Childtime Childcare, Inc.-1011

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for Child #1 and Child#9 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #5 updated screening was due 2 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In the Jr. K/School age classroom, multiple visible cracks were observed along the black inner seals of the window sills.”

Rule 8VAC20-780-270-A.

8VAC20-780-140-A

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of child #1, who had been enrolled for over one month.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.”

Rule 8VAC20-780-150-B.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The center’s fire inspection report was dated February 7, 2025.”

Rule 8VAC20-780-260-A.

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.

“Child #8 had a doctor diagnose allergy but the center did not have a allergy action plan. Child #8 has been in the program for 8 months.”

Rule 8VAC20-780-60-A-8.

Based on staff interview and documentation review, the licensee did not ensure annually approval from the health department be provided for meeting requirements for water supply; sewage disposal system and food services.

“Evidence: The center provided food establishment inspection but did not provide the water supply and sewage disposal system inspection (Enviromental Sanitation inspection ).”

Rule 8VAC20-780-260-B.

Based on observation, the licensee did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean safe and operable condition.

“Evidence: In the Infant classroom two, the door to enter the classroom would not open properly . The door was sticking when trying open and close. In the infant classroom two, the shelves for storing belongings had two drawers with the bottom corners cracking causing rough and sharp edges. In the infant classroom one, the shelves for storing belongings had three drawers with the bottom corners cracking causing rough and sharp edges.”

Rule 8VAC20-780-270-A.

Based on record review, the licensee did not ensure prior to hire fingerprint results were recieved.

“Evidence: Staff #2 hire date on record was 1/15/2024 and fingerprint results were 1/16/2024.”

Rule 22.1-289.035-B-2.

Based on interviews and video footage, the licensee did not ensure staff are supervising children, they should always ensure their care, protection, and guidance.

“Evidence: On March 18, 2024, a two-year-old child was left alone in a classroom for approximately nine minutes without any staff supervision.”

Rule 8VAC20-780-340-A.

Based on interviews and video footage, the licensee did not ensure that children under 10 years of age are in sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on interview and review, the center did not ensure that the center’s activities were maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

Rule 8VAC20-780-40-E.

Based on record review, the licensee did not ensure to follow procedures for methods to prevent outdated medicaiton.

“Evidence: An Auvi Q for Child #4 expired on 3/4/2024. The center policy for expired medication stated if the medication is left more than 7 days it need to be exposed of. The medication was still at the facility on 3/26/2024.”

Rule 8VAC20-780-510-E.

Based on record review, the licensee did not esnure staff records obstain all required information.

“Evidence: Staff #3 record did not contain documentation of the orientation.”

Rule 8VAC20-780-70.

Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screenin shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Staff #4 hire date 09/18/2023 the TB results were recieved 09/19/2023. Staff #7 hire date 10/2/2023 the TB results were recieved 10/03/2023 . Which the date of results were recieved were after the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the licensee did not ensure hazordous substance shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the infant 1 and infant 2 classrooms, there was bucket of sanitizer and soap water on the counter top in both classrooms. The containers were with hazordous substances and were not kept in locked place.”

Rule 8VAC20-780-280-B.

Based on observation, the licensee did not ensure all fall zones that have required resilent surfacing.

“Evidence: On the infant and toddler playground, the resilent surfacing under the playground composite was a metal plate. Confirmed with the staff. Picture were provided to the center.”

Rule 8VAC20-780-330-B.

Based on observation, the licensee did not ensure there shall be at least 12 inches of space between occupied cots and rest mats.

“Evidence: In the two year old classroom, there were multiple cots that were not spaced 12 inches apart. Confirmed with staff .”

Rule 8VAC20-780-440-E.

Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Staff # 3 hire date was 03/20/2023 . TB test results were 4/13/2023 after date of employment.”

Rule 8VAC20-780-160-A.

Based on record review and staff interview, the licensee did not ensure annual health inspection was completed .

“Evidence: The most recent health inspection was conducted 02/22/2022. Center contacted the health department in May to schedule inspection.”

Rule 8VAC20-780-260-B.

8VAC20-780-340-A

“Based on interviews conducted, staff supervising children did not always ensure their care and protection. Evidence: 1. Staff #1 confirmed that she fed child #1 2 ounce bottle of formula . The bottle was for child #2 when checking the label. 2. Staff #1 confirmed child #1 is fed breast milk not formula. 3. Staff #1 stated the bottle was out for child #2 . But child #1 was crying she picked up child #1 and then picked up a bottle and fed child #1.”

Rule 8VAC20-780-340-A.

Based on a review of written center procedure and staff interviews, the center did not ensure that the operational responsibilities of the licensee shall include, but not be limited to, ensuring that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by these standards. Evidence:

“1. Infant feeding procedures : Center procedures for bottle feeding states “to verify the name on bottle with child needing to be fed.” 2. On February 28, 2023, Staff #1 fed Child #2 ‘s bottle (formula)to Child #1. 3. Staff #1 and Staff #2 confirmed the wrong bottle was fed to Child #1.”

Rule 8VAC20-780-40-E.

Based on observation and staff interview, the licensee did not esure areas of equipment of the center , inside and outside shall be maintained in a clean, safe and operable condition.

“Evidence: Outside on the School Age/Preschool playground, there was black peeling paint flaking off from multiple parts of the fence.”

Rule 8VAC20-780-270-A.

Based on observation , the licensee did not ensure hazordous substances were kept in a locked place using a safe locking method that prevents access by children .

“Evidence: In the School Age classroom, there was a cabinet unlocked over the sink that had multiple chemicals.”

Rule 8VAC20-780-280-B.

Based on observation, the licensee did not ensure when a child is placed in an infant seat or high chair, the protective belt was fastened securely.

“Evidence: In the infant room, Staff #1 was feeding child#1 in the high chair with out a belt fastened. Staff #5 confirmed the belt was not fastended.”

Rule 8VAC20-780-570-A.

Based on record review, the licensee did not ensure Out of State Sex Offender Registry completed for each state an individual has resided in the past 5 years prior to the 1st day of employment/service.

“Evidence: Staff #1 hire date 11/01/2021 did not have a Out of State Sex Offender Registry completed for Maryland prior to first date of employment. Staff #2 hire date 01/31/2022 did not have a Out of State Sex Offender Registry completed for Colorado prior to first date of employment. Program director confirmed they did not have documentation and complete the sex offender check during the inspection for both staff.”

Rule 22.1-289.035-B-4.

Based on observation and interview, the Notice of Intent (NOI) regarding intermediate sanctions was not posted in a prominent place at each public entrance of the facility.

“Evidence: During the inspection, the licensing inspector asked to view where the Notice of Intent (NOI) was posted in the facility. A member of management and the licensing inspector went to view the postings located at the front entrance of the building. The NOI was not posted. Before inspector left the NOI was posted with inspection and letter.”

Rule 8VAC20-820-120-E-5.

Based record review and staff interview, the licensee did not ensure staff has a central registry finding results with in 30 days of employement.

“Evidence : Staff #2 (hire date 04/20/2022) did not have results with in 30 days of employment. Confirmed by Staff # 1. Staff #1 did follow up on missing documents on June 22, 2022 and July 11, 2022.”

Rule 8VAC20-770-60-C-2.

Based on record review and staff interview, the licensee did not ensure there was annual fire inspection completed.

“Evidence: The most recent fire inspection document provided was from March 2021, which is more than a year old.”

Rule 8VAC20-780-260-A.

Based on observation, the licensee did not ensure areas of the center inside were maintained clean, safe and operable.

“Evidence : In toddler 1 classroom, the door frame had a whole with sharp edges and there was a plastic cover on the door that was broken with sharp edge.”

Rule 8VAC20-780-270-A.

Based on observation and staff interview, the licensee did not ensure there was a daily schedule posted.

“Evidence: During the inspection, there was not a daily schedule posted for the Preschool 1 classroom.”

Rule 8VAC20-780-380-A.

Based on video footage observation and staff interview, the center did not ensure equipment such as a crib was used for intended purposes and a child was enclosed in a small, confined space where the child could not freely exit himself .

Rule 22VAC40-185-410-2.

Based on staff interview and video footage, the facility did not ensure the staff are ensuring care protection and guidance.

Rule 8VAC20-780-340-A.

Based on observation, the facility did not ensure comfort to infant as needed.

“Evidence: Video footage from March 16, 2022 , Child #1 was observed in his crib standing for 1 hour and 7 minutes and crying during crib checks at 1:25pm and 1:42pm. Staff #1 picked child#1 up at 2:10pm to feed. Staff #1 and Staff #2 did not interact with Child #1 for 1 hour and 7 minutes.Child #1 was observed in the a crib check at 1:25 pm and 1:42 pm but staff did not interact with the child.”

Rule 8VAC20-780-370-4.

Based on video footage and staff interview, the facility did not ensure staff provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes or more often as determined by the individual infant’s needs.

“Evidence : On March 16, 2022, Child #1 woke up from a nap and was standing in the crib from 12:37pm- 1:00pm . Staff #1 changed Child #1’s diaper and returned child back into the crib at 1:03pm. Child #1 was awake and standing up in a crib from 1:03pm -2:10pm. Video footage confirmed Child #1 was not changed out of his play space until 2:10pm. Child #1 did not have a change play space for approximatley 1 hour 30 minutes.”

Rule 8VAC20-780-370-5.

Based on interviews and video footage, the licensee did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Based on interviews and video footage, the licensee did not ensure that children under 10 years of age are in sight and sound supervision of staff. Evidence: 1. On Janaury 12, 2022, child #1 ( 3 years old) was alone for approximately 8 minutes in a fenced in playground area. Confirmed by the vidoe footage that was reviewed on January 19, 2022.

“2. After viewing video footage and interviewing staff, it was determined that Staff #1 opened the door that led to the playground and Child #1 was standing at the door crying.”

Rule 8VAC20-780-340-F.

Based on interview and review, the center did not ensure that the center’s activities were maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“Evidence: 1. Center playground safety policy states: “ Children must not be left unattended/unsupervised at anytime.” 2. Center policy also states: “Face-to-Name Transition sheets must be utilized prior to bringing children out on to the playground, when arriving out on the playground, and upon returning to the classroom.” 3. In the interview Staff #1 and Staff #2 confirmed there was not a face to name transition sheet completed when returning to the classroom.”

Rule 8VAC20-780-40-E.