Quality Time at Waterford, Inc.

8VAC20-780-245-J-3

“Children with emergency medications shall be in the care of a staff member who meets the requirements to safely administer the medication. There is not a staff member trained to administer an emergency medication that is on site for a child.”

Rule 8VAC20-780-245-J-3.

8VAC20-780-570-A

“When a child is in an infant seat or high chair, the protective belt shall be fastened securely. Three children in a feeding table in the older infant classroom did not have safety belts fastened.”

Rule 8VAC20-780-570-A.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. During the facility tour on 3/24/2026, there were three classrooms that had attendance noted that were not consistent with the number of children in the room.”

Rule 8VAC20-780-80-A.

8VAC20-780-570-A

“High chairs, infant carrier seats, or feeding tables are required to be used for children under 12 months who are not held while being fed. A 13 week old infant who was not being held while fed, was not placed in a high chair, infant seat, or feeding table while being fed a bottle.”

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

8VAC20-780-570-B

“Bottle fed infants may not be fed while the child is in his designated sleeping location. A 13 week old infant who was not being held while fed, was located in his crib, lying on his back, while being bottle fed by staff.”

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

8VAC20-780-330-B

“(Repeat Violation) Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass a sufficient area of resilient surfacing to include the child’s trajectory in the event of a fall. On the toddler playground, a small plastic slide and a blue two-seat rocker were observed directly on the ground without any resilient surfacing.”

Rule 8VAC20-780-330-B.

22.1-289.036-A

“The center is required to have background checks updated every 5 years for all agents of the applicant/licensee. The record for board officer #3 had a central registry search that was outdated by over a month.”

Rule 22.1-289.036-A.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. On the toddler playground, a plastic slide was observed directly on the ground without any resilient surfacing.”

Rule 8VAC20-780-330-B.

8VAC20-780-80-A

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. There were 10 children present in the toddler room, but only 7 were marked present on the attendance record. There were 13 children present in the twos room, but only 10 were marked present on the attendance record. There were 11 children present in the threes room, but only 10 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff #4, #5 and #6, who had been employed for three to four weeks, did not have a central registry search. The requests were submitted three to ten days after beginning employment.”

Rule 22.1-289.035-B-3.

8VAC20-780-130-A

“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. The record for child #1, who had been in care for a month, did not have an immunization record.”

Rule 8VAC20-780-130-A.

8VAC20-780-140-A

“Center shall have a physical examination for each child before the child’s attendance or within 30 days after the first day of attendance. The record for child #1, who had been in care for 6 weeks, did not have a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“(Repeat violation) Center shall obtain documentation of a negative tuberculosis for each staff at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the past 30 calendar days. The records for staff #1, #3, #4, and #5 had tuberculosis screening completed four days to three months after beginning employment. The record for staff #6 had a tuberculosis screening completed a year prior to beginning employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place. Disinfectant wipes and cleaning solutions were observed in classrooms on shelves and on filing cabinets. The items were labeled “warning/caution” and “keep out of reach of children”.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“Center shall ensure there is a nonabsorbent surfacing for diapering children. In the Infant 2 classroom, the diapering pad was covered with a cloth cover causing the surface to be absorbent.”

Rule 8VAC20-780-500-B.

Based on review, facility did not ensure 1 of 6 staff records have a required updated background check dated within the past 5 years.

“Evidence: The record for staff #4 has a most recent OBI national fingerprinting letter dated 11/26/2018 which is more than 5 years old.”

Rule 22.1-289.035-B-4.

Based on review, facility did not ensure 2 of 6 staff have a negative tuberculosis (TB) screening or testing prior to beginning employment and dated within 30 days.

“Evidence: The following was found during staff record review: 1. The record for staff #5 (start date 1/22/2024) did not have a negative TB screening or testing. 2. The record for staff #6 (start date 1/4/2024) has a TB screening dated 1/8/2024.”

Rule 8VAC20-780-160-A.

Based on review, facility did not ensure 1 of 6 staff records has an updated tuberculosis (TB) screening or testing every 2 years.

“Evidence: The record for staff #3 has a most recent TB testing dated 11/22/2021 which is more than 2 years old.”

Rule 8VAC20-780-160-C.

Based on review, facility did not ensure 2 of 6 children’s records have a physical examination within 30 of the first date of attendance.

“Evidence: The records for child #1 (start date 11/9/2022) and child #5 (start date 6/22/2023) did not have a physical”

Rule 8VAC20-780-140-A.

Based on review, facility did not ensure 1 of 6 children’s records has an immunization record that is signed by a physician, designee or an official of a local health department.

“Evidence: The record for child #1 (start date 11/9/2022) had an immunization record that was not signed by the physician, designee or health department official.”

Rule 8VAC20-780-150-B.

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

“Evidence: The most recent fire inspection completed was dated May 17, 2022 which is more than a year old.”

Rule 8VAC20-780-260-A.

Based on review, facility did not ensure 1 of 6 children’s records has documentation of required information.

“Evidence: The record for child #1 (start date 11/9/2022) did not have parent’s employment phone numbers.”

Rule 8VAC20-780-60-A.

Based on review, facility did not ensure 1 of 6 staff have documentation of required information.

“Evidence: The record for staff #6 (start date 4/10/2023) did not have documentation of orientation training although staff report it was completed.”

Rule 8VAC20-780-70.

Based on review, facility did not ensure 3 of 7 staff records have documentation of a negative TB test or screening prior to beginning employment and dated within 30 days.

“Evidence: The following was found during record review: 1. The record for staff #3 (start date 1/17/2023) had a negative TB test/screening dated 2/13/2023. 2. The record for staff #5 (start date 11/22/2022) had a negative TB test/screening dated 2/8/2023. 3. The record for staff #6 (start date 9/15/2022) had a negative TB test/screening dated 1/30/2023.”

Rule 8VAC20-780-160-A.

Based on review and observation, facility did not ensure 2 of 7 classrooms have a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: At approximately 10:40 am, the attendance sheet in the infant room documented 7 children present however 8 children were observed in the classroom. At approximately 10:50 am, the attendance sheet in the K-2 documented 13 children present however 16 children were observed in the classroom.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“Based on review and interview, vendor did not ensure 1 of 5 staff are certified in cardiopulmonary resuscitation (CPR) within 90 days of beginning employment. Evidence: The record for staff #2 (start date 5/2/2022) did not have documentation of current CPR certification. Program Director confirmed staff is not CPR certified.”

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

Based on review and interview, vendor did not ensure 1 of 5 staff are certified in first aid training within 90 days of beginning employment.

“Evidence: The record for staff #2 (start date 5/2/2022) did not have documentation of current first aid training. Program Director confirmed staff is not first aid certified.”

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

8VAC20-780-240-A

“Based on review and interview, facility did not ensure 1 of 5 staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendars days of employment. Evidence: The record for staff #2 (start date 5/2/2022) did not have documentation of completed VDOE sponsored orientation course. Program Director confirmed staff has begun the course but has not completed it.”

Rule 8VAC20-780-240-A.