Quality Time Child Care Center, Inc

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a search of the child abuse and neglect registry from two states for Staff #5, who has been employed for more than a year.”

Rule 22.1-289.035-B-4.

8VAC20-780-410-1

“The following actions or threats thereof are forbidden: roughly handling a child. On 11/18/2025, Staff #1 lifted Child #1 (age 3) off the ground by her right hand to have the child stand up. Child #1’s arm was injured, requiring her parent to pop it back into place.”

Rule 8VAC20-780-410-1.

8VAC20-780-150-B

“The records for child #1 and child #6 contained immunization records which were not stamped or signed by a physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

8VAC20-780-510-E

“The center’s procedures for administering medication must Include duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 work days. For long term administration more than 10 days the procedures must include written authorization from the child’s physician and parent. Seven medications maintained on site for long term emergency use did not have a physician’s written authorization form allowing for administration longer than 10 days.”

Rule 8VAC20-780-510-E.

8VAC20-780-260-A

“The center shall have an annual fire inspection report from the appropriate fire official having jurisdiction. The fire inspection is overdue by a month.”

Rule 8VAC20-780-260-A.

8VAC20-780-240-A

“Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #1 had not completed the course and had been employed for eight months.”

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

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On October 22, 2024, child #1 (age 22 months) received an injury to the elbow when staff #1 picked up the child by holding onto the child’s hands and wrists and lifting the child 25” high to place him on a diapering table.”

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-80-B-2

“The center shall inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. The center was aware on October 23, 2024 that child #1 sustained an injury that required medical treatment and the department was not notified by the center.”

Rule 8VAC20-780-80-B-2. From a complaint.

Based on observation, facility did not ensure areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“Evidence: On the playground, there are two portions of the poured-in-place rubber surfacing that have collapsed leaving an opening/indention that presents a potential tripping hazard. The two areas are approximately 8” by 4” in size with a depth of 1” - 2”. They are located on either side of the slide.”

Rule 8VAC20-780-270-A.

Based on observation and review, facility did not ensure in each classroom there is a staff member that is currently CPR and first aid certified.

“Evidence: Staff #7 and staff #8 were observed working together in a classroom. Record review and interview with administration confirmed neither staff are currently certified in CPR and first aid.”

Rule 8VAC20-780-530-A.

Based on review, facility did not ensure 1 of 7 staff have documentation of a negative tuberculosis screening/test dated within 30 days prior to beginning employment.

“Evidence: The record for staff #3 (start date 11/7/2023) has a TB screening dated 1/15/2024.”

Rule 8VAC20-780-160-A.

Based on review, facility did not ensure there is an annual fire inspection report from the appropriate fire official.

“Evidence: The most recent fire inspection completed is dated 8/25/2022 which is more than a year old.”

Rule 8VAC20-780-260-A.

Based on review, facility did not ensure 1 of 7 child records has documentation of required information.

“Evidence: The record for child #3 (start date 9/5/2023) did not have documentation of physician name and phone number.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 2 of 5 children’s records have documentation of required information.

“Evidence: The following was found during record review: 1. The record for child #2 (start date 11/17/20) did not have an address for the second emergency contact. 2. The record for child #4 (start date 4/3/23) did not have one parent’s employment phone number.”

Rule 8VAC20-780-60-A.

Based on observation and review, facility did not ensure 4 of 8 classrooms have a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: The attendance sheets in the following classrooms did not accurately reflect the number of children present in the classroom during inspection: toddler, K3, K3/4 and K4/5. Staff stated that some children had already left for the day and/or had not been signed in yet.”

Rule 8VAC20-780-80-A.

Based on observation of facility video, review of facility documentation and staff interviews, facility did not ensure that physical punishment, such as striking a child, does not occur.

Rule 8VAC20-780-410-1.