Tiny Toes Creative Learning Center II

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2, who had been in attendance for more than one year prior to turning two years old, did not have documentation of additional immunizations once every six months.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2, who had been in attendance for more than one year.”

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. The TB screening for Staff #2 was completed 18 days after the date of employment. Staff #4 had two TB screenings on file - one screening was completed more than one year prior to date of employment and the second screening was completed 11 days after the date of employment.”

8VAC20-780-70

“The center did not maintain the required information for each staff person. The record of Staff #2, who was identified as a program leader, did not contain documentation to demonstrate that the staff member possessed the education required by the job position.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. During the on-site inspection on 10/07/24, there were no staff on duty with daily health observation training.”

8VAC20-780-540-C

“The required first aid kits did not contain the minimum requirements. The center's first aid kits and the first aid kit used during transportation did not have triangular bandages.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The center did not have documentation of the emergency evacuation drill practiced during the month of May 2024.”

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 #1, who had been attending for more than eight weeks, did not have documentation of an immunization record on file.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child #2, who had been in attendance for more than one year prior to turning two years old, did not have documentation of additional immunizations once every six months.”

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #2, who had been in attendance for more than one year.”

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. The TB screening for Staff #2 was completed 18 days after the date of employment. Staff #4 had two TB screenings on file - one screening was completed more than one year prior to date of employment and the second screening was completed 11 days after the date of employment.”

8VAC20-780-70

“The center did not maintain the required information for each staff person. The record of Staff #2, who was identified as a program leader, did not contain documentation to demonstrate that the staff member possessed the education required by the job position.”

8VAC20-780-245-L

“There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. During the on-site inspection on 10/07/24, there were no staff on duty with daily health observation training.”

8VAC20-780-540-C

“The required first aid kits did not contain the minimum requirements. The center's first aid kits and the first aid kit used during transportation did not have triangular bandages.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The center did not have documentation of the emergency evacuation drill practiced during the month of May 2024.”

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 #1, who had been attending for more than eight weeks, did not have documentation of an immunization record on file.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Seven infants were observed in the infant room that were under 12 months old. Six cribs were observed in the infant room. Child A (4 Months) did not have a designated crib assigned to them.”

8VAC20-780-280-G

“Based on interviews and observation of the infant room it was determined that not all hazardous substances that are not kept in original containers are labeled with their contents. Evidence: A spray bottle with liquid that was not labeled was observed on the handwashing sink in the infant room. It was reported that the contents in the spray bottle were soap and water.”

8VAC20-780-570-A

“Based on interviews and 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 the bucket seats. Staff reported that the belts were removed because the children were taking them out of the seats.”

8VAC20-780-280-B

“Based on review of the infant room it was determined that not all hazardous substances were kept locked to prevent access by children. Evidence: A spray bottle that was reported to be soap and water and spray bottle of bleach and water solution was observed on the handwashing sink of the infant room.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Seven infants were observed in the infant room that were under 12 months old. Six cribs were observed in the infant room. Child A (4 Months) did not have a designated crib assigned to them.”

8VAC20-780-280-G

“Based on interviews and observation of the infant room it was determined that not all hazardous substances that are not kept in original containers are labeled with their contents. Evidence: A spray bottle with liquid that was not labeled was observed on the handwashing sink in the infant room. It was reported that the contents in the spray bottle were soap and water.”

8VAC20-780-570-A

“Based on interviews and 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 the bucket seats. Staff reported that the belts were removed because the children were taking them out of the seats.”

8VAC20-780-280-B

“Based on review of the infant room it was determined that not all hazardous substances were kept locked to prevent access by children. Evidence: A spray bottle that was reported to be soap and water and spray bottle of bleach and water solution was observed on the handwashing sink of the infant room.”

8VAC20-780-330-C

“Based on observation of the playground it was determined that not all ground supports were covered with materials that protect children from injury. Evidence: 1.) The fire truck structure on the preschool playground had ground supports that were visible and not covered by resilient surfacing. 2.) The fire truck structure and helicopter structure on the school age playground had ground supports that were visible and not covered by resilient surfacing.”

22.1-289.035-B-4

“Based on review of four staff records it was determined that not all out of state background checks were obtained for staff who have lived outside of VA in the last five years. Evidence: 1. The record for Staff A (start date: 08/03/22) documented on their sworn statement or affirmation form that they have lived in two states outside of VA in the last five years. Staff A did not have documentation of out of state central registry checks for the two states documented on the sworn statement form. Staff A did not have documentation of an out of state criminal history check for one of the states documented on the sworn statement form. 2. The record for Staff B (start date: 09/27/22) documented on their sworn statement or affirmation form that they have lived in one state outside of VA in the last five years. Staff B did not have documentation of an out of state central registry check or an out of state criminal history check for the state documented on the sworn statement form.”

8VAC20-780-570-E

“Based on observation of the infant room and interviews it was determined that not all prepared formula bottles were labeled with the child's name. Evidence: Two bottles were observed in the infant room refrigerator that were not labeled indicating who the bottles belong to.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Five infants were observed in the infant room that were under 12 months old. Four cribs were observed in the infant room. Child A (11 Months) did not have a designated crib assigned to them.”

8VAC20-780-430-G

“Based on observation of the toddler room it was determined that not all indoor slides more than 36 inches were located over resilient surfacing. Evidence: The slide portion of the climbing equipment in the Toddler room was not placed over resilient surfacing.”

8VAC20-780-430-F

“Based on observation of the infant room it was determined that the facility failed to ensure climbing equipment over 18 inches was not placed over bare flooring. Evidence: An infant climbing structure was observed over bare floor in the infant room.”

8VAC20-780-270-A

“Based on observation of the Pre-K classroom it was determined that not all areas were maintained in safe and operable condition. Evidence: A loose, jagged floor tile was observed in front of the exit door to the playground of the Pre-K classroom posing a tripping hazard.”

8VAC20-780-330-C

“Based on observation of the playground it was determined that not all ground supports were covered with materials that protect children from injury. Evidence: 1.) The fire truck structure on the preschool playground had ground supports that were visible and not covered by resilient surfacing. 2.) The fire truck structure and helicopter structure on the school age playground had ground supports that were visible and not covered by resilient surfacing.”

22.1-289.035-B-4

“Based on review of four staff records it was determined that not all out of state background checks were obtained for staff who have lived outside of VA in the last five years. Evidence: 1. The record for Staff A (start date: 08/03/22) documented on their sworn statement or affirmation form that they have lived in two states outside of VA in the last five years. Staff A did not have documentation of out of state central registry checks for the two states documented on the sworn statement form. Staff A did not have documentation of an out of state criminal history check for one of the states documented on the sworn statement form. 2. The record for Staff B (start date: 09/27/22) documented on their sworn statement or affirmation form that they have lived in one state outside of VA in the last five years. Staff B did not have documentation of an out of state central registry check or an out of state criminal history check for the state documented on the sworn statement form.”

8VAC20-780-570-E

“Based on observation of the infant room and interviews it was determined that not all prepared formula bottles were labeled with the child's name. Evidence: Two bottles were observed in the infant room refrigerator that were not labeled indicating who the bottles belong to.”

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Five infants were observed in the infant room that were under 12 months old. Four cribs were observed in the infant room. Child A (11 Months) did not have a designated crib assigned to them.”

8VAC20-780-430-G

“Based on observation of the toddler room it was determined that not all indoor slides more than 36 inches were located over resilient surfacing. Evidence: The slide portion of the climbing equipment in the Toddler room was not placed over resilient surfacing.”

8VAC20-780-430-F

“Based on observation of the infant room it was determined that the facility failed to ensure climbing equipment over 18 inches was not placed over bare flooring. Evidence: An infant climbing structure was observed over bare floor in the infant room.”

8VAC20-780-270-A

“Based on observation of the Pre-K classroom it was determined that not all areas were maintained in safe and operable condition. Evidence: A loose, jagged floor tile was observed in front of the exit door to the playground of the Pre-K classroom posing a tripping hazard.”

8VAC20-780-350-B-5

“Based on observation of the school age room it was determined that a ratio of one staff member per every 18 children was not always maintained. Evidence: Staff A was observed caring for 20 children ranging in ages of 5 years - 12 years.”

8VAC20-780-330-B

“Based on observation of the playground it was determined that not all equipment was accompanied by appropriate resilient surfacing. Evidence: There was scattered mulch throughout the school age playground with many bare spots observed. There was not a sufficient amount of resilient surfacing around the helicopter and car structure.”

8VAC20-780-330-F

“Based on observation of the preschool playground there was not a shady area provided during the months of June, July, and August. Evidence: The large umbrella that typically provides shade on the preschool playground was not present and was reported to be broken.”

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas of the facility were maintained in safe operable condition. Evidence: 1.) The grass portion of the school age playground area had not been recently mowed, the length of the grass was over shin length. This poses a risk of potential ticks, snakes, or mosquitos to be present. 2.) A broken branch was observed on the school age playground partially attached to the tree and hanging down into the playground. 3.) There is a cracked caterpillar toy on the infant playground.”

8VAC20-780-500-B

“Based on observation of the diapering area in the two year old room it was determined that not all procedures for diapering were followed. Evidence: The changing pad in the two year old room had a tear on top making it no longer nonabsorbent.”

8VAC20-780-430-B

“Based on observation of the two year old room it was determined that there was not an adequate supply of arts & crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment and manipulative equipment. There was a small amount of social living and manipulative items. There were no arts & crafts materials, texture materials, construction materials, music and sound materials, or books observed in the two year old classroom.”

22.1-289.035-B-2

“Based on review of 10 staff records it was determined that not all staff records contained documentation of a determination letter based on fingerprinting on file. Evidence: The record for staff B did not have documentation of a determination letter based on fingerprinting during the time of the initial inspection.”