Tots and Company Childcare

8VAC20-780-40-M

“Based on observation and interviews, the center failed to ensure that the center maintains, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan; this list shall be dated and kept confidential in each room or area where children are present. Evidence: Applicant 2 verified that the list of children’s allergies was maintained in the kitchen only, not in each room or area where children are present.”

8VAC20-780-245-A

“Based on record review, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training. Evidence: 1. The record for Staff 1 contained documented hire date of 04/10/2023; the record contained a total of 2 training hours in 2023. 2. The record for Staff 2 contained documented hire date of 10/15/2018; the record contained a total 5 of training hours in 2023. 3. The record for Staff 3 contained documented hire date of 06/28/2021; the record contained a total 5 of training hours in 2023. 4. The record for Staff 4 contained documented hire date of 01/11/2019; the record contained a total of 2 training hours in 2023.”

22.1-289.035-A

“Based on record review and discussion with staff, the center failed to ensure that every employee of a licensed child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: 1. The most recent sworn statement for Staff 4 was dated 12/15/2018; there was not a 5 year follow-up obtained by 12/15/2023. 2. The most recent search of the central registry for Staff 4 was dated 01/04/2019; there was not a 5 year follow-up obtained by 01/04/2024.”

8VAC20-780-160-A

“Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment. Evidence: The record for Staff 8 contained a documented hire date of 05/06/2024. The tuberculosis screening was dated 08/28/2023; the screening was not completed within the last 30 calendar days of employment.”

8VAC20-780-560-F

“Based on staff interviews, the center failed to ensure that when centers choose to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current on-week period shall: be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center. Evidence: The posted menu was written on a white dry erase board. The menu was not dated and the previous weekly menu, which shall be kept on file for one week, was not available for review.”

8VAC20-780-330-C

“REPEAT VIOLATION Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 3 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the inspection.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The depth of the resilient surfacing on the playground did not meet the required depth to comply with the minimum safety standards; the mulch measured less than one inch in the fall zone of the blue/green/yellow/red Little Tykes playground equipment. Dirt was visible in the required fall zone. The children were observed playing on the equipment during the inspection.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 contained documentation that Staff 1 was a program leader. The record for Staff 1 did not contain documentation that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 5 did not contain the following information: job title; and date of employment.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain 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. Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There were not a written care plan 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 in the record for Child 4.”

22.1-289.011-F

“Based on observation, the center failed to ensure that documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The inspection summary and violation notice from the 04/26/2023 inspection, required by the Superintendent to be posted, were not posted on the premises.”

8VAC20-780-560-F

“Based on staff interviews, the center failed to ensure that when centers choose to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current on-week period shall: be dated; posted in a location conspicuous to parents or given to parents; list any substituted food; and be kept on file for one week at the center. Evidence: The posted menu was written on a white dry erase board. The menu was not dated and the previous weekly menu, which shall be kept on file for one week, was not available for review.”

8VAC20-780-330-C

“REPEAT VIOLATION Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 3 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the inspection.”

8VAC20-780-330-B

“Based on observation and discussion with staff, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Evidence: The depth of the resilient surfacing on the playground did not meet the required depth to comply with the minimum safety standards; the mulch measured less than one inch in the fall zone of the blue/green/yellow/red Little Tykes playground equipment. Dirt was visible in the required fall zone. The children were observed playing on the equipment during the inspection.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records contain all of the elements required by the standards. Evidence: 1. The record for Staff 1 contained documentation that Staff 1 was a program leader. The record for Staff 1 did not contain documentation that the individual possesses the education, certification and experience required by the job position. 2. The record for Staff 5 did not contain the following information: job title; and date of employment.”

8VAC20-780-60-A-8

“Based on record review, the center failed to obtain 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. Evidence: The record for Child 4 contained documentation of a diagnosed food allergy. There were not a written care plan 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 in the record for Child 4.”

22.1-289.011-F

“Based on observation, the center failed to ensure that documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The inspection summary and violation notice from the 04/26/2023 inspection, required by the Superintendent to be posted, were not posted on the premises.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child’s name. Evidence: There were three bottles observed in the refrigerator of the infant room that were not dated.”

8VAC20-780-330-C

“Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 04/26/2023 inspection.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There were two uncovered electrical outlets on a green extension cord in the Pre-K classroom. 2. There was an uncovered electrical outlet near the swings in the infant room.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The trashcan in the 2-3 year old classroom was motion activated and was not in working order. Staff 4 was observed using their hands to open the trashcan to dispose of a diaper.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record in the Pre-K room indicated 13 children present. There were 14 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred. 2. The attendance record in the infant room indicated 10 children present. There were 12 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred.”

8VAC20-780-280-G

“REPEAT VIOLATION Based on observation, the center failed to ensure that when hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. There was a clear plastic spray bottle containing a pink liquid solution in the Pre-K room that was not labeled to indicate the contents; the label on the bottle was partially peeled off and it was not possible to read the label. 2. There was a clear plastic spray bottle containing clear liquid solution in the 2-3 year that was labeled ?air sanitizer?. Staff 4 stated that the bottle contained a bleach/water solution. The clear plastic spray bottle was not labeled to clearly indicate the contents of the bottle.”

8VAC20-770-60-B

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: Staff 6 stated that the hire date for Staff 4 was 04/10/2023. There was not a sworn statement available for review during the inspection.”

8VAC20-780-130-A

“Based on record review, 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: 1. The record for Child 1 contained a documented start date of 02/06/2023. The date on the immunization record was 02/10/2023. 2. The record for Child 4 contained a documented start date of 03/13/2023. The date on the immunization record was 03/31/2023.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The filing cabinet drawer that contained the cleaning supplies located in the Pre-K classroom was unlocked. The unlocked drawer contained the following: an aerosol spray bottle of disinfecting spray, a container of disinfecting wipes and a spray bottle of window cleaner.”

8VAC20-780-570-D

“Based on observation and discussion, the center failed to ensure that infants shall be fed on demand. Evidence: Staff 5 stated that the children in the Walkers Infant Class follow a daily schedule for meal service and that they are not fed on demand. The youngest child in the Walkers Infant Class was determined to be 15 months old.”

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: The record for Child 3 contained a documented start date of 05/02/2022. Child 3 was determined to be 21 months old. The record for Child 3 contained one immunization record dated 03/30/2022; additional immunizations were not obtained every 6 months.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: The record for Staff 4 did not contain the following information: job title and date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared infant formula shall be refrigerated, dated and labeled with the child’s name. Evidence: There were three bottles observed in the refrigerator of the infant room that were not dated.”

8VAC20-780-330-C

“Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 04/26/2023 inspection.”

8VAC20-780-290-A-3

“Based on observations, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: 1. There were two uncovered electrical outlets on a green extension cord in the Pre-K classroom. 2. There was an uncovered electrical outlet near the swings in the infant room.”

8VAC20-780-500-B

“Based on observation, the center failed to ensure that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: The trashcan in the 2-3 year old classroom was motion activated and was not in working order. Staff 4 was observed using their hands to open the trashcan to dispose of a diaper.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record in the Pre-K room indicated 13 children present. There were 14 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred. 2. The attendance record in the infant room indicated 10 children present. There were 12 children in care at the time the attendance record was reviewed. The attendance did not document the arrival as it occurred.”

8VAC20-780-280-G

“REPEAT VIOLATION Based on observation, the center failed to ensure that when hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1. There was a clear plastic spray bottle containing a pink liquid solution in the Pre-K room that was not labeled to indicate the contents; the label on the bottle was partially peeled off and it was not possible to read the label. 2. There was a clear plastic spray bottle containing clear liquid solution in the 2-3 year that was labeled ?air sanitizer?. Staff 4 stated that the bottle contained a bleach/water solution. The clear plastic spray bottle was not labeled to clearly indicate the contents of the bottle.”

8VAC20-770-60-B

“REPEAT VIOLATION Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: Staff 6 stated that the hire date for Staff 4 was 04/10/2023. There was not a sworn statement available for review during the inspection.”

8VAC20-780-130-A

“Based on record review, 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: 1. The record for Child 1 contained a documented start date of 02/06/2023. The date on the immunization record was 02/10/2023. 2. The record for Child 4 contained a documented start date of 03/13/2023. The date on the immunization record was 03/31/2023.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The filing cabinet drawer that contained the cleaning supplies located in the Pre-K classroom was unlocked. The unlocked drawer contained the following: an aerosol spray bottle of disinfecting spray, a container of disinfecting wipes and a spray bottle of window cleaner.”

8VAC20-780-570-D

“Based on observation and discussion, the center failed to ensure that infants shall be fed on demand. Evidence: Staff 5 stated that the children in the Walkers Infant Class follow a daily schedule for meal service and that they are not fed on demand. The youngest child in the Walkers Infant Class was determined to be 15 months old.”

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: The record for Child 3 contained a documented start date of 05/02/2022. Child 3 was determined to be 21 months old. The record for Child 3 contained one immunization record dated 03/30/2022; additional immunizations were not obtained every 6 months.”

8VAC20-780-70

“REPEAT VIOLATION Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: The record for Staff 4 did not contain the following information: job title and date of employment; and documentation that two or more references as to character and reputation as well as competency were checked before employment.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain name, address and telephone number of a person to be notified in an emergency; and documentation to demonstrate that the individual possesses orientation training.”

8VAC20-770-60-B

“Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 08/29/2022. There was not a sworn statement available for review during the inspection.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent tuberculosis screening in the record for Staff 1 was date 10/14/2020; there was not a follow-up tuberculosis screening for 2022 available for review. 2. The most recent tuberculosis screening in the record for Staff 4 was date 10/04/2020; there was not a follow-up tuberculosis screening for 2022 available for review.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The tables in the Pre-K Classroom were not sanitized before being used for lunch. The children were observed playing at the tables and then immediately using the tables for lunch.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 4 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that when hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: There was a clear plastic spray bottle containing a red liquid solution in the infant room that was not labeled to indicate the contents. The staff stated that the bottle contained Pinalen Cleaner.”

8VAC20-780-70

“Based on record review, the center failed to ensure that staff records shall contain all of the elements as required by the standards. Evidence: The record for Staff 5 did not contain name, address and telephone number of a person to be notified in an emergency; and documentation to demonstrate that the individual possesses orientation training.”

8VAC20-770-60-B

“Based on record review and discussion with staff, the center failed to ensure that an employee must not be employed until the agency has the person’s completed sworn statement or affirmation. Evidence: The record for Staff 3 contained a documented hire date of 08/29/2022. There was not a sworn statement available for review during the inspection.”

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The most recent tuberculosis screening in the record for Staff 1 was date 10/14/2020; there was not a follow-up tuberculosis screening for 2022 available for review. 2. The most recent tuberculosis screening in the record for Staff 4 was date 10/04/2020; there was not a follow-up tuberculosis screening for 2022 available for review.”

8VAC20-780-560-J

“Based on observation, the center failed to ensure that tables shall be sanitized before and after each use for feeding. Evidence: The tables in the Pre-K Classroom were not sanitized before being used for lunch. The children were observed playing at the tables and then immediately using the tables for lunch.”

8VAC20-780-60-A

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards. Evidence: 1. The record for Child 1 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete). 2. The record for Child 4 did not contain the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached (the addresses for both designated people were incomplete).”

8VAC20-780-280-G

“Based on observation, the center failed to ensure that when hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: There was a clear plastic spray bottle containing a red liquid solution in the infant room that was not labeled to indicate the contents. The staff stated that the bottle contained Pinalen Cleaner.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 06/09/2015; there was not a repeat search of the central registry obtained in 2020.”

8VAC20-780-400-C

“Based on observation and discussion with staff, the center failed to ensure that when time out is used as a behavior guidance techniques that it shall not be used with infants or toddlers. Evidence: 1. There was a small chair labeled ?Time Out? observed in the infant classroom. 2. Staff 4 stated that the chair was used for time out for the ?walking infants?. 3. Staff 6 verified that time out was used in the infant and toddler classrooms.”

8VAC20-780-510-L

“Based on observation and discussion with staff, the center failed to ensure that medications, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 2 individual packets of Motrin in an unlocked first aid kit. The first aid kit was kept in an unlocked drawer in the Infant Classroom.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance in the school-aged group of children did not document the arrival of each child as it occurred. There were three children marked in attendance on the record for 05/31/2022 but there were five children in attendance in the school-age group of children.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The paint around the sink in the children’s restroom of the Toddler 1 Classroom was chipping and peeling. 2. The soft interlocking floor in the Toddler 2 Classroom was warped and bubbled up which created a tripping hazard for children and staff. 3. There were 3 children’s toy shopping carts in the Toddler 2 Classroom that were visibly dirty. The carts appeared as though they had been outside for some time and were not cleaned before being brought back indoors.”

8VAC20-780-330-C

“Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 05/31/2022 inspection.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were 4 uncovered electrical outlets on a power strip in the Toddler 1 Classroom.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked filing cabinet in the Pre-K Class that contained the following: a plastic spray bottle labeled ?bleach and water?, a spray bottle of Johnson Glass Cleaner, 2 aerosol cans of air freshener, a bottle of Pineglo, a bottle of bleach, an aerosol can of Lysol, and a bottle of Pinalen. The hazardous substances were not locked to prevent access by children. 2. The door to the staff bathroom in the Toddler 1 classroom was unlocked and open. There was a bottle of bleach and Pinalen on the floor of the bathroom. There were 2 aerosol cans of air freshener on the handrail behind the toilet. The hazardous substances were not locked to prevent access by children.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 06/09/2015; there was not a repeat search of the central registry obtained in 2020.”

8VAC20-780-400-C

“Based on observation and discussion with staff, the center failed to ensure that when time out is used as a behavior guidance techniques that it shall not be used with infants or toddlers. Evidence: 1. There was a small chair labeled ?Time Out? observed in the infant classroom. 2. Staff 4 stated that the chair was used for time out for the ?walking infants?. 3. Staff 6 verified that time out was used in the infant and toddler classrooms.”

8VAC20-780-510-L

“Based on observation and discussion with staff, the center failed to ensure that medications, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 2 individual packets of Motrin in an unlocked first aid kit. The first aid kit was kept in an unlocked drawer in the Infant Classroom.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance in the school-aged group of children did not document the arrival of each child as it occurred. There were three children marked in attendance on the record for 05/31/2022 but there were five children in attendance in the school-age group of children.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The paint around the sink in the children’s restroom of the Toddler 1 Classroom was chipping and peeling. 2. The soft interlocking floor in the Toddler 2 Classroom was warped and bubbled up which created a tripping hazard for children and staff. 3. There were 3 children’s toy shopping carts in the Toddler 2 Classroom that were visibly dirty. The carts appeared as though they had been outside for some time and were not cleaned before being brought back indoors.”

8VAC20-780-330-C

“Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 05/31/2022 inspection.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were 4 uncovered electrical outlets on a power strip in the Toddler 1 Classroom.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked filing cabinet in the Pre-K Class that contained the following: a plastic spray bottle labeled ?bleach and water?, a spray bottle of Johnson Glass Cleaner, 2 aerosol cans of air freshener, a bottle of Pineglo, a bottle of bleach, an aerosol can of Lysol, and a bottle of Pinalen. The hazardous substances were not locked to prevent access by children. 2. The door to the staff bathroom in the Toddler 1 classroom was unlocked and open. There was a bottle of bleach and Pinalen on the floor of the bathroom. There were 2 aerosol cans of air freshener on the handrail behind the toilet. The hazardous substances were not locked to prevent access by children.”

22.1-289.036-A

“Based on record review and discussion with staff, the center failed to ensure that every applicant for licensure as a child day center shall undergo a background check in accordance with the Code of Virginia prior to issuance of a license and every five years thereafter. Evidence: The most recent search of the central registry on record for Agent 1 was dated 06/09/2015; there was not a repeat search of the central registry obtained in 2020.”

8VAC20-780-400-C

“Based on observation and discussion with staff, the center failed to ensure that when time out is used as a behavior guidance techniques that it shall not be used with infants or toddlers. Evidence: 1. There was a small chair labeled ?Time Out? observed in the infant classroom. 2. Staff 4 stated that the chair was used for time out for the ?walking infants?. 3. Staff 6 verified that time out was used in the infant and toddler classrooms.”

8VAC20-780-510-L

“Based on observation and discussion with staff, the center failed to ensure that medications, except for those prescriptions designated otherwise by a written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were 2 individual packets of Motrin in an unlocked first aid kit. The first aid kit was kept in an unlocked drawer in the Infant Classroom.”

8VAC20-780-80-A

“Based on document review and discussion with staff, the center failed to ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The written record of daily attendance in the school-aged group of children did not document the arrival of each child as it occurred. There were three children marked in attendance on the record for 05/31/2022 but there were five children in attendance in the school-age group of children.”

8VAC20-780-270-A

“Based on observation and discussion with staff, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The paint around the sink in the children’s restroom of the Toddler 1 Classroom was chipping and peeling. 2. The soft interlocking floor in the Toddler 2 Classroom was warped and bubbled up which created a tripping hazard for children and staff. 3. There were 3 children’s toy shopping carts in the Toddler 2 Classroom that were visibly dirty. The carts appeared as though they had been outside for some time and were not cleaned before being brought back indoors.”

8VAC20-780-330-C

“Based on observation and discussion, the center failed to ensure that ground supports for playground equipment shall be covered with materials that protect children from injury. Evidence: There were 2 exposed concrete ground supports used to anchor the blue/green/yellow/red Little Tykes playground equipment. The children were observed playing on the playground and using the equipment during the 05/31/2022 inspection.”

8VAC20-780-290-A-3

“Based on observation and discussion, the center failed to ensure that in areas used by children of preschool age or younger, electrical outlets shall have protective covers. Evidence: There were 4 uncovered electrical outlets on a power strip in the Toddler 1 Classroom.”

8VAC20-780-280-B

“Based on observation and discussion with staff, the center failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an unlocked filing cabinet in the Pre-K Class that contained the following: a plastic spray bottle labeled ?bleach and water?, a spray bottle of Johnson Glass Cleaner, 2 aerosol cans of air freshener, a bottle of Pineglo, a bottle of bleach, an aerosol can of Lysol, and a bottle of Pinalen. The hazardous substances were not locked to prevent access by children. 2. The door to the staff bathroom in the Toddler 1 classroom was unlocked and open. There was a bottle of bleach and Pinalen on the floor of the bathroom. There were 2 aerosol cans of air freshener on the handrail behind the toilet. The hazardous substances were not locked to prevent access by children.”

22VAC40-185-160-C

“Based on record review and discussion with staff, the center failed to ensure that at least every two years from the first initial tuberculosis screening or testing, staff shall submit the results of a follow-up tuberculosis screening/test. Evidence: The record for Staff 3 had a tuberculosis screening/test dated 10/10/2019; a 2021 follow-up screening/test has not been obtained.”

22VAC40-185-160-C

“Based on record review and discussion with staff, the center failed to ensure that at least every two years from the first initial tuberculosis screening or testing, staff shall submit the results of a follow-up tuberculosis screening/test. Evidence: The record for Staff 3 had a tuberculosis screening/test dated 10/10/2019; a 2021 follow-up screening/test has not been obtained.”