Two By Two Learning Center, Inc.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by three months.”

Rule 22.1-289.035-A.

22.1-289.036-A

“The center is required to have any agent of an applicant for licensure as a child day center undergo a background check every five years. The most recent central registry check for Officer #1 and Officer #2 were overdue by over 40 days. The most recent central registry check for Officer #3 was overdue by over five months.”

Rule 22.1-289.036-A.

Based on record review and interview, the center failed to obtain a physical and immunization for one out of six children records that was signed by a physician, his designee, or an official of a local health department.

“Evidence: 1. The record for child 2 did not contain a physician or physician designee signature on the immunization and physical examination records. 2. Staff 3 reviewed the record and verified the documents did not contain the required signatures.”

Rule 8VAC20-780-150-B.

Based on observation, the center failed to ensure hazardous substances were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the infant room on a bottom shelf of an unlocked cabinet was a spray bottle of Lysol disinfectant, two spray bottles of Febreze Air Freshener and Clorox wipes (on top shelf of the same cabinet).”

Rule 8VAC20-780-280-B.

Based on review of staff files, the center failed to ensure that required background checks were completed every five years.

Rule 22.1-289.035-A.

Based on review of staff files, the center failed to ensure that the Virginia Department of Education sponsored orientation course was completed within 90 calendar days of employment.

“Evidence: 1. Staff #6’s original hire date was 05/09/2022. Staff #6 went out on a leave of absence and returned on 08/01/2022. The documentation for the training was dated that it was completed on 12/28/2022. The training was required to be completed by 11/01/2022. 2. Administration verified that the training was completed late.”

Rule 8VAC20-780-240-A.

Based on observation, the center failed to ensure that all areas inside were maintained in a safe and operable condition.

“Evidence: 1. In Classroom #1 and #2 the tile is cracking and pulling up in several areas. There was tape placed over several pieces of tile in Classroom #2 where the tile had come up. 2. Administration verified that the tile was cracking and pulling up in several areas.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that over-the-counter skins products were not kept beyond the expiration date.

“Evidence: 1. In the first aid pack back located upstairs there was a bottle of Off Insect Repellant that expired in October 2022. 2. Staff verified that the insect repellant was expired.”

Rule 8VAC20-780-520-A.

Based on a review of staff records, the center failed to ensure that the tuberculosis screening on file was within the correct timeframe.

“Evidence: 1. Staff #3’s date of hire was 04/12/2022. The tuberculosis screening/test on file was dated 10/01/2021. The requirement is that documentation of a tuberculosis screening/test being completed must be within 30 days of employment. 2. Staff verified the date of hire for Staff #3, and the date on the tuberculosis screening/test on file.”

Rule 8VAC20-780-160-A.

Based on a review of injury reports, the center failed to ensure that all required information was in the injury report.

“Evidence: 1. An injury report dated 08/24/2022 was missing the time the parent was notified. 2. An injury report dated 08/10/2022 was missing the time and date the parent was notified. 3. Staff verified that the reports were missing the required information.”

Rule 8VAC20-780-550-P.

Based on observation, the center failed to ensure that prepared infant formula was labeled with the child’s name.

“Evidence: 1. In Classroom #1 there were three prepared infant bottles in the refrigerator that were not labeled with the child’s name. They were on a shelve in the refrigerator with the shelf labeled with the child’s name. 2. Staff verified that the individual bottles were not labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Based on review of staff records, the center failed to obtain all out-of-state background checks in the required time frame.

Rule 22.1-289.035-B-4.

Based on observation, the center failed to ensure that all hazardous materials were in a locked location.

“Evidence: 1. In the Infant/Toddler building in Classroom #2 the cabinet under the sink was not locked with the child lock mechanism. There was Clorox Disinfect wipes, Lysol Disinfectant Spray, and spray bottles with bleach water located in the cabinet. 2. Staff verified that the cabinet was not locked and contained cleaning supplies.”

Rule 8VAC20-780-280-B.

Based on review of medications, the center failed to ensure that medication was labeled with the dosage amount.

“Evidence: 1. Child 1M had an emergency medication that was not labeled with the dosage amount. 2. Staff verified that the medication was not labeled with the dosage amount.”

Rule 8VAC20-780-510-G.