TLC4Kids Children's Center

8VAC20-780-160-A

“Based on record review, a staff member submitted documentation of a tuberculosis (TB) screening that was not completed within the last 30 calendar days of the date of employment. Evidence: Staff #1 (start date: 08/15/2023) had a TB screening that was dated 04/11/2023.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: Staff #3's most recent TB screening was dated 06/17/2021.”

8VAC20-780-160-A

“Based on record review, a staff member submitted documentation of a tuberculosis (TB) screening that was not completed within the last 30 calendar days of the date of employment. Evidence: Staff #1 (start date: 08/15/2023) had a TB screening that was dated 04/11/2023.”

8VAC20-780-160-C

“REPEAT VIOLATION Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: Staff #3's most recent TB screening was dated 06/17/2021.”

8VAC20-780-40-I

“Based on record review and staff interview, the center did not develop written procedures for injury prevention. Evidence: Staff #4 stated that the center does not currently have written procedures for injury prevention.”

8VAC20-780-40-K

“Based on record review and staff interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff #4 stated that the center does not currently have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-N

“Based on record review, the center’s written playground safety procedures did not include all information. Evidence: 1. The provision for active supervision did not include circulating among children. 2. The center’s written playground safety procedures did not include a method of maintaining resilient surface.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #3?s (age: 16 months) most recent documentation of immunizations was dated 10/14/2022.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received required immunizations before the child could attend the center. Evidence: Child #1 (start date: 05/16/2023) did not have documentation of immunizations on file.”

8VAC20-780-550-D

“Based on record review, the center did not implement a monthly practice evacuation drill. Evidence: The most recent practice evacuation drill implemented by the center was dated 03/14/2023.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for a child before the child’s attendance or within 30 days after the child’s first day of attendance. Evidence: Child #2 (start date: 01/03/2023) did not have documentation of a physical examination on file.”

8VAC20-780-40-I

“Based on record review and staff interview, the center did not develop written procedures for injury prevention. Evidence: Staff #4 stated that the center does not currently have written procedures for injury prevention.”

8VAC20-780-40-K

“Based on record review and staff interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma. Evidence: Staff #4 stated that the center does not currently have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

8VAC20-780-40-N

“Based on record review, the center’s written playground safety procedures did not include all information. Evidence: 1. The provision for active supervision did not include circulating among children. 2. The center’s written playground safety procedures did not include a method of maintaining resilient surface.”

8VAC20-780-130-E

“Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child #3?s (age: 16 months) most recent documentation of immunizations was dated 10/14/2022.”

8VAC20-780-130-A

“Based on record review, the center did not obtain documentation that each child has received required immunizations before the child could attend the center. Evidence: Child #1 (start date: 05/16/2023) did not have documentation of immunizations on file.”

8VAC20-780-550-D

“Based on record review, the center did not implement a monthly practice evacuation drill. Evidence: The most recent practice evacuation drill implemented by the center was dated 03/14/2023.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical examination for a child before the child’s attendance or within 30 days after the child’s first day of attendance. Evidence: Child #2 (start date: 01/03/2023) did not have documentation of a physical examination on file.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the school age room, there was a chipped and cracked tile on the floor near the computers. 2. On the playground, there was a blue rainbow climber that was not securely anchored to the ground. When pulling on the structure, the structure began to tilt over. 3. On the playground, there was chipped paint and rust on the bars of a yellow, metal car structure. 4. On the playground, the end cap for the left handlebar of a yellow bike was missing. The rubber covering for the front tire was also missing. 5. On the playground, there was a wooden pole attached to a slab of concrete lying in the grassy area. 6. On the playground, there was a large orange cone that was easy to tip over, in the grassy area, accessible to children. 7. In the infant classroom, there was a crockpot with hot water inside, located on the floor by the refrigerator, accessible to children. 8. In the toddler classroom, there was a hole in the bathroom door, within reach of children.”

8VAC20-780-330-B

“Based on observation, resilient surfacing did not comply with the minimum safety standards. Evidence: 1. The mulch located in the fall zone around the blue rainbow climber was worn down to dirt in multiple areas. 2. The mulch located at the bottom of the blue slide was worn down to dirt.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the school age room, there was a chipped and cracked tile on the floor near the computers. 2. On the playground, there was a blue rainbow climber that was not securely anchored to the ground. When pulling on the structure, the structure began to tilt over. 3. On the playground, there was chipped paint and rust on the bars of a yellow, metal car structure. 4. On the playground, the end cap for the left handlebar of a yellow bike was missing. The rubber covering for the front tire was also missing. 5. On the playground, there was a wooden pole attached to a slab of concrete lying in the grassy area. 6. On the playground, there was a large orange cone that was easy to tip over, in the grassy area, accessible to children. 7. In the infant classroom, there was a crockpot with hot water inside, located on the floor by the refrigerator, accessible to children. 8. In the toddler classroom, there was a hole in the bathroom door, within reach of children.”

8VAC20-780-330-B

“Based on observation, resilient surfacing did not comply with the minimum safety standards. Evidence: 1. The mulch located in the fall zone around the blue rainbow climber was worn down to dirt in multiple areas. 2. The mulch located at the bottom of the blue slide was worn down to dirt.”

8VAC20-780-520-C

“Based on observation, not all requirements were met when using topical skin products. Evidence: 1. At the time of inspection, there was no written parent authorization for Child #2?s diaper cream. 2. At the time of inspection, there was no written parent authorization for Child #3?s Vaseline. 3. At the time of inspection, there was one diaper cream which belonged to Child #2 that was not labeled with the child’s name.”

8VAC20-780-520-A

“Based on observation, over-the-skin products were kept beyond the expiration date of the product. Evidence: The sunscreen for Child #2 expired in April of 2022.”

8VAC20-780-290-A-3

“Based on observation, all electrical outlets did not have protective covers. Evidence: In the Radiant Rainbows classroom, an outlet between the bathroom and closet did not have a protective covering.”

8VAC20-780-280-G

“Based on observation and interview, hazardous substances not kept in original containers were not labeled to clearly indicate their contents. Evidence: 1. In the bathroom of the Radiant Rainbows classroom, a spray bottle was not labeled. 2. In the School Age classroom, a spray bottle was not labeled. 3. Staff confirmed that each spray bottled contained a bleach/ water solution.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Grasshoppers classroom, various spray cleaners and disinfectant wipes were located at the bottom of an unlocked changing table. 2. In the Grasshoppers classroom, (2) gallon bottles of bleach were located on the floor of an unlocked cleaning supply closet, next to the children’s reading area. 3. In the School Age classroom, a spray bottle with bleach solution was located within children’s reach on a shelf in an unlocked closet.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the school age room, there were two missing tiles and one chipped tile on the floor near the window. 2. In the school age room, the wooden trim around the window had water damage and was beginning to rot. 3. In the Radiant Rainbows classroom, there were four small spots of chipped paint on the back side of the half wall. 4. On the playground, there was a plastic dump truck toy that was cracked along the right side.”

8VAC20-780-260-A

“Based on record review, an annual fire inspection report was not obtained. Evidence: At the time of inspection, the most recent fire inspection was dated 02/18/2020.”

8VAC20-780-245-A

“Based on record review and interview, all staff did not complete a minimum of 16 hours of training annually. Evidence: 1. Staff #2 stated that annual training is based off of a calendar year (January- December) 2. Staff #1 had 2.5 hours of training documented for the 2021 calendar year. 3. Staff #3 had 0 hours of training documented for the 2021 calendar year. 4. Staff #4 had 5.5 hours of training documented for the 2021 calendar year. 5. Staff #5 had 2.5 hours of training documented for the 2021 calendar year.”

8VAC20-780-60-A

“Based on record review, the center did not obtain all required information for children’s records. Evidence: At the time of inspection, the name and phone number for Child #1?s physician was not located in the file.”

8VAC20-780-160-C

“Based on record review, each staff member did not obtain and submit the results of a follow-up tuberculosis screening at least every two years. Evidence: At time of inspection, the most recent tuberculosis screening for Staff #1 was dated 06/03/2020.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical exam for each child within the first 30 days of attendance. Evidence: At the time of inspection, Child #1 (start date: 03/02/2022) did not have a physical examination in the file.”

8VAC20-780-520-C

“Based on observation, not all requirements were met when using topical skin products. Evidence: 1. At the time of inspection, there was no written parent authorization for Child #2?s diaper cream. 2. At the time of inspection, there was no written parent authorization for Child #3?s Vaseline. 3. At the time of inspection, there was one diaper cream which belonged to Child #2 that was not labeled with the child’s name.”

8VAC20-780-520-A

“Based on observation, over-the-skin products were kept beyond the expiration date of the product. Evidence: The sunscreen for Child #2 expired in April of 2022.”

8VAC20-780-290-A-3

“Based on observation, all electrical outlets did not have protective covers. Evidence: In the Radiant Rainbows classroom, an outlet between the bathroom and closet did not have a protective covering.”

8VAC20-780-280-G

“Based on observation and interview, hazardous substances not kept in original containers were not labeled to clearly indicate their contents. Evidence: 1. In the bathroom of the Radiant Rainbows classroom, a spray bottle was not labeled. 2. In the School Age classroom, a spray bottle was not labeled. 3. Staff confirmed that each spray bottled contained a bleach/ water solution.”

8VAC20-780-280-B

“Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the Grasshoppers classroom, various spray cleaners and disinfectant wipes were located at the bottom of an unlocked changing table. 2. In the Grasshoppers classroom, (2) gallon bottles of bleach were located on the floor of an unlocked cleaning supply closet, next to the children’s reading area. 3. In the School Age classroom, a spray bottle with bleach solution was located within children’s reach on a shelf in an unlocked closet.”

8VAC20-780-270-A

“Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition. Evidence: 1. In the school age room, there were two missing tiles and one chipped tile on the floor near the window. 2. In the school age room, the wooden trim around the window had water damage and was beginning to rot. 3. In the Radiant Rainbows classroom, there were four small spots of chipped paint on the back side of the half wall. 4. On the playground, there was a plastic dump truck toy that was cracked along the right side.”

8VAC20-780-260-A

“Based on record review, an annual fire inspection report was not obtained. Evidence: At the time of inspection, the most recent fire inspection was dated 02/18/2020.”

8VAC20-780-245-A

“Based on record review and interview, all staff did not complete a minimum of 16 hours of training annually. Evidence: 1. Staff #2 stated that annual training is based off of a calendar year (January- December) 2. Staff #1 had 2.5 hours of training documented for the 2021 calendar year. 3. Staff #3 had 0 hours of training documented for the 2021 calendar year. 4. Staff #4 had 5.5 hours of training documented for the 2021 calendar year. 5. Staff #5 had 2.5 hours of training documented for the 2021 calendar year.”

8VAC20-780-60-A

“Based on record review, the center did not obtain all required information for children’s records. Evidence: At the time of inspection, the name and phone number for Child #1?s physician was not located in the file.”

8VAC20-780-160-C

“Based on record review, each staff member did not obtain and submit the results of a follow-up tuberculosis screening at least every two years. Evidence: At time of inspection, the most recent tuberculosis screening for Staff #1 was dated 06/03/2020.”

8VAC20-780-140-A

“Based on record review, the center did not obtain a physical exam for each child within the first 30 days of attendance. Evidence: At the time of inspection, Child #1 (start date: 03/02/2022) did not have a physical examination in the file.”

8VAC20-780-550-F

“Based on record review and interview, lockdown procedures were not practiced annually. Evidence: There is no documentation of a lockdown drill being practiced during 2021. The center director stated that they had forgotten to complete a lockdown drill in 2021.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: There was chipped and peeling paint observed on the wall near the window of the Radiant Rainbows classroom.”

8VAC20-780-40-H

“Based on interview, evidence of insurance coverage was not kept on site and available upon request. Evidence: When requested, the program director did not have evidence of insurance coverage. The center owner was contacted to provide evidence of coverage.”

8VAC20-780-550-F

“Based on record review and interview, lockdown procedures were not practiced annually. Evidence: There is no documentation of a lockdown drill being practiced during 2021. The center director stated that they had forgotten to complete a lockdown drill in 2021.”

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: There was chipped and peeling paint observed on the wall near the window of the Radiant Rainbows classroom.”

8VAC20-780-40-H

“Based on interview, evidence of insurance coverage was not kept on site and available upon request. Evidence: When requested, the program director did not have evidence of insurance coverage. The center owner was contacted to provide evidence of coverage.”