Little Hearts Daycare

Providers must obtain a completed national criminal background check prior to employment.

“There was not a completed national criminal background check for Staff 2 available during the inspection; Staff 2 was working during the inspection.”

Rule 22.1-289.035-B-2.

All over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“There were 5 over-the-counter skin products on-site that were expired.”

Rule 8VAC20-780-520-A.

Children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“The children in Classrooms 2, 3 and 4, ages 15 months-4 years, were served mini corndog nuggets that were not cut/sliced in a way to prevent the hotdog inside of the breading from being a potential choking hazard.”

Rule 8VAC20-780-560-F-4.

The center is required to have every applicant undergo background checks every five years.

“The most recent sworn statement for Applicant 1 was overdue by 14 months. The most recent criminal record check for Applicant 1 was overdue by 14 months. The most recent central registry check for Applicant 1 was overdue by 13 months.”

Rule 22.1-289.036-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 7 children observed in Classroom 4. The written attendance for Classroom 4 documented 6 children in care.”

Rule 8VAC20-780-80-A.

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

“The immunization records for Child 3 (2 years), who has been attending for 13 months, were not updated once every six months.”

Rule 8VAC20-780-130-E.

Pesticides or insecticides shall not be stored in areas used for food preparation or storage.

“There were two containers of insecticide stored in the kitchen.”

Rule 8VAC20-780-280-C.

Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection and guidance.

Rule 8VAC20-780-340-A.

Based on interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: On 08/14/2024, Child 1 (2 years old) was left alone on the center’s front playground area for approximately 5-7 minutes by Staff 1. Child 1 was not within the actual sight and sound supervision of staff during the time they were alone on the playground.”

Rule 8VAC20-780-340-F.

Based on the review of required policies and procedures and interviews with staff, the center failed to maintain the operational responsibility of the licensee to ensure that the center’s activities, services and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards.

“Evidence: The center’s Missing Child Policy, provided by the center, states the following: ?At all times you are to know where the children in your care are. When outside periodically count heads. Take roll call when returning inside. All children should be accounted for at all times.? On 08/14/2024, Staff 1 did not know where Child 1 (2 years old) was at all times when they were left alone on the playground for approximately 5-7 minutes. Staff 1 did not take a roll call when returning inside from the playground.”

Rule 8VAC20-780-40-E.

Based on record review, the center failed to ensure that staff records contain all of the elements as required by the standards.

“Evidence: The record for Staff 1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

Based on record review, the center failed to obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children and that documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: The record for Staff 1 contained a documented hire date of 03/14/2024. The tuberculosis screening was dated 03/20/2024; the screening was not completed at the time of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the center failed to ensure that children under the age of 10 years shall always be within actual sight and sound supervision of staff.

“Evidence: Child 5 (3 years) was observed receiving services from an outside agency in an upstairs classroom. During the time that Child 5 was receiving the services in the upstairs classroom they were not within actual sight and sound supervision of staff.”

Rule 8VAC20-780-340-F.

Based on record review, the center failed to obtain 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: The record for Child 3 contained documentation of a diagnosed food allergy. The record did not contain the required written care plan by a physician.”

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

Based on record review, the center failed to ensure that staff shall submit documentation of a negative tuberculosis screening at least every two years from the date of the initial screening or testing.

“Evidence: The most recent tuberculosis screening in the record for Staff 5 was dated 09/01/2021; there was not a follow-up tuberculosis screening available for review.”

Rule 8VAC20-780-160-C.

Based on observation and staff interviews, the center failed to ensure that children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.

“Evidence: Child 6 was observed during a diaper change. Child 6 did not wash their hands with soap and running water after the diaper change.”

Rule 8VAC20-780-500-A.

Based on record review and discussion with staff, the center failed to ensure that at least one staff in each classroom or area where children are present shall have a current certification in CPR and a current certification in first aid.

“Evidence: Staff 1 was the only staff member in the 2 year old classroom. Staff 1 does not have a current CPR/1st Aid certification.”

Rule 8VAC20-780-530-A.

Based on observations and staff interviews, the center failed to ensure that tables and high chair trays shall be sanitized before and after each use for feeding.

“Evidence: The tables in the 2 year old classroom were not sanitized before breakfast. Staff 5 verified that the tables were not sanitized before breakfast.”

Rule 8VAC20-780-560-J.

Based on document review, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The most recent fire inspection was conducted on 07/16/2021; there was not a 2022 fire inspection available for review during the inspection.”

Rule 8VAC20-780-260-A.

Based on record review and discussion with staff, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There were three staff present during the 11/30/2021 inspection; none of the staff members present during the 11/30/2021 inspection has received instruction in performing the daily health observation of children within the last three years.”

Rule 22VAC40-185-240-D-5.