The Tender Touch

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. In the front 2-year-old classroom, there were bleach wipes and three bottles of rubbing alcohol with a warning label, ?Keep out of reach of children? that were unlocked and accessible to children.”

22.1-289.035-B-4

“The center shall obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Staff #2 and Staff #3 did not have out-of-state background checks completed and were present working at the center with children. Notes: 1. Staff #2 (date of hire 05/20/2024) and Staff #3 (date of hire 9/20/22) reported on their Sworn Statement Disclosure that they lived in another state outside of Virginia in the past five years. 2. Staff #2 and Staff #3 were present at the center working with children. 3. Staff #1 confirmed that there was no out-of-state background check completed on Staff #2 and Staff #3 and that they were both currently at the center working with children.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water or disposable wipes before and after eating meals. In the 3-year-old classroom, the children did not wash their hands with soap and running water after eating breakfast.”

8VAC20-780-580-B

“Based on observation and interview, it was determined that the center did not ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles. Evidence: 1. The transportation van for the center had expired Virginia State DMV registration tags that were dated January 2023. 2. The most recent up to date registration card from the DMV was unable to be located by the owner. 3. The owner confirmed that the transportation van’s Virginia registration tags were expired as of January 2023.”

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 toddler room #1, there were two children observed eating cracker and walking. 2. Toddler staff confirmed the two children were walking and eating in the classroom.”

8VAC20-780-580-B

“Based on observation and interview, it was determined that the center did not ensure that any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles. Evidence: 1. The transportation van for the center had expired Virginia State DMV registration tags that were dated January 2023. 2. The most recent up to date registration card from the DMV was unable to be located by the owner. 3. The owner confirmed that the transportation van’s Virginia registration tags were expired as of January 2023.”

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 toddler room #1, there were two children observed eating cracker and walking. 2. Toddler staff confirmed the two children were walking and eating in the classroom.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that feeding bottles not be used while the child is in his designated sleeping location. Evidence: 1. In the infant room, two children under the age of 12 months were observed to have a bottle while lying down inside their (crib) designated sleeping area. 2. Staff #1 and Staff #2 confirmed that the two children in care had a bottle while in the crib which is the child’s designated sleeping area.”

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 be maintained in a safe and operable condition. Evidence: 1. In the infant room, 5 cribs had crib sheets that were loose and not fitted to the crib sized mattress. The 5 cribs are assigned to children in care that was present at the time of the inspection. The loose fitting oversized sheet poses as a suffocation hazard. 2. Staff #1 and Staff #2 confirmed that the crib sheets for the 5 cribs had sheets that were too loose and did not fit well to the crib sized mattress.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that feeding bottles not be used while the child is in his designated sleeping location. Evidence: 1. In the infant room, two children under the age of 12 months were observed to have a bottle while lying down inside their (crib) designated sleeping area. 2. Staff #1 and Staff #2 confirmed that the two children in care had a bottle while in the crib which is the child’s designated sleeping area.”

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 be maintained in a safe and operable condition. Evidence: 1. In the infant room, 5 cribs had crib sheets that were loose and not fitted to the crib sized mattress. The 5 cribs are assigned to children in care that was present at the time of the inspection. The loose fitting oversized sheet poses as a suffocation hazard. 2. Staff #1 and Staff #2 confirmed that the crib sheets for the 5 cribs had sheets that were too loose and did not fit well to the crib sized mattress.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that bottles are not be used while the child is in his designated sleeping location. Evidence: 1) The infant room had three of the eight children with feeding bottles in their cribs. 2) Staff #1 and the infant teachers in the classroom confirmed that bottles were being used by the infants while they are in their designated crib.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that a nonabsorbent surface for diapering or changing be used. Evidence: 1) The diaper changing pad on the changing table in the infant room has a tear making it an absorbent surface. Infant room staff were observed changing diapers on this pad. 2) The center director, Staff #1, observed and confirmed the tear.”

8VAC20-780-440-L

“Based on observation and interview, it was determined that the center did not ensure that pillows and filled comforters shall not be used by children under two years of age. Evidence: 1) While children were sleeping in their cribs in the infant room, four of the eight children under the age of 12 months, were observed with blankets and/or filled plush toys in their cribs. 2) The center director, Staff #1, confirmed the blankets are routinely used inside the crib.”

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 were locked in a place using a safe locking method that prevents access by children. Evidence: 1) The Pre K classroom has an aerosol disinfectant spray can that on the label had a precautionary statement, ?Hazards to Humans,? that is unlocked in a drawer accessible to children. 2) The girl’s bathroom has a tube of diaper cream in reach of children. 3) The center director, Staff #1, confirmed these hazardous substance were accessible children.”

8VAC20-780-160-A-2

“Based on record review and interview, it was determined that the tuberculosis screening documentation was not documented within the last 30 calendar days of the date of employment. Evidence: 1) Staff #2 (date of hire 03/28/2022) has a tuberculosis screening with the date of 09/06/2021 which is not within 30 days prior to employment. 2) The center director, Staff #1, confirmed that a tuberculosis screening was not completed by the required timeframe.”

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 shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1) Staff #3 (date of hire 07/29/2013) has a tuberculosis screening with the date of 12/21/2019 which is not within the last two years. 2) Administration confirmed that the TB record for Staff #3 was not within the past two years and acknowledged that a new TB screening was required.”

8VAC20-780-570-A

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in an infant seat, high chair, or feeding table that the protective belt is fastened securely. Evidence: 1) Two children in the toddler room that were sitting in their high chair were observed to have no protective belts fastened. 2) A child that finished eating lunch at a feeding table in the toddler room was observed to have no protective belt fastened. 3) Staff #1 and the classroom teachers confirmed that the children did not have their protective belts fastened while sitting in their seats to eat their lunch.”

8VAC20-780-570-B

“Based on observation and interview, it was determined that the center did not ensure that bottles are not be used while the child is in his designated sleeping location. Evidence: 1) The infant room had three of the eight children with feeding bottles in their cribs. 2) Staff #1 and the infant teachers in the classroom confirmed that bottles were being used by the infants while they are in their designated crib.”

8VAC20-780-500-B

“Based on observation and interview, it was determined that the center did not ensure that a nonabsorbent surface for diapering or changing be used. Evidence: 1) The diaper changing pad on the changing table in the infant room has a tear making it an absorbent surface. Infant room staff were observed changing diapers on this pad. 2) The center director, Staff #1, observed and confirmed the tear.”

8VAC20-780-440-L

“Based on observation and interview, it was determined that the center did not ensure that pillows and filled comforters shall not be used by children under two years of age. Evidence: 1) While children were sleeping in their cribs in the infant room, four of the eight children under the age of 12 months, were observed with blankets and/or filled plush toys in their cribs. 2) The center director, Staff #1, confirmed the blankets are routinely used inside the crib.”

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 were locked in a place using a safe locking method that prevents access by children. Evidence: 1) The Pre K classroom has an aerosol disinfectant spray can that on the label had a precautionary statement, ?Hazards to Humans,? that is unlocked in a drawer accessible to children. 2) The girl’s bathroom has a tube of diaper cream in reach of children. 3) The center director, Staff #1, confirmed these hazardous substance were accessible children.”

8VAC20-780-160-A-2

“Based on record review and interview, it was determined that the tuberculosis screening documentation was not documented within the last 30 calendar days of the date of employment. Evidence: 1) Staff #2 (date of hire 03/28/2022) has a tuberculosis screening with the date of 09/06/2021 which is not within 30 days prior to employment. 2) The center director, Staff #1, confirmed that a tuberculosis screening was not completed by the required timeframe.”

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 shall obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1) Staff #3 (date of hire 07/29/2013) has a tuberculosis screening with the date of 12/21/2019 which is not within the last two years. 2) Administration confirmed that the TB record for Staff #3 was not within the past two years and acknowledged that a new TB screening was required.”

8VAC20-780-570-A

“Based on observation and interview, it was determined that the center did not ensure that when a child is placed in an infant seat, high chair, or feeding table that the protective belt is fastened securely. Evidence: 1) Two children in the toddler room that were sitting in their high chair were observed to have no protective belts fastened. 2) A child that finished eating lunch at a feeding table in the toddler room was observed to have no protective belt fastened. 3) Staff #1 and the classroom teachers confirmed that the children did not have their protective belts fastened while sitting in their seats to eat their lunch.”

8VAC20-780-560-F-4

“Based upon review of the posted menu, the facility has not ensured that the menu is dated. Evidence: The menu posted in the facility foyer was not dated.”

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked place using a safe locking method that prevents access by children. Evidence: 1. There was a container of Microban and a spray air freshener (with warning labels) on an open high shelf in the girls' bathroom. 2. There was a container of Aquafor in a low child's cubby in the girls' bathroom. 3. There was a container of Lysol spray on the floor in the Pre-K classroom. 4. The cabinet under the sink in the open kitchen did not have the child proof latch connected. The cabinet contained various cleaning products. 5. Staff 1 acknowledged the unlocked hazardous substances during the facility tour.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured each child's record includes the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached. Evidence: The record provided for child 4 did not include the names, addresses and telephone numbers for two emergency contact persons.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that a current written list of all children's allergies, sensitivities, and dietary restrictions is maintained and documented in the the allergy plan that is dated and kept confidential in each room or area where children are present. Evidence: Staff 4 stated that an allergy notice is kept in the classroom where a child with an allergy is in care. The list is not dated and is not kept in each room where children are preset.”

8VAC20-780-340-F

“Based upon observation and staff interview, the facility has not ensured that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1. A four year old girl was observed in the girls' bathroom. There was no staff person within sight and sound supervision of the girl. 2. Staff 1 verified that no staff person was within sigh and sound supervision of the the bathroom.”

8VAC20-780-560-F-4

“Based upon review of the posted menu, the facility has not ensured that the menu is dated. Evidence: The menu posted in the facility foyer was not dated.”

8VAC20-780-280-B

“Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked place using a safe locking method that prevents access by children. Evidence: 1. There was a container of Microban and a spray air freshener (with warning labels) on an open high shelf in the girls' bathroom. 2. There was a container of Aquafor in a low child's cubby in the girls' bathroom. 3. There was a container of Lysol spray on the floor in the Pre-K classroom. 4. The cabinet under the sink in the open kitchen did not have the child proof latch connected. The cabinet contained various cleaning products. 5. Staff 1 acknowledged the unlocked hazardous substances during the facility tour.”

8VAC20-780-60-A

“Based upon review of children's records and staff interview, the facility has not ensured each child's record includes the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached. Evidence: The record provided for child 4 did not include the names, addresses and telephone numbers for two emergency contact persons.”

8VAC20-780-40-M

“Based upon staff interview, the facility has not ensured that a current written list of all children's allergies, sensitivities, and dietary restrictions is maintained and documented in the the allergy plan that is dated and kept confidential in each room or area where children are present. Evidence: Staff 4 stated that an allergy notice is kept in the classroom where a child with an allergy is in care. The list is not dated and is not kept in each room where children are preset.”

8VAC20-780-340-F

“Based upon observation and staff interview, the facility has not ensured that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1. A four year old girl was observed in the girls' bathroom. There was no staff person within sight and sound supervision of the girl. 2. Staff 1 verified that no staff person was within sigh and sound supervision of the the bathroom.”

8VAC20-780-550-O Complaint related: Yes

“Based upon review of documentation and interviews, the facility has not ensured that a parent is notified by the end of the day of any know injuries to their child. Evidence: 1. The written injury record log provided by the facility indicated an injury to child 1 occurred on 11/09/2021 at 2:30 PM. The same injury record log indicated that the parent was notified on11/09/2021 at 8:45 AM. 2. Interviews revealed that the parent of child 1 spoke to the facility staff in the morning on 11/10/2021 to inquire as to the child's injury. 3. Staff interview revealed that staff documented child 1's injury in a log on 11/9/2021, however staff did not notify the parent at pick-up the same day as the injury.”

8VAC20-780-550-P Complaint related: Yes

“Based upon review of documentation, the facility has not ensured that information on the written record of children's injuries is maintained with entries made the same day of occurrence of the injury. Evidence: The written record log of the injury of child 1 dated 11/9/2021 at 2:30 PM indicated that the parent was notified of the child's injury on 11/9/21 at 8:45 AM. Information entered does not verify same day recording on the record.”