Childtime Learning Centers 1012

8VAC20-780-60-A

“Children’s records are required to contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for Child #3 was missing the address for the two designated people in the file.”

Rule 8VAC20-780-60-A.

Bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location.

“Staff#2 acknowledged bottle feeding Child#1 while in bouncer seat and feeding two additional children in care at a time.”

Rule 8VAC20-780-570-B. From a complaint.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. A bottle of antibacterial soap with the warning labels, “keep out of reach of children,” was unlocked in the preschool classroom, within reach of the children.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water after toileting or after any contact with blood, feces, or urine. Child #11 did not wash their hands with soap and running water before returning to the carpet area with the other children in the preschool classroom.”

Rule 8VAC20-780-500-A.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“Staff#1 documentation for negative tuberculosis screening was over one year of the date of employment.”

Rule 8VAC20-780-160-A.

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.

“A container of disinfecting wipes on upper shelf and large bag of garden soil with the labels, ?Keep out of reach of children,? were unlocked in the preschool girl’s bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-260-A

“The center shall provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last annual fire inspection was dated 01/30/2024.”

Rule 8VAC20-780-260-A.

Based on review of children’s record, the center did not ensure each immunization report shall be signed by a physician, his designee, or an official of a local health department.

“Evidence: In Child#7’s record (start date: 07/22/24) the immunization documentation was not signed by a physician, his designee, or an official of the local health department. Interview with staff confirmed the documentation available for review during the inspection.”

Rule 8VAC20-780-150-B.

Based on a review of staff records and interview, the center did not ensure to obtain tuberculosis screening results at least every two years from the date of the first initial screening or testing.

“Evidence: In Staff#4’s record, the last tuberculosis screening was dated 06/02/22. Interview with staff confirmed the documentation available for review during the inspection.”

Rule 8VAC20-780-160-C.

Based on observation and photographs, 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: In the toddler 1 room, the brown sofa and tan toy storage unit had multiple torn areas exposing the interior and some particles were on the floor accessible to children in care. In the twos and threes room, one of the toilet cover was missing and the toilet seat was stained in multiple areas and the white paint was chipped. Photographs of the areas identified in each of the rooms taken during the inspection.”

Rule 8VAC20-780-270-A.

Based on observation, interview, and photograph, the center did not ensure to maintain a record of the dates of all the practice drills.

“Evidence: A review of the emergency drills log revealed the emergency evacuation drills for January, March and May were not documented. Interview with staff confirmed the documentation available for review during the inspection. Photograph of the emergency drill log with the missing documentation during the inspection.”

Rule 8VAC20-780-550-H.

Based on observation and staff interview, the licensee did not ensure themost recent violation notices were posted in the center.

“Evidence: The center did not have the most violation notice posted for November .”

Rule 22.1-289.011-F.

Based on record review, the licensee did not ensure Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Evidence: Staff #2 (date of employment 11/21/2023)record did not have documentaiton of completing Virginia Department of Education-sponsored orientation course with in 90 days.”

Rule 8VAC20-780-240-A.

Based on observation and staff interview, the licensee did not ensure hazordous substance were kept in a locked place.

“Evidence: - Handsanitizer was sitting on the front desk. - In Pre- K classroom there was aersol spray in a cabinet and the cabinet was not locked.”

Rule 8VAC20-780-280-B.

Based on observation, the licensee did not ensure electrical outlets have protective covers.

“Evidence: -In the pre-k classroom, there was one electrical outlet cover missing . -In the two year old classroom, there were three electrical outlets without covers. - In the toddler classroom, there were foutl elctrical outlets without covers.”

Rule 8VAC20-780-290-A-3.

Based on observation and staff interview, the licensee did not ensure the daily schedules were posted.

“Evidence: Confirmed with the staff the daily schedules were not posted due to painting of the building.”

Rule 8VAC20-780-380-A.

Based on observation and staff interview, the licensee did not ensure first aid kit included all required items.

“Evidence: The first aid kit was missing adhesive tape.”

Rule 8VAC20-780-540-C.

Based on observation and staff interview, the licensee did not ensure emergency evacuation and shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

“Evidence: The center confirmed document was not posted due to the items were taken down due to the painting of the building.”

Rule 8VAC20-780-550-C.

Based on observation and staff interview, the licensee did not ensure 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

“Evidence: The center did not have the emergency phone numbers posted . The facility was recently painted and the phone numbers were not reposted.”

Rule 8VAC20-780-550-I.

Based on record review, the licensee did not ensure the center shall obtain all required information on the written record for serious and minor injuries.

“Evidence: -There was four of the six records reviewed were missing required information. -Three records were missing documentation for action to be taken in the future to prevent injury. -One record was missing how parent was notified and when parent was notified.”

Rule 8VAC20-780-550-P.

Based on record review, the licensee did not ensure 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.

“Evidence: There was not documentaiton of written care plan for child #9 for a physcian diagnosed allergy to soy.”

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

Repeat Violation :

“Based on record review and staff interview, the licensee did not ensure child has a physical examiniation prior to attendance or 30 days after start date. Evidence: Child #1 start date was 07/24/2023. The center did not have documentation of child #1 physical.”

Rule 8VAC20-780-140-B.

Based on record review , the licensee did not ensure an annual fire inspection was completed.

“Evidence: There was not documentation that a fire inspection was completed annually. The most recent fire inspection provided during the inspection was dated 08/09/2022.”

Rule 8VAC20-780-260-A.

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

“Evidence: Outside on the toddler playground, the playground composite the tube paint is peeling and flaking off. In the preschool classroom in the bathroom, the door frame is rusting at the bottom.”

Rule 8VAC20-780-270-A.

Based on observation and staff interview, the licensee did not ensure the birth up to 16 ,months - ratio was 1 staff to 4 children.

“Evidence: In the infant room, between 7:50-8:00am there was two staff to ten children. Confirmed by staff.”

Rule 8VAC20-780-350-B-1.

Based on observation and staff interview, the licensee did not ensure 2 year olds - ratio was one staff to eight children.

“Evidence: In the two year old room, between 7:50am - 8:10 am there was one staff to 14 children. Confirmed by staff.”

Rule 8VAC20-780-350-B-3.

Based on record review and staff interview, the licensee did not ensure documentation of emergency evacuation drills were completed monthly.

“Evidence: There was not documentation of July and August emergency evacuation drills for 2023. Confirmed by staff.”

Rule 8VAC20-780-550-G.

Based on records review, the licensee did not ensure each child shall have a physical examination by or under the direction of a physician: Before the child’s attendance; or within 30 days after the first day of attendance.

“Evidence: Child #2 start date 05/09/2022 did not have a physical docuemtation available to be reviewed during the inspection.”

Rule 8VAC20-780-140-A.

Based on documentation and staff interview , the licensee did not ensure menu listing foods to be served for meals and snacks during the current one-week period be dated.

“Evidence: The menu posted was not dated for the week.”

Rule 8VAC20-780-560-F.

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

“Evidence: The most recent health inspection was conducted April 19, 2021. The health inspection was more than a year old.”

Rule 8VAC20-780-260-B.

Based on observation and staff interview, the licensee did not ensure that all hazardous materials were kept in a locked location. Evidence: In the 2 year old classroom , the cabinet over the changing table was unlocked there was bleach solution, sanitizers and soap and water.

“In the 2 year old bathroom, there was lotion and hand sanitizer which had two labels keep out of reach of children, caution and warning.”

Rule 8VAC20-780-280-B.

Based on record review and staff interview, the licensee did not ensure that a current written list of all children allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: 1. The center did not have updated written list of children allergies, dietary restriction and sensitivities in each room where children are present. 2. Infant 1, Infant 2, and 2 year old classroom the allergy list was not dated. 3. The allergy, dietary restriction and sensitivities list in the classroom in infant 1 and infant 2 were not updated with the children in the class.”

Rule 8VAC20-780-40-M.

Based on observation and verification from staff, the licensee did not ensure cribs were labeled for use by specific children.

“Evidence: 1. In infant 1 classroom, there was one crib which was not labeled with the name of the child using it. 2. Child #1 was in the crib without a label. Staff confirmed there was not a label with a name of the child using it.”

Rule 8VAC20-780-440-B.

Based on observation and staff interview, the licensee did not ensure there was a leakproof covered receptacle for soiled linens.

“Evidence: In the 2 year old classroom bathroom, next to both toilets, there were two receptacle that were over flowing of soiled linens. The soiled linen receptacles were not covered. Confirmed with the person in charged.”

Rule 8VAC20-780-500-B.

8VAC20-780-560-F

Rule 8VAC20-780-560-F.

Based on video footage, documentation and staff interview, the center did not ensure constructive behavioral guidance and age appropriate guidance.

“Evidence: 1. Staff interview, incident report and video footage, showed that staff #1 put three children forcefully in a “soft element seating” after roughhousing with staff #1 and refusing to stop behavior when requested by the staff #1. 2.Staff #1 stated it was to calm the situation.”

Rule 8VAC20-780-400-B.

Based on review of video footage, documentation, and interviews, the licensee did not ensure that staff did not use a forbidden action of roughly handling a child.

Rule 8VAC20-780-410-1.