Tuckaway-Varina Child Development Center

8VAC20-780-510-P

“Based on observations, review of a child’s record and interview, the center failed to ensure that when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for Child #11 for an epi pen expired at the ?end of school year 2024?. The medication authorization for Child #11 for Benadryl expired on 6/30/24. The Program Director acknowledged that they did not notify the parent to pick up the medication or to renew the authorization.”

8VAC20-780-380-A

“Based on observations and interview, the center did not post daily schedules as required. Evidence: There were no daily schedules posted for the Green Bird 2 classroom, the Orange Bird 1 classroom, or the Orange Bird 2 classroom. In an interview on 7/31/24, the Program Director acknowledged that the schedules had not been posted.”

8VAC20-780-40-E

“Based on observations, review of a child’s record and interview, the center did not follow its policies and procedures to prevent the use of outdated medication. Evidence: Child #11 was prescribed and had on site an emergency medication, Albuterol, with 2 puffs for asthma each day at noon and 4:00 p.m. The medication administration log for Child #11 documented that the Albuterol had been administered on 7/29/24, 7/30/24, 7/31/24. The Albuterol expired in February of 2024. In an interview on 7/31/24, the Program Director acknowledged that they did not follow policies and procedures to prevent the use of outdated medication.”

8VAC20-780-510-P

“Based on observations, review of a child’s record and interview, the center failed to ensure that when a medication authorization expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: The medication authorization for Child #11 for an epi pen expired at the ?end of school year 2024?. The medication authorization for Child #11 for Benadryl expired on 6/30/24. The Program Director acknowledged that they did not notify the parent to pick up the medication or to renew the authorization.”

8VAC20-780-380-A

“Based on observations and interview, the center did not post daily schedules as required. Evidence: There were no daily schedules posted for the Green Bird 2 classroom, the Orange Bird 1 classroom, or the Orange Bird 2 classroom. In an interview on 7/31/24, the Program Director acknowledged that the schedules had not been posted.”

8VAC20-780-40-E

“Based on observations, review of a child’s record and interview, the center did not follow its policies and procedures to prevent the use of outdated medication. Evidence: Child #11 was prescribed and had on site an emergency medication, Albuterol, with 2 puffs for asthma each day at noon and 4:00 p.m. The medication administration log for Child #11 documented that the Albuterol had been administered on 7/29/24, 7/30/24, 7/31/24. The Albuterol expired in February of 2024. In an interview on 7/31/24, the Program Director acknowledged that they did not follow policies and procedures to prevent the use of outdated medication.”

8VAC20-780-540-D

“Based on observation and interview, the center's first aid kit used for field trips and transportation was not complete. Evidence: 1. The first aid kit on bus # 3, did not contain a complete first aid kit. 2. Administration acknowledged that the kit was not complete.”

8VAC20-780-270-A

“Repeat Violation. Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The soft blocks located in the open play area between the Orange Bird 1 and the Orange 2 classroom, were torn exposing the inside padding. 2. A red child size chair in the private kindergarten classroom, was torn exposing the inside padding. 3. The director removed the padding on the child size chair.”

8VAC20-780-60-A

“Repeat Violation. Based on record review, the center did not ensure that children’s records were complete. Evidence: 1. The record for child 1 with an enrollment date of 9/27/2022, did not contain documentation of an annual update. 2. The record for child 3 with an enrollment date of 9/28/2020, did not contain documentation of an annual update. 3. The record for child 4 with an enrollment date of 4/26/2021, did not contain documentation of an annual update.”

8VAC20-780-500-A

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the Orange Bird 1 classroom, staff were observed changing three diapers and did not wash their hands or the children’s hands after the diaper change. 2. The director stated that she reminded staff to wash their hands and the children’s hands after diaper change.”

8VAC20-780-540-D

“Based on observation and interview, the center's first aid kit used for field trips and transportation was not complete. Evidence: 1. The first aid kit on bus # 3, did not contain a complete first aid kit. 2. Administration acknowledged that the kit was not complete.”

8VAC20-780-270-A

“Repeat Violation. Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The soft blocks located in the open play area between the Orange Bird 1 and the Orange 2 classroom, were torn exposing the inside padding. 2. A red child size chair in the private kindergarten classroom, was torn exposing the inside padding. 3. The director removed the padding on the child size chair.”

8VAC20-780-60-A

“Repeat Violation. Based on record review, the center did not ensure that children’s records were complete. Evidence: 1. The record for child 1 with an enrollment date of 9/27/2022, did not contain documentation of an annual update. 2. The record for child 3 with an enrollment date of 9/28/2020, did not contain documentation of an annual update. 3. The record for child 4 with an enrollment date of 4/26/2021, did not contain documentation of an annual update.”

8VAC20-780-500-A

“Based on observation and interview, the center failed to ensure that children’s hands are washed after toileting and staff’s hands are washed after a diaper change. Evidence: 1. In the Orange Bird 1 classroom, staff were observed changing three diapers and did not wash their hands or the children’s hands after the diaper change. 2. The director stated that she reminded staff to wash their hands and the children’s hands after diaper change.”

8VAC20-780-410-2 Complaint related: No

“Based on observation, video footage, and interviews with staff, the center did not ensure the forbidden action of enclosure in a small, confined space or any space that the child cannot freely exit himself did not occur. Evidence: On April 23, 2023, it was revealed that child #1 (DOB 7/31/2020) was placed in stroller as a form of confinement on two separate occasions: 1. On May 8, 2023, interviews with staff revealed the following: a. Staff #1 and Staff #2 stated that child #1 a 2-year-old was placed in a stroller during nap time on April 23, 2023. b. Staff #1 and staff #2 stated that child #1 was placed in the stroller because he was running around waking up other children that were napping. 2. Based on video footage taken on April 23, 2023, the following was revealed: a. At approximately 5:30pm staff #1 and staff #2 moved their class across the hall to another classroom because they were leaving for the day. At the time of the transition, child #1 was asleep in a stroller. Child #1 was placed in a stroller because he fell asleep on a swing while outside on the playground. b. Staff #4 stated that child #1 was beginning to wake up. Staff #4 then went to remove child #1 from the stroller and place the child on their lap. Staff #4 stated that he was unable to attend to the other children while holding child #1 and therefore placed the child back into the stroller. c. Shortly after placing the child back in the stroller, child #1?s mother entered the classroom at approximately 5:45. Staff # 4 tried to explain to the parent why child #1 was in the stroller.”

8VAC20-780-60-A

“Based on review of five children's records, the center failed to ensure records were complete. Evidence: 1. Child # 2?s record (start date 9/9/2022) was missing the physicians name and phone number. 2. Child #4?s record (start date 9/27/2022) was missing the physician’s name and phone number.”

8VAC20-780-270-A

“Based on observation and staff interviews, the center failed to maintain areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. 1 of 2 sinks are operable as the water faucet is broken in the Green Bird’s 1 classroom. 2. In the private kindergarten room, there is a red chair and the vinyl is torn (approximately 3 1/2 inches long) and the inside foam is exposed. 4. In the Green Birds 2 classroom, a red chair is torn (approximately 1-2 inches long) exposing the foam. 5. A playhouse that was located between the preschool and school age playground, had a broken handle that exposed a sharp edge that was approximately 1- 11/2 inches long.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Younger Four’s Classroom there was a container of Clorox Disinfectant Wipes sitting on a shelf that was accessible to children. 2. The warning label stated hazardous to humans and animals and keep out of reach of children.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper diapering procedures were followed. Evidence: 1. The licensing inspector observed staff in the Baby Birds II classroom, changed the diaper of one child. After the child was changed, the staff sat the child down on the carpet. The child’s hands were not washed after diapering. 2. The licensing inspector observed that during diaper changes that staff did not clean the diaper changing table with soap and water, or follow-up with sanitizing the surface between diaper changes.”

8VAC20-780-240-D

“Based on record review, the center did not maintain complete records for each staff member. Evidence: 1. Staff #5?s record did not contain documentation of a completed orientation. 2. The director verified that staff #5 completed orientation but was unable to provide documentation.”

8VAC20-780-60-A

“Based on review of five children's records, the center failed to ensure records were complete. Evidence: 1. Child # 2?s record (start date 9/9/2022) was missing the physicians name and phone number. 2. Child #4?s record (start date 9/27/2022) was missing the physician’s name and phone number.”

8VAC20-780-270-A

“Based on observation and staff interviews, the center failed to maintain areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. 1 of 2 sinks are operable as the water faucet is broken in the Green Bird’s 1 classroom. 2. In the private kindergarten room, there is a red chair and the vinyl is torn (approximately 3 1/2 inches long) and the inside foam is exposed. 4. In the Green Birds 2 classroom, a red chair is torn (approximately 1-2 inches long) exposing the foam. 5. A playhouse that was located between the preschool and school age playground, had a broken handle that exposed a sharp edge that was approximately 1- 11/2 inches long.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Younger Four’s Classroom there was a container of Clorox Disinfectant Wipes sitting on a shelf that was accessible to children. 2. The warning label stated hazardous to humans and animals and keep out of reach of children.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper diapering procedures were followed. Evidence: 1. The licensing inspector observed staff in the Baby Birds II classroom, changed the diaper of one child. After the child was changed, the staff sat the child down on the carpet. The child’s hands were not washed after diapering. 2. The licensing inspector observed that during diaper changes that staff did not clean the diaper changing table with soap and water, or follow-up with sanitizing the surface between diaper changes.”

8VAC20-780-240-D

“Based on record review, the center did not maintain complete records for each staff member. Evidence: 1. Staff #5?s record did not contain documentation of a completed orientation. 2. The director verified that staff #5 completed orientation but was unable to provide documentation.”

8VAC20-780-60-A

“Based on review of five children's records, the center failed to ensure records were complete. Evidence: 1. Child # 2?s record (start date 9/9/2022) was missing the physicians name and phone number. 2. Child #4?s record (start date 9/27/2022) was missing the physician’s name and phone number.”

8VAC20-780-270-A

“Based on observation and staff interviews, the center failed to maintain areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. 1 of 2 sinks are operable as the water faucet is broken in the Green Bird’s 1 classroom. 2. In the private kindergarten room, there is a red chair and the vinyl is torn (approximately 3 1/2 inches long) and the inside foam is exposed. 4. In the Green Birds 2 classroom, a red chair is torn (approximately 1-2 inches long) exposing the foam. 5. A playhouse that was located between the preschool and school age playground, had a broken handle that exposed a sharp edge that was approximately 1- 11/2 inches long.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that all hazardous materials were kept in a locked location. Evidence: 1. In the Younger Four’s Classroom there was a container of Clorox Disinfectant Wipes sitting on a shelf that was accessible to children. 2. The warning label stated hazardous to humans and animals and keep out of reach of children.”

8VAC20-780-500-A

“Based on observation, the center did not ensure that proper diapering procedures were followed. Evidence: 1. The licensing inspector observed staff in the Baby Birds II classroom, changed the diaper of one child. After the child was changed, the staff sat the child down on the carpet. The child’s hands were not washed after diapering. 2. The licensing inspector observed that during diaper changes that staff did not clean the diaper changing table with soap and water, or follow-up with sanitizing the surface between diaper changes.”

8VAC20-780-240-D

“Based on record review, the center did not maintain complete records for each staff member. Evidence: 1. Staff #5?s record did not contain documentation of a completed orientation. 2. The director verified that staff #5 completed orientation but was unable to provide documentation.”

8VAC20-780-550-P

“Based on record review, it was determined that the center did not maintain complete written records for all children's injuries. Evidence: Two (2) injury reports of 3 reviewed were not completed with the date or time when the parent was notified.”

8VAC20-780-270-A

“Based on the observation and interview, the applicant did not ensure areas of the equipment of the center, inside and outside, will be maintained in a clean, safe and operable condition. Evidence: 1. A portion of the bottom wall border was pulled away from the wall in the Pre-K 1 classroom and the Yellow Birds Pre-K classroom. 2. A liquid substance was wasted on the floor in the Orange Birds classroom. 3. Chipped paint was observed in 4 classrooms on the window frames. 4. A toilet in the boy’s bathroom in the Private Kindergarten room was not flushed.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 A bottle of window cleaner was stored over the refrigerator on a shelf in the Baby Bird 1 classroom. 2. A bottle of bleach water was stored on the changing table in the Baby Birds 2 classroom.”

8VAC20-780-550-P

“Based on record review, it was determined that the center did not maintain complete written records for all children's injuries. Evidence: Two (2) injury reports of 3 reviewed were not completed with the date or time when the parent was notified.”

8VAC20-780-270-A

“Based on the observation and interview, the applicant did not ensure areas of the equipment of the center, inside and outside, will be maintained in a clean, safe and operable condition. Evidence: 1. A portion of the bottom wall border was pulled away from the wall in the Pre-K 1 classroom and the Yellow Birds Pre-K classroom. 2. A liquid substance was wasted on the floor in the Orange Birds classroom. 3. Chipped paint was observed in 4 classrooms on the window frames. 4. A toilet in the boy’s bathroom in the Private Kindergarten room was not flushed.”

8VAC20-780-280-B

“Based on observation, the center failed to ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1 A bottle of window cleaner was stored over the refrigerator on a shelf in the Baby Bird 1 classroom. 2. A bottle of bleach water was stored on the changing table in the Baby Birds 2 classroom.”

8VAC20-780-280-B

“Based on observations at the center on 05/04/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of bleach/water solution on a metal shelf in the Green birds 2?s bathroom. 2) The licensing inspector observed an unlocked cabinet with cleaning supplies in the School Age gym.”

8VAC20-780-270-A

“Based on observation on 05/04/22, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) During the inspection, the inspector observed a portion of the carpet wall in the School Age gym that was ripped. 2) In the Private-K classroom, the inspector observed a food stain on a cabinet door under the sink. The stain had been previously observed during a previous inspection. A member of management and staff were observed cleaning the food stain off of the cabinet during the inspection.”

8VAC20-780-560-M

“Based on observations, the center did not ensure children were not allowed to drink or eat while walking around. Evidence: 1) During the inspection, the inspector observed a staff member offer the children in the Orange Birds 1 classroom their water bottles after they arrived inside from the playground. The children were observed drinking water and walking around in the classroom.”

22.1-289.058

“Based on observation and interviews, the center that was built before 2015 and serves preschool-age children is not equipped with at least one carbon monoxide detector. Evidence: 1) The center was not equipped with at least one carbon monoxide detector. 2) During interviews, a member of management confirmed the center did not have a carbon monoxide detector on site at the time of the inspection.”

8VAC20-780-280-B

“Based on observations at the center on 05/04/22, the center did not ensure to keep all hazardous substances such as cleaning materials in a locked place using a safe locking method that prevents access by children. Evidence: 1) The licensing inspector observed bottles of bleach/water solution on a metal shelf in the Green birds 2?s bathroom. 2) The licensing inspector observed an unlocked cabinet with cleaning supplies in the School Age gym.”

8VAC20-780-270-A

“Based on observation on 05/04/22, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1) During the inspection, the inspector observed a portion of the carpet wall in the School Age gym that was ripped. 2) In the Private-K classroom, the inspector observed a food stain on a cabinet door under the sink. The stain had been previously observed during a previous inspection. A member of management and staff were observed cleaning the food stain off of the cabinet during the inspection.”

8VAC20-780-560-M

“Based on observations, the center did not ensure children were not allowed to drink or eat while walking around. Evidence: 1) During the inspection, the inspector observed a staff member offer the children in the Orange Birds 1 classroom their water bottles after they arrived inside from the playground. The children were observed drinking water and walking around in the classroom.”

22.1-289.058

“Based on observation and interviews, the center that was built before 2015 and serves preschool-age children is not equipped with at least one carbon monoxide detector. Evidence: 1) The center was not equipped with at least one carbon monoxide detector. 2) During interviews, a member of management confirmed the center did not have a carbon monoxide detector on site at the time of the inspection.”

8VAC20-780-280-B Complaint related: No

“Based on observations and inspection of the facility, the center did not 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: During the inspection conducted on 03/15/2022, the licensing inspector observed a bottle of cleaning solution and shaving cream on a shelf in the Greenbirds bathroom.”

8VAC20-780-280-G Complaint related: Yes

“Based on observation and interview, the center did not ensure that if hazardous substances are not kept in original containers, the substitute containers shall clearly indicate their contents. Evidence: 1) During the inspection conducted on 03/15/2022, the licensing inspector observed a bottle with a clear substance that was not labeled with its contents in the Greenbirds classroom. 2) During interview, a staff member verified that it was a bleach-water solution.”

8VAC20-780-510-B

“Based on documentation review, observation and interviews, the center did not ensure prescription and nonprescription medication shall be given to a child only with written authorization from the parent. Evidence: 1) During the inspection, the medication administration log for Child #5 was reviewed. The inspector observed that a prescription medication was administered to Child #5 on 11/17/21, 11/18/21, 11/19/21, and 11/22/21 without written parental permission. The center had obtained written permission from the child's physician, but the written parental permission had not been obtained. 2) During interview, a member of management confirmed the written parental permission was not on file and the medication was administered.”

8VAC20-780-570-E

“Based on observations, the center did not ensure that prepared infant formula was dated and labeled with the child's name. Evidence: 1) During the inspection of the Baby Birds 2 classroom, the licensing inspector observed approximately 4 infant bottles in the refrigerator that were not dated or labeled with the child's name.”

8VAC20-780-510-B

“Based on documentation review, observation and interviews, the center did not ensure prescription and nonprescription medication shall be given to a child only with written authorization from the parent. Evidence: 1) During the inspection, the medication administration log for Child #5 was reviewed. The inspector observed that a prescription medication was administered to Child #5 on 11/17/21, 11/18/21, 11/19/21, and 11/22/21 without written parental permission. The center had obtained written permission from the child's physician, but the written parental permission had not been obtained. 2) During interview, a member of management confirmed the written parental permission was not on file and the medication was administered.”

8VAC20-780-570-E

“Based on observations, the center did not ensure that prepared infant formula was dated and labeled with the child's name. Evidence: 1) During the inspection of the Baby Birds 2 classroom, the licensing inspector observed approximately 4 infant bottles in the refrigerator that were not dated or labeled with the child's name.”