Toras Chaim

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. Three infants were observed asleep in cribs with no staff present at approximately 11:58 am. Both classrooms doors were closed.”

8VAC20-780-500-B

“The diapering surface shall be nonabsorbent. The diaper changing pad in the infant classroom has 2 small rips in the plastic.”

8VAC20-780-140-A

“Repeat Violation Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. There is no physical exam on file for child 2. Child 2 has been in care for more than 7 months.”

8VAC20-780-60-A-7

“Each center shall maintain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. There was no written allergy care plan on file for child 1. Child 1 has a confirmed food allergy according to written information in the enrollment record.”

8VAC20-780-270-A

“Repeat Violation Outside areas shall be maintained in a safe condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint. There is an area of peeling paint on the last window side of the building that is a part of the infant outdoor play area.”

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety's "Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground," February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Where steps are used for accessibility, resilient surfacing is not required. The plastic climbing cube with slide, located on the infant/toddler playground, lacked any type of resilient surfacing. The cube was placed over artificial grass which does not meet CPSC/ASTM requirements for resilient surfacing.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the dosage amount, and the time to be given. One medication, for child 1, lacked any type of name label. The prescription label with dosing instructions was not attached to the medication.”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a safe condition. A microwave oven had been placed on a table directly beside the infant room diaper changing table. An electrical tea kettle, containing hot water, was placed on top of the microwave. Both items were within reach of a child being changed on the diaper changing table.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all required elements. 1. There was no written parent agreement on file for child 1. The parent agreement for child 2 was not signed by the parent. a. Both children were in care during the inspection.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. 1. The records for staff 1, 2 and 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The records for staff 1, 2, 3, 4 and 5 lacked documentation of a job title. 3. The records for staff 1, 2, 3, and 4 lacked documentation of an address for the designated emergency contact. 4. All of these staff were present and caring for children during the inspection.”

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. Documentation of required immunizations were not on file for child 1 and child 2. Both children were in care during the inspection.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles of prepared infant formula, stored in the infant class refrigerator, were not dated.”

8VAC20-780-160-A

“Documentation of the required screening for tuberculosis shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 1. The TB screening for staff 2 was completed approximately 7 months after the first date of employment. The screening was not signed by the appropriate health care official. 2. The TB screening for staff 3 was completed approximately 90 days prior to employment.”

8VAC20-780-560-M

“No child shall be allowed to drink or eat while walking around. A child in the toddler classroom was observed walking around while drinking from a bottle of milk.”

8VAC20-780-560-G

“Repeat Violation When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identified the owner. 1. 5 water bottles, reviewed in the four-year old classroom, lacked any type of name label. 2. 2 boxes of rice cereal, that had been opened, lacked any type of name label nor were they dated. 3. 1 bottle of milk, observed in the toddler classroom, was not dated or labeled with the child's name.”

8VAC20-780-550-P

“The center written record of children's serious and minor injuries in which entries shall include all required documentation. 1. 5 of 9 injury reported reviewed lacked written documentation of the time and method of parent notification of the child's minor injury. 2. The 9 injury reports reviewed lacked documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Child 1 and child 2 lacked documentation of a physical exam. Both children have been in care for more than 30 days.”

8VAC20-780-440-J

“There shall be at least twelve inches of space between the sides of occupied cribs and thirty inches of space between service sides of occupied cribs. Two occupied cribs, in the infant nap room, were placed directly beside another crib resulting in a lack of the required thirty inches of space between the service side of each occupied crib.”

8VAC20-780-350-B-4

“The staff-to-children ratios are required whenever children are in care: 3 year olds up to school age - ratio 1:10 (staff: children) A. 1 staff was observed with a group of 11 3-year old children in the gym at approximately 10:45 am. Approximately 5 minutes later a group of 22 children, ages 3 and 4 years, were observed in the gym with 2 staff. 1. 3 staff were needed to maintain the required ratio of 1:10.”

8VAC20-780-280-D

“Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. A jar of sun butter was observed stored on a self below multiple hazardous chemicals inside of a cabinet located in the 4-year old classroom.”

8VAC20-780-280-B

“Systemic Deficiency Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Unlocked cleaning and disinfecting agents were observed in an unlocked wall mounted cabinet in the four-year old classroom. A container of disinfecting wipes were observed on the book shelf in the toddler classroom.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements. The enrollment record for child 1 lacked documentation of viewing proof of the child's age and identity”

8VAC20-780-270-A

“Areas and equipment of the center shall be maintained in a safe condition. A microwave oven had been placed on a table directly beside the infant room diaper changing table. An electrical tea kettle, containing hot water, was placed on top of the microwave. Both items were within reach of a child being changed on the diaper changing table.”

8VAC20-780-90-A

“A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include all required elements. 1. There was no written parent agreement on file for child 1. The parent agreement for child 2 was not signed by the parent. a. Both children were in care during the inspection.”

8VAC20-780-70

“Repeat Violation Staff records shall contain all required elements. 1. The records for staff 1, 2 and 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. The records for staff 1, 2, 3, 4 and 5 lacked documentation of a job title. 3. The records for staff 1, 2, 3, and 4 lacked documentation of an address for the designated emergency contact. 4. All of these staff were present and caring for children during the inspection.”

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. Documentation of required immunizations were not on file for child 1 and child 2. Both children were in care during the inspection.”

8VAC20-780-570-E

“Prepared infant formula shall be dated. Three bottles of prepared infant formula, stored in the infant class refrigerator, were not dated.”

8VAC20-780-160-A

“Documentation of the required screening for tuberculosis shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 1. The TB screening for staff 2 was completed approximately 7 months after the first date of employment. The screening was not signed by the appropriate health care official. 2. The TB screening for staff 3 was completed approximately 90 days prior to employment.”

8VAC20-780-560-M

“No child shall be allowed to drink or eat while walking around. A child in the toddler classroom was observed walking around while drinking from a bottle of milk.”

8VAC20-780-560-G

“Repeat Violation When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identified the owner. 1. 5 water bottles, reviewed in the four-year old classroom, lacked any type of name label. 2. 2 boxes of rice cereal, that had been opened, lacked any type of name label nor were they dated. 3. 1 bottle of milk, observed in the toddler classroom, was not dated or labeled with the child's name.”

8VAC20-780-550-P

“The center written record of children's serious and minor injuries in which entries shall include all required documentation. 1. 5 of 9 injury reported reviewed lacked written documentation of the time and method of parent notification of the child's minor injury. 2. The 9 injury reports reviewed lacked documentation of any future action to prevent recurrence of the injury.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance or within 30 days after the first day of attendance. Child 1 and child 2 lacked documentation of a physical exam. Both children have been in care for more than 30 days.”

8VAC20-780-440-J

“There shall be at least twelve inches of space between the sides of occupied cribs and thirty inches of space between service sides of occupied cribs. Two occupied cribs, in the infant nap room, were placed directly beside another crib resulting in a lack of the required thirty inches of space between the service side of each occupied crib.”

8VAC20-780-350-B-4

“The staff-to-children ratios are required whenever children are in care: 3 year olds up to school age - ratio 1:10 (staff: children) A. 1 staff was observed with a group of 11 3-year old children in the gym at approximately 10:45 am. Approximately 5 minutes later a group of 22 children, ages 3 and 4 years, were observed in the gym with 2 staff. 1. 3 staff were needed to maintain the required ratio of 1:10.”

8VAC20-780-280-D

“Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. A jar of sun butter was observed stored on a self below multiple hazardous chemicals inside of a cabinet located in the 4-year old classroom.”

8VAC20-780-280-B

“Systemic Deficiency Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Unlocked cleaning and disinfecting agents were observed in an unlocked wall mounted cabinet in the four-year old classroom. A container of disinfecting wipes were observed on the book shelf in the toddler classroom.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements. The enrollment record for child 1 lacked documentation of viewing proof of the child's age and identity”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Child 1's hands were not washed with soap and running water after a diaper change.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Unlocked cleaning and disinfecting agents were observed in the two-year old, three-year old and four-year old classrooms. Most were in wall mounted cabinets however, 2 disinfectant sprays were observed placed in areas within reach of children in the four-year old and two-year old classroom.”

8VAC20-780-70

“Staff records shall contain all of the required elements. The record for staff 2 lacked documentation to demonstrate that she possesses the education, certification, and experience required by her job position. Staff 2 is listed as a program leader in her employment file and was observed functioning as a program leader position during the inspection.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The emergency log for the facility did not have written documentation of a practice fire drill for the month of February 2025.”

8VAC20-780-560-G

“When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identifies the owner. 4 of 8 lunch containers reviewed in the two-year old class lacked a name and date label.”

8VAC20-780-570-B

“Bottles shall not be used while the child is in his designated sleeping location. Child 1 and child 2 were observed napping/resting in their crib with a bottle of formula.”

8VAC20-780-440-J

“There shall be at least thirty inches of space between the service sides of occupied cribs where that space is the walkway for staff to gain access to any occupied crib. Child 1's crib was blocked in by a crib on one side, a wall on two sides, and a crib placed at the end of the crib.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. Ten (10 ) infants were observed playing on the infant/toddler playground. The terms of the current license state: Due to space available, no more than six (6) children may be on infant/toddler outdoor play at any one time.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The most recent immunization record on file for child 2 indicates the most recent immunizations were administrated more than 7 months ago.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. The most recent TB screening on file for staff 1 was conducted more than 2 years ago.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The inspection summary and violation notice from the most recent inspection, conducted on 11/22/2024, was not posted.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting. Child 1's hands were not washed with soap and running water after a diaper change.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Unlocked cleaning and disinfecting agents were observed in the two-year old, three-year old and four-year old classrooms. Most were in wall mounted cabinets however, 2 disinfectant sprays were observed placed in areas within reach of children in the four-year old and two-year old classroom.”

8VAC20-780-70

“Staff records shall contain all of the required elements. The record for staff 2 lacked documentation to demonstrate that she possesses the education, certification, and experience required by her job position. Staff 2 is listed as a program leader in her employment file and was observed functioning as a program leader position during the inspection.”

8VAC20-780-550-H

“The center shall maintain a record of the dates of the practice drills for one year. The emergency log for the facility did not have written documentation of a practice fire drill for the month of February 2025.”

8VAC20-780-560-G

“When food is brought from home, the following shall apply: The food container shall be clearly dated and labeled in a way that identifies the owner. 4 of 8 lunch containers reviewed in the two-year old class lacked a name and date label.”

8VAC20-780-570-B

“Bottles shall not be used while the child is in his designated sleeping location. Child 1 and child 2 were observed napping/resting in their crib with a bottle of formula.”

8VAC20-780-440-J

“There shall be at least thirty inches of space between the service sides of occupied cribs where that space is the walkway for staff to gain access to any occupied crib. Child 1's crib was blocked in by a crib on one side, a wall on two sides, and a crib placed at the end of the crib.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with the terms of the current license issued by the department. Ten (10 ) infants were observed playing on the infant/toddler playground. The terms of the current license state: Due to space available, no more than six (6) children may be on infant/toddler outdoor play at any one time.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The most recent immunization record on file for child 2 indicates the most recent immunizations were administrated more than 7 months ago.”

8VAC20-780-160-C

“At least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening as stated in subsection B of this section. The most recent TB screening on file for staff 1 was conducted more than 2 years ago.”

22.1-289.011-F

“The license and any other documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. The inspection summary and violation notice from the most recent inspection, conducted on 11/22/2024, was not posted.”

22.1-289.035-B-1

“The center shall ensure that staff and volunteers shall provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth. The completed sworn statement or affirmation shall be completed prior to employment, volunteer surface and contact with children. There was no completed sworn statement or affirmation for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.”

22.1-289.035-B-2

“The facility shall request a fingerprint background check prior to employment or volunteer service. The facility had not requested and obtained the results of a fingerprint background check for volunteer 1 who was observed caring for children during the inspection. Volunteer 1 was needed to maintain the required classroom staff-to-child ratio she was observed in.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Staff 1 and Staff 2 lack written documentation of a TB screening.”

8VAC20-780-40-M

“The center shall ensure that the allergy list of children's allergies, sensitivities and dietary restriction is confidential. The allergy list in the three and four year classroom was not maintained confidentially as the list was posted in an area of each classroom that was visible.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all of the required elements. 1. The enrollment record for child 1 did not include the following required information: a. Name, address and phone number for a second designated emergency contact. b. Documentation of viewing proof of the child's age and identity. 2. The enrollment record for child 2 did not included the following required information: a. The address for both designated emergency contacts. b. Documentation of viewing proof of the child's age and identity. 3. The enrollment record for child 3 did not include the following required information: a. Documentation of viewing proof of the child's age and identity. 4. The enrollment record for child 4 did not include the following required information: a. Name and phone number of child's physician.”

8VAC20-780-70

“The following staff records shall be kept for each staff person: 1. The record for staff 1, staff 2 and staff 3 lacked documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. a. Staff 1 and 2 have been employed for more than 8 weeks. Staff 3 has been employed for more than 12 months.”

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Cleaning agents to include disinfectants were observed in unlocked wall mounted cabinets in the three and four year old classrooms. These cleaning agents contained warning labels indicating contents as hazardous.”

8VAC20-780-280-D

“Cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. A sealed bag of pretzels was observed stored on a shelf below a shelf containing multiple disinfectant cleaning agents and hand sanitizer in the four-year old classroom.”

8VAC20-780-290-A-3

“Electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. One outlet in the three year old classroom lacked a protective cover.”

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering or changing of children. The diapering pad in the two-year classroom was covered with a cloth. This cloth cover does not allow for the surface to be nonabsorbent and prohibits the surface from being properly cleaned and sanitized after each diaper change.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. A bottle of infant formula for infant 1 was not dated and labeled with the child's name. A bottle of infant formula for infant 2 was not dated.”

8VAC20-780-270-A

“Equipment of the center shall be maintained in a safe condition. An occupied infant seat was observed placed inside of a crib. The infant seat contained a warning label stating that the seat shall be placed on the floor when occupied by an infant.”