Tiny Toes Creative Learning Center

22.1-289.035-A

“(Repeat Violation) Based on review of five staff records, the facility failed to obtain an updated Sworn Statement every 5 years, as required, for all staff. Evidence: the record for staff #5 had a sworn statement dated: 5/31/2016.”

8VAC20-780-570-A

“Based on observation of the toddler room it was determined that protective belts were not used for infant seats. Evidence: A table was observed in the toddler room that had eight bucket seats on the table. The protective belts were not observed in five of the eight bucket seats.”

8VAC20-780-350-B-1

“Based on observation, the facility did not maintain the staff-to-children ratio of one staff for every four children birth to 16 months of age. Evidence: there were nine infants and two staff in the infant room, after one staff left the room to enter the adjoining bathroom. When the bathroom door closed, the staff did not have sight/sound supervision of the infants, therefore is not counted in the ratio.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Six infants were observed in the infant room that were under 12 months of age. Four cribs were observed in the infant room. Two children in attendance, and one child not in attendance do not have a designated crib assigned to them and staff stated that they sleep in swings/bouncy chairs.”

8VAC20-780-160-A

“Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within 30 days of employment. Evidence: the record for staff #2 (date of hire: 5/9/2024) had a TB test/screening dated: 2/28/2024.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that no out of state child abuse and neglect search was requested within 30 days of hire, and no out of state criminal history name check was conducted prior to hire, for all staff who stated they have lived outside of Virginia in the past five years. Evidence: the record for staff #4, (Date of hire: 3/27/2023), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state central registry search request or an out of state criminal history name check.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, the facility failed to ensure that handwashing procedures are followed as required. Evidence: 1) In the infant room, two infants were observed eating in a high chair, and their hands were not washed afterwards. Two other infants were observed being fed a bottle, and their hands were not washed before or afterwards. 2) In the infant room, a child was observed during a diaper change and their hands were not washed afterwards. 3) Staff in the infant room did not wash their hands before and after completing a diaper change, before feeding a child a bottle, or before preparing bottles.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the facility did not ensure all areas of the center, inside and out, were maintained in a safe and operable condition. Evidence: 1) In the infant classroom, there was one crib with a loose fitting sheet. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death. 2) On the playground, there was a rock climbing wall with missing screws, protruding screws, cracked and deteriorating splintered wood and a wood plank coming loose. 3) On the playground, the surrounding fence had multiple broken pickets, one that caused a gap in the fence where a child could potentially fit through. Staff stated that it has been broken, with the gap, for approximately one week.”

8VAC20-780-160-C

“(Repeat Violation) Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #3 had a negative TB test/screening dated: 6/23/2021. The record for staff #5 had a negative TB test/screening dated: 2/21/2022.”

8VAC20-780-40-E

“Based on observation, review of documentation and interview, the facility failed to ensure their operational responsibilities adhered to the standards and terms of the current license. Evidence: children and staff were observed in a part of the building that was not licensed for child care. The facility did not have an occupancy permit or fire inspection indicating that the new space was safe, and the space was not measured for capacity by the licensing inspector.”

8VAC20-780-500-B

“Based on observation and staff interview, not all diapering procedures were followed, as required. Evidence: 1) In the two year old classroom, not all children younger than three years are diapered on a changing table or countertop designated for changing. Staff stated that the children (all age two) have their diapers/pullups changed while they are standing up in the bathroom. 2) In the infant classroom, staff were observed during a diaper change and they failed to clean and sanitize the diapering surface afterwards.”

22.1-289.035-A

“(Repeat Violation) Based on review of five staff records, the facility failed to obtain an updated Sworn Statement every 5 years, as required, for all staff. Evidence: the record for staff #5 had a sworn statement dated: 5/31/2016.”

8VAC20-780-570-A

“Based on observation of the toddler room it was determined that protective belts were not used for infant seats. Evidence: A table was observed in the toddler room that had eight bucket seats on the table. The protective belts were not observed in five of the eight bucket seats.”

8VAC20-780-350-B-1

“Based on observation, the facility did not maintain the staff-to-children ratio of one staff for every four children birth to 16 months of age. Evidence: there were nine infants and two staff in the infant room, after one staff left the room to enter the adjoining bathroom. When the bathroom door closed, the staff did not have sight/sound supervision of the infants, therefore is not counted in the ratio.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Six infants were observed in the infant room that were under 12 months of age. Four cribs were observed in the infant room. Two children in attendance, and one child not in attendance do not have a designated crib assigned to them and staff stated that they sleep in swings/bouncy chairs.”

8VAC20-780-160-A

“Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within 30 days of employment. Evidence: the record for staff #2 (date of hire: 5/9/2024) had a TB test/screening dated: 2/28/2024.”

22.1-289.035-B-4

“Based on review of five staff records, it was determined that no out of state child abuse and neglect search was requested within 30 days of hire, and no out of state criminal history name check was conducted prior to hire, for all staff who stated they have lived outside of Virginia in the past five years. Evidence: the record for staff #4, (Date of hire: 3/27/2023), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state central registry search request or an out of state criminal history name check.”

8VAC20-780-500-A

“(Repeat Violation) Based on observation, the facility failed to ensure that handwashing procedures are followed as required. Evidence: 1) In the infant room, two infants were observed eating in a high chair, and their hands were not washed afterwards. Two other infants were observed being fed a bottle, and their hands were not washed before or afterwards. 2) In the infant room, a child was observed during a diaper change and their hands were not washed afterwards. 3) Staff in the infant room did not wash their hands before and after completing a diaper change, before feeding a child a bottle, or before preparing bottles.”

8VAC20-780-270-A

“(Repeat Violation) Based on observation, the facility did not ensure all areas of the center, inside and out, were maintained in a safe and operable condition. Evidence: 1) In the infant classroom, there was one crib with a loose fitting sheet. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death. 2) On the playground, there was a rock climbing wall with missing screws, protruding screws, cracked and deteriorating splintered wood and a wood plank coming loose. 3) On the playground, the surrounding fence had multiple broken pickets, one that caused a gap in the fence where a child could potentially fit through. Staff stated that it has been broken, with the gap, for approximately one week.”

8VAC20-780-160-C

“(Repeat Violation) Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #3 had a negative TB test/screening dated: 6/23/2021. The record for staff #5 had a negative TB test/screening dated: 2/21/2022.”

8VAC20-780-40-E

“Based on observation, review of documentation and interview, the facility failed to ensure their operational responsibilities adhered to the standards and terms of the current license. Evidence: children and staff were observed in a part of the building that was not licensed for child care. The facility did not have an occupancy permit or fire inspection indicating that the new space was safe, and the space was not measured for capacity by the licensing inspector.”

8VAC20-780-500-B

“Based on observation and staff interview, not all diapering procedures were followed, as required. Evidence: 1) In the two year old classroom, not all children younger than three years are diapered on a changing table or countertop designated for changing. Staff stated that the children (all age two) have their diapers/pullups changed while they are standing up in the bathroom. 2) In the infant classroom, staff were observed during a diaper change and they failed to clean and sanitize the diapering surface afterwards.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions as required. Evidence: the allergy list was dated: 8/17/2023, and did not include all children with allergies, sensitivities, and dietary restrictions. The allergy list in the school-age classroom was posted outside of the class, and not kept confidential.”

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children wash their hands as required. Evidence: In the school-age classroom, children didn?t wash their hands after eating snack.”

8VAC20-780-60-A

“Based on record review, not all records contained all required information. Evidence: the records for child #2 and child #3, with diagnosed food allergies, did not contain a written care plan that included instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-80-A

“Based on review of documentation, and staff interview, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no attendance record in the school age classroom, and ten children observed in the classroom.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were three cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-130-A

“Based on record review, the facility did not obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Evidence: the record for child #4 (start date: 10/19/2023) did not contain documentation of immunizations.”

22.1-289.035-A

“Based on record review, the facility failed to obtain an updated Sworn Statement or repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years, as required, for all staff. Evidence: the record for staff #2 had Central Registry Search results dated: 7/30/2018 and a sworn statement dated: 7/13/2018.”

8VAC20-780-140-A

“Based on record review, the facility did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: the record for child #3 (start date: 5/16/2022) did not contain documentation of a physical examination.”

8VAC20-780-330-B

“Based on observation, the facility did not ensure that resilient surfacing is under all climbing apparatus and playground equipment with moving parts. Evidence: there was less than 2? of resilient surfacing under and around the playground equipment. The bicycle ring did not have a fall zone of 6 feet with resilient surfacing.”

8VAC20-780-160-C

“Based on record review, not all staff had documentation of a negative Tuberculosis (TB) test/screening at least every two years from the date of the initial test/screening. Evidence: The record for staff #2 had documentation of a negative TB test/screening dated: 6/23/2021.”

8VAC20-780-40-M

“Based on review of documentation, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions as required. Evidence: the allergy list was dated: 8/17/2023, and did not include all children with allergies, sensitivities, and dietary restrictions. The allergy list in the school-age classroom was posted outside of the class, and not kept confidential.”

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children wash their hands as required. Evidence: In the school-age classroom, children didn?t wash their hands after eating snack.”

8VAC20-780-60-A

“Based on record review, not all records contained all required information. Evidence: the records for child #2 and child #3, with diagnosed food allergies, did not contain a written care plan that included instructions from a physician regarding the steps to be taken in the event of a suspected or confirmed allergic reaction.”

8VAC20-780-80-A

“Based on review of documentation, and staff interview, the facility failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: there was no attendance record in the school age classroom, and ten children observed in the classroom.”

8VAC20-780-270-A

“Based on observation, it was determined that not all areas inside the center were maintained in a safe and operable condition. Evidence: In the infant classroom, there were three cribs with loose fitting sheets. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.”

8VAC20-780-130-A

“Based on record review, the facility did not obtain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Evidence: the record for child #4 (start date: 10/19/2023) did not contain documentation of immunizations.”

22.1-289.035-A

“Based on record review, the facility failed to obtain an updated Sworn Statement or repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years, as required, for all staff. Evidence: the record for staff #2 had Central Registry Search results dated: 7/30/2018 and a sworn statement dated: 7/13/2018.”

8VAC20-780-140-A

“Based on record review, the facility did not obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: the record for child #3 (start date: 5/16/2022) did not contain documentation of a physical examination.”

8VAC20-780-330-B

“Based on observation, the facility did not ensure that resilient surfacing is under all climbing apparatus and playground equipment with moving parts. Evidence: there was less than 2? of resilient surfacing under and around the playground equipment. The bicycle ring did not have a fall zone of 6 feet with resilient surfacing.”

8VAC20-780-160-C

“Based on record review, not all staff had documentation of a negative Tuberculosis (TB) test/screening at least every two years from the date of the initial test/screening. Evidence: The record for staff #2 had documentation of a negative TB test/screening dated: 6/23/2021.”

8VAC20-780-400-B Complaint related: Yes

“Based on interviews and a review of a video recording, it was determined that staff did not use behavioral guidance intended to redirect children to appropriate behavior. Evidence: In the school age classroom, on 12/21/2023, staff #1 did not intervene to stop two children who were engaged in inappropriate behavior for approximately 20-25 minutes.”

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

“Based on multiple interviews, documentation, and a review of a video recording, it was determined that the facility failed to ensure the children's care, protection, and guidance. Evidence: 1) Between approximately 4:30-5:00pm on 12/21/2023, in the school age classroom, staff #1 was observed sitting at a desk scrolling on their phone while child #1 (age 8) and child #2 (age 10) were inappropriately touching each other. 2) The children were observed on the rug laying close to each other, and moving, while under their coats and a blanket for approximately 20-25 minutes. 3) When staff #1 finally intervened, both children were observed to have their pants down. 4) Staff stated that they intervened as soon as they realized there was inappropriate behavior.”

8VAC20-780-340-F Complaint related: No

“Based on review of a video recording, and observation of the classroom, it was determined that the facility failed to ensure that children under ten years of age are always within actual sight and sound supervision of staff. Evidence: 1) Between approximately 4:00-5:00pm on 12/21/2023, staff #1 was observed walking in and out of the school age classroom three different times, leaving children out of sight and sound supervision for approximately 15-30 seconds each time. 2) Staff #1 was observed walking around the classroom cleaning, and in the book shelf/cubby area in the back corner of the room two different times, leaving children on the carpet without sight supervision for approximately one to two minutes each time. 3) When staff #1 discovered the actions of child #1 and child #2 on the carpet, they took the children to the front office leaving the other 14 children alone in the classroom and out of sight and sound supervision of staff for approximately one minute. The youngest child present was five years old.”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure diapering surfaces shall be cleaned with soap and water and sanitized after each use. Evidence: 1. In the Infant/Toddler classroom there was no soap and water available to clean the diaper changing surface between diaper changes. Staff confirmed soap and water was not available. 2.In the two year classroom there was no soap and water or sanitizing spray available to clean the diaper changing surface between diaper changes. Staff confirmed soap and water was not available.”

8VAC20-780-240-B

“Based on review of two staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #1, with a start date of 5/3/23 did not contain documentation of completed orientation training as of 5/18/23”

8VAC20-780-500-B

“Based on observation and interview, the center did not ensure diapering surfaces shall be cleaned with soap and water and sanitized after each use. Evidence: 1. In the Infant/Toddler classroom there was no soap and water available to clean the diaper changing surface between diaper changes. Staff confirmed soap and water was not available. 2.In the two year classroom there was no soap and water or sanitizing spray available to clean the diaper changing surface between diaper changes. Staff confirmed soap and water was not available.”

8VAC20-780-240-B

“Based on review of two staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities. Evidence: The record for Staff #1, with a start date of 5/3/23 did not contain documentation of completed orientation training as of 5/18/23”

8VAC20-780-370-5 Complaint related: No

“Based on staff interviews, the center did not ensure that infants were protected from older children. Evidence: On 2/27/2023 Staff #1 and Staff #2 were present with approximately five to seven children ages 6 months to 2 years old in the Infant/Toddler Classroom. At approximately 7:55am, Staff #2 left the room to assist in the front office. Staff #1 took Child #3 into the infant side of the room to complete a diaper change, leaving the gate open which separates the infant and toddler play spaces. While Staff #1 was completing Child #3?s diaper change, Child #2 (Age 2) went to the infant area and scratched Child #1?s (Age 6 Months) face leaving approximately 16 scratches on the left side of the child’s face, breaking the skin in several areas.”

8VAC20-780-350-B-1 Complaint related: No

“Based on record review and staff interviews, the center did not ensure that the required ratio of 1 staff to 4 children for children ages birth to 16 months was maintained. Evidence: On 2/27/2023 from approximately 7:55am to 8:00am Staff #1 was present with approximately five to seven children between the ages of six months and two years old in the Infant/Toddler Classroom.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 (Start Date: 7/31/22) did not have immunizations on file.”

8VAC20-780-450-E

“Based on observation and staff interview, the center did not ensure that mattresses are covered with a waterproof material which can be cleaned and sanitized. Evidence: The crib mattress for Child #6 has tears on all four sides of the mattress exposing the foam filling and making it no longer waterproof or able to be cleaned and sanitized.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for each child within 30 days after the first day of attendance. Evidence: Child #2 (Start Date: 5/13/22) and Child #4 (Start Date: 7/11/22) did not have physical examinations on file.”

8VAC20-770-60-C-2

“Based on record review, the center did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search for all staff within 30 days of employment. Evidence: Staff #1 (Date of Hire: 7/10/2022) did not have Virginia Child Abuse and Neglect Central Registry search results on file.”

8VAC20-780-60-A

“Based on record review, the center did not obtain documentation of viewing proof of age and identity for all children. Evidence: Child #1 (Start Date: 10/25/22) and Child #4 (Start Date: 7/11/22) did not have documentation that birth certificates were reviewed.”

22.1-289.035-A

“Based on record review, the center did not obtain repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years for all staff. Evidence: Staff #2 (Date of Hire: 5/22/2014) had Virginia Central Registry results on file dated 6/14/2017.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that resilient surfacing is under all climbing apparatuses. Evidence: A freestanding slide, approximately 2 feet in height, was on top of pavement with no resilient surfacing underneath.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center were maintained in a safe condition. Evidence: The linoleum flooring outside the school age classroom is coming up and creating a gap between the other flooring throughout the rest of the hallway creating a tripping hazard.”

8VAC20-780-260-A

“Based on record review, the center has not obtained an annual fire inspection. Evidence: The most recent fire inspection on file was dated 10/21/2021.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored Preservice orientation course within 90 calendar days of employment. Evidence: Staff #1 (Date of Hire: 7/10/22) did not have documentation of completing Preservice Training.”

8VAC20-780-70

“Based on record review, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #1 (Date of Hire: 7/10/22) did not have reference checks on file.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #3 (Start Date: 7/31/22) did not have immunizations on file.”

8VAC20-780-450-E

“Based on observation and staff interview, the center did not ensure that mattresses are covered with a waterproof material which can be cleaned and sanitized. Evidence: The crib mattress for Child #6 has tears on all four sides of the mattress exposing the foam filling and making it no longer waterproof or able to be cleaned and sanitized.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for each child within 30 days after the first day of attendance. Evidence: Child #2 (Start Date: 5/13/22) and Child #4 (Start Date: 7/11/22) did not have physical examinations on file.”

8VAC20-770-60-C-2

“Based on record review, the center did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search for all staff within 30 days of employment. Evidence: Staff #1 (Date of Hire: 7/10/2022) did not have Virginia Child Abuse and Neglect Central Registry search results on file.”

8VAC20-780-60-A

“Based on record review, the center did not obtain documentation of viewing proof of age and identity for all children. Evidence: Child #1 (Start Date: 10/25/22) and Child #4 (Start Date: 7/11/22) did not have documentation that birth certificates were reviewed.”

22.1-289.035-A

“Based on record review, the center did not obtain repeat Virginia Child Abuse and Neglect Central Registry search results every 5 years for all staff. Evidence: Staff #2 (Date of Hire: 5/22/2014) had Virginia Central Registry results on file dated 6/14/2017.”

8VAC20-780-330-B

“Based on observation, the center did not ensure that resilient surfacing is under all climbing apparatuses. Evidence: A freestanding slide, approximately 2 feet in height, was on top of pavement with no resilient surfacing underneath.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas of the center were maintained in a safe condition. Evidence: The linoleum flooring outside the school age classroom is coming up and creating a gap between the other flooring throughout the rest of the hallway creating a tripping hazard.”

8VAC20-780-260-A

“Based on record review, the center has not obtained an annual fire inspection. Evidence: The most recent fire inspection on file was dated 10/21/2021.”

8VAC20-780-240-A

“Based on record review, the center did not ensure that all staff complete the Virginia Department of Education-sponsored Preservice orientation course within 90 calendar days of employment. Evidence: Staff #1 (Date of Hire: 7/10/22) did not have documentation of completing Preservice Training.”

8VAC20-780-70

“Based on record review, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #1 (Date of Hire: 7/10/22) did not have reference checks on file.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas inside the center are maintained in a clean and safe condition. Evidence: 1. In the 2's bathroom between the two toilets, the cove base has detached from the wall and was observed laying on the floor revealing chipped paint and crumbling drywall. 2. In the 3's room, a hole in the drywall approximately 6" in size was observed just above the cove base and to the left of the doorway exiting the classroom. 3. In the Preschool room, to the left when entering the classroom along the numbers wall and between the toy shelves, the cove base was observed detached from the wall revealing crumbling drywall.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing is used. Evidence: A small tear, approximately 1" in size, was observed on the changing pad in the Infants room revealing the foam filling making the surface absorbent.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddlers room, multiple bottles of cleaning solution and degreasing cleaners were observed in the unlocked cabinet beneath the sink in the classroom. 2. In the Toddlers unlocked bathroom, multiple bottles of bleach were observed on the floor of the bathroom. In addition, bottles of bleach and other cleaning supplies were located on shelves in the unlocked bathroom.”

8VAC20-780-270-A

“Based on observation, the center did not ensure that areas inside the center are maintained in a clean and safe condition. Evidence: 1. In the 2's bathroom between the two toilets, the cove base has detached from the wall and was observed laying on the floor revealing chipped paint and crumbling drywall. 2. In the 3's room, a hole in the drywall approximately 6" in size was observed just above the cove base and to the left of the doorway exiting the classroom. 3. In the Preschool room, to the left when entering the classroom along the numbers wall and between the toy shelves, the cove base was observed detached from the wall revealing crumbling drywall.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that a nonabsorbent surface for diapering or changing is used. Evidence: A small tear, approximately 1" in size, was observed on the changing pad in the Infants room revealing the foam filling making the surface absorbent.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances, such as cleaning materials, are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Toddlers room, multiple bottles of cleaning solution and degreasing cleaners were observed in the unlocked cabinet beneath the sink in the classroom. 2. In the Toddlers unlocked bathroom, multiple bottles of bleach were observed on the floor of the bathroom. In addition, bottles of bleach and other cleaning supplies were located on shelves in the unlocked bathroom.”