TLC Daycare Center

8VAC20-780-130-E

“Based on review of documentation, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4, age 16 months at enrollment, last documented immunization was dated 11/1/2021 and should have been updated before April of 2022. Child #5, age 16 months at enrollment, last documented immunization was dated 11/2022 and should have been updated by May of 2023.”

8VAC20-780-60-A

“Based on review of six children's records, the center failed to ensure each child's record contained required information. Evidence: Child #4, first day of attendance 12/13/2021, do not have a full address for one emergency contact. Child #5, first day of attendance 12/06/2022, did not have a second emergency contact.”

8VAC20-780-130-E

“Based on review of documentation, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #4, age 16 months at enrollment, last documented immunization was dated 11/1/2021 and should have been updated before April of 2022. Child #5, age 16 months at enrollment, last documented immunization was dated 11/2022 and should have been updated by May of 2023.”

8VAC20-780-60-A

“Based on review of six children's records, the center failed to ensure each child's record contained required information. Evidence: Child #4, first day of attendance 12/13/2021, do not have a full address for one emergency contact. Child #5, first day of attendance 12/06/2022, did not have a second emergency contact.”

8VAC20-780-280-B

“REPEAT Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.On the playground, behind the lattice near the door, there was a can of wasp and hornet spray sitting out in the open.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all areas of the center inside and outside were maintained in clean, safe, operable condition. Evidence: 1.The connecting clips on the safety straps on the drop in table in the back classroom (three and four year olds) were broken and cracked. The breakage makes the safety straps inoperable and a scratching hazard. 2.There is a large sticker bush on the playground in the right corner.”

22.1-289.011-F

“Based on observation, the center failed to ensure compliance with the terms of the license and posted information. Evidence: The findings of the most recent inspection of the facility were not posted. The posted inspection was dated 3/30/2023.”

8VAC20-780-520-C

“Based on observation and interviews with staff, the center failed to ensure that diapering ointment requirements were followed. Evidence: In the organizer on the back of the bathroom door, there was an unlabeled CVS diaper rash ointment that expired 12/2022 and an unlabeled Aquaphor healing ointment that expired 7/2023.”

8VAC20-780-570-A

“Based on observation, the center failed to ensure that when a child is placed in a feeding table or high chair, the protective belt is fastened securely. Evidence: In the back classroom, three children were observed in the feeding table. None of the seats in the feeding table were equipped with the safety straps.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all areas of the center inside and outside were maintained in clean, safe, operable condition. Evidence: 1.In the back classroom, the transition strip is broken, is uneven and creates a tripping hazard. 2.In the bathroom near off the back classroom (three and four year olds), there is an approximately two inch size gouge in the drywall that exposes drywall and chips and flakes off. There are three toilets (toilet 1: two screws, toilet 2: two screws, toilet 3: one screw) with five exposed screws at the base that extend six to ten thread lengths and create an impalement and scratch hazard. 3.Near the alcove to the outdoor/playground area, there were two heavy tables leaned against a wall that creates a crush and fall hazard. 4.On the fence on the playground, there were five broken wooden fence boards that create a scratch and puncture hazard. 5.The drop in table in the two year old room did not have any safety straps installed. The drop in table in the back classroom (three and four year olds), did not have any safety straps installed”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.On the playground, behind the lattice near the door, there was a can of wasp and hornet spray sitting out in the open. 2.Behind the counter, in the kitchenette area, the gate was open and unlocked and there were four bottles of bleach on a bottom shelf.”

8VAC20-780-280-H

“Based on observation, the center failed to ensure that cosmetics, medications, or other harmful agents were stored in areas that are not accessible to children. Evidence: In the two year old class, there was a Humulin insulin stored in an open cabinet with a broken lock accessible to children in care. Staff interviews confirmed that the medication belonged to a staff member.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets were equipped with protective covers. Evidence: In the two year old room, there was an accessible power strip with five outlets exposed and a plugged in charger.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that in areas where playground equipment is provided, resilient surfacing was sufficient in fall zones. Evidence: Multiple areas of dirt were observed in fall zones around playground equipment. A minimum of six inches of mulch is required in the fall zones.”

8VAC20-780-500-A

“Based on observation, staff failed to ensure that children and staff’s hands were washed with soap and running water after diapering. Evidence: Diapering procedures were observed and after diapering, staff did not wash their hands or the children’s hands with soap and water.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure that medication was kept in a locked place. Evidence: A prescription Nystatin cream was observed in an organizer on the back of an unlocked bathroom door.”

8VAC20-780-510-E

“Based on observation and interview, the center failed to ensure that they were in compliance with their medication policy. Evidence: There was a prescription Nystatin cream in the unlocked bathroom that did not have an accompanying authorization from the parent.”

8VAC20-780-520-C

“Based on observation and interviews with staff, the center failed to ensure that diapering ointment requirements were followed. Evidence: In the organizer on the back of the bathroom door, there was an unlabeled CVS diaper rash ointment that expired 12/2022 and an unlabeled Aquaphor healing ointment that expired 7/2023.”

8VAC20-780-570-A

“Based on observation, the center failed to ensure that when a child is placed in a feeding table or high chair, the protective belt is fastened securely. Evidence: In the back classroom, three children were observed in the feeding table. None of the seats in the feeding table were equipped with the safety straps.”

8VAC20-780-270-A

“REPEAT VIOLATION Based on observation, the center failed to ensure all areas of the center inside and outside were maintained in clean, safe, operable condition. Evidence: 1.In the back classroom, the transition strip is broken, is uneven and creates a tripping hazard. 2.In the bathroom near off the back classroom (three and four year olds), there is an approximately two inch size gouge in the drywall that exposes drywall and chips and flakes off. There are three toilets (toilet 1: two screws, toilet 2: two screws, toilet 3: one screw) with five exposed screws at the base that extend six to ten thread lengths and create an impalement and scratch hazard. 3.Near the alcove to the outdoor/playground area, there were two heavy tables leaned against a wall that creates a crush and fall hazard. 4.On the fence on the playground, there were five broken wooden fence boards that create a scratch and puncture hazard. 5.The drop in table in the two year old room did not have any safety straps installed. The drop in table in the back classroom (three and four year olds), did not have any safety straps installed”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1.On the playground, behind the lattice near the door, there was a can of wasp and hornet spray sitting out in the open. 2.Behind the counter, in the kitchenette area, the gate was open and unlocked and there were four bottles of bleach on a bottom shelf.”

8VAC20-780-280-H

“Based on observation, the center failed to ensure that cosmetics, medications, or other harmful agents were stored in areas that are not accessible to children. Evidence: In the two year old class, there was a Humulin insulin stored in an open cabinet with a broken lock accessible to children in care. Staff interviews confirmed that the medication belonged to a staff member.”

8VAC20-780-290-A-3

“Based on observation, the center failed to ensure that all electrical outlets were equipped with protective covers. Evidence: In the two year old room, there was an accessible power strip with five outlets exposed and a plugged in charger.”

8VAC20-780-330-B

“Based on observation, the center failed to ensure that in areas where playground equipment is provided, resilient surfacing was sufficient in fall zones. Evidence: Multiple areas of dirt were observed in fall zones around playground equipment. A minimum of six inches of mulch is required in the fall zones.”

8VAC20-780-500-A

“Based on observation, staff failed to ensure that children and staff’s hands were washed with soap and running water after diapering. Evidence: Diapering procedures were observed and after diapering, staff did not wash their hands or the children’s hands with soap and water.”

8VAC20-780-510-L

“Based on observation, the center failed to ensure that medication was kept in a locked place. Evidence: A prescription Nystatin cream was observed in an organizer on the back of an unlocked bathroom door.”

8VAC20-780-510-E

“Based on observation and interview, the center failed to ensure that they were in compliance with their medication policy. Evidence: There was a prescription Nystatin cream in the unlocked bathroom that did not have an accompanying authorization from the parent.”

8VAC20-820-120-E-2

“Based on observation and interview on March 30, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted October 12, 2023, were not posted in the facility on the date of inspection. 2. Staff #6 stated she didn't know the complaint inspection had to be posted.”

8VAC20-770-70-A

“Based on a review of records and interview on March 30, 2023, the center did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 03/28/23, did not contain documentation of references being checked. 2. The record of staff #3, hired 03/01/22, contained documentation of references that were checked and dated on 03/02/22 and 03/04/22. 3. Staff #6 confirmed the references weren't complete or late.”

8VAC20-780-60-A

“Based on a review of children’s records and interview on March 30, 2023, the provider failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #1 (enrolled 03/23/23) and child #4 (enrolled 05/07/21) did not contain the first date of attendance. 2. Staff #6 confirmed they were not in the file.”

8VAC20-770-40-D-6

“Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a fingerprint check that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of staff #3, hired 03/01/22, contained documentation of fingerprints dated 10/21/21.”

8VAC20-780-90-A

“Based on a review of children's records and interview on March 30, 2023, the center failed to ensure a written agreement between the parent and the center was in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #1, enrolled 03/23/23, did not contain documentation of a signed written agreement between the parent and the center. 2. Staff #6 confirmed it was not complete.”

8VAC20-780-270-A

“Based on observation on March 30, 2023, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom door contained a hole approximately 5x6 that created splintered wood. 2. A plastic ride on toy outside contained a broken plastic handle, which created a hole in the toy.”

8VAC20-780-550-D

“Based on a review of records and interview on March 30, 2023, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of fire drills being practiced in January and February 2023. 2. Staff #6 confirmed the fire drills were not conducted.”

8VAC20-770-60-C-2

“Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #3, hired 03/01/22, contained documentation of central registry results dated 07/11/22.”

8VAC20-820-120-E-2

“Based on observation and interview on March 30, 2023, the center did not ensure the findings of the most recent inspection were posted in the facility. Evidence: 1. The findings from the most recent inspection conducted October 12, 2023, were not posted in the facility on the date of inspection. 2. Staff #6 stated she didn't know the complaint inspection had to be posted.”

8VAC20-770-70-A

“Based on a review of records and interview on March 30, 2023, the center did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 03/28/23, did not contain documentation of references being checked. 2. The record of staff #3, hired 03/01/22, contained documentation of references that were checked and dated on 03/02/22 and 03/04/22. 3. Staff #6 confirmed the references weren't complete or late.”

8VAC20-780-60-A

“Based on a review of children’s records and interview on March 30, 2023, the provider failed to ensure that each child's record contained the required information. Evidence: 1. The records of child #1 (enrolled 03/23/23) and child #4 (enrolled 05/07/21) did not contain the first date of attendance. 2. Staff #6 confirmed they were not in the file.”

8VAC20-770-40-D-6

“Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a fingerprint check that is not dated more than 90 days prior to the date of employment. Evidence: 1. The record of staff #3, hired 03/01/22, contained documentation of fingerprints dated 10/21/21.”

8VAC20-780-90-A

“Based on a review of children's records and interview on March 30, 2023, the center failed to ensure a written agreement between the parent and the center was in each child's record by the first day of the child's attendance. Evidence: 1. The record of child #1, enrolled 03/23/23, did not contain documentation of a signed written agreement between the parent and the center. 2. Staff #6 confirmed it was not complete.”

8VAC20-780-270-A

“Based on observation on March 30, 2023, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom door contained a hole approximately 5x6 that created splintered wood. 2. A plastic ride on toy outside contained a broken plastic handle, which created a hole in the toy.”

8VAC20-780-550-D

“Based on a review of records and interview on March 30, 2023, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of fire drills being practiced in January and February 2023. 2. Staff #6 confirmed the fire drills were not conducted.”

8VAC20-770-60-C-2

“Based on a review of staff records on March 30, 2023, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: The record of staff #3, hired 03/01/22, contained documentation of central registry results dated 07/11/22.”

8VAC20-780-450-A

“Based on observation and interview on October 12, 2022, the center failed to have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges on the cots during the designated rest period. Evidence: In the toddler classroom there were two cots occupied by children that did not have bottom covers. Staff #2 stated the parents don't bring them. Staff #4 confirmed there were no bottom covers.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 4/25/22, contained documentation of a central registry finding dated 7/5/22. 2. The record of staff #3, hired 8/29/22, contained documentation of a central registry finding dated 10/8/22.”

8VAC20-780-550-D

“Based on a review of records and interview on October 12, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of a fire drill being practiced in September 2022. 2. Staff #4 verified a fire drill was not conducted in September.”

8VAC20-780-240-D

“Based on observation and interview on October 12, 2022, the center failed to provide the required information in writing prior to working alone with children. Evidence: 1. Staff #1 was observed working alone with children. 2. Staff #1 confirmed the first day of employment was 10/12/22. 3. Staff #4 confirmed that staff #1 had not been provided the required information in writing.”

8VAC20-770-70-A

“Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position, and orientation and did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 10/12/22, did not contain documentation of references. Staff #4 confirmed that the references were not completed. 2. The record of staff #2, hired 4/25/22, did not contain documentation of program leader qualifications and did not contain documentation of orientation. Staff #4 stated she was unsure where the orientation documentation was. 3. The record of staff #3, hired 8/29/22, did not contain documentation of two references.”

8VAC20-780-530-A-1

“Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in CPR. Staff #4 confirmed that staff #3 has not completed CPR training.”

8VAC20-780-530-A-2

“Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in first aid. Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in first aid. Staff #4 confirmed that staff #3 has not completed first aid training.”

8VAC20-770-60-B

“Based on observation, interview and a review of staff records on October 12, 2022, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: Staff #1 was observed working alone with children. Staff #1 confirmed the first day of employment as 10/12/22. The record of staff #1 did not contain documentation of sworn statement. Staff #4 confirmed the sworn statement was not completed.”

8VAC20-780-140-A

“Based on a review of children’s records on October 12, 2022, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of a physical dated 6/15/22.”

8VAC20-780-130-A

“Based on a review of children's records on October 12, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of immunizations dated 6/15/22.”

8VAC20-780-450-A

“Based on observation and interview on October 12, 2022, the center failed to have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges on the cots during the designated rest period. Evidence: In the toddler classroom there were two cots occupied by children that did not have bottom covers. Staff #2 stated the parents don't bring them. Staff #4 confirmed there were no bottom covers.”

8VAC20-770-60-C-2

“Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of staff #2, hired 4/25/22, contained documentation of a central registry finding dated 7/5/22. 2. The record of staff #3, hired 8/29/22, contained documentation of a central registry finding dated 10/8/22.”

8VAC20-780-550-D

“Based on a review of records and interview on October 12, 2022, the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1. There was no documentation of a fire drill being practiced in September 2022. 2. Staff #4 verified a fire drill was not conducted in September.”

8VAC20-780-240-D

“Based on observation and interview on October 12, 2022, the center failed to provide the required information in writing prior to working alone with children. Evidence: 1. Staff #1 was observed working alone with children. 2. Staff #1 confirmed the first day of employment was 10/12/22. 3. Staff #4 confirmed that staff #1 had not been provided the required information in writing.”

8VAC20-770-70-A

“Based on a review of staff records and interview on October 12, 2022, the center failed to ensure that a staff record contained documentation to demonstrate that an individual possessed the education, certification, and experience required by the job position, and orientation and did not ensure that two or more references were checked before employment. Evidence: 1. The record of staff #1, hired 10/12/22, did not contain documentation of references. Staff #4 confirmed that the references were not completed. 2. The record of staff #2, hired 4/25/22, did not contain documentation of program leader qualifications and did not contain documentation of orientation. Staff #4 stated she was unsure where the orientation documentation was. 3. The record of staff #3, hired 8/29/22, did not contain documentation of two references.”

8VAC20-780-530-A-1

“Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in CPR. Staff #4 confirmed that staff #3 has not completed CPR training.”

8VAC20-780-530-A-2

“Based on observation, a review of staff records and interview on October 12, 2022, the center failed to have one staff member in each classroom with current certification in first aid. Evidence: Staff #3 was observed working alone with children in the pre-k classroom. The record of staff #3 did not contain documentation of a current certification in first aid. Staff #4 confirmed that staff #3 has not completed first aid training.”

8VAC20-770-60-B

“Based on observation, interview and a review of staff records on October 12, 2022, the center did not ensure to obtain a Sworn Statement from each staff prior to employment. Evidence: Staff #1 was observed working alone with children. Staff #1 confirmed the first day of employment as 10/12/22. The record of staff #1 did not contain documentation of sworn statement. Staff #4 confirmed the sworn statement was not completed.”

8VAC20-780-140-A

“Based on a review of children’s records on October 12, 2022, the center failed to obtain documentation of a physical examination by or under the direction of a physician for each child before the child's attendance or within one month after attendance. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of a physical dated 6/15/22.”

8VAC20-780-130-A

“Based on a review of children's records on October 12, 2022, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record of child #3, enrolled 2/23/22, contained documentation of immunizations dated 6/15/22.”