Toddler Town

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The records for Staff #1 and Staff #2 , did not have documentation of their education in the files. Staff #1 has been employed for 1 year and Staff # 2 has been employed for 5 years.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting of any equipment. In the main hallway, a rusting step stool was being used by the children to access the water fountain. In six classrooms, there was an area rug on the floor that was stained with spots and dirt. Children were observed sitting and playing on the rugs.”

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. The records for Staff #1 and Staff #2 , did not have documentation of their education in the files. Staff #1 has been employed for 1 year and Staff # 2 has been employed for 5 years.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting of any equipment. In the main hallway, a rusting step stool was being used by the children to access the water fountain. In six classrooms, there was an area rug on the floor that was stained with spots and dirt. Children were observed sitting and playing on the rugs.”

8VAC20-780-150-B

“Based on review of five children's records, the facility failed to ensure that each child's immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 9/25/2023) was not signed by a physician or his designee.”

8VAC20-780-160-A

“Based on review of 2 new staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment and prior to coming in contact with children. Evidence: Staff 5 (date of employment 6/22/2023) had documentation of a TB test on 7/07/2023.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain areas, inside and outside, in a clean and safe condition. Evidence: there were several deflated pools outside that had dirty standing water. In the school age bathroom, a bar liner tile had come unglued from the sink and was laying loose on the sink.”

8VAC20-780-510-P

“Based on review of one medication, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for Child A expired 9/26/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

8VAC20-780-150-B

“Based on review of five children's records, the facility failed to ensure that each child's immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 9/25/2023) was not signed by a physician or his designee.”

8VAC20-780-160-A

“Based on review of 2 new staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment and prior to coming in contact with children. Evidence: Staff 5 (date of employment 6/22/2023) had documentation of a TB test on 7/07/2023.”

8VAC20-780-270-A

“Based on observation, the facility failed to maintain areas, inside and outside, in a clean and safe condition. Evidence: there were several deflated pools outside that had dirty standing water. In the school age bathroom, a bar liner tile had come unglued from the sink and was laying loose on the sink.”

8VAC20-780-510-P

“Based on review of one medication, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for Child A expired 9/26/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site.”

8VAC20-780-510-P

“Based on review of medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for one medication labeled for Child A expired in 3/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site on 6/9/2023.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the preschool classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-240-A

“Based on review of two staff files and staff interview, the facility failed to have staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 1 (date of employment 5/31/2022) did not complete the training until 9/7/2022 and Staff 2 (date of employment 5/31/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course.”

8VAC20-780-510-L

“Based on observation, the facility failed to ensure that medication is kept in a locked place using a safe locking method that prevents access to children. Evidence: The medication for Child A was on an upper shelf, unlocked in the infant room.”

8VAC20-780-510-P

“Based on review of medications, the facility failed to notify parents that that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Evidence: The medication authorization for one medication labeled for Child A expired in 3/2023. The authorization had not been renewed and the medication was not returned or destroyed as required. The medication was on site on 6/9/2023.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the preschool classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-240-A

“Based on review of two staff files and staff interview, the facility failed to have staff complete the Virginia Department of Education-sponsored orientation course (VA Pre-service) within 90 days of employment. Evidence: Staff 1 (date of employment 5/31/2022) did not complete the training until 9/7/2022 and Staff 2 (date of employment 5/31/2022) did not have documentation of having completed the VA Dept of Education sponsored orientation course.”

8VAC20-780-510-L

“Based on observation, the facility failed to ensure that medication is kept in a locked place using a safe locking method that prevents access to children. Evidence: The medication for Child A was on an upper shelf, unlocked in the infant room.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-160-A

“Based on review of 5 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test for each staff at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 1/03/2023) did not have a TB test until 1/23/2023.”

8VAC20-780-270-A

“Based on observation, the facility did not maintain all areas of the center in a clean, safe, and operable condition. In the preschool room, there was peeling paint and drywall, a couple of inches in diameter, on the corner of the wall near the exit. The hole was close to the floor and was accessible to the children in care. In the school age room, there was a hole on the drywall near the far exit door, accessible to children.”

8VAC20-780-500-B

“Based on observation, the facility failed to use the diapering surface for diapering only. Evidence: In the twos room, the diaper table had several items such as a small bin of toys, a cell phone, and the class attendance record on the surface used for diapering.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-160-A

“Based on review of 5 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test for each staff at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 1/03/2023) did not have a TB test until 1/23/2023.”

8VAC20-780-270-A

“Based on observation, the facility did not maintain all areas of the center in a clean, safe, and operable condition. In the preschool room, there was peeling paint and drywall, a couple of inches in diameter, on the corner of the wall near the exit. The hole was close to the floor and was accessible to the children in care. In the school age room, there was a hole on the drywall near the far exit door, accessible to children.”

8VAC20-780-500-B

“Based on observation, the facility failed to use the diapering surface for diapering only. Evidence: In the twos room, the diaper table had several items such as a small bin of toys, a cell phone, and the class attendance record on the surface used for diapering.”

8VAC20-780-280-B

“Based on observation, the facility failed to keep hazardous substances in a locked place that prevents access by children. Evidence: In the twos classroom, the cleaning solution and sanitizing solution were in an unlocked upper cabinet.”

8VAC20-780-160-A

“Based on review of 5 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test for each staff at the time of employment and prior to coming in contact with children. Evidence: Staff 1 (date of employment 1/03/2023) did not have a TB test until 1/23/2023.”

8VAC20-780-270-A

“Based on observation, the facility did not maintain all areas of the center in a clean, safe, and operable condition. In the preschool room, there was peeling paint and drywall, a couple of inches in diameter, on the corner of the wall near the exit. The hole was close to the floor and was accessible to the children in care. In the school age room, there was a hole on the drywall near the far exit door, accessible to children.”

8VAC20-780-500-B

“Based on observation, the facility failed to use the diapering surface for diapering only. Evidence: In the twos room, the diaper table had several items such as a small bin of toys, a cell phone, and the class attendance record on the surface used for diapering.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed cleaner on the diaper changing table and wiped with a paper towel. A sanitizer was not used. A second staff cleaned and sanitized the diaper changing table, but did not allow the bleach water solution to dry for a period of at least 2 minutes.”

8VAC20-780-70

“Based on review of four staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of hire 2/25/2022) did not have documentation of two references and Staff 3 (date of hire 3/10/2022) only had documentation of one reference on file.”

8VAC20-780-500-A

“Based on observation, the facility failed to wash children’s hands and have staff wash hands with with soap and running water after toileting or diapering. Evidence: In the toddler room, staff changed a child’s diaper and did not take the child to the sink to wash hands with soap and water. Staff did not wash hands their own hands before or immediately after changing the child’s diaper.”

8VAC20-780-60-A

“Based on review of six children’s records, the facility failed to have all required documentation in each child’s file. Evidence: Child 5 (date of enrollment 4/28/2022) did not have documentation of having viewed the child’s proof of identity and age.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 5/19/2022, there were 7 children aged 16 months to age 2 years alone with one staff person.”

8VAC20-780-550-G

“ased on review of the emergency drill log, the facility failed to conduct evacuation drills monthly as required. Evidence: the facility did not have documentation of an evacuation drill since October 2021.”

22.1-289.035-B-2

“Based on review of 4 staff files, the facility failed to obtain fingerprint results prior to employment for each staff as required. Evidence: two staff did not have documentation of fingerprints on file. Staff 1 (date of hire 2/1/2022) and Staff 3 (date of hire 3/10/2022) did not have a fingerprint result on file.”

8VAC20-780-350-B-1

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 5/19/2022, there were 9 infants ages 4 months to 15 months with 2 staff from approximately 2:00 p.m. to 3:00 p.m.”

8VAC20-780-240-B

“Based on review of four records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of hire 2/1/2022), Staff 2 (date of hire 2/25/2022), Staff 3 (date of hire 3/10/2022), and Staff 4 (date of hire 3/14/2022) did not have documentation of orientation on file.”

8VAC20-770-60-B

“Based on review of four records, the facility failed to have documentation of a completed sworn disclosure statement on file for each staff by the first day of employment. Evidence: Staff 1 (date of hire 2/1/2022) did not complete a sworn disclosure statement until 4/12/2022. Staff 2 (date of hire 2/25/2022) did not have documentation of a sworn disclosure on file. Staff 3 (date of hire 3/10/2022) did not have documentation of a sworn disclosure statement until 4/12/2022. Staff 4 (date of hire 3/14/2022) did not have documentation of a sworn disclosure statement until 4/12/2022.”

8VAC20-780-500-B

“Based on observation, the facility failed to clean and sanitize the diaper changing table as required after each use. Evidence: Staff sprayed cleaner on the diaper changing table and wiped with a paper towel. A sanitizer was not used. A second staff cleaned and sanitized the diaper changing table, but did not allow the bleach water solution to dry for a period of at least 2 minutes.”

8VAC20-780-70

“Based on review of four staff records, the facility failed to have all required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 2 (date of hire 2/25/2022) did not have documentation of two references and Staff 3 (date of hire 3/10/2022) only had documentation of one reference on file.”

8VAC20-780-500-A

“Based on observation, the facility failed to wash children’s hands and have staff wash hands with with soap and running water after toileting or diapering. Evidence: In the toddler room, staff changed a child’s diaper and did not take the child to the sink to wash hands with soap and water. Staff did not wash hands their own hands before or immediately after changing the child’s diaper.”

8VAC20-780-60-A

“Based on review of six children’s records, the facility failed to have all required documentation in each child’s file. Evidence: Child 5 (date of enrollment 4/28/2022) did not have documentation of having viewed the child’s proof of identity and age.”

8VAC20-780-350-B-2

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every five children age 16 months up to 24 months. Evidence: On 5/19/2022, there were 7 children aged 16 months to age 2 years alone with one staff person.”

8VAC20-780-550-G

“ased on review of the emergency drill log, the facility failed to conduct evacuation drills monthly as required. Evidence: the facility did not have documentation of an evacuation drill since October 2021.”

22.1-289.035-B-2

“Based on review of 4 staff files, the facility failed to obtain fingerprint results prior to employment for each staff as required. Evidence: two staff did not have documentation of fingerprints on file. Staff 1 (date of hire 2/1/2022) and Staff 3 (date of hire 3/10/2022) did not have a fingerprint result on file.”

8VAC20-780-350-B-1

“Based on observation, the facility failed to maintain the required ratio of 1 staff for every four infants aged birth up to 16 months. Evidence: On 5/19/2022, there were 9 infants ages 4 months to 15 months with 2 staff from approximately 2:00 p.m. to 3:00 p.m.”

8VAC20-780-240-B

“Based on review of four records, the facility failed to have documentation of orientation prior to working alone with children. Evidence: Staff 1 (date of hire 2/1/2022), Staff 2 (date of hire 2/25/2022), Staff 3 (date of hire 3/10/2022), and Staff 4 (date of hire 3/14/2022) did not have documentation of orientation on file.”

8VAC20-770-60-B

“Based on review of four records, the facility failed to have documentation of a completed sworn disclosure statement on file for each staff by the first day of employment. Evidence: Staff 1 (date of hire 2/1/2022) did not complete a sworn disclosure statement until 4/12/2022. Staff 2 (date of hire 2/25/2022) did not have documentation of a sworn disclosure on file. Staff 3 (date of hire 3/10/2022) did not have documentation of a sworn disclosure statement until 4/12/2022. Staff 4 (date of hire 3/14/2022) did not have documentation of a sworn disclosure statement until 4/12/2022.”

8VAC20-780-340-A

“Based on staff interviews, forensic photos, and center video footage, the facility failed to ensure that when staff are supervising children, they always ensure their care, protection, and guidance. Evidence: At approximately 2:50 p.m. on February 11, 2022, the two year old classroom is observed on video jumping on and off mat and walking around without a staff person present. Child 2 is seen hitting, sitting on, and pinching Child 1. A forensic exam with photos details at least 70 visible scratch marks on Child 1's face, neck, and back as well as a visible lower and upper jaw bite mark on Child 1's lower back. Staff A stated she was helping a child in the restroom and went to get an ice pack for the child's injured fingers. When she returned to the classroom, Child 1 was visibly injured and bleeding.”

8VAC20-780-340-F

“Based on staff interviews and video camera footage, the facility failed to have all children under 10 years of age within actual sight and sound supervision. Evidence: On February 11, 2022, the two year old classroom was observed on video recording without a staff person in actual sight and sound supervision. The children were seen jumping on and off mats and walking around. Child 2 was seen hitting, sitting on, and pinching Child 1. Staff A stated she was helping a child in the restroom and getting an ice pack for the child's injured finger. A forensic examination details that Child 1 sustained at least 70 visible marks including scratches and a bite mark. The video recording shows the children were out of sight and sound supervision for a period of at least two minutes but the clip does not show when staff returned to the classroom.”

8VAC20-780-40-E

“Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence: the center's supervision policy states "All children must be in sight and sound of the teacher at all times. You may not leave your classroom for any reason unless another teacher/director assumes responsibility for your class." The twos classroom was out of sight and sound supervision for a period of no less than 2 minutes. Staff A stated she was hanging children's art work, helping a child in the restroom, and getting an ice pack for a a child.”

22VAC40-665-780-A-3

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no lockdown drill documented in the past 12 months.”

8VAC20-770-60-B

“Based on review of three staff records, the facility failed to have documentation of a sworn disclosure statement prior to employment. Evidence: Staff B (date of hire 7/19/2021) and Staff C (date of hire 7/19/2021) did not have documentation of a sworn disclosure statement.”

22.1-289.036-A

“Based on review of two applicant files, the facility failed to have documentation of a repeat search of the central registry ( CPS check) for each agent. Evidence: Agent 1 did not have documentation of a repeat CPS check on file.”

22.1-289.035-B-2

“Based on review of three staff files, the facility failed to obtain fingerprint results for each staff prior to hire. Evidence: Staff C (date of hire 7/19/2021) did not have documentation of fingerprint results.”

8VAC20-780-70

“Based on review of three staff files, the facility failed to have all required information in each staff file as required. Evidence: Staff A (date of hire 7/14/2021) Staff B (date of hire 7/19/2021) and Staff C (date of hire 7/19/2021) did not have documentation of a TB/ PPD test or screening within 21 days of hire. Staff B and Staff C did not have documentation of two references prior to hire. Staff A, Staff B, and Staff C did not have documentation of orientation training by the end of the first day of employment.”

8VAC20-770-60-C-2

“Based on review of three staff files, the facility failed to have a completed search of the central registry ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff A (date of hire 7/14/2021), Staff B (date of hire 7/19/2021), and Staff C (date of hire 7/19/2021) did not have documentation of a completed search of the central registry ( CPS check).”

22VAC40-665-780-A-3

“Based on review of the emergency drill log and staff interview, the facility failed to conduct a lockdown drill at least once annually. Evidence: there was no lockdown drill documented in the past 12 months.”

8VAC20-770-60-B

“Based on review of three staff records, the facility failed to have documentation of a sworn disclosure statement prior to employment. Evidence: Staff B (date of hire 7/19/2021) and Staff C (date of hire 7/19/2021) did not have documentation of a sworn disclosure statement.”

22.1-289.036-A

“Based on review of two applicant files, the facility failed to have documentation of a repeat search of the central registry ( CPS check) for each agent. Evidence: Agent 1 did not have documentation of a repeat CPS check on file.”

22.1-289.035-B-2

“Based on review of three staff files, the facility failed to obtain fingerprint results for each staff prior to hire. Evidence: Staff C (date of hire 7/19/2021) did not have documentation of fingerprint results.”

8VAC20-780-70

“Based on review of three staff files, the facility failed to have all required information in each staff file as required. Evidence: Staff A (date of hire 7/14/2021) Staff B (date of hire 7/19/2021) and Staff C (date of hire 7/19/2021) did not have documentation of a TB/ PPD test or screening within 21 days of hire. Staff B and Staff C did not have documentation of two references prior to hire. Staff A, Staff B, and Staff C did not have documentation of orientation training by the end of the first day of employment.”

8VAC20-770-60-C-2

“Based on review of three staff files, the facility failed to have a completed search of the central registry ( CPS check) on file for each staff within 30 days of employment. Evidence: Staff A (date of hire 7/14/2021), Staff B (date of hire 7/19/2021), and Staff C (date of hire 7/19/2021) did not have documentation of a completed search of the central registry ( CPS check).”