Making A Difference Step By Step

8VAC20-780-280-B

“Based on observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the preschool bathroom, there were two disinfectant bottles unlocked and on top of the first aid kit. 2. Staff #2, confirmed that there were two disinfectant bottles that were unlocked in the children’s bathroom.”

8VAC20-780-440-E

“Based on observation and interview, it was determined that the center did not ensure that there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: 1. In the preschool classroom, the children’s rest mats and cots were occupied and not 12 inches apart in space during naptime. 2. In the 2 and 3 year old classroom, the children’s rest mats were side by side and not 12 inches apart in space during naptime. 3. Staff in both classrooms confirmed that the cots and rest mats were not 12 inches of space between when occupied.”

8VAC20-780-560-M

“Based on observation and interview, it was determined that the center did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. In the 2 and 3 year old classroom, there were two children observed to stand and walk while eating. 2. Staff confirmed that the children were not sitting and were standing and walking to wash their hands while still eating.”

8VAC20-780-440-E

“Based on observation and interview, it was determined that the center did not ensure that there shall be at least 12 inches of space between occupied cots, beds, and rest mats. Evidence: 1. In the preschool classroom, the children’s rest mats and cots were occupied and not 12 inches apart in space during naptime. 2. In the 2 and 3 year old classroom, the children’s rest mats were side by side and not 12 inches apart in space during naptime. 3. Staff in both classrooms confirmed that the cots and rest mats were not 12 inches of space between when occupied.”

8VAC20-780-560-M

“Based on observation and interview, it was determined that the center did not ensure that no child shall be allowed to drink or eat while walking around. Evidence: 1. In the 2 and 3 year old classroom, there were two children observed to stand and walk while eating. 2. Staff confirmed that the children were not sitting and were standing and walking to wash their hands while still eating.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, the products shall be in the original container and labeled with the child's name. Evidence: 1. In the 3 and 4 year old classroom, there were 5 bottles of unopened petroleum jelly that were unlabeled. 2. In the toddler room, there was one bottle of petroleum jelly that was unlabeled. 3. Staff #2 and Staff #3 confirmed that the bottles of petroleum jelly in the classrooms were unlabeled.”

8VAC20-780-510-L

“Based on observation and interview, it was determined that the center did not ensure that medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 3 and 4 year old classroom, the classroom first aid kit had aspirin that was not locked. 2. In the toddler classroom, the classroom first aid kit had aspirin and triple antibiotic ointment that was not locked. 3. Staff #2 and Staff #3 confirmed that the medication was not locked.”

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, be maintained in a safe and operable condition. Evidence: 1. In the 3 and 4 year old classroom play area, there was a push pin, in a glass jar that was on top of a toy shelf. On the same shelf, there was a wooden hook rack with two sharp, one inch screws protruding out of the wood. These both pose injury and poking hazards to the children in care. 2. In the infant room, the wooden trim along the sink area and beside the bottle rack is chipping paint. 3. Staff # 2 confirmed the push pin and screws were a possible injury hazard. Staff #4 confirmed that the wood trim was chipping paint.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each center maintain and keep at the center a separate record for each child enrolled which shall contain the work phone number of each parent who has custody. Evidence: 1. Child #1 (date of enrollment 12/12/2022) did not have the mother’s work phone number in their record. 2. Child #2 (date of enrollment 11/07/2022) did not have the father’s work phone number in their record. 3. Staff #1 confirmed that Child #1 and Child #2 did not have the work phone number of a parent who has custody.”

8VAC20-780-520-C

“Based on observation and interview, it was determined that the center did not ensure that if diaper ointment or cream is used, the products shall be in the original container and labeled with the child's name. Evidence: 1. In the 3 and 4 year old classroom, there were 5 bottles of unopened petroleum jelly that were unlabeled. 2. In the toddler room, there was one bottle of petroleum jelly that was unlabeled. 3. Staff #2 and Staff #3 confirmed that the bottles of petroleum jelly in the classrooms were unlabeled.”

8VAC20-780-510-L

“Based on observation and interview, it was determined that the center did not ensure that medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the 3 and 4 year old classroom, the classroom first aid kit had aspirin that was not locked. 2. In the toddler classroom, the classroom first aid kit had aspirin and triple antibiotic ointment that was not locked. 3. Staff #2 and Staff #3 confirmed that the medication was not locked.”

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, be maintained in a safe and operable condition. Evidence: 1. In the 3 and 4 year old classroom play area, there was a push pin, in a glass jar that was on top of a toy shelf. On the same shelf, there was a wooden hook rack with two sharp, one inch screws protruding out of the wood. These both pose injury and poking hazards to the children in care. 2. In the infant room, the wooden trim along the sink area and beside the bottle rack is chipping paint. 3. Staff # 2 confirmed the push pin and screws were a possible injury hazard. Staff #4 confirmed that the wood trim was chipping paint.”

8VAC20-780-60-A

“Based on record review and interview, it was determined that the center did not ensure that each center maintain and keep at the center a separate record for each child enrolled which shall contain the work phone number of each parent who has custody. Evidence: 1. Child #1 (date of enrollment 12/12/2022) did not have the mother’s work phone number in their record. 2. Child #2 (date of enrollment 11/07/2022) did not have the father’s work phone number in their record. 3. Staff #1 confirmed that Child #1 and Child #2 did not have the work phone number of a parent who has custody.”

8VAC20-780-70

“Based on observation and interview, it was determined that the center did not ensure that staff records be kept for each staff person to include a name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. Staff #3 (date of hire 8/9/22) did not have the address of a person to be notified in an emergency. 2. Staff #1 confirmed there was no address listed to the emergency contact for Staff #3. Based on observation and interview it was determined that the center did not ensure that staff records be kept for each staff person to include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #3 (date of hire 8/9/22) did not have two references checks completed to his record. 2. Staff #1 confirmed that Staff #3 did not have reference checks completed prior to employment.”

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 staff members obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Two of the five staff files reviewed have tuberculosis screenings that are past two years from the date of the initial screening/testing. a. Staff #1 , Director, has a tuberculosis test dated 8/11/2020. b. Staff #2 has a tuberculosis test last dated 8/11/2020 which is outside of the required timeframe. 2. Staff #1 confirmed the dates are past the required timeframe of two years.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home the food container be clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the preschool room, there were three water bottles not labeled in a way that identifies the owner. 2. Staff #1 confirmed that the water bottles were not labeled.”

8VAC20-780-70

“Based on observation and interview, it was determined that the center did not ensure that staff records be kept for each staff person to include a name, address, and telephone number of a person to be notified in an emergency which shall be kept at the center. Evidence: 1. Staff #3 (date of hire 8/9/22) did not have the address of a person to be notified in an emergency. 2. Staff #1 confirmed there was no address listed to the emergency contact for Staff #3. Based on observation and interview it was determined that the center did not ensure that staff records be kept for each staff person to include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Evidence: 1. Staff #3 (date of hire 8/9/22) did not have two references checks completed to his record. 2. Staff #1 confirmed that Staff #3 did not have reference checks completed prior to employment.”

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 staff members obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1. Two of the five staff files reviewed have tuberculosis screenings that are past two years from the date of the initial screening/testing. a. Staff #1 , Director, has a tuberculosis test dated 8/11/2020. b. Staff #2 has a tuberculosis test last dated 8/11/2020 which is outside of the required timeframe. 2. Staff #1 confirmed the dates are past the required timeframe of two years.”

8VAC20-780-560-G

“Based on observation and interview, it was determined that the center did not ensure that when food is brought from home the food container be clearly dated and labeled in a way that identifies the owner. Evidence: 1. In the preschool room, there were three water bottles not labeled in a way that identifies the owner. 2. Staff #1 confirmed that the water bottles were not labeled.”

8VAC20-780-330-B

“During observation and interview, it was determined that the center did not ensure that the playground equipment is provided with resilient surfacing under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1) The slide to the preschool playground was placed on the grass and dirt area which does not contain resilient surfacing to the fall zone. Children were observed during playtime utilizing the slide. 2) The slide to the toddler playground has no resilient surfacing to the fall zone. 3) Staff #1 confirmed that there was no resilient surfacing as required under the slides on both playgrounds.”

8VAC20-780-280-G

“During observation and interview, it was determined that the center did not ensure that hazardous substances that are not kept in original containers are clearly indicate their contents. Evidence: 1) The infant room has a bucket of cleaning solution beside the sink that is not labeled with its content and not in the original container. 2) The preschool bathroom has a bottle of cleaning solution, not in its original container, on top of the first aid kit box with no label of its content. 3) Staff #1 confirmed the cleaning bottles of bleach and water and the disinfectant solution did not have the required label to distinguish its content.”

8VAC20-780-270-A

“During observation and interview, it was the determined that the center did not ensure that areas and equipment of the center be maintained in a safe condition. Evidence: 1) The entrance to the preschool room has approximately five inches of frayed and missing carpet, exposing the metal lining between the carpet and laminate. Children and staff were observed using this entrance during the time of the inspection. This poses a tripping hazard. 2) The toddler changing table has several plastic bags in reach of children posing a suffocation hazard. 3) Staff #1 confirmed that the entrance to the preschool room was currently being used to enter and exit the preschool area and that the area was in need of repair. Staff #1 was aware the plastic bags were in reach of children posing a suffocation hazard.”

8VAC20-780-280-B

“During observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials were locked in a place using a safe locking method that prevents access by children. Evidence: 1) The infant room has two small open buckets with liquid cleaning solution beside the sink. The cleaning solution is in reach of the seven infants currently in care. 2) The infant room has an unlocked bottle of cleaning solution beside the changing table accessible to children. 3) The preschool bathroom has a bottle of cleaning solution unlocked on top of the first aid kit box accessible to children. 4) The toddler changing table had a bottle of bleach and water unlocked in reach of children. 5) Staff #1 confirmed that the above cleaning solution all contained a hazardous cleaning material. Staff #1 confirmed the cleaning solutions were unlocked in reach of children.”

8VAC20-780-440-G

“During observation and interview, it was determined that the center did not ensure that cribs be used for children under 12 months of age. Evidence: 1) The infant room has two children (age 6 months and 7 months) that are not sleeping in cribs. 2) Staff #1 and infant room teachers confirmed that both children are sleeping outside of a crib on mats on the floor of the classroom.”

8VAC20-780-330-B

“During observation and interview, it was determined that the center did not ensure that the playground equipment is provided with resilient surfacing under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: 1) The slide to the preschool playground was placed on the grass and dirt area which does not contain resilient surfacing to the fall zone. Children were observed during playtime utilizing the slide. 2) The slide to the toddler playground has no resilient surfacing to the fall zone. 3) Staff #1 confirmed that there was no resilient surfacing as required under the slides on both playgrounds.”

8VAC20-780-280-G

“During observation and interview, it was determined that the center did not ensure that hazardous substances that are not kept in original containers are clearly indicate their contents. Evidence: 1) The infant room has a bucket of cleaning solution beside the sink that is not labeled with its content and not in the original container. 2) The preschool bathroom has a bottle of cleaning solution, not in its original container, on top of the first aid kit box with no label of its content. 3) Staff #1 confirmed the cleaning bottles of bleach and water and the disinfectant solution did not have the required label to distinguish its content.”

8VAC20-780-270-A

“During observation and interview, it was the determined that the center did not ensure that areas and equipment of the center be maintained in a safe condition. Evidence: 1) The entrance to the preschool room has approximately five inches of frayed and missing carpet, exposing the metal lining between the carpet and laminate. Children and staff were observed using this entrance during the time of the inspection. This poses a tripping hazard. 2) The toddler changing table has several plastic bags in reach of children posing a suffocation hazard. 3) Staff #1 confirmed that the entrance to the preschool room was currently being used to enter and exit the preschool area and that the area was in need of repair. Staff #1 was aware the plastic bags were in reach of children posing a suffocation hazard.”

8VAC20-780-280-B

“During observation and interview, it was determined that the center did not ensure that hazardous substances such as cleaning materials were locked in a place using a safe locking method that prevents access by children. Evidence: 1) The infant room has two small open buckets with liquid cleaning solution beside the sink. The cleaning solution is in reach of the seven infants currently in care. 2) The infant room has an unlocked bottle of cleaning solution beside the changing table accessible to children. 3) The preschool bathroom has a bottle of cleaning solution unlocked on top of the first aid kit box accessible to children. 4) The toddler changing table had a bottle of bleach and water unlocked in reach of children. 5) Staff #1 confirmed that the above cleaning solution all contained a hazardous cleaning material. Staff #1 confirmed the cleaning solutions were unlocked in reach of children.”

8VAC20-780-440-G

“During observation and interview, it was determined that the center did not ensure that cribs be used for children under 12 months of age. Evidence: 1) The infant room has two children (age 6 months and 7 months) that are not sleeping in cribs. 2) Staff #1 and infant room teachers confirmed that both children are sleeping outside of a crib on mats on the floor of the classroom.”