Mini Miracles Learning Center

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: In the nap room, a power cord was stretched out and dangling from a television (TV) on a the end of a storage unit. The distance from the TV to the outlet on the wall was approximately 3 feet. This posed a hazard, as a child could pull the cord causing the TV to fall.”

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #2 did not contain the parents work phone numbers. 2.The Director confirmed the phone numbers were not documented”

8VAC20-780-140-A

“Based on a record review and interview, it was determined that the facility did not ensure that all children had documentation of a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4 (enrolled on 11/27/23) did not have documentation of having received a physical. 2. The Director confirmed the physical information was missing.”

8VAC20-780-420-E-3

“Based on record review and interviews, it was determined that the center did not ensure that staff request at least annually, parent confirmation that the required information in the child's record is up to date. Evidence: The record for child #1 did not include current documentation that the parent reviewed the record and confirmed the information was up to date. The last record review was dated 6/18/2022.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the two-year-old classroom, low on a partial wall and accessible to children, there was crumbling drywall. 2. In the four-year-old classroom, there was paint peeling on a partial wall. The peeling paint was approximately 3 feet from the ground and accessible to children. 3.The Director confirmed the paint and drywall was in need of repair.”

8VAC20-780-420-E-3

“Based on record review and interviews, it was determined that the center did not ensure that staff request at least annually, parent confirmation that the required information in the child's record is up to date. Evidence: The record for child #1 did not include current documentation that the parent reviewed the record and confirmed the information was up to date. The last record review was dated 6/18/2022.”

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the two-year-old classroom, low on a partial wall and accessible to children, there was crumbling drywall. 2. In the four-year-old classroom, there was paint peeling on a partial wall. The peeling paint was approximately 3 feet from the ground and accessible to children. 3.The Director confirmed the paint and drywall was in need of repair.”

8VAC20-780-510-E

“Based upon review of medication, the facility has not ensured that their medication policies are followed. Evidence: 1. The parent authorization for emergency administration of an asthma inhaler to child 2 did not include the duration of the parent's authorization. 2. The allergy action plan for child 6 indicated to administer diphenhydramine, followed by an EpiPen should the diphenhydramine not be effective. There was no diphenhydramine for child 6. 3. There was no written uthorization for an EpiPen to be administered in an emergency to child 6.”

8VAC20-780-570-E

“Based upon observation, the facility has not ensured that prepared bottles are labeled with the date. Evidence: There was a prepared bottle in the infant room for child 4 that was dated 2/13.”

8VAC20-780-280-B

“Based upon observation and staff interview. the facility has not ensured that hazardous substances are kept in locked locations using safe locking methods that prevent access by children. Evidence: 1. There was a spray bottle of air freshener and another container of spray disinfectant, both with warning labels, in the unlocked staff bathroom in the girls' bathroom. 2. Staff 2 verified the unlocked substances in the girls' bathroom 3. There was a container of spray disinfectant with a warning label on a high shelf in the unlocked bathroom adjoining the toddler room. 4. Staff 1 verified the presence of the disinfectant.”

8VAC20-780-510-E

“Based upon review of medication, the facility has not ensured that their medication policies are followed. Evidence: 1. The parent authorization for emergency administration of an asthma inhaler to child 2 did not include the duration of the parent's authorization. 2. The allergy action plan for child 6 indicated to administer diphenhydramine, followed by an EpiPen should the diphenhydramine not be effective. There was no diphenhydramine for child 6. 3. There was no written uthorization for an EpiPen to be administered in an emergency to child 6.”

8VAC20-780-570-E

“Based upon observation, the facility has not ensured that prepared bottles are labeled with the date. Evidence: There was a prepared bottle in the infant room for child 4 that was dated 2/13.”

8VAC20-780-280-B

“Based upon observation and staff interview. the facility has not ensured that hazardous substances are kept in locked locations using safe locking methods that prevent access by children. Evidence: 1. There was a spray bottle of air freshener and another container of spray disinfectant, both with warning labels, in the unlocked staff bathroom in the girls' bathroom. 2. Staff 2 verified the unlocked substances in the girls' bathroom 3. There was a container of spray disinfectant with a warning label on a high shelf in the unlocked bathroom adjoining the toddler room. 4. Staff 1 verified the presence of the disinfectant.”

8VAC20-780-130-A

“Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #4, present during the inspection, did not contain documentation of an immunization record. 2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days. Evidence: 1. The record for staff #2(date of hire 4/6/22) contained documentation of a negative tuberculosis screening that was dated 4/24/22. 2. Staff #5 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had been completed after employment began.”

8VAC20-780-350-B-4

“Based on observation and interviews, it was determined that the licensee did not ensure that for children, three years of age up to school age eligible, a ratio of one staff member for every ten children is maintained at all times children are in care. Evidence: 1. The Licensing Inspector entered the Pre-K classroom and observed staff #1 alone with 12 children present. 2. When staff #1 was asked the age of the children present, staff #1 stated that the children were 4 and 5 years old. 3. An additional staff arrived at the facility and entered into the classroom during the inspection. 4. Staff #5 (Program Director) confirmed the Pre-K classroom did not maintain the required staff-to child ratio.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The written authorization for the medication (Ventolin inhaler) for child #1 was not signed by the parent. 2. Staff #5 (Program Director) confirmed that there was medication at the facility that did not have written authorization from the parent in order for it to be administered.”

8VAC20-780-550-F

“Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a lockdown practice evacuation drill is completed annually. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that a lockdown practice drill was completed during 2021. 2. Staff #5 (Program Director) confirmed that only one shelter-in-place practice drill was completed during 2021.”

8VAC20-780-130-A

“Based on a review of five children's records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #4, present during the inspection, did not contain documentation of an immunization record. 2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.”

8VAC20-780-160-A

“Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days. Evidence: 1. The record for staff #2(date of hire 4/6/22) contained documentation of a negative tuberculosis screening that was dated 4/24/22. 2. Staff #5 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had been completed after employment began.”

8VAC20-780-350-B-4

“Based on observation and interviews, it was determined that the licensee did not ensure that for children, three years of age up to school age eligible, a ratio of one staff member for every ten children is maintained at all times children are in care. Evidence: 1. The Licensing Inspector entered the Pre-K classroom and observed staff #1 alone with 12 children present. 2. When staff #1 was asked the age of the children present, staff #1 stated that the children were 4 and 5 years old. 3. An additional staff arrived at the facility and entered into the classroom during the inspection. 4. Staff #5 (Program Director) confirmed the Pre-K classroom did not maintain the required staff-to child ratio.”

8VAC20-780-510-I

“Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container. Evidence: 1. The written authorization for the medication (Ventolin inhaler) for child #1 was not signed by the parent. 2. Staff #5 (Program Director) confirmed that there was medication at the facility that did not have written authorization from the parent in order for it to be administered.”

8VAC20-780-550-F

“Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a lockdown practice evacuation drill is completed annually. Evidence: 1. The emergency drill log did not have written documentation to demonstrate that a lockdown practice drill was completed during 2021. 2. Staff #5 (Program Director) confirmed that only one shelter-in-place practice drill was completed during 2021.”