Smart Start

8VAC20-780-70

“Based on a review of five staff records, the center did not ensure that records for staff were complete. Evidence: 1. The record for staff 1 was missing documentation that the individual possesses the education and training required by the job position. Staff 1?s hire date was 12/13/2023. 2. The record for staff 2 was missing documentation that the individual possesses the education and training required by the job position, and two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff 2?s hire date was 12/21/2023. 3. The record for staff 5 was missing documentation of two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff 5?s hire date was 4/22/2024.”

8VAC20-780-160-A

“(Repeat violation) Based on review of staff records, the center did not obtain documentation of a negative tuberculosis screening within the last 30 calendars days of the date of employment. Evidence: 1. The record for staff 1 (hire date 12/12/2023), contained a negative tuberculosis screening dated for 2/22/2024. 2. The record for staff 2 (hire date 12/21/2023), contained a negative tuberculosis screening dated for 4/22/2024.”

8VAC20-770-60-B

“Based on review of staff records, the center did not obtain a completed sworn statement or affirmation for each staff member prior to date of hire. Evidence: The record for staff 2 (Date of hire 12/21/2023) did not contain a completed sworn statement or affirmation.”

8VAC20-780-550-F

“Based on record review, the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1. The evacuation drill log did not contain documentation that a lockdown drill had been practiced between September 2022 ? August 2023. 2. The director stated that she was not aware that a lockdown drill had not been completed.”

8VAC20-780-160-A

“Based on record review, the center did not obtain a Tuberculosis (TB) test/screening for all staff within the last 30 calendar days of the date of employment. 1. Staff 5?s record contained a tuberculosis (TB) test dated 9/28/2021. Staff 5?s dated of hire was 7/24/2023. 2. The director stated that she was not aware that she needed an updated tuberculosis (TB) test when she was rehired.”

8VAC20-780-270-A

“Based on observation, the center did not maintain a safe condition in one classroom. Evidence: A pair of teacher scissors was found sitting on top of a set of cubbies near the door in classroom 1.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that all 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 classroom 1, there was a clear bottle labeled ?bleach no water? hanging over the sink where children wash their hands.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In classroom 2, there were 3 electrical outlets not covered with protective covers. 2. Staff was aware that outlets were not covered.”

8VAC20-780-550-E

“Based on record review, the center did not ensure that a shelter in place procedures shall be practiced a minimum of twice per year. Evidence: 1. Reviewed the evacuation drill log and found that there was no shelter in place drills practice from September 2022 ? August 2023. 2. The director was aware that a shelter in place drill had not been practiced.”

8VAC20-780-550-F

“Based on record review, the center did not ensure that lockdown procedures shall be practiced at least annually. Evidence: 1. The evacuation drill log did not contain documentation that a lockdown drill had been practiced between September 2022 ? August 2023. 2. The director stated that she was not aware that a lockdown drill had not been completed.”

8VAC20-780-160-A

“Based on record review, the center did not obtain a Tuberculosis (TB) test/screening for all staff within the last 30 calendar days of the date of employment. 1. Staff 5?s record contained a tuberculosis (TB) test dated 9/28/2021. Staff 5?s dated of hire was 7/24/2023. 2. The director stated that she was not aware that she needed an updated tuberculosis (TB) test when she was rehired.”

8VAC20-780-270-A

“Based on observation, the center did not maintain a safe condition in one classroom. Evidence: A pair of teacher scissors was found sitting on top of a set of cubbies near the door in classroom 1.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that all 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 classroom 1, there was a clear bottle labeled ?bleach no water? hanging over the sink where children wash their hands.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: 1. In classroom 2, there were 3 electrical outlets not covered with protective covers. 2. Staff was aware that outlets were not covered.”

8VAC20-780-550-E

“Based on record review, the center did not ensure that a shelter in place procedures shall be practiced a minimum of twice per year. Evidence: 1. Reviewed the evacuation drill log and found that there was no shelter in place drills practice from September 2022 ? August 2023. 2. The director was aware that a shelter in place drill had not been practiced.”

8VAC20-790-600-F

“Based on record review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department as required. Evidence: 1. The record of staff #4 (DOH: 07/01/2019) contained documentation of the Virginia Annual Health and Safety Update dated 10/19/2021. 2. The record of staff #5 (DOH: 08/16/2022) contained documentation of the Virginia Annual Health and Safety Update dated 08/16/2022. 3. The administrator acknowledged that the training update had not been completed annually as required.”

8VAC20-790-600-D-1

“Based on review, two center staff did not have current certification in Cardiopulmonary Resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2 (Date of hire 4/4/2022) did not have current certification in cardiopulmonary resuscitation (CPR). 2. Staff #3 (Date of hire 11/28/2022) did not have current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-790-600-D-2

“Based on review, two center staff did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #2 (Date of hire 4/4/2022) did not have current certification in first aid appropriate to the ages of children in care. 2. Staff #3 (Date of hire 11/28/2022) did not have current certification in first aid appropriate to the ages of children in care.”

8VAC20-780-290-A-3

“Based on observation, the center failed to have protective covers on electrical outlets in areas used by preschool age or younger children. Evidence: 1. The Preschool classroom (Ages 3years ? 5 years) had one outlet that was not covered with an outlet cover located on the wall near the door within reach of children. 2. In the entry area above a bench, an outlet was not covered with and outlet cover. The outlet cover is within reach of children.”

8VAC20-780-40-M

“Based on observation, the center did not maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. Evidence: 1. The allergy list was not kept in a confidential manner, as the list was observed posted on the front wall near the door in the 2?s and 3?s classroom.”

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the 2?s and 3?s classroom, there was a hole in the wall approximately 2-3 inches located on the back wall under the window seal.”

8VAC20-790-600-F

“Based on record review and interview, the vendor did not ensure that each staff complete annually the Virginia Annual Health and Safety Update Course sponsored by the Department as required. Evidence: 1. The record of staff #4 (DOH: 07/01/2019) contained documentation of the Virginia Annual Health and Safety Update dated 10/19/2021. 2. The record of staff #5 (DOH: 08/16/2022) contained documentation of the Virginia Annual Health and Safety Update dated 08/16/2022. 3. The administrator acknowledged that the training update had not been completed annually as required.”

8VAC20-790-600-D-1

“Based on review, two center staff did not have current certification in Cardiopulmonary Resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. Staff #2 (Date of hire 4/4/2022) did not have current certification in cardiopulmonary resuscitation (CPR). 2. Staff #3 (Date of hire 11/28/2022) did not have current certification in cardiopulmonary resuscitation (CPR).”

8VAC20-790-600-D-2

“Based on review, two center staff did not have current certification in first aid appropriate to the ages of children in care. Evidence: 1. Staff #2 (Date of hire 4/4/2022) did not have current certification in first aid appropriate to the ages of children in care. 2. Staff #3 (Date of hire 11/28/2022) did not have current certification in first aid appropriate to the ages of children in care.”

8VAC20-780-290-A-3

“Based on observation, the center failed to have protective covers on electrical outlets in areas used by preschool age or younger children. Evidence: 1. The Preschool classroom (Ages 3years ? 5 years) had one outlet that was not covered with an outlet cover located on the wall near the door within reach of children. 2. In the entry area above a bench, an outlet was not covered with and outlet cover. The outlet cover is within reach of children.”

8VAC20-780-40-M

“Based on observation, the center did not maintain, in a way that is accessible to all caregivers, a current written list of all children's allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential. Evidence: 1. The allergy list was not kept in a confidential manner, as the list was observed posted on the front wall near the door in the 2?s and 3?s classroom.”

8VAC20-780-270-A

“Based on observation it was determined the center did not ensure that all areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. In the 2?s and 3?s classroom, there was a hole in the wall approximately 2-3 inches located on the back wall under the window seal.”

8VAC20-780-410-1 Complaint related: No

“Based on a review of documentation, interviews, and video footage, the center did not ensure that staff did not use a forbidden action of rough handling a child. Evidence: 1) Video footage of the infant classroom reviewed on February 24, 2023, revealed that on December 8, 2023, Staff #1 roughly handled an infant in care. In the video, staff were observed feeding an infant, while another teacher was preparing formula. There was a third teacher who entered the classroom 15 seconds into the video with an infant that was asleep. The infant was placed on a mat on the floor with a blanket. The video, which was 1 minutes and 39 seconds in length, shows Staff #1 enter the classroom and places her things down. She then proceeds to pick up child # 1 by his right arm and swings him as she grabs his left arm and the child is dangling in the air. Staff #1 then proceeds to take a few steps toward a bean bag on the floor while holding Child #1 by both arms. Staff #1 picks up a stuff animal with one hand and drops it on the floor while holding child #1 by the left arm as the child dangled in the air while she then kicks the bean bag with her foot. Staff #1 then grabs child #1?s right arm and is holding the child by both arms. A staff then takes child #1 and holds the child in her arms. Child #1?s feet were observed off the ground for a approximately 17 seconds.”

8VAC20-780-440-G Complaint related: No

“Based on observation and video footage, the center failed to use a crib for children under 12 months of age who are not developmentally ready to sleep on a cot or mat. Evidence: 1. A teacher placed a sleeping infant on a mat. The teacher then covered the infant with a blanket.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation of a physical exam for children within one month of attendance. Evidence: Child #3 first date of attendance was 9/13/2022 and their record did not contain a physical exam. Child #5 first date of attendance was 9/13/2022 and their record did not contain a physical exam.”

8VAC20-820-120-E-2

“Based on observation and interview, the center failed to post the most recent inspection of the facility. Evidence: 1. The inspection posted in the hall on the bulletin board was dated 1/7/20. The most recent inspection was dated 5/5/22. 2. The director verified the most current inspection was not posted.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation of a physical exam for children within one month of attendance. Evidence: Child #3 first date of attendance was 9/13/2022 and their record did not contain a physical exam. Child #5 first date of attendance was 9/13/2022 and their record did not contain a physical exam.”

8VAC20-820-120-E-2

“Based on observation and interview, the center failed to post the most recent inspection of the facility. Evidence: 1. The inspection posted in the hall on the bulletin board was dated 1/7/20. The most recent inspection was dated 5/5/22. 2. The director verified the most current inspection was not posted.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevented access by children. Evidence: During the inspection, the kitchen door was observed propped open. A rolling cart located in the kitchen contained a variety of cleaning products.”

8VAC20-780-70

“Based on review of six staff records, observation and interview, the center did not ensure one staff record contained the required information. Evidence: The record for Staff #1 (hire date 04/04/2022) did not the name, address and phone number of one person to be notified in case of emergency and information regarding any health problems that may interfere with fulfilling the job responsibilities. Staff #1 was observed working during the inspection. A member of management confirmed the information was not in the record while the licensing inspector was on site.”

8VAC20-780-60-A

“Based on the review of five children's records and interview, the center did not ensure one child's contained the required information. Evidence: The record for Child #1 contained the name, address and phone number for one designated person to call in an emergency if a parent cannot be reached. Name, address and phone number is required for two designated emergency contacts other than the child's parent. A member of management confirmed this information during the inspection.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevented access by children. Evidence: During the inspection, the kitchen door was observed propped open. A rolling cart located in the kitchen contained a variety of cleaning products.”

8VAC20-780-70

“Based on review of six staff records, observation and interview, the center did not ensure one staff record contained the required information. Evidence: The record for Staff #1 (hire date 04/04/2022) did not the name, address and phone number of one person to be notified in case of emergency and information regarding any health problems that may interfere with fulfilling the job responsibilities. Staff #1 was observed working during the inspection. A member of management confirmed the information was not in the record while the licensing inspector was on site.”

8VAC20-780-60-A

“Based on the review of five children's records and interview, the center did not ensure one child's contained the required information. Evidence: The record for Child #1 contained the name, address and phone number for one designated person to call in an emergency if a parent cannot be reached. Name, address and phone number is required for two designated emergency contacts other than the child's parent. A member of management confirmed this information during the inspection.”

22VAC40-665-540-A

“Based on review of three staff records and interview, the vendor did not ensure two staff members obtained a tuberculosis (TB) screening that had been completed within the last 30 calendar days of the date of employment. Evidence: 1. The record for Staff #1 (hire date 03/08/2021) contained a TB screening dated 03/12/2021. 2. The record for Staff #2 (hire date 06/21/2021) contained a TB screening date 06/29/2021. 3. The director confirmed this information was accurate.”

22VAC40-665-580-H

“Based on review of three staff records and interview, the vendor did not ensure one staff completed the department's health and safety update course. The record for Staff #3 (hire date 07/01/2019) did not contain documentation that the Virginia Annual Health and Safety Update Training was completed. A member of management confirmed Staff #3 had not taken the required training as of 10/15/2021.”