Childtime Childcare, Inc. - Old Lane

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 #5 who has been enrolled for 4 months.”

Rule 8VAC20-780-140-A.

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

“Staff #1 completed the course 1 month late.”

Rule 8VAC20-780-240-A.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of the occurrence and include all of the required information.

“1 out of 3 injury reports reviewed was missing the date and time that the parent was notified, how the parent was notified, and a staff signature.”

Rule 8VAC20-780-550-P.

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 or dated by a physician, his designee, or an official of a local health department..”

Rule 8VAC20-780-150-B.

Repeat Violation A tuberculosis (TB) screening is required every two years from the last screening.

“1. The updated TB screening for staff #3 was due 3 months ago. 2. The updated TB screening for staff #4 was due 5 months ago. 3. The updated TB screening for staff #5 was due 3 months ago.”

Rule 8VAC20-780-160-C.

Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.

“There was an unlocked low drawer in the bathroom of classroom #4, with children ages 3-4 years old, with two containers of eczema cream. One of the containers was labeled “keep out of reach of children” and “if swallowed, get medical help or contact a Poison Control Center right away.””

Rule 8VAC20-780-280-H.

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

“The record for child #1, enrolled for 1 month, did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“1. The CPR certification for staff #3 expired 11 months ago. Staff #3 was working with children in a classroom. 2. The CPR certification for staff #4 expired 3 days ago. Staff #4 was working with children in a classroom.”

Rule 8VAC20-790-600-D-1.

Staff are required to have current certification in first aid appropriate to the ages of children in care.

“1. The first aid training for staff #3 was overdue by 11 months. 2. The first aid training for staff #4 was overdue by 3 days.”

Rule 8VAC20-790-600-D-2.

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

“Staff #5 did not attend the department’s health and safety update course in 2025.”

Rule 8VAC20-790-600-F.

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

“1. The annual health and safety update course was for staff #1 was overdue by 6 months. 2. The record for staff #2, employed for 1 year 10 months, did not have documentation of completing the department’s annual health and safety update course.”

Rule 8VAC20-790-600-F.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Classroom #3 has several areas of peeling paint and exposed drywall on the lower portion of the wall within reach of children.”

Rule 8VAC20-780-270-A.

A shady area shall be provided on playgrounds during the months of June, July, and August.

“The toddler playground does not have a shady area.”

Rule 8VAC20-780-330-F.

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The record for staff #3, employed for 2 months, did not have a completed sworn statement.”

Rule 22.1-289.035-B-1.

Repeat Violation The center must request a search of the central registry prior to the employee’s first day of employment. Staff must be supervised at all times until the central registry results come back clear.

“Staff #3 who has been employed for 2 months did not have the results of a central registry search request. Staff #3 was observed alone in a classroom supervising 11 children.”

Rule 22.1-289.035-B-3.

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 #3 is currently working and has a TB screening that was dated 1 day after their first day of employment.”

Rule 8VAC20-780-160-A.

The required ratio for children ages 16 to 24 months is one staff per five children.

“1. Review of documentation revealed that staff #1 and staff #2 were alone in classroom #1 with 16 children (youngest child 17 months) from approximately 12:30 pm - 3:30 pm. 2. Staff #1 and staff #2 were observed supervising 12 children on the playground (youngest child 18 months) at approximately 4:25 pm.”

Rule 8VAC20-780-350-B-2. From a complaint.

The required ratio for children ages 3 years up to school age is one staff per 10 children.

“1. Staff #3 was observed supervising 14 children (youngest child 3 years old) on the playground from approximately 4:25 pm to 4:40 pm while staff #4 left the playground to conduct a tour. 2. Review of documentation revealed that from approximately 3:12 pm to 3:39 pm staff #3 and staff #4 were supervising 23 children (youngest child 3 years old).”

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

The center is required to have employees undergo a background check every 5 years.

“1. The most recent central registry check for staff #5 was overdue by 4 months. 2. The most recent national criminal background check for staff #5 was overdue by 5 months.”

Rule 22.1-289.035-A.

The center is required to obtain a completed national criminal background check prior to the employee’s first day of employment.

“The national criminal background check for staff #3 was obtained 10 days after the date of employment.”

Rule 22.1-289.035-B-2.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #1 who has been employed for 2 months did not have the results of a central registry search request. Staff #1 was observed alone in a classroom supervising 10 children.”

Rule 22.1-289.035-B-3.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child # 2, who has been attending for 3 years, did not have documentation of additional immunizations once every six months.”

Rule 8VAC20-780-130-E.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children, and shall have been completed within the last 30 days of the date of employment.

“The TB screening for staff #1, employed for 2 months, was dated 11 weeks prior to the date of employment.”

Rule 8VAC20-780-160-A.

A tuberculosis (TB) screening is required every two years from the last screening.

“The updated TB screening for staff #5 was due 7 months ago. The updated screening has not been completed.”

Rule 8VAC20-780-160-C.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone.

“The fall zone on the toddler playground did not contain the required amount of resilient surfacing.”

Rule 8VAC20-780-330-B.

The required ratio for children ages birth up to 16 months is one staff per 4 children.

“Staff # 2 was observed alone in a classroom during naptime supervising 8 children (youngest child 15 months).”

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

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. The documentation shall include the date of contact, names of persons contacted, the results, and the signature of the person making the call.

“Documentation of the references taken for staff number 1, who has been actively working for 2 months, did not contain the date of the contact, the results, or the signature of the person making the call.”

Rule 8VAC20-780-70.

8VAC20-780-140-A

“Repeat Violation Based on record review, and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. The record for child #4, date of enrollment 11/20/2023, did not contain documentation of a physical examination. Documentation of the physical examination was due on or before 12/20/2023. 2. Interview with administration confirmed that the record did not contain documentation of the physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Repeat violation Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The bathroom in classroom #3 had several large areas of peeling paint and exposed drywall. 2. The bathroom in classroom #5 had several large areas of peeling paint and exposed drywall. 3. The wall in classroom #6 had several areas of exposed drywall.”

Rule 8VAC20-780-270-A.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

8VAC20-790-600-F

“Based on record review, the center failed to ensure that staff annually attend the department’s health and safety update course. Evidence: The record for staff # 2, date of employment 04/26/21, contained documentation of the department’s annual health and safety update course dated 09/06/2022. The health and safety update course should have been completed no later than 09/06/2023.”

Rule 8VAC20-790-600-F.

8VAC20-780-245-A

“Based on a review of 6 staff records, and interview, the center failed to ensure that staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: 1. The record for staff #2, date of employment 04/26/2021, contained documentation of 7.5 hours of annual training. Interview with the Director confirmed that staff #2 has 7.25 hours of annual training. An additional 8.5 hours of annual training was needed.”

Rule 8VAC20-780-245-A.

8VAC20-780-510-F

“Based on review of medications on site the center failed to ensure that two medication authorizations were available to staff during the entire time it was effective for two out of seven children. Evidence: 1. A non-prescription medication was on site for child B. There was not written authorization from the child’s parent or physician. 2. A prescription inhaler medication was on site for child G. There was not written authorization from the child’s parent or physician.”

Rule 8VAC20-780-510-F.

8VAC20-780-510-P

Rule 8VAC20-780-510-P.

8VAC20-780-60-A-8

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

22.1-289.035-A

“Repeat Violation Based on records review, the center failed to ensure that background checks are conducted every five years. Evidence: 1. The record for staff #4, date of employment 05/26/2015, contained criminal background check dated 03/12/2018. A repeat criminal background check was due on or before 03/12/2023.”

Rule 22.1-289.035-A. From a complaint.

22.1-289.035-B-4

“Based on record review, the center failed to obtain a copy of the results of a criminal history check, a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff #2, date of employment 08/22/2023, indicated that staff #2 has lived outside of Virginia in the preceding five years. The record did not contain out of state background checks for that state.”

Rule 22.1-289.035-B-4. From a complaint.

8VAC20-780-130-A

“Based on record review, and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of immunizations. Staff #1, confirmed that the record did not contain immunizations.”

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

8VAC20-780-140-A

“Repeat Violation Based on record review, and interview, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance. Evidence: The record for child #1, date of enrollment 04/27/2023, did not contain documentation of a physical examination. Staff #1 confirmed that the record did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A. From a complaint.

8VAC20-780-160-A

“Repeat Violation Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1. The record for staff #2, date of employment 08/22/2023, contained a tuberculosis screening dated 08/31/23.”

Rule 8VAC20-780-160-A. From a complaint.

8VAC20-780-160-C

“Based on record review, the center failed to ensure that staff obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #4, date of employment 05/26/2015 contained documentation of tuberculosis screening dated 05/15/21. A follow up screening was due on or before 05/15/2023.”

Rule 8VAC20-780-160-C. From a complaint.

8VAC20-780-430-A

Rule 8VAC20-780-430-A. From a complaint.

8VAC20-780-430-A

Rule 8VAC20-780-430-A. From a complaint.

22.1-289.035-A

“Based on records review, the center failed to ensure that background checks are repeated every five years. Evidence: 1. The record for staff #1, date of employment 12/09/15, contained criminal background check results dated 04/17/18. 2. The record for staff #1, date of employment 12/09/15, contained a sworn statement dated 02/13/18.”

Rule 22.1-289.035-A.

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance for 3 out of 4 children whose records were reviewed. Evidence: The record for child #1, date of enrollment 07/21/20, the record for child #2, date of enrollment 05/22/23, and the record for child #3, date of enrollment 02/02/22, did not contain evidence of an original physical exam or any updated physical exams.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment or within the last 30 calendar days of the date of employment. Evidence: 1) The record for staff #2, date of employment 06/26/23, contained a tuberculosis screening dated 02/26/21. 2) The record for staff #3, date of employment 02/06/23, contained a tuberculosis screening dated 02/19/23.”

Rule 8VAC20-780-160-A.

8VAC20-780-550-D

“Based on documentation review, and interview, the center failed to implement a monthly practice evacuation drill. Evidence: Documentation of emergency evacuation drills indicated that a monthly practice drill was not conducted in February 2023 or May 2023. The Director confirmed that a drill was not conducted in February or May of 2023.”

Rule 8VAC20-780-550-D.

8VAC20-780-240-B

“Based on record review, the center failed to ensure that staff complete orientation training prior to working alone with children and no later than 7 days of the date of assuming job responsibilities Evidence: The record for staff #1, date of employment 12/6/21, did not contain documentation demonstrating completion of recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required to be included in orientation training by 8VAC20-780-240 subsection C.”

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

8VAC20-780-245-H

“Based on record review, the center failed to ensure that all staff obtain annual training on behavior management and positive guidance techniques. Evidence: The record for staff #1, date of employment 12/6/21, did not contain documentation of annual training on behavior management and positive guidance techniques.”

Rule 8VAC20-780-245-H. From a complaint.

8VAC20-780-340-A

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

8VAC20-780-400-B

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

8VAC20-780-160-A

“Based on records review, the center failed to ensure that each staff member submits documentation of a negative tuberculosis screening at the time of employment. Evidence: The record for staff #3, date of employment 12/27/22, and the record for staff #5, date of employment 1/10/23, did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-270-A

“Based on observation, and interview, the center failed to ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition. Evidence: 1) There were three wooden tables on the playground that were deteriorating and were warped and splintered. 2) There was a storage bin on the playground that had several large cracks with sharp broken edges on the top and on the lower side. The Director acknowledged that the equipment was broken and needed to be disposed.”

Rule 8VAC20-780-270-A.

8VAC20-780-550-G

“Based on interview, the center failed to maintain documentation of emergency evacuation, shelter-in-place, and lockdown drills. Evidence: The Director stated that she did not have documentation of the drills.”

Rule 8VAC20-780-550-G.

8VAC20-780-560-F

“Based on observation, and interview, the center failed to post a current menu. Evidence: The menu that was posted was for the prior week. The Director acknowledged that the menu that was posted was not for the current week.”

Rule 8VAC20-780-560-F.

8VAC20-780-580-B

Rule 8VAC20-780-580-B.

8VAC20-780-70

“Based on interview, the center failed to keep a staff record for each staff person. Evidence: The record for staff #7 was not at the center. The Director stated that the record was at another center.”

Rule 8VAC20-780-70.

8VAC20-790-600-F

“Based on a review of documentation, the center did not ensure staff completion of the required department’s health and safety update course annually. Evidence: The Licensing Inspector requested that documentation of the required training be sent by email for review, for 6 out of 7 staff reviewed on-site. As of the date of this report the documentation had not been sent.”

Rule 8VAC20-790-600-F.

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance for 2 out of 7 children whose records were reviewed. Evidence: Child #3?s record (age 3yrs) and Child #5?s record (age 16 mos) did not contain evidence of an original physical exam or any updated physical exams.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-270-D

“Based on observation and interview, the center did not ensure to use a fan or other cooling system when the temperature of inside areas occupied by children exceeds 80 degrees. Evidence: The temperature outside was 95 degrees. The air conditioner system was not operating properly on one side of the building. The Director and center staff stated that the system on that side of the building does not work. They have requested that it be fixed but it has not yet. There were no fans to help cool it down.”

Rule 8VAC20-780-270-D.

8VAC20-780-320-B

“Based on observation, the center did not ensure that the running water does not exceed 120 degrees. Evidence: The water temperature measured 122.4 degrees.”

Rule 8VAC20-780-320-B.

8VAC20-780-330-A

“Based on observation, the center did not ensure that the playground was located and designed to protect children from hazards. Evidence: The playground contains a 3 ft x 3 ft x 3 ft box labeled ?Warning. Hazardous voltage. Keep out! Can shock, burn, or cause death.? There is not a fence surrounding the box and the children have direct access to it.”

Rule 8VAC20-780-330-A.

8VAC20-780-330-B

“Based on observation, the center did not ensure to comply with minimum safety standards for resilient surfacing underneath and surrounding equipment. Evidence: When measured there was less than ? an inch of mulch in some areas and no mulch in other areas directly underneath and surrounding the two climbing structures on the playground.”

Rule 8VAC20-780-330-B.

8VAC20-780-330-F

“Based on observation, the center did not ensure that a shady area was provided on the playground during the months of June, July, and August. Evidence: The inspection took place in the month of July during the middle of the day. There was no shade on the playground and nothing to provide shade”

Rule 8VAC20-780-330-F.

8VAC20-780-350-B-2

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #5 had 12 children ages 16 to 24 months and two teachers. The staff to children ratio for children this age is 1:5.”

Rule 8VAC20-780-350-B-2.

8VAC20-780-350-B-3

“Based on observation, the center did not ensure that the staff to children ratios are followed. Evidence: Classroom #4 had 20 children aged 2 years old and two teachers. The staff to children ratio for children this age is 1:8.”

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

8VAC20-780-40-M

“Based on observation and interview, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions. Evidence: The most recent allergy list, dated 4/1/22 contained children that were no longer enrolled at the center. When asked, the Assistant Director stated that she knew that she needed to update the list but hadn’t yet.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-550-D

“Based on records review, the center did not document monthly practice evacuation drills. Evidence: The drill log did not document any drills occurring during the months of Feb 2022 or March 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based on review of documentation, the center did not ensure to practice a shelter in place drill a minimum of twice per year. Evidence: The drill log only contained 1 shelter in place drill in 2021 (4/9/21) and one in 2020 (4/19/20).”

Rule 8VAC20-780-550-E.

8VAC20-780-560-F

“Based on observation and interview, the center did not ensure to have a menu listing foods to be served for meals and snacks during the current one-week period. Evidence: When asked to see the menu the Director stated that they did not have any menu’s created. The Assistant Director stated that she was not aware that was a requirement.”

Rule 8VAC20-780-560-F.

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure that prepared infant formula was dated and labeled with the child’s name. Evidence: There was a bottle in the infant refrigerator with milk in it that did not contain a name or a date. When asked the infant teachers stated that they knew who the bottle belonged to.”

Rule 8VAC20-780-570-E.

Based on observations, the center did not ensure Hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children.

“Evidence: 1. The laundry room door was observed opened with the key in the door knob. in the laundry room, cleaning products were sitting on the low counter. 2. The kitchen door was open and cleaning products were observed sitting on the counter and table.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure all prepared infant formula was dated and labeled with the child’s name.

“Evidence: Bottles for Child #4 were observed in the refrigerator. The bottles were labeled with the child’s name but did not have the date on them.”

Rule 8VAC20-780-570-E.

Based on review of children’s records, the center did not obtain all required documentation for each child’s record.

“Evidence: The record of child #3, with a diagnosed food allergy, did not have an allergy care plan on file.”

Rule 8VAC20-780-60-A.