HoneyTree Early Learning Center #11

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 #5 was not signed.”

Rule 8VAC20-780-150-B.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“On the playground, there was a toy storage container. The lid on the container had holes in it causing a hazard to the children. The edges of the broken holes were sharp.”

Rule 8VAC20-780-270-A.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“On 6/23/2026, Child 1 (age 3 years) was playing in sitting water on top of a lid on the playground. Staff 1 swatted the child’s hand away. The response from the Staff 1 was not constructive or age and stage appropriate.”

Rule 8VAC20-780-400-B.

Centers must keep a separate record for each child enrolled that contains all of the required information.

“Child A’s record (enrolled 5 month) was missing one emergency contact.”

Rule 8VAC20-780-60-A.

Pillows shall not be used by children under two years of age.

“In classroom 1, there was a child in their crib. The child was laying on a boppy pillow in the crib.”

Rule 8VAC20-780-440-L. From a complaint.

Children’s hands shall be washed with soap and running water or disposable wipe before and after eating meals or snacks.

“In classroom 4, the children were observed coming in from outside. There was no handwashing before the children were seated for lunch.”

Rule 8VAC20-780-500-A. From a complaint.

The diapering area shall have a nonabsorbent surface for diapering or changing.

“In classroom 1 and 2, the changing pad used for diapering had rips in it.”

Rule 8VAC20-780-500-B.

8VAC20-780-350-B-4

“Staff-to-children ratio is 1:10. Staff #4 left the classroom out of ratio, prior to lunch, for approximately 2 minutes.”

Rule 8VAC20-780-350-B-4.

8VAC20-780-60-A

“The center shall maintain a separate record for each enrolled child that contains all of the information required by the standards. The record for Child #3 was missing proof of the child’s identification.”

Rule 8VAC20-780-60-A.

Repeat violation, Systemic violation 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 immunizations in the record of child #3 were 6 months overdue.”

Rule 8VAC20-780-130-A.

Systemic violation The center is required to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child 4 with had been enrolled for over a year, had no updated immunizations in the records.”

Rule 8VAC20-780-130-E.

Repeat violation, Systemic violation 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.

“The physical examination in the record of child #3 were 5 months past due.”

Rule 8VAC20-780-140-A.

Repeat violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In the preschool classroom, there was a plastic garbage over the children’s water fountain. Staff stated the fountain has not been working. In the Pre-K classroom, there was plastic garbage bag over the children’s water fountain. Staff stated the fountain has now been working. The plastic bag was very loose and had been picked apart by the children.”

Rule 8VAC20-780-270-A.

Repeat violation Based on record review, 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: Child 1 with a documented first date of enrollment of 7/11/2022, had immunizations on file dated for 12/21/2022.”

Rule 8VAC20-780-130-A.

Repeat violation Based on record review, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 day after the first day of attendance.

“Evidence: Child 1 with a documented first date of enrollment of 7/11/2022, had no physical on file during the inspection on 7/25/2024. The child was present during the inspection.”

Rule 8VAC20-780-140-A.

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum standards when tested. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

“Evidence: 1.Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing. 2.Under the swings there was a non-measurable amount of resilient surfacing. The surface of the asphalt was showing.”

Rule 8VAC20-780-330-B.

Based on review, the center failed to ensure the Injury prevention procedures shall be updated at least annually based on documentation of injuries and review of the activities and services.

“Evidence: The injury prevention for 2023 had not been updated or reviewed.”

Rule 8VAC20-780-40-J.

Repeat violation Based on observation, the center failed to ensure children and staff hands are washed after a diaper change.

“Evidence: Staff 4 was observed during a diaper change. There was no handwashing for the child after the change was complete.”

Rule 8VAC20-780-500-A.

140-A Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: 1.Child #1, which was enrolled on 4/11/2019 had no documentation of a physical on file during the inspection on 7/22/2024”

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

150-B Based on record review, the center failed to ensure each report shall include the immunizations received shall be signed by a physician, his designee or an official of a local health department.

“Evidence: Child 1 with an enrollment date of 4/11/2019, had immunizations on record. The immunizations had no signature.”

Rule 8VAC20-780-150-B. From a complaint.

Based on staff interviews, the center failed to ensure that actions towards children that are forbidden by the standards (verbal remarks which are demeaning to the child) are not used at the center.

“Evidence: Staff 1 called Child 3 (age 8) a cry baby. Staff 1 also told the child, ?I don’t really care? in response to the child asking several times to use the bathroom.”

Rule 8VAC20-780-410-6. From a complaint.

Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1.In the preschool classroom, there was a plastic garbage over the children’s water fountain. Staff #3 stated the fountain has not been working. The plastic bag had been picked apart by the children. 2.In the school age classroom, there was a container on the floor underneath the classroom sink catching water that was dripping out of the pipe under the sink. The pipe was in need of repair. The water was stagnant.”

Rule 8VAC20-780-270-A.

Based on observation and interview, the center failed to have supply bathroom sinks with running warm water that does not exceed 120?F.

“Evidence: In the preschool classroom, the hot water in the sinks would not turn on. There was no running water available”

Rule 8VAC20-780-320-B.

Based on observation, the center failed to maintain the required staff-to-children ratio for sixteen months to two year.

“Evidence: 1.At approximately 9:40 am, 21 children were in care under the supervision of three staff in the two’s classroom. The ratio is one staff to five children. Four staff would be required. 2. At approximately 10:30 am, children from the two’s room were moved to another classroom. 18 children remained with 3 staff and the youngest was 21 months old. The ratio is one staff to five children. Four staff would be required”

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

Based on observation and interview, the center failed to ensure that when an infant who falls asleep in a play space may remain in that space if comfortable and safe.

“Evidence: 1.In the infant classroom, infants were observed sleeping on the bear mat on the floor. Children up to 19 months were observed walking and crawling around the children on the floor. Children were observed falling on and around the sleeping child on the floor. There were multiple children playing with toys in the area of the sleeping child.”

Rule 8VAC20-780-370-1.

Based on observation, the center failed to ensure staff and children’s hands were washed with soap and running water after toileting.

“Evidence: 1.Staff #5 was observed during the diapering process. There was no handwashing for child or staff after the diaper change.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering or changing. Also, that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot- operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the system during disposal.

“Evidence: The diaper pale in the pre-school classroom was not foot operable. That part of the diaper pale was broken.”

Rule 8VAC20-780-500-B.

Based record review, the center failed to ensure all staff who work directly with children shall have within 90 days of the date of employment a current CPR certificate.

“Evidence: Staff #2, which was hired on 01/9/2023, had no record of an CPR certificate during the inspection on 1/23/2024.”

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

Based on record review, the center failed to ensure all staff who work directly with children shall have within 90 days of employment a current First Aid certificate.

“Evidence: Staff #2, which was hired on 01/9/2023, had no record of a First Aid certificate during the inspection on 1/23/2024.”

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

REPEAT VIOLATION Based record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.

“Evidence: The record for Child #2 did not contain the following information: Previous school attended, Food allergy and chronic physical problems.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to ensure each staff member has a documented TB test or screening every two years.

“Evidence: Staff #3 was working day of inspection on 1/11/2024. Staff #3 had a TB screening dated 09/14/2021.”

Rule 8VAC20-780-160-C.

Based on record review and staff interviews, the center failed to obtain documentation that each child has received immunizations required by the State Board of Health the child can attend the center.

“Evidence: 1.The record for Child 2 did not contain documentation that they received the immunizations required by the State Board of Health. Staff 6 verified that the first day of attendance for Child 1 was 08/13/2023.”

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

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #2, which was enrolled on 8/13/2023 had no documentation of a physical on file during the inspection on 12/14/2023.”

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

Based on observation, the center failed to ensure when children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“Evidence: On the playground, there was a mixed age group of children. The ages ranged from 2 years old to 5 years old. There were 33 children on the playground with 3 staff members. Four staff would be required.”

Rule 8VAC20-780-350-C. From a complaint.

Based record review, the center failed to ensure that the separate record for each enrolled child shall contain all of the elements as required by the standards.

“Evidence: 1.The record for Child #1 did not contain the following information: Previous school attended, Food allergy and proof of ID. 2. The record for Child #2 did not contain the following information: Previous school attended, Food allergy and proof of ID.”

Rule 8VAC20-780-60-A. From a complaint.

Based on record review, the center failed to obtain a copy of a criminal record check and a child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

“Evidence: 1.The record for Staff 3 contained documentation that Staff 3 has resided outside of the state within the preceding five years. There was not a child abuse and neglect search registry check from the state in which Staff 3 resided within the preceding five years available for review.”

Rule 22.1-289.035-B-4.

Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition.

“Evidence: 1.The large playhouse structure has multiple cracks in the floor of the structure. This is an entrapment hazard for children. Children were observed playing on this structure. 2.One of the larger red trike had a missing seat. A child was observed riding the trike. This is a hazard to children. 3.On the front toddler playground, a large piece of siding has come off the building and is on the children’s playground.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: There were multiple containers of cleaning and disinfectant located on a shelf in children’s bathroom. The chemicals under the changing table were unlocked as well. The cleaning materials were not kept in a locked place using a safe locking method that prevents access by children. Children were observed in the changing table area.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on the review of video footage and staff interviews, the center failed to ensure that actions towards children that are forbidden by the standards (physical punishment, striking a child, roughly handling, or shaking a child) are not used at the center.

Rule 8VAC20-780-410-1. From a complaint.

Based on observation, the center failed to have area outside maintained in a clean, safe and operable condition.

“Evidence: 1. On outdoor School Age playground, the fence has come unattached to the pole which keeps it in place. This is causing the fence to buckle backward. Also, the metal piece that ties the fence to the pole is exposed and sticking out. This causes an impalement hazard to the children. 2. Metal pins that are used to keep the plastic barrier in place are coming approximately ? inch up from original placement. This poses a tripping hazard for children.”

Rule 8VAC20-780-270-A.

Based on review of medication, the center failed to obtain written permission from a parent or guardian to administer medication.

“Evidence: Child #3 had no written authorization to administer a prescription medication observed at the center.”

Rule 8VAC20-780-510-F.

Based on review of medication, the center failed to ensure medication was labeled with child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: Prescription Medication for Child #2 was observed in a plastic bag, with an index labeled with the child’s name on in. There was no label on the medication to provide information on what the medication was, dosage amounts or times to be given.”

Rule 8VAC20-780-510-G.