Unique Little Hands II

8VAC20-780-330-B

“Based on observation, facility did not ensure equipment with moving and/or climbing parts on the outside playground have resilient surfacing under and around the equipment within the required fall zones. Evidence: A four-seater spring rocker was observed on the playground. It was located approximately 4' from the fence when there should be at least 6' of fall zone. There was approximately 2" depth of resilient surfacing under and around this piece of equipment when there should be at least 6" depth.”

8VAC20-770-60-C-2

“Repeat Violation Based on review and interview, facility did not ensure 1 of 6 staff have a completed central registry search within 30 days of beginning employment. Evidence: The record for staff #5 (start date 12/6/2023) did not have a completed central registry search. Staff member in charge confirmed the central registry search results letter was not available during the record review.”

8VAC20-780-330-B

“Based on observation, facility did not ensure equipment with moving and/or climbing parts on the outside playground have resilient surfacing under and around the equipment within the required fall zones. Evidence: A four-seater spring rocker was observed on the playground. It was located approximately 4' from the fence when there should be at least 6' of fall zone. There was approximately 2" depth of resilient surfacing under and around this piece of equipment when there should be at least 6" depth.”

8VAC20-770-60-C-2

“Repeat Violation Based on review and interview, facility did not ensure 1 of 6 staff have a completed central registry search within 30 days of beginning employment. Evidence: The record for staff #5 (start date 12/6/2023) did not have a completed central registry search. Staff member in charge confirmed the central registry search results letter was not available during the record review.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the licensee was unable to demonstrate that the results of a Search of the Central Registry was obtained for each staff within 30 days of employment. Evidence: Eight staff records were reviewed. The record for staff #6, whose date of employment was documented as 12/1/2022, did not contain the result s of a search of the central registry. The program director confirmed that the Central Registry findings for staff #6 was not in the staff record and was not available at the time of the inspection.”

8VAC20-780-140-A

“Based on a review of records and interview, the licensee was unable to demonstrate that each enrolled child has a physical examination by or under the direction of a physician. Evidence: Five children's records were reviewed. The records for child #2 (enrolled 8/24/2023), child #3 (enrolled 6/19/2023) and child #4 (enrolled 4/15/2023) did not contain the results of a physical examination. The program director confirmed that the records for child #2, #3 and #4 did not contain this documentation and that the documentation was not available at the time of the inspection.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: Eight staff records were reviewed. The records for staff #8, employed 7/19/2023, did not contain the results of a tuberculosis screening. Staff #8 works in a capacity that requires contact with the children in care. The program director confirmed that this documentation was not in staff #8's record and was unable to locate this documentation during the inspection.”

8VAC20-770-60-B

“Based on a review of records and interview, the licensee did not obtain a signed, completed sworn statement or affirmation for each employed staff. Evidence: Eight staff records were reviewed. The record for staff #8, whose date of employment was documented as 7/19/2023, did not contain a signed, completed sworn statement or affirmation. The program director confirmed that this documentation was not in staff #8's file and was not available at the time of inspection.”

8VAC20-780-240-A

“Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Eight staff records were reviewed. The record for staff #1 whose date of employment was documented as 3/20/2023 did not contain documentation of Virginia Department of Education-sponsored orientation course. The record for staff #5 whose date of employment was documented as 4/3/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course. The record for staff #7 whose date of employment was documented as 4/4/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course. The program director confirmed that the records for staff #1, staff #5 and staff #7 did not contain documentation of the Virginia Department of Education-sponsored orientation course and that this documentation was not available at the time of the inspection.”

8VAC20-780-90-A

“Based on a review of records and interview, the licensee did not maintain the required written agreements between the parent and the center, in each child's record. Evidence: Five children’s records were reviewed. The record for #2 did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. The record for #2 did not contain an agreement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately The program director was asked for this documentation but was unable to locate these written agreements for child #2 during the inspection.”

8VAC20-770-60-C-2

“Based on a review of records and interview, the licensee was unable to demonstrate that the results of a Search of the Central Registry was obtained for each staff within 30 days of employment. Evidence: Eight staff records were reviewed. The record for staff #6, whose date of employment was documented as 12/1/2022, did not contain the result s of a search of the central registry. The program director confirmed that the Central Registry findings for staff #6 was not in the staff record and was not available at the time of the inspection.”

8VAC20-780-140-A

“Based on a review of records and interview, the licensee was unable to demonstrate that each enrolled child has a physical examination by or under the direction of a physician. Evidence: Five children's records were reviewed. The records for child #2 (enrolled 8/24/2023), child #3 (enrolled 6/19/2023) and child #4 (enrolled 4/15/2023) did not contain the results of a physical examination. The program director confirmed that the records for child #2, #3 and #4 did not contain this documentation and that the documentation was not available at the time of the inspection.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: Eight staff records were reviewed. The records for staff #8, employed 7/19/2023, did not contain the results of a tuberculosis screening. Staff #8 works in a capacity that requires contact with the children in care. The program director confirmed that this documentation was not in staff #8's record and was unable to locate this documentation during the inspection.”

8VAC20-770-60-B

“Based on a review of records and interview, the licensee did not obtain a signed, completed sworn statement or affirmation for each employed staff. Evidence: Eight staff records were reviewed. The record for staff #8, whose date of employment was documented as 7/19/2023, did not contain a signed, completed sworn statement or affirmation. The program director confirmed that this documentation was not in staff #8's file and was not available at the time of inspection.”

8VAC20-780-240-A

“Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Eight staff records were reviewed. The record for staff #1 whose date of employment was documented as 3/20/2023 did not contain documentation of Virginia Department of Education-sponsored orientation course. The record for staff #5 whose date of employment was documented as 4/3/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course. The record for staff #7 whose date of employment was documented as 4/4/2023 did not contain documentation of the Virginia Department of Education-sponsored orientation course. The program director confirmed that the records for staff #1, staff #5 and staff #7 did not contain documentation of the Virginia Department of Education-sponsored orientation course and that this documentation was not available at the time of the inspection.”

8VAC20-780-90-A

“Based on a review of records and interview, the licensee did not maintain the required written agreements between the parent and the center, in each child's record. Evidence: Five children’s records were reviewed. The record for #2 did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately. The record for #2 did not contain an agreement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately The program director was asked for this documentation but was unable to locate these written agreements for child #2 during the inspection.”

8VAC20-780-500-B Complaint related: Yes

“Based on interviews and a review of available documentation, the licensee did not always ensure that when a child's clothing or diaper becomes wet or soiled, the child is cleaned and changed immediately. Evidence: Ten staff were interviewed on 4/14/2023. All of the 10 staff stated that diapers are regularly checked frequently throughout the day, at a minimum of once every two hours, and changed immediately when staff become aware that a child is wet or soiled. During interviews on 4/14/2023, one staff (Staff #1) recalled one occasion when she was made aware by child #1's parent, that the child's diaper needed changing. Staff #4 stated that, at the time of pick up, child #1's parent brought to her attention that child #1's diaper was very wet. Staff #4 stated that she confirmed that child #1's diaper was wet and ascertained that, due to miscommunication between the staff in the classroom, child #1's diaper had inadvertently not been checked or changed at the most recent round of diaper changes. Staff #4 said that child #1's diaper was immediately changed upon the parent bringing this to her attention.”

8VAC20-780-550-P Complaint related: No

“Based on a review of documentation and interviews, the licensee did not always maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: A two year old child (child #1) enrolled for care in the program incurred 4 minor injuries while in care between October 31, 2022 and November 15, 2022. The Licensee was unable to demonstrate that a written record of child #1's injuries had been documented for any of the 4 injuries.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and photographic evidence, the licensee did not ensure that staff do not roughly handle children in care. Evidence: During an interview with staff #3 on 12/5/2022, staff #3 stated that child #1 (two years old) was climbing on the back of a chair occupied by another child. Staff #3 stated that she "grabbed him by his upper arms and removed him" when the other child began to scoot the chair back. Child #1 sustained a bruise on his upper arm where he was grabbed,”

8VAC20-780-40-D

“Based on observation and interview, the licensee did not post the Center's most recently issued license in a place conspicuous to the public. Evidence: A license which expired 4/25/2021was posted on a bulletin board at the entry of the facility. When asked if the current license was posted in the facility, staff #1 stated that she was not aware of the current license being posted elsewhere.”

8VAC20-780-550-D

“Based on a review of records and interview, the licensee was unable to demonstrate that evacuation drills are implemented monthly. Evidence: The log containing documentation of evacuation drills did not have entries for April, May, June, July and October of the current year. Staff #1 who was the administrator present during the inspection was unable to provide additional documentation of evacuation drills conducted in the past 12 months.”

8VAC20-780-350-C

“Based on observation and interview, the licensee did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group is applied to the entire group. Evidence: At the time of inspection on 11/28/2022, there were 18 children in a classroom with staff #4 and staff #6. Staff #4 stated that 9 of the children were 2 years old and the other 9 children were 3 years old. Whether combined (with a ratio of 1:8) or in 2 groups (with a ratio of 1:8 and a ratio of 1:10), there was not adequate staff to meet the ratio requirements for the children present in the classroom.”

8VAC20-780-340-D

“Based on a review of records and interview, the licensee was unable to demonstrate that at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Evidence: At the time of the inspection on 11/28/2022, there were 2 staff supervising 18 children in a classroom. The records for one staff (#3), who was identified as the lead teacher in the classroom, did not contain documentation to demonstrate program director qualifications. Staff #1, who was the administrator in charge at the time of the inspection, was unable to provide documentary evidence of staff #3's program leader qualifications. When asked if staff #6, who was in the classroom and identified as the teacher's assistant, had documentation to demonstrate program director qualifications, staff #1 said "I don't think so".”

8VAC20-780-140-A

“Based on a review of records, the licensee was unable to demonstrate that each enrolled child had a physical exam by or under the direction of a physician. Evidence: Five children's records were reviewed. The record for child #3, whose enrollment date is 10/17/2022, did not contain the results of a physical examination. The record for child #5, whose enrollment date is 10/3/2022, did not contain the results of a physical examination. Staff #1 was unable to demonstrate that this documentation had been obtained for child #3 and child #5.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: 1. Five staff records were reviewed. 2. The records for staff #3, employed 5/15/10/2022 and staff #4, employed 6/8/2022 did not contain the results of a tuberculosis screening. 3. Staff #3 and #4 were hired to work in a capacity that required contact with the children in care.”

8VAC20-780-80-A

“Based on a review of documentation, the licensee did not ensure that, for each group of children, a written record of attendance to include arrival and departure was documented for each child as it occurred. Evidence: The center's written attendance record listed 17 children in attendance at the time of inspection. Three of the children listed were school aged children who had left the center for school. There were 18 children physically present in the classrooms. The attendance record listed only 14 of the 18 children present at the time of the inspection. Four children were present but had not been documented on the attendance record.”

8VAC20-780-240-A

“Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #4 who was hired in June 2022 did not contain documentation of Virginia Department of Education-sponsored orientation course. Staff #4 was hired in June 2022.”

8VAC20-780-280-B

“Based on observation, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a spray bottle of sanitizing solution located on the surface of an open shelving unit at a height of 30 inches. There were 9 two-year-old children sitting at a table approximately 2 feet from the shelving unit. Staff confirmed that the bottle contained a commercial disinfectant solution agent used for sanitizing the tables before and after meals.”

8VAC20-780-290-A-3

“Based on observation, the licensee did not ensure that electrical outlets are fitted with protective covers. Evidence: There was one uncapped electrical outlet behind a table in the classroom where 18 two and three year old children were being cared for. The outlet was visible and accessible to the children in care.”

8VAC20-820-120-E-2

“Based on observation and interview, the licensee did not post the findings of the most recent inspection. Evidence: The information board inside of the entrance to the facility contained posted results of an inspection which was dated 12/22/2020. When asked if the most recent inspection findings were posted in facility, staff #1 stated that she was not aware of the inspection being posted elsewhere.”

8VAC20-780-550-P Complaint related: No

“Based on a review of documentation and interviews, the licensee did not always maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: A two year old child (child #1) enrolled for care in the program incurred 4 minor injuries while in care between October 31, 2022 and November 15, 2022. The Licensee was unable to demonstrate that a written record of child #1's injuries had been documented for any of the 4 injuries.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and photographic evidence, the licensee did not ensure that staff do not roughly handle children in care. Evidence: During an interview with staff #3 on 12/5/2022, staff #3 stated that child #1 (two years old) was climbing on the back of a chair occupied by another child. Staff #3 stated that she "grabbed him by his upper arms and removed him" when the other child began to scoot the chair back. Child #1 sustained a bruise on his upper arm where he was grabbed,”

8VAC20-780-40-D

“Based on observation and interview, the licensee did not post the Center's most recently issued license in a place conspicuous to the public. Evidence: A license which expired 4/25/2021was posted on a bulletin board at the entry of the facility. When asked if the current license was posted in the facility, staff #1 stated that she was not aware of the current license being posted elsewhere.”

8VAC20-780-550-D

“Based on a review of records and interview, the licensee was unable to demonstrate that evacuation drills are implemented monthly. Evidence: The log containing documentation of evacuation drills did not have entries for April, May, June, July and October of the current year. Staff #1 who was the administrator present during the inspection was unable to provide additional documentation of evacuation drills conducted in the past 12 months.”

8VAC20-780-350-C

“Based on observation and interview, the licensee did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group is applied to the entire group. Evidence: At the time of inspection on 11/28/2022, there were 18 children in a classroom with staff #4 and staff #6. Staff #4 stated that 9 of the children were 2 years old and the other 9 children were 3 years old. Whether combined (with a ratio of 1:8) or in 2 groups (with a ratio of 1:8 and a ratio of 1:10), there was not adequate staff to meet the ratio requirements for the children present in the classroom.”

8VAC20-780-340-D

“Based on a review of records and interview, the licensee was unable to demonstrate that at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Evidence: At the time of the inspection on 11/28/2022, there were 2 staff supervising 18 children in a classroom. The records for one staff (#3), who was identified as the lead teacher in the classroom, did not contain documentation to demonstrate program director qualifications. Staff #1, who was the administrator in charge at the time of the inspection, was unable to provide documentary evidence of staff #3's program leader qualifications. When asked if staff #6, who was in the classroom and identified as the teacher's assistant, had documentation to demonstrate program director qualifications, staff #1 said "I don't think so".”

8VAC20-780-140-A

“Based on a review of records, the licensee was unable to demonstrate that each enrolled child had a physical exam by or under the direction of a physician. Evidence: Five children's records were reviewed. The record for child #3, whose enrollment date is 10/17/2022, did not contain the results of a physical examination. The record for child #5, whose enrollment date is 10/3/2022, did not contain the results of a physical examination. Staff #1 was unable to demonstrate that this documentation had been obtained for child #3 and child #5.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: 1. Five staff records were reviewed. 2. The records for staff #3, employed 5/15/10/2022 and staff #4, employed 6/8/2022 did not contain the results of a tuberculosis screening. 3. Staff #3 and #4 were hired to work in a capacity that required contact with the children in care.”

8VAC20-780-80-A

“Based on a review of documentation, the licensee did not ensure that, for each group of children, a written record of attendance to include arrival and departure was documented for each child as it occurred. Evidence: The center's written attendance record listed 17 children in attendance at the time of inspection. Three of the children listed were school aged children who had left the center for school. There were 18 children physically present in the classrooms. The attendance record listed only 14 of the 18 children present at the time of the inspection. Four children were present but had not been documented on the attendance record.”

8VAC20-780-240-A

“Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #4 who was hired in June 2022 did not contain documentation of Virginia Department of Education-sponsored orientation course. Staff #4 was hired in June 2022.”

8VAC20-780-280-B

“Based on observation, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a spray bottle of sanitizing solution located on the surface of an open shelving unit at a height of 30 inches. There were 9 two-year-old children sitting at a table approximately 2 feet from the shelving unit. Staff confirmed that the bottle contained a commercial disinfectant solution agent used for sanitizing the tables before and after meals.”

8VAC20-780-290-A-3

“Based on observation, the licensee did not ensure that electrical outlets are fitted with protective covers. Evidence: There was one uncapped electrical outlet behind a table in the classroom where 18 two and three year old children were being cared for. The outlet was visible and accessible to the children in care.”

8VAC20-820-120-E-2

“Based on observation and interview, the licensee did not post the findings of the most recent inspection. Evidence: The information board inside of the entrance to the facility contained posted results of an inspection which was dated 12/22/2020. When asked if the most recent inspection findings were posted in facility, staff #1 stated that she was not aware of the inspection being posted elsewhere.”

8VAC20-780-550-P Complaint related: No

“Based on a review of documentation and interviews, the licensee did not always maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: A two year old child (child #1) enrolled for care in the program incurred 4 minor injuries while in care between October 31, 2022 and November 15, 2022. The Licensee was unable to demonstrate that a written record of child #1's injuries had been documented for any of the 4 injuries.”

8VAC20-780-410-1 Complaint related: No

“Based on interviews and photographic evidence, the licensee did not ensure that staff do not roughly handle children in care. Evidence: During an interview with staff #3 on 12/5/2022, staff #3 stated that child #1 (two years old) was climbing on the back of a chair occupied by another child. Staff #3 stated that she "grabbed him by his upper arms and removed him" when the other child began to scoot the chair back. Child #1 sustained a bruise on his upper arm where he was grabbed,”

8VAC20-780-40-D

“Based on observation and interview, the licensee did not post the Center's most recently issued license in a place conspicuous to the public. Evidence: A license which expired 4/25/2021was posted on a bulletin board at the entry of the facility. When asked if the current license was posted in the facility, staff #1 stated that she was not aware of the current license being posted elsewhere.”

8VAC20-780-550-D

“Based on a review of records and interview, the licensee was unable to demonstrate that evacuation drills are implemented monthly. Evidence: The log containing documentation of evacuation drills did not have entries for April, May, June, July and October of the current year. Staff #1 who was the administrator present during the inspection was unable to provide additional documentation of evacuation drills conducted in the past 12 months.”

8VAC20-780-350-C

“Based on observation and interview, the licensee did not ensure that when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group is applied to the entire group. Evidence: At the time of inspection on 11/28/2022, there were 18 children in a classroom with staff #4 and staff #6. Staff #4 stated that 9 of the children were 2 years old and the other 9 children were 3 years old. Whether combined (with a ratio of 1:8) or in 2 groups (with a ratio of 1:8 and a ratio of 1:10), there was not adequate staff to meet the ratio requirements for the children present in the classroom.”

8VAC20-780-340-D

“Based on a review of records and interview, the licensee was unable to demonstrate that at least one staff member who meets the qualifications of a program leader or program director is regularly present in each grouping of children. Evidence: At the time of the inspection on 11/28/2022, there were 2 staff supervising 18 children in a classroom. The records for one staff (#3), who was identified as the lead teacher in the classroom, did not contain documentation to demonstrate program director qualifications. Staff #1, who was the administrator in charge at the time of the inspection, was unable to provide documentary evidence of staff #3's program leader qualifications. When asked if staff #6, who was in the classroom and identified as the teacher's assistant, had documentation to demonstrate program director qualifications, staff #1 said "I don't think so".”

8VAC20-780-140-A

“Based on a review of records, the licensee was unable to demonstrate that each enrolled child had a physical exam by or under the direction of a physician. Evidence: Five children's records were reviewed. The record for child #3, whose enrollment date is 10/17/2022, did not contain the results of a physical examination. The record for child #5, whose enrollment date is 10/3/2022, did not contain the results of a physical examination. Staff #1 was unable to demonstrate that this documentation had been obtained for child #3 and child #5.”

8VAC20-780-160-A

“Based on a review of records and interview, the licensee did not ensure that each staff member submits documentation of a negative tuberculosis screening. Evidence: 1. Five staff records were reviewed. 2. The records for staff #3, employed 5/15/10/2022 and staff #4, employed 6/8/2022 did not contain the results of a tuberculosis screening. 3. Staff #3 and #4 were hired to work in a capacity that required contact with the children in care.”

8VAC20-780-80-A

“Based on a review of documentation, the licensee did not ensure that, for each group of children, a written record of attendance to include arrival and departure was documented for each child as it occurred. Evidence: The center's written attendance record listed 17 children in attendance at the time of inspection. Three of the children listed were school aged children who had left the center for school. There were 18 children physically present in the classrooms. The attendance record listed only 14 of the 18 children present at the time of the inspection. Four children were present but had not been documented on the attendance record.”

8VAC20-780-240-A

“Based on a review of records and interview, the licensee did not ensure that each staff member completes the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Five staff records were reviewed. The record for staff #4 who was hired in June 2022 did not contain documentation of Virginia Department of Education-sponsored orientation course. Staff #4 was hired in June 2022.”

8VAC20-780-280-B

“Based on observation, the licensee did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides are kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a spray bottle of sanitizing solution located on the surface of an open shelving unit at a height of 30 inches. There were 9 two-year-old children sitting at a table approximately 2 feet from the shelving unit. Staff confirmed that the bottle contained a commercial disinfectant solution agent used for sanitizing the tables before and after meals.”

8VAC20-780-290-A-3

“Based on observation, the licensee did not ensure that electrical outlets are fitted with protective covers. Evidence: There was one uncapped electrical outlet behind a table in the classroom where 18 two and three year old children were being cared for. The outlet was visible and accessible to the children in care.”

8VAC20-820-120-E-2

“Based on observation and interview, the licensee did not post the findings of the most recent inspection. Evidence: The information board inside of the entrance to the facility contained posted results of an inspection which was dated 12/22/2020. When asked if the most recent inspection findings were posted in facility, staff #1 stated that she was not aware of the inspection being posted elsewhere.”

8VAC20-780-540-D

“Based on a review of the First Aid supplies and interview the licensee did not have all of the required emergency supplies available at the center and on field trips. Evidence: The contents of the First Aid kits were reviewed. There was not an ice pack or cooling agent in the kits. When asked, Staff #1 stated that they normally have them but a child had recently been sent home with one following a minor injury and they do not re-use them and had not yet replaced them.”

8VAC20-780-290-A-3

“Based on observation and interview, the licensee did not ensure that electrical outlets in areas accessible to children are fitted with protective covers. Evidence: The licensing inspector observed two outlets that were not fitted with a protective cover in the preschool classroom, two outlets that were not fitted with a protective cover in the toddler classroom and two outlets that were not fitted with a protective cover in the napping room where children were resting and sleeping at the time. Staff stated that these outlets had just been added and it was an oversight that they had not been fitted with a cover.”

8VAC20-780-540-D

“Based on a review of the First Aid supplies and interview the licensee did not have all of the required emergency supplies available at the center and on field trips. Evidence: The contents of the First Aid kits were reviewed. There was not an ice pack or cooling agent in the kits. When asked, Staff #1 stated that they normally have them but a child had recently been sent home with one following a minor injury and they do not re-use them and had not yet replaced them.”

8VAC20-780-290-A-3

“Based on observation and interview, the licensee did not ensure that electrical outlets in areas accessible to children are fitted with protective covers. Evidence: The licensing inspector observed two outlets that were not fitted with a protective cover in the preschool classroom, two outlets that were not fitted with a protective cover in the toddler classroom and two outlets that were not fitted with a protective cover in the napping room where children were resting and sleeping at the time. Staff stated that these outlets had just been added and it was an oversight that they had not been fitted with a cover.”