Childtime Learning Center #1052

Repeat Violation

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment. Staff #4’s TB screening was submitted eight days after hire.”

Rule 8VAC20-780-160-A.

Repeat Violation

“A poisonous plant was growing along the exterior of the chain link fence bordering the Preschool playground. Several branches containing poisonous berries have extended through the fence into the children’s play area near the slides and are accessible to children.”

Rule 8VAC20-780-270-A.

The center shall maintain, 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 that is dated and kept confidential in each room or area where children are present.

“The posted allergy list in each classroom was not dated at the time of the inspection.”

Rule 8VAC20-780-40-M.

The center shall obtain written parental authorization for all prescription medications.

“Child #9 and Child #10 both have emergency medications on site and did not have written parental authorization on file.”

Rule 8VAC20-780-510-I.

The center shall maintain and keep at the center a separate record for each child enrolled that contains all required information.

“Child #6, enrolled for two months, did not have documentation that the proof of age and identity was verified.”

Rule 8VAC20-780-60-A.

The center shall maintain documentation that two or more references as to character and reputation as well as competency were checked before employment for all staff.

“The documentation of reference checks for Staff #7 were completed 10 months after date of hire.”

Rule 8VAC20-780-70.

The center shall obtain documentation signed by a physician that children has received the immunizations required by the State Board of Health before children can attend the center.

“Child #6 did not have immunizations signed by a physician on site at the time of inspection.”

Rule 8VAC20-780-130-A.

Each staff member shall submit documentation of a negative tuberculosis screening completed within the last 30 days at the time of employment.

“Staff #6 has been employed for three months and did not have tuberculosis screening or testing results on file.”

Rule 8VAC20-780-160-A.

Repeat Violation

“At least every two years from the date of the first initial screening or testing, or more frequently as recommended by a licensed physician, staff members shall obtain and submit the results of a follow-up tuberculosis screening. Staff #4 and Staff #5’s tuberculosis screening updates were overdue by 13 months and two weeks, respectively.”

Rule 8VAC20-780-160-C.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“In the Early Preschool classroom there was a spray bottle of bleach stored in an unlocked cabinet above the changing table.”

Rule 8VAC20-780-280-B.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the medication will be disposed of by the center.

“Child #7 had two emergency medications on site and the medication authorization expired over five weeks ago.”

Rule 8VAC20-780-510-P.

The required ratio for children ages three up to school age eligible is one staff per 10 children.

“Staff #1 was the only staff supervising 18 children (youngest child four years old) from approximately 3:53pm-4:30pm.”

Rule 8VAC20-780-350-B-4. From a complaint.

Staff who work directly with children shall complete annually the department’s health and safety update course.

“Staff #2’s annual health and safety training was one month overdue. Staff #5’s annual health and safety training was three months overdue.”

Rule 8VAC20-790-600-F.

Staff members shall submit the results of follow-up tuberculosis (TB) screening or testing at least every two years.

“Staff #2’s updated TB screening results were overdue by five months.”

Rule 8VAC20-780-160-C.

Areas outside the center shall be maintained in a clean and safe condition.

“A poisonous plant was growing along the exterior of the chain link fence bordering the Preschool playground. Several branches containing poisonous berries have extended through the fence into the children’s play area near the slides and are accessible to children.”

Rule 8VAC20-780-270-A.

Staff shall always ensure children’s care, protection, and guidance.

Rule 8VAC20-780-340-A.

Repeat Violation

“The center is required to obtain background checks from any state in which staff have resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from one state for Staff #3, who has been working at the site for four weeks and was working alone with children at the time of inspection.”

Rule 22.1-289.035-B-4.

Repeat Violation

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #1, who has been attending the program for one year, did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #6, who is working with children, has not yet completed this course which is overdue by over one year and eight months.”

Rule 8VAC20-780-240-A.

Repeat Violation

“Staff shall wash hands with soap and running water before and after a diaper change. Staff #1 did not wash hands before or after changing two children’s diapers.”

Rule 8VAC20-780-500-A.

Repeat Violation

“At least one staff in each classroom or area where children are present shall have current certification in both cardiopulmonary resuscitation (CPR) and first aid. Staff #3 was alone with a group of three infants and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

The center is required to have certain nonmedical emergency supplies, to include a working, battery-operated radio.

“There was no battery-operated radio on site.”

Rule 8VAC20-780-540-E.

When food is brought from home the food container must be clearly dated.

“Three bottles of breast milk and one container of green beans were not dated in the Infant classroom.”

Rule 8VAC20-780-560-G.

The center is required to maintain complete staff records that contain documentation of at least two reference checks prior to hire, and documentation of the staff’s completion of orientation.

“Staff #2, who has been actively working at the center for the past four weeks, did not have any completed reference verifications or orientation training documentation on file. Staff #5, employed for 11 months, only had one of the two required reference verifications on file. Staff #1, employed for four months, only had one of the two required reference verifications on file and this reference check was completed threes weeks after the employee’s hire date.”

Rule 8VAC20-780-70.

(Repeat Violation) The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff #4 had no screening documentation and had been employed for two months.”

Rule 8VAC20-780-160-A.

Staff are to complete orientation training prior to working alone with children and no later than 7 days of the date of hire.

“Staff #3 was observed working alone with children and does not have documentation of orientation training.”

Rule 8VAC20-780-240-B.

After the first license, annual approval from the health department shall be obtained.

“The health inspection is overdue by 17 months.”

Rule 8VAC20-780-260-A.

Pillows and comforters shall not be used by children under two years of age.

“Child #1, age 19 months, was observed sleeping with a pillow.”

Rule 8VAC20-780-440-L.

The center’s procedures for administering Long term prescription and over-the-counter medication require written authorization from the child’s parent and physician.

“There was not written parent and/or physician authorization to administer long term medications to child #4, #5, #7, #8, #9 and child #11.”

Rule 8VAC20-780-510-E.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #7 was onsite, but the medication authorization had expired 4 months ago. Medication for child #10 was onsite, but the medication authorization had expired 1 month ago.”

Rule 8VAC20-780-510-P.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #3 was alone with a group of 19 preschool children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

The center shall implement a monthly practice evacuation drill.

“There was no documented evacuation drill in May, June, July and August of 2024.”

Rule 8VAC20-780-550-D.

(Repeat Violation) Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the center for the past week, staff # 4, who has been actively working at the center for 2 months, and staff #5, who has been actively working at the center for 7 months did not have two completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-270-A

Rule 8VAC20-780-270-A. From a complaint.

8VAC20-780-280-B

“Based on observation, the facility failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: the kitchen closet door was unlocked, due to cables from the portable AC unit, and there were multiple bottles of hazardous substances such as cleaning materials inside. There was a bottle of bleach water sitting out on top of the diaper changing table, unlocked, in the toddler classroom.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-440-I

“Based on observation, the facility failed to ensure that cribs were placed where objects outside the crib were not in reach. Evidence: the portable AC unit in the infant room was plugged into an outlet above 2 cribs and the cord was in reach. The cribs were not labeled ?out of use.?”

Rule 8VAC20-780-440-I. From a complaint.

22.1-289.035-B-4

“Based on review of six staff records, it was determined that Out of State background checks (Child Abuse and Neglect search) were not conducted as required for staff who indicated they have lived outside of Virginia in the past five years. Evidence: the record for staff #2, (Date of hire: 2/8/2022), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of child abuse and neglect search request.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-A

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff #1 (date of hire: 1/2/2024) had documentation of a negative TB test/screening dated: 11/6/2023; the record for staff #5 (date of hire: 8/28/2023) had documentation of a negative TB test/screening dated: 9/7/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on review of six staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #2 had a negative TB test/screening dated: 2/2/2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-L

“Based on documentation review, and staff interview, the facility failed to ensure that there is always at least one staff member on duty who has obtained instruction in performing the daily health observation of children. Evidence: there was no documentation of, and staff stated that they did not have, anyone on staff with the daily health observation training.”

Rule 8VAC20-780-245-L.

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards. Staff did not was their hands after changing a baby’s diaper.”

Rule 8VAC20-780-500-A.

8VAC20-780-70

“Based on review of six staff records, it was determined that not all records contained all required information. Evidence: 1) The record for staff #1 did not contain documentation of two reference checks; 2) The records for staff #2 did not contain documentation to demonstrate that the individual possesses the education or certification required by the (lead teacher) job position, and was observed working alone in the two year old classroom; 3) The records for staff #2 and staff #4 did not contain documentation of orientation training”

Rule 8VAC20-780-70.

8VAC20-780-130-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received immunizations prior to the child’s first attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021) did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“(Repeat Violation) Based on a review of nine child records, the facility failed to obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #2 (date of first attendance: 2/4/2021), child #5 (date of first attendance: 10/4/2022) and child 7 (date of first attendance: 8/23/2023) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state which children in the group had allergies, sensitivities and/or dietary restrictions.”

Rule 8VAC20-780-40-L.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-500-A

“(Repeat Violation) Based on observation, not all handwashing procedures were followed, as required. Evidence: an infant was observed during a diaper change and their hands were not washed with soap and water afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-510-P

“Based on review of eight medications and authorization forms, the facility did not ensure when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Evidence: the medication authorization form for child #2 expired 6/30/2022, the medication authorization for child #10 expired 11/26/2023 and the medication authorization form for child #11 expired on 11/29/2023. The medication has not been returned to the parents nor have the medication authorization forms been renewed.”

Rule 8VAC20-780-510-P.

8VAC20-780-530-A

Rule 8VAC20-780-530-A.

8VAC20-780-550-E

“Based on review of documentation, not all shelter in place procedures were practiced a minimum of twice per year. Evidence: there was no documentation of a shelter-in-place drill during the past year.”

Rule 8VAC20-780-550-E.

8VAC20-770-60-C-2

“Based on review of two staff records it was determined that not all records contained documentation of a completed central registry check within the first 30 days of employment. Evidence: The record for staff B (start date: 04/10/2023) did not have documentation of a completed central registry check.”

Rule 8VAC20-770-60-C-2. From a complaint.

8VAC20-780-130-E

“Based on review of two children’s records it was determined that not all records contained updated documentation of immunizations once every six months for children under age two. Evidence: The most recent immunization on record for child A (dob: 10/17/2021) is dated 10/18/2021.”

Rule 8VAC20-780-130-E. From a complaint.

8VAC20-780-240-B

“Based on review of two staff records it was determined that not all records contained documentation that orientation training had been completed within the first seven days of assuming job responsibilities. Evidence: The record for staff B (start date: 04/10/2023) did not contain documentation of orientation training.”

Rule 8VAC20-780-240-B. From a complaint.

Based on review of video footage it was determined that behavioral guidance was not always constructive in nature. Evidence: 1.) In the toddler room on 7/20/2023 at 7:40 child B (age 22 months) is seen taking off their shoes. Staff A is seen grabbing child B by the right arm and roughly places the child on the ground. Staff A then places child B’s shoes on their feet while subsequently grabbing the child roughly by both arms and lifts the child up off of the ground. Staff A is seen putting their face close to the child’s face in an intimidating manner and speaks something to the child that was unable to be determined.

Rule 8VAC20-780-400-B. From a complaint.

Based on review of video footage it was determined that staff engaged in an action that is forbidden. Evidence: 1.) In the toddler room on 7/20/2023 at 7:40 am Staff A is seen grabbing child B (Age 22 Months) by the right arm and roughly places the child on the ground. Staff A then places child B’s shoes on their feet while subsequently grabbing the child roughly by both arms and lifts the child up off of the ground. Staff A then places their face close to the child’s face and says something to the child which was unable to be determined.

“2.) In the toddler room on 7/20/2023 at 3:50 pm staff B is seen roughly pulling and pushing child B (Age 22 months) by the shirt and retrieves a toy out of the child’s hand. 3.) In the toddler room on 7/20/2023 at 3:56 pm child A (age 21 months) is seen kicking their feet towards child C (age 16 months). Staff B picks up child A and roughly places them on the floor away from child C.”

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-500-A

“Based on review of video footage it was determined that not all procedures for handwashing were followed. Evidence: 1.) On 7/20/2023 at 7:40 am staff A is seen diapering one child. Staff A failed to wash their hands after completing the diaper change. 2.) On 7/20/2023 between 3:30 pm - 4:00 pm staff B was observed diapering three children. Staff B failed to wash their hands between the three diaper changes.”

Rule 8VAC20-780-500-A. From a complaint.

8VAC20-780-500-B

“Based on review of video footage it was determined that not all procedures for diapering were followed. Evidence: 1.) On 7/20/2023 at 7:40 am staff A is seen diapering one child. Staff A failed to clean and sanitize the diaper surface after completing the diaper change. 2.) On 7/20/2023 between 3:30 pm - 4:00 pm staff B was observed diapering three children. Staff B failed to clean and sanitize the diaper surface between the three diaper changes.”

Rule 8VAC20-780-500-B. From a complaint.

8VAC20-780-130-A

“Based on review of seven children’s records it was determined that not all records contained documentation of immunizations before the first day of enrollment. Evidence: Child A (start date: 10/13/2019) did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Based on review of seven children’s records it was determined that not all records contained documentation of a physical within the first 30 days of enrollment. Evidence: The record for child B (start date: 10/03/2022) did not have documentation of a physical on file.”

Rule 8VAC20-780-140-A.

8VAC20-780-260-B

“Based on review of documentation it was determined that the facility did not have a health inspection annually. Evidence: The most recent health inspection on file is dated 02/01/2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-500-B

“Based on observation of the two’s/three’s classroom it was determined that not all procedures for diapering were followed. Evidence: Glitter, a cloth bag, and stuffed animal was observed on the changing table. These items are not utilized for diapering.”

Rule 8VAC20-780-500-B.

8VAC20-780-130-A

“Based on review of three children’s records it was determined that not all records contained documentation of immunizations before the child’s first day of enrollment. Evidence: Child G (start date: 10/13/2022) did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-270-A

“Based on observation of the facility it was determined that not all areas of the center were maintained in safe condition. Evidence: 1.) The baseboard in the Toddler room next to the playground door is detaching from the wall posing a tripping hazard. 2.) A tricycle on the preschool playground was missing a pedal.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-E

“Based on review of medication it was determined that the center failed to follow their medication procedures in regards to expired medication. Evidence: The emergency medication for child A expired 09/15/2022. The emergency medication for child B expired 04/2022. The emergency medication for child C expired 08/2022. The emergency medication for child D expired 06/2022.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-P

“Based on review of medication it was determined that not all authorization forms were renewed upon expiration or medication picked up by the parent within 14 days. Evidence: The authorization form for emergency medication on site for child B expired 02/15/2022. The authorization form for emergency medication on site for child E expired 02/01/2020. The authorization form for emergency medication on site for child F expired 11/18/2021.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A

“Based on review of three children’s records it was determined that not all records contained the required components. Evidence: There was no address for two emergency contacts listed for child H (start date: 09/12/22) and child I (start date: 08/01/22).”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation of the playground it was determined that not all areas were in safe and operable condition. Evidence: A tricycle observed on the pre-school playground was missing a foot pedal.”

Rule 8VAC20-780-270-A.

8VAC20-780-400-B

Rule 8VAC20-780-400-B. From a complaint.

8VAC20-780-420-B

Rule 8VAC20-780-420-B. From a complaint.