completed criminal record check and child abuse and neglect registry check from outside of the state of Virginia. The sworn statement, signed 04/08/2022, indicated by Staff #3 had previously lived outside of the state of Virginia within the last five years. 2) Staff #1 confirmed the required out of state background checks were not obtained for the staff record for Staff #3.”

8VAC20-780-260-A

“Based on observation and interview, it was determined that the center did not ensure they provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: 1. The last Fire Inspection was conducted on June 1, 2021. 2. Staff #1 confirmed the Fire Inspection is due for an annual review.”

8VAC20-780-280-B

“Based on observation and interview, it was determine that the center did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 2 year old room, there was a bottle of disinfectant wipes with the warning label, ?Hazardous to humans? unlocked and in reach of children. 2. In the preschool and school age classroom, there were four containers of disinfectant wipes with the warning label, ?Hazardous to humans? unlocked and in reach of children. 3. In the toddler room, there were disinfectant wipes with the warning label, ?Hazardous to human? in a bin full of crayons. 4. In the 2 year old room, there was an aerosol bottle of deodorizer with a warning label, ?Keep out of reach of children? that was unlocked and in reach of children.”

8VAC20-780-330-F

“Based on observation and interview, it was determined that the center did not ensure that a shady area be provided on playgrounds during the months of June, July, and August. Evidence: 1. Both playgrounds at the center did not have shady areas during the time of the inspection in August 2022. 2. Staff #1 confirmed that there are no shady area for the children in the playgrounds during the months of June, July, and August.”

8VAC20-780-340-A

“Based on observation and interview, it was determined that the center did not ensure that children under 10 years of age always be within actual sight and sound supervision of staff. Evidence: 1. During the monitoring inspection, licensing inspector walked into the cafeteria area and found Child #1, age 2 years old, eating breakfast alone without adult supervision. 2. Staff #2 confirmed the child was alone without adult supervision.”

8VAC20-780-440-G

“Based on observation and interview, it was determined that the center did not ensure that cribs were used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: 1. In the toddler room of 4 children, with the youngest child being 18 months, all 4 children sleep in cribs during naptime. 2. Staff #1 and Staff #2 confirmed that children above 12 months old in the toddler room are sleeping in cribs.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that the diapering area have a nonabsorbent surface for diapering or changing. Evidence: 1. All 4 diaper changing pads throughout the center have several tears and holes on the lining of the pad. 2. Staff #2 and Staff #1 confirmed that all changing pads were torn.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that when disposing diapers that they be 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. In the infant room, the storage system for soiled diapers did not have a lid or leakproof lining. 2. In the 2 year old room, the foot-operated pedal was broken. To dispose of soiled diapers, staff would have to use their hands to touch the exterior surface of the storage system during disposal. 3. Staff #1 confirmed there was no lid and lining to the infant room garbage and that the foot pedal was broken to the garbage in the 2 year old room.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that when diaper ointment or cream is used, the products be labeled with the child's name. Evidence: 1. In the 2 year old classroom, there are two unlabeled diaper cream tubes that are unlabeled. 2. In the infant room, there is one tube of diaper cream that is unlabeled.”

8VAC20-780-270-A

“Based on observation and interview, it was determined that the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition. Evidence: 1. In the playground, all the steps to the plastic slide were cracked and broken off. This poses an injury and fall hazard to the children. 2. In the playground, the little tike’s bike had cracks to the back of the bike which poses an injury and pinching hazard to children. 3. In the infant room, the crib sheets are loose and not fitted to the sized mattress. The cribs are assigned to children in care that were present at the time of the inspection. The loose fitting oversized sheets pose as a suffocation hazard.”

8VAC20-780-350-B-3 Complaint related: Yes

“Based on observation, it was determined that the facility did not ensure that when there were two year old children in a group, there was one adult present for every eight children. Evidence: Upon arrival at the facility, there were eight children present with one adult..”

8VAC20-780-560-A Complaint related: Yes

“Based on observation, it was determined that the facility did not have the menu for the current week posted. Evidence: The posted menu was from August.”

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

“Based on observation, it was determined that the facility did not ensure that when children were in mixed aged groups, the ratio to the youngest child is applicable. Evidence: There was an ongoing mixed age group of children during the inspection that contained 19 children ages two through school age. Since the youngest child was two the required ratio of 1 staff for every eight children. There were only two staff present with this group. An additional staff member was required.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that the facility did not ensure that an out off state sex offender check were obtained prior to employment. Evidence: The sworn disclosure statement in Staff #5's record indicated that she had lived in North Carolina, There was no sex offender record for North Carolina in her file.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff had a tuberculosis (Tb) screening on file prior to working with children that was completed in the last 30 days. Evidence: Staff #3 (hire date 11/23/21), who was observed on duty with the children at the time of the inspection, had a Tb screening that was dated 10/13/20 making it over 30 days old.”

8VAC20-780-70

“Based on a review of five staff records, it was determined that the facility did not ensure that all required elements were present in each staff member's record. Evidence: 1. The record for staff #4, who was observed on duty with the children during the inspection, did not have a start date and documentation of orientation 2. The record for staff #5, who employment was terminated on 1/27/22, did not have a start date and documentation of orientation”

8VAC20-780-90-A

“Based on a review of four children’s records, it was determined that the facility did not ensure that the record for each child did not include agreements allowing for authorization for emergency care, that the parents would be notified if the child becomes ill and needs to be picked up from care, and that the parent will inform the center within 24 hours of communicable disease in the household. Evidence: The record for child #4, who was in care at the time of the inspection, did not include the three signed agreements.”

8VAC20-780-130-A

“Based on a review of four children’s records, it was determined that the facility did not ensure that they obtained proof of immunizations before the child can attend. Evidence: The record for child #4, who was in care at the time of the inspection, did not include proof of immunizations.”

8VAC20-770-60-B

“Based upon review of five staff records, it was determined that the facility did not ensure that each staff had a completed sworn statement or affirmation on file prior to employment. Evidence: The record for Staff #4 did not include a sworn statement or affirmation.”

8VAC20-780-60-A

“Based on a review of four children’s files, it was determined that the facility did not ensure that the record for each child contained all the required information: Evidence: 1. The records for child #2, child #3 and child #4, all of whom were in care at the time of the inspection, did not include the first day of attendance. The director was able to provide approximate start dates for the children. 2. The record for child #3, who was in care at the time of the inspection, did not have an address for one of the two emergency contacts. 3. The record for child #4, who was in care at the time of the inspection, did not contain an address for the child, any employment information for the mother, and no physician name or telephone number.”

8VAC20-780-560-A Complaint related: Yes

“Based on observation, it was determined that the facility did not have the menu for the current week posted. Evidence: The posted menu was from August.”

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

“Based on observation, it was determined that the facility did not ensure that when children were in mixed aged groups, the ratio to the youngest child is applicable. Evidence: There was an ongoing mixed age group of children during the inspection that contained 19 children ages two through school age. Since the youngest child was two the required ratio of 1 staff for every eight children. There were only two staff present with this group. An additional staff member was required.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that the facility did not ensure that an out off state sex offender check were obtained prior to employment. Evidence: The sworn disclosure statement in Staff #5's record indicated that she had lived in North Carolina, There was no sex offender record for North Carolina in her file.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff had a tuberculosis (Tb) screening on file prior to working with children that was completed in the last 30 days. Evidence: Staff #3 (hire date 11/23/21), who was observed on duty with the children at the time of the inspection, had a Tb screening that was dated 10/13/20 making it over 30 days old.”

8VAC20-780-70

“Based on a review of five staff records, it was determined that the facility did not ensure that all required elements were present in each staff member's record. Evidence: 1. The record for staff #4, who was observed on duty with the children during the inspection, did not have a start date and documentation of orientation 2. The record for staff #5, who employment was terminated on 1/27/22, did not have a start date and documentation of orientation”

8VAC20-780-90-A

“Based on a review of four children’s records, it was determined that the facility did not ensure that the record for each child did not include agreements allowing for authorization for emergency care, that the parents would be notified if the child becomes ill and needs to be picked up from care, and that the parent will inform the center within 24 hours of communicable disease in the household. Evidence: The record for child #4, who was in care at the time of the inspection, did not include the three signed agreements.”

8VAC20-780-130-A

“Based on a review of four children’s records, it was determined that the facility did not ensure that they obtained proof of immunizations before the child can attend. Evidence: The record for child #4, who was in care at the time of the inspection, did not include proof of immunizations.”

8VAC20-770-60-B

“Based upon review of five staff records, it was determined that the facility did not ensure that each staff had a completed sworn statement or affirmation on file prior to employment. Evidence: The record for Staff #4 did not include a sworn statement or affirmation.”

8VAC20-780-60-A

“Based on a review of four children’s files, it was determined that the facility did not ensure that the record for each child contained all the required information: Evidence: 1. The records for child #2, child #3 and child #4, all of whom were in care at the time of the inspection, did not include the first day of attendance. The director was able to provide approximate start dates for the children. 2. The record for child #3, who was in care at the time of the inspection, did not have an address for one of the two emergency contacts. 3. The record for child #4, who was in care at the time of the inspection, did not contain an address for the child, any employment information for the mother, and no physician name or telephone number.”