Smart Cookie Learning Center II

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Emergency medication for Child #6 was not maintained in the original container and did not have the child’s name, the name of the medication, or the dosage amount.”

8VAC20-780-510-F

“Medication authorization shall be available to staff during the entire time it is effective. Two emergency prescription medications were observed onsite for child #6 and child #7 and did not have medication authorization available at the time of inspection.”

8VAC20-780-245-J-1

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. Child #6 and child #7 had emergency medication on site and there was not a staff member with the required medication administration training at the time of inspection.”

8VAC20-780-270-A

“Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On the main playground, a broken playhouse was observed on the ground with sharp broken edges.”

8VAC20-780-280-B

“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. In classroom #2, a bottle of disinfectant wipes was observed on a counter unlocked and accessible to children.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. Emergency medication for Child #6 was not maintained in the original container and did not have the child’s name, the name of the medication, or the dosage amount.”

8VAC20-780-510-F

“Medication authorization shall be available to staff during the entire time it is effective. Two emergency prescription medications were observed onsite for child #6 and child #7 and did not have medication authorization available at the time of inspection.”

8VAC20-780-245-J-1

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the training requirements. Child #6 and child #7 had emergency medication on site and there was not a staff member with the required medication administration training at the time of inspection.”

8VAC20-780-270-A

“Repeat Violation: Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On the main playground, a broken playhouse was observed on the ground with sharp broken edges.”

8VAC20-780-280-B

“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. In classroom #2, a bottle of disinfectant wipes was observed on a counter unlocked and accessible to children.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Two restrooms, designated for children use, did not have hand soap in the restroom within reach of children.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Over the counter medication was stored in an unlocked cabinet in the kitchen, accessible to children.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the bathroom located in the trailer, there was an air vent on the floor of the bathroom that was fully rusted. Behind the door of the bathroom, there was a hole in the wall, exposing dry wall. The corner of the wall in the bathroom had peeling paint. Near the light switch of the bathroom, the wall was covered with dark smudges and fingerprints.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. Two restrooms, designated for children use, did not have hand soap in the restroom within reach of children.”

8VAC20-780-510-L

“Medication shall be kept in a locked place using a safe locking method that prevents access by children. Over the counter medication was stored in an unlocked cabinet in the kitchen, accessible to children.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the bathroom located in the trailer, there was an air vent on the floor of the bathroom that was fully rusted. Behind the door of the bathroom, there was a hole in the wall, exposing dry wall. The corner of the wall in the bathroom had peeling paint. Near the light switch of the bathroom, the wall was covered with dark smudges and fingerprints.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1, who has been employed for one month, did not have a completed tuberculosis screening.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #5, who is currently working, did not have a completed TB screening. The updated screening was due over one month ago.”

8VAC20-780-180-A

“Staff shall be of good character and reputation. On 11/01/2024, a tuberculosis screening was observed in the record for staff #1 and staff #5 that had been altered. The director was shown the documentation and agreed that the documents appeared altered.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #3, who has been attending for over two months, did not have documentation of an immunization record on file.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1, who has been employed for one month, did not have a completed tuberculosis screening.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #5, who is currently working, did not have a completed TB screening. The updated screening was due over one month ago.”

8VAC20-780-180-A

“Staff shall be of good character and reputation. On 11/01/2024, a tuberculosis screening was observed in the record for staff #1 and staff #5 that had been altered. The director was shown the documentation and agreed that the documents appeared altered.”

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #3, who has been attending for over two months, did not have documentation of an immunization record on file.”

8VAC20-790-600-D-1

“Based on record reviews the vendor failed to ensure that all staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and the training shall include an in-person competency demonstration. Evidence: 1. Staff #1 (date of hire 06/01/2017) had a CPR certification that did not have the hands on skill requirement. The document stated online only. 2. Director acknowledged the certification was missing hands on skill as required.”

8VAC20-780-340-A Complaint related: Yes

“Based on a review of documents and interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff #1 and staff #2 were supervising nine children on the morning of August 19th, 2024. 2. Staff #1 and #2 were unaware that Child #1 (age 2) walked out of the classroom sometime between 7:50am-8am. Child #1 exited the building through the front door and made their way to the sidewalk of a road that has a speed limit of 40mph. 3. Staff #1 reported that they heard a chime on the door and realized that Child #1 was not in the classroom. 4. Staff #1 reported going outside to retrieve the child and acknowledged that an unknown passerby was outside and asked if everything was ok. 5. The passerby notified a local agency that the child was outside unsupervised and reported that at approximately 8am, the passerby noticed a toddler walking on the sidewalk. The toddler was dragging a blanket and crying. The individual turned their car around, and went to engage with the child. Another passerby pointed out a local daycare in the area. The location of the child found was approximately 100-150 feet away from the local daycare. The individual took the child to the local daycare where a staff acknowledged the child was part of the facility. It was reported that the staff was unaware the child was missing.”

8VAC20-780-60-A Complaint related: No

“Based on review of records, the center did not ensure to maintain and keep at the center a separate record for each child enrolled that contains all required information. Evidence: 1. Child #1 record did not contain work phone number and place of employment of each parent who has custody.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of documentation and interview, the licensee did not ensure operational responsibilities that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by the standards. Evidence: 1. Review of the document titled ?Staff Handbook?, under 8.1 Daily Preparation, it states that staff will ?Supervise and ensure the safety and well-being of the children at all times, being alert to the needs of children as individuals and as a group.? 2. Review of the document titled ?Staff Handbook? under 8.7 Parent Communication, it states ?Conversations at pick-up and drop-off should be brief; your chief responsibility remains the supervision of the children. If you feel a parent needs more time or attention, ask to schedule a time to meet when you are not in the classroom.? 3. On August 19th, 2024, staff #2 was consoling child #1 on the carpet while playing with blocks. Staff #2 stated that other parents entered the center to drop off and had their back to the child to greet parents that were dropping off. Staff #1 stated at this time, they went to assist another child that was crying and had their back to child #1. Child #1 (2 years) exited the building through the front door and made their way to the sidewalk of a road that has a speed limit of 40mph."”

8VAC20-780-340-F Complaint related: Yes

“Based on interview, the center did not ensure that children under 10 years of age were within actual sight and sound supervision of staff as required. Evidence: 1. On August 19, 2024, two staff were supervising nine children. In the morning, one child (aged 2) walked out of the front door of the center unaccompanied, leaving the child out of sight and sound supervision. 2. In an interview, staff #1 and #2 acknowledged that they both had their backs to the child and acknowledged the child left the center.”

8VAC20-790-600-D-1

“Based on record reviews the vendor failed to ensure that all staff have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and the training shall include an in-person competency demonstration. Evidence: 1. Staff #1 (date of hire 06/01/2017) had a CPR certification that did not have the hands on skill requirement. The document stated online only. 2. Director acknowledged the certification was missing hands on skill as required.”

8VAC20-780-340-A Complaint related: Yes

“Based on a review of documents and interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. Staff #1 and staff #2 were supervising nine children on the morning of August 19th, 2024. 2. Staff #1 and #2 were unaware that Child #1 (age 2) walked out of the classroom sometime between 7:50am-8am. Child #1 exited the building through the front door and made their way to the sidewalk of a road that has a speed limit of 40mph. 3. Staff #1 reported that they heard a chime on the door and realized that Child #1 was not in the classroom. 4. Staff #1 reported going outside to retrieve the child and acknowledged that an unknown passerby was outside and asked if everything was ok. 5. The passerby notified a local agency that the child was outside unsupervised and reported that at approximately 8am, the passerby noticed a toddler walking on the sidewalk. The toddler was dragging a blanket and crying. The individual turned their car around, and went to engage with the child. Another passerby pointed out a local daycare in the area. The location of the child found was approximately 100-150 feet away from the local daycare. The individual took the child to the local daycare where a staff acknowledged the child was part of the facility. It was reported that the staff was unaware the child was missing.”

8VAC20-780-60-A Complaint related: No

“Based on review of records, the center did not ensure to maintain and keep at the center a separate record for each child enrolled that contains all required information. Evidence: 1. Child #1 record did not contain work phone number and place of employment of each parent who has custody.”

8VAC20-780-40-E Complaint related: Yes

“Based on a review of documentation and interview, the licensee did not ensure operational responsibilities that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by the standards. Evidence: 1. Review of the document titled ?Staff Handbook?, under 8.1 Daily Preparation, it states that staff will ?Supervise and ensure the safety and well-being of the children at all times, being alert to the needs of children as individuals and as a group.? 2. Review of the document titled ?Staff Handbook? under 8.7 Parent Communication, it states ?Conversations at pick-up and drop-off should be brief; your chief responsibility remains the supervision of the children. If you feel a parent needs more time or attention, ask to schedule a time to meet when you are not in the classroom.? 3. On August 19th, 2024, staff #2 was consoling child #1 on the carpet while playing with blocks. Staff #2 stated that other parents entered the center to drop off and had their back to the child to greet parents that were dropping off. Staff #1 stated at this time, they went to assist another child that was crying and had their back to child #1. Child #1 (2 years) exited the building through the front door and made their way to the sidewalk of a road that has a speed limit of 40mph."”

8VAC20-780-340-F Complaint related: Yes

“Based on interview, the center did not ensure that children under 10 years of age were within actual sight and sound supervision of staff as required. Evidence: 1. On August 19, 2024, two staff were supervising nine children. In the morning, one child (aged 2) walked out of the front door of the center unaccompanied, leaving the child out of sight and sound supervision. 2. In an interview, staff #1 and #2 acknowledged that they both had their backs to the child and acknowledged the child left the center.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the school age classroom where children were present, a disinfectant spray and a spray bottle of bleach solution was observed in an unlocked cabinet. The label on the disinfectant spray stated "keep out of reach of children.? 2. In the school age classroom's bathroom, a cleaning solution was observed unlocked and accessible to children. Children were observed using the bathroom. The label on the cleaning solution stated "keep out of reach of children.?”

8VAC20-780-340-D

“Based on review of records, observation and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: 1. During the inspection on 06/25/2024, staff 2 was supervising the preschool room of four children alone. Staff 2 record did not contain documentation of program lead qualifications. 3. Leadership acknowledged that there was no additional training or documents to prove that staff 2 qualifies as a program lead.”