Tick...Tock...Around the Clock

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee's first day of employment. Staff #3, who has been employed for over two months did not have a central registry search requested.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. There were approximately two bottles in Classroom #6 that were not dated.”

8VAC20-780-540-E

“The following nonmedical emergency supplies are required: a working battery-operated radio. The battery-operated radio was inoperable during the inspection.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The following conditions were observed: 1. One swing seat on Playground #3 was torn in half. 2. Approximately three exposed tarps on Playground #3 posed a tripping hazard. 3. There were multiple areas of peeling paint on the surface of the composite playground pieces on Playground #1, #2 and #3. 4. Two tricycles at the outdoor play area entrance were each missing a pedal.”

8VAC20-780-290-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. There were approximately five outlets that were uncovered in Classroom #1, Classroom #2 and Classroom #3.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards. The areas surrounding the composite playground pieces of equipment on Playground #1 and Playground #2 did not have enough to comply with minimum standards. When measured, there was less than one inch of surfacing in more than one area.”

8VAC20-780-510-E

“The center's procedures for administering medication shall include duration of the parent's authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. 1. A medication reviewed for Child #8 authorized by the parent on 1/23/26, did not include the physician’s written authorization. 2. A medication reviewed for Child #9 did not include duration of the parent’s authorization nor the physician’s authorization.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. 1. The records for Child #4 and Child #5 did not list the name of any additional programs or schools that the child is concurrently attending. 2. The record for Child #6 did not contain the full address for the second emergency contact. 3. The record for Child #5 did not contain a work number for one parent.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years prior to the employee’s first day. Staff #1, employed for more than two months, did not have documentation of requesting a central registry, criminal history and sex offender checks from one state.”

8VAC20-790-600-D-2

“Current certification in first aid appropriate to the ages of children in care. Staff #1 who has been employed for 8 months, did not have documentation of a current certification in first aid.”

8VAC20-790-600-D-1

“Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff#1, who has been employed for 8 months did not have documentation of a current certification in cardiopulmonary resuscitation.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff#2 record did not have documentation for a follow-up tuberculosis screening.”

8VAC20-790-600-D-2

“Current certification in first aid appropriate to the ages of children in care. Staff #1 who has been employed for 8 months, did not have documentation of a current certification in first aid.”

8VAC20-790-600-D-1

“Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff#1, who has been employed for 8 months did not have documentation of a current certification in cardiopulmonary resuscitation.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff#2 record did not have documentation for a follow-up tuberculosis screening.”

22.1-289.035-A

“(Repeat Violation) The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #2 was overdue by a year and 7 months.”

8VAC20-780-280-B

“(Repeat Violation) Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. There were multiple containers of cleaner, disinfectants and charcoal lighter with warning labels, ?Keep out of reach of children,? were unlocked in the kitchen area, within reach of children. In the infant room, disinfectant wipes inside the crib drawer with warning labels, "Keep out of reach of children, and danger." Antibacterial hand soap with the warning labels, "Keep out of reach of children," in the unlocked staff lounge area. A can of disinfectant spray unlocked in a hallway bathroom cabinet with warning labels, "Keep out of reach of children." Two cans of disinfectant spray unlocked in the bathroom, with warning labels, "Keep out of reach of children," in classroom 112.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff#1, Staff#2, Staff#3 did not have annual training documents of a minimum 16 hours of training.”

8VAC20-780-270-A

“The center areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the Rubber room, there was a detached door accessible to children with a sharp point. In the Infant room, there were multiple areas on the blue cabinet cracked and exposing the wood interior. In School Age bathroom, large area of peeling paint inside the stall behind the toilet.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry for Staff#1 was overdue by a year and 4 months.”

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. A bottle of sanitizer on the desk in Young Achiever classroom with the warning labels," keep out of reach of children". Disinfectant cleaners were unlocked in the storage closet adjacent to the school age classroom and accessible to the children in care.”

8VAC20-780-320-B

“Each restroom area provider for children shall: be equipped with soap, toilet paper, and disposable towels and supplied with running warm water that does not exceed 120 F. There was no disposable towels in the School Age area bathroom when used by a child in care. In Young Achiever, and Tiny Tots, classrooms, the warm water temperatures were 133 and 141.”

8VAC20-780-160-C

“A tuberculosis screening is required every two years from the date of the last screening. Staff#5 updated screening was due a year ago. The updated screening have not been completed yet.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff#1, Staff#2, Staff#3 did not have annual training documents of a minimum 16 hours of training.”

8VAC20-780-270-A

“The center areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. In the Rubber room, there was a detached door accessible to children with a sharp point. In the Infant room, there were multiple areas on the blue cabinet cracked and exposing the wood interior. In School Age bathroom, large area of peeling paint inside the stall behind the toilet.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry for Staff#1 was overdue by a year and 4 months.”

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. A bottle of sanitizer on the desk in Young Achiever classroom with the warning labels," keep out of reach of children". Disinfectant cleaners were unlocked in the storage closet adjacent to the school age classroom and accessible to the children in care.”

8VAC20-780-320-B

“Each restroom area provider for children shall: be equipped with soap, toilet paper, and disposable towels and supplied with running warm water that does not exceed 120 F. There was no disposable towels in the School Age area bathroom when used by a child in care. In Young Achiever, and Tiny Tots, classrooms, the warm water temperatures were 133 and 141.”

8VAC20-780-160-C

“A tuberculosis screening is required every two years from the date of the last screening. Staff#5 updated screening was due a year ago. The updated screening have not been completed yet.”

8VAC20-780-280-B

“Hazardous substance such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Four containers of disinfecting wipes with the warning labels, "keeping out of reach of children" were unlocked on the diapering station in the toddler classroom.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was a cracked log on the walkway on the playground where children were actively playing.”

8VAC20-780-280-B

“Hazardous substance such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Four containers of disinfecting wipes with the warning labels, "keeping out of reach of children" were unlocked on the diapering station in the toddler classroom.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was a cracked log on the walkway on the playground where children were actively playing.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not ensure to obtain an annual approval from the health department. Evidence: 1. The annual health report was dated 02/16/2023. 2. Interview with center's staff confirmed the annual health report had not been completed for this year at this time.”

8VAC20-780-260-A

“Based on review of documentation and interview, the center did not ensure to obtain an annual fire inspection report. Evidence: 1. The fire inspection report reviewed was dated 02/15/2023. 2. Interview with center's staff confirmed the annual fire inspection was not complete for this year at this time.”

8VAC20-780-60-A

“Based on review of children's record and interview, the center did not ensure to maintain all information in each enrolled child's record. Evidence: In Child# 3's record (start date: 08/28/23), there was no documentation of viewing proof of the child's identity and age found. Interview with staff confirmed information not being available for review during the inspection.”

8VAC20-780-160-C

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a tuberculosis screening at least every two years from the date of the first initial screening. Evidence: In Staff#4's record (date of hire:10/02/18) the last dated TB results was 06/26/13. Interview with staff confirmed the documentation available during the inspection.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening. Evidence: In Staff#6's record (date of hire: 12/04/23) there was no documentation of a tuberculosis screening found. Interview with staff confirmed there was no documentation available for review during the inspection.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to obtain all background checks every five years thereafter. Evidence: 1. In Staff#1's record (date of hire: 10/08/18), the criminal check was dated 09/13/18. 2.In Staff#2's record (date of hire: 05/30/19), the criminal check was dated 03/29/19. 3. In Staff#4's record (date of hire: 10/02/18), the criminal check was dated 09/21/18. 4. Interview with staff confirmed available documentation for review during the inspection.”

8VAC20-780-150-B

“Based on records and interview, the center did not ensure all physical examination documentation is signed by a physician, his designee, or an official of local health department. Evidence: In Child#6's record (start date: 08/28/23), there was no documentation of a physical signature found. Interview with staff confirmed the documentation available for review during the inspection.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substance are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Tiny Tots room, there was disinfectant wipes with the labels "keep out of reach of children" and "caution" on the countertop unlocked.”

8VAC20-780-260-B

“Based on review of documentation and interview, the center did not ensure to obtain an annual approval from the health department. Evidence: 1. The annual health report was dated 02/16/2023. 2. Interview with center's staff confirmed the annual health report had not been completed for this year at this time.”

8VAC20-780-260-A

“Based on review of documentation and interview, the center did not ensure to obtain an annual fire inspection report. Evidence: 1. The fire inspection report reviewed was dated 02/15/2023. 2. Interview with center's staff confirmed the annual fire inspection was not complete for this year at this time.”

8VAC20-780-60-A

“Based on review of children's record and interview, the center did not ensure to maintain all information in each enrolled child's record. Evidence: In Child# 3's record (start date: 08/28/23), there was no documentation of viewing proof of the child's identity and age found. Interview with staff confirmed information not being available for review during the inspection.”

8VAC20-780-160-C

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a tuberculosis screening at least every two years from the date of the first initial screening. Evidence: In Staff#4's record (date of hire:10/02/18) the last dated TB results was 06/26/13. Interview with staff confirmed the documentation available during the inspection.”

8VAC20-780-160-A

“Based on review of staff records and interview, the center did not ensure to obtain documentation of a negative tuberculosis screening. Evidence: In Staff#6's record (date of hire: 12/04/23) there was no documentation of a tuberculosis screening found. Interview with staff confirmed there was no documentation available for review during the inspection.”

22.1-289.035-A

“Based on review of staff records and interview, the center did not ensure to obtain all background checks every five years thereafter. Evidence: 1. In Staff#1's record (date of hire: 10/08/18), the criminal check was dated 09/13/18. 2.In Staff#2's record (date of hire: 05/30/19), the criminal check was dated 03/29/19. 3. In Staff#4's record (date of hire: 10/02/18), the criminal check was dated 09/21/18. 4. Interview with staff confirmed available documentation for review during the inspection.”

8VAC20-780-150-B

“Based on records and interview, the center did not ensure all physical examination documentation is signed by a physician, his designee, or an official of local health department. Evidence: In Child#6's record (start date: 08/28/23), there was no documentation of a physical signature found. Interview with staff confirmed the documentation available for review during the inspection.”

8VAC20-780-280-B

“Based on observation, the center did not ensure all hazardous substance are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the Tiny Tots room, there was disinfectant wipes with the labels "keep out of reach of children" and "caution" on the countertop unlocked.”