Tiny Tots Playroom

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. It has been more than 6 months since the date of the last immunization page for Child #2 (under 2 years of age).”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Prepared infant formula was not dated correctly on two bottles within the "crawlers" refrigerator.”

8VAC20-780-270-A Complaint related: No

“Based on observation, equipment used in the center was not safe. Evidence: Two nap mat covers with built in pillows for children were torn. The soft stuffing in the torn hole of the pillow and corners was exposed, posing a choking hazard.”

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

“Based on records review, observations and staff interview, one program lead was supervising more than two aides. Evidence: 1. On 3/30/23, four staff members were working in the Infant classroom. 2. Staff # 1 stated that Staff # 2 is the program lead for the infant classroom. 3. There were three assistant teachers (Staff # 3, Staff # 4 and Staff # 5) working in the classroom, none of whom were qualified to be a program lead.”

8VAC20-780-450-B Complaint related: No

“Based on observation, nap mats used by children were not labeled with their names. Evidence: Two nap mats in the older infant classroom and one nap mat in the 2?s-3?s classroom were not labeled with the children’s names.”

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

“Based on observation, pillows were being used by children under the age of two years old. Evidence: In the Older Infant room (12-16 months), 4 children under the age of two were observed sleeping on rest mats with a cover that had built in pillows.”

8VAC20-780-350-B-1 Complaint related: Yes

“Based on observation, the center did not maintain the staff-to-child ratio of 1:4 in a room where infants were present. Evidence: 1. At approximately 1:10 pm, there were 14 children (ages 8 months to 16 months) in the Crawlers room with two staff members. 2. A third staff member arrived in the classroom at approximately 1:13pm. 3. The classroom was observed to be over ratio from approximately 1:10pm to 1:12pm.”

8VAC20-780-440-G Complaint related: Yes

“Based on observation, children under the age of 12 months were not sleeping in cribs. Evidence: 1. Child # 5 (4 months old) was observed sleeping in a car seat. 2. Staff # 2 stated that Child # 5 had been in the car seat for approximately 15 minutes, and that he was placed in the car seat so he could fall asleep. 3. Child # 5 was not moved to his assigned and available crib once he had fallen asleep. 4. Child # 1 (10 months old), Child # 2 (8 months old), Child # 3 (11 months old) and Child # 4 (10 months old) were observed sleeping on rest mats and covers.”

8VAC20-780-40-M

“Based on staff interview, records review and observation, the center did not maintain a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan, in each room or area where children are present. Evidence: 1. Staff # 1 stated that Child # 1 in the Crawler's classroom, and Child # 2 in the Older Toddler's classroom have diagnosed food allergies. Both children have medications on site for their respective allergies. 2. A written allergy list was not kept in the center, nor in any of the classrooms where children were present.”

22.1-289.035-B-4

“Based on staff interview and records review, the center did not obtain for an employee that lived outside of Virginia within the last 5 years, results of an out of sex offender search and out of state criminal record check ( CRC ) prior to their first day of employment; and the results of an out of state central registry search within 45 days of employment. Evidence: 1. Staff # 1's first day of employment was 2/9/22. Staff # 1's record had written information that indicated that she lived in Texas within the last 5 years. 2. This information was not documented on her Sworn Disclosure Statement (SDS). 3. Upon interviewing, Staff # 1 stated that she moved to VA in December 2021 from Texas. When asked about the SDS, Staff # 1 stated that she did not complete the SDS, and someone from the center did and that they may have gotten confused. 4. The results of the CRC and sex offender search for Texas were not obtained prior to Staff # 1's first day of employment. 5. The central registry search for Texas was not submitted and the results were not obtained within 45 days of employment.”

8VAC20-780-570-I

“Based on staff interview and observation, the center did not maintain one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care at the center. Evidence: 1. In the infant classroom, it was observed that the infants had their daily supply of milk bottles which included breast milk for some and formula for others. 2. One day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. 3. Staff # 2 stated that sometimes parent s bring an extra bottle or so, but there were not enough bottles to meet one day's supply and some infants only had breast milk at the center.”

8VAC20-780-340-D

“Based on records review and staff interviews, the center did not have in each grouping of children at least one staff member who meets the qualifications of a program leader or program director regularly present. Evidence: 1. There were 5 staff present in the Infant classroom. Staff # 2 stated that currently there was not a program lead qualified staff in this classroom. 2. There were 2 staff present in the Crawlers (9 months to 16 months of age) classroom. Staff # 2 stated that neither staff was program lead qualified. 3. There were 4 staff present in the 2's classroom. Staff # 2 stated that there was not a program lead qualified staff in this classroom.”