Little Hearts Daycare

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to employment. There was not a completed national criminal background check for Staff 2 available during the inspection; Staff 2 was working during the inspection.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. The children in Classrooms 2, 3 and 4, ages 15 months-4 years, were served mini corndog nuggets that were not cut/sliced in a way to prevent the hotdog inside of the breading from being a potential choking hazard.”

8VAC20-780-520-A

“All over-the-counter skin products shall not be kept or used beyond the expiration date of the product. There were 5 over-the-counter skin products on-site that were expired.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to employment. There was not a completed national criminal background check for Staff 2 available during the inspection; Staff 2 was working during the inspection.”

8VAC20-780-560-F-4

“Children three years of age or younger may not be offered foods that are considered to be potential choking hazards. The children in Classrooms 2, 3 and 4, ages 15 months-4 years, were served mini corndog nuggets that were not cut/sliced in a way to prevent the hotdog inside of the breading from being a potential choking hazard.”

8VAC20-780-520-A

“All over-the-counter skin products shall not be kept or used beyond the expiration date of the product. There were 5 over-the-counter skin products on-site that were expired.”

22.1-289.036-A

“The center is required to have every applicant undergo background checks every five years. The most recent sworn statement for Applicant 1 was overdue by 14 months. The most recent criminal record check for Applicant 1 was overdue by 14 months. The most recent central registry check for Applicant 1 was overdue by 13 months.”

22.1-289.036-A

“The center is required to have every applicant undergo background checks every five years. The most recent sworn statement for Applicant 1 was overdue by 14 months. The most recent criminal record check for Applicant 1 was overdue by 14 months. The most recent central registry check for Applicant 1 was overdue by 13 months.”

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 7 children observed in Classroom 4. The written attendance for Classroom 4 documented 6 children in care.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The immunization records for Child 3 (2 years), who has been attending for 13 months, were not updated once every six months.”

8VAC20-780-280-C

“Pesticides or insecticides shall not be stored in areas used for food preparation or storage. There were two containers of insecticide stored in the kitchen.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The immunization records for Child 3 (2 years), who has been attending for 13 months, were not updated once every six months.”

8VAC20-780-280-C

“Pesticides or insecticides shall not be stored in areas used for food preparation or storage. There were two containers of insecticide stored in the kitchen.”

8VAC20-780-40-E

“Based on the review of required policies and procedures and interviews with staff, the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards. Evidence: The center’s Missing Child Policy, provided by the center, states the following: ?At all times you are to know where the children in your care are. When outside periodically count heads. Take roll call when returning inside. All children should be accounted for at all times.? On 08/14/2024, Staff 1 did not know where Child 1 (2 years old) was at all times when they were left alone on the playground for approximately 5-7 minutes. Staff 1 did not take a roll call when returning inside from the playground.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards. Evidence: The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-340-F

“Based on interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: On 08/14/2024, Child 1 (2 years old) was left alone on the center's front playground area for approximately 5-7 minutes by Staff 1. Child 1 was not within the actual sight and sound supervision of staff during the time they were alone on the playground.”

8VAC20-780-340-A

“Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: On 08/14/2024, Child 1 (2 years old) was left alone on the fenced in playground in the front of the center for approximately 5 to 7 minutes by Staff 1. The center is in a residential area next to other homes and businesses. There is a sidewalk in front of the center and the front playground is visible from the road. A parent, parked in front of the center, noticed Child 1 was alone on the playground. The parent entered the area, took the child, and rang the doorbell to re-enter the center. Staff 1 was unaware that Child 1 was left on the playground alone and did not ensure proper care and protection.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include 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: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan by a physician.”

8VAC20-780-340-F

“Based on observation, the center failed to ensure that children under the age of 10 years shall always be within actual sight and sound supervision of staff. Evidence: Child 5 (3 years) was observed receiving services from an outside agency in an upstairs classroom. During the time that Child 5 was receiving the services in the upstairs classroom they were not within actual sight and sound supervision of staff.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 1 contained a documented hire date of 03/14/2024. The tuberculosis screening was dated 03/20/2024; the screening was not completed at the time of employment.”