TLC4Kids Children’s Center

A copy of the results of a criminal history record information check and a sex offender registry check from any state in which the individual has resided in the preceding five years must be requested prior to employment.

“A copy of the results of a criminal history record information check and a sex offender registry check from a state in which Staff #3 resided in the preceding five years was not requested prior to employment. Staff #3 has been employed for six weeks.”

Rule 22.1-289.035-B-4.

The center shall maintain a current written list of all children’s allergies.

“The allergy lists posted in the center’s classrooms only lists two of Child #6’s food allergies. Four of the child’s food allergies are missing from the list.”

Rule 8VAC20-780-40-M.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain a written care plan for each child with a diagnosed food allergy.

“Child #6’s (age: 9 years) record indicates multiple diagnosed food allergies. The center did not have a written care plan for Child #6 on file.”

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

Hazardous substances shall be kept in a locked place.

“There was a spray bottle containing a bleach solution on a cubby, accessible to children ages two years old. There were three disinfectant sprays, two containers of disinfectant wipes, and one glass cleaner in an unlocked changing table, accessible to children ages two years old.”

Rule 8VAC20-780-280-B.

Fans, when used, shall be out of reach of children.

“There were two fans in use and within reach of children ages two years old.”

Rule 8VAC20-780-290-A-2.

Repeat violation

Rule 8VAC20-780-60-A.

Each center shall maintain a record for each child enrolled which shall contain documentation of child updates and confirmation of up-to-date information annually in the child’s record.

“Child #4’s most recent documentation of confirmation of up-to-date information was over two years ago.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and the training shall include an in person competency demonstration. Staff #1 has been employed for 5 months and was observed working with children. Staff #1’s CPR training did not include an in-person competency demonstration.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. Staff #1 has been employed for 5 months and was observed working with children. Staff #1 did not have current certification in first aid.”

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

8VAC20-780-530-A-1

“At least one staff in each classroom where children are present shall have current certification in cardiopulmonary resuscitation (CPR) and the training shall include an in-person competency demonstration. Staff #1 was observed working alone in a classroom with children. Staff #1’s CPR training did not include an in-person competency demonstration.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“At least one staff in each classroom where children are present shall have current certification in first aid. Staff #1 was observed working alone in a classroom with children. Staff #1 did not have current certification in first aid.”

Rule 8VAC20-780-530-A-2.

Based on record review, the center failed to obtain documentation that 1 out of 3 children received required immunizations before the child could attend the center.

“Evidence: Child #1?s (start date: 05/05/2022) record did not contain documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to ensure 1 out of 3 children had a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Evidence: Child #1?s (start date: 05/05/2022) record did not contain documentation of a physical examination.”

Rule 8VAC20-780-140-A.

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

“Evidence: 1. Staff #2 was observed changing Child #2?s diaper. Once the diaper change was complete, Staff #2 returned Child #2 to the play area. 2. Child #2?s hands were not washed before being returned to the play area. 3. Staff #2 was then observed placing Child #3 on the changing table for a diaper change. 4. Staff #2 did not was their hands between changing Child #2 and Child #3.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that the diapering surface was cleaned with soap and water and sanitized after each use.

“Evidence: 1. Staff #2 was observed changing Child #2?s diaper. Once the diaper change was complete, Staff #2 returned Child #2 to the play area. 2. Staff #2 was then observed placing Child #3 on the changing table for a diaper change. 3. Staff #2 did not clean and sanitize the changing table in between changing Child #2 and Child #3.”

Rule 8VAC20-780-500-B.

Based on record review, the center failed to obtain all information for children’s records.

“Evidence: Child #1?s (start date:05/05/2022) record did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

Based on record review, a staff member submitted documentation of a tuberculosis (TB) screening that was not completed within the last 30 calendar days of the date of employment.

“Evidence: Staff #1 (start date: 08/15/2023) had a TB screening that was dated 04/11/2023.”

Rule 8VAC20-780-160-A.

Repeat violation

“Based on record review, not all staff members obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years. Evidence: Staff #3’s most recent TB screening was dated 06/17/2021.”

Rule 8VAC20-780-160-C.

Based on record review, the center did not obtain documentation that each child has received required immunizations before the child could attend the center.

“Evidence: Child #1 (start date: 05/16/2023) did not have documentation of immunizations on file.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #3?s (age: 16 months) most recent documentation of immunizations was dated 10/14/2022.”

Rule 8VAC20-780-130-E.

Based on record review, the center did not obtain a physical examination for a child before the child’s attendance or within 30 days after the child’s first day of attendance.

“Evidence: Child #2 (start date: 01/03/2023) did not have documentation of a physical examination on file.”

Rule 8VAC20-780-140-A.

Based on record review and staff interview, the center did not develop written procedures for injury prevention.

“Evidence: Staff #4 stated that the center does not currently have written procedures for injury prevention.”

Rule 8VAC20-780-40-I.

Based on record review and staff interview, the center did not develop written procedures for prevention of shaken baby syndrome or abusive head trauma.

“Evidence: Staff #4 stated that the center does not currently have written procedures for prevention of shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on record review, the center’s written playground safety procedures did not include all information.

“Evidence: 1. The provision for active supervision did not include circulating among children. 2. The center’s written playground safety procedures did not include a method of maintaining resilient surface.”

Rule 8VAC20-780-40-N.

Based on record review, the center did not implement a monthly practice evacuation drill.

“Evidence: The most recent practice evacuation drill implemented by the center was dated 03/14/2023.”

Rule 8VAC20-780-550-D.

Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observation, resilient surfacing did not comply with the minimum safety standards.

“Evidence: 1. The mulch located in the fall zone around the blue rainbow climber was worn down to dirt in multiple areas. 2. The mulch located at the bottom of the blue slide was worn down to dirt.”

Rule 8VAC20-780-330-B.

Based on record review, the center did not obtain a physical exam for each child within the first 30 days of attendance.

“Evidence: At the time of inspection, Child #1 (start date: 03/02/2022) did not have a physical examination in the file.”

Rule 8VAC20-780-140-A.

Based on record review, each staff member did not obtain and submit the results of a follow-up tuberculosis screening at least every two years.

“Evidence: At time of inspection, the most recent tuberculosis screening for Staff #1 was dated 06/03/2020.”

Rule 8VAC20-780-160-C.

Based on record review and interview, all staff did not complete a minimum of 16 hours of training annually.

“Evidence: 1. Staff #2 stated that annual training is based off of a calendar year (January- December) 2. Staff #1 had 2.5 hours of training documented for the 2021 calendar year. 3. Staff #3 had 0 hours of training documented for the 2021 calendar year. 4. Staff #4 had 5.5 hours of training documented for the 2021 calendar year. 5. Staff #5 had 2.5 hours of training documented for the 2021 calendar year.”

Rule 8VAC20-780-245-A.

Based on record review, an annual fire inspection report was not obtained.

“Evidence: At the time of inspection, the most recent fire inspection was dated 02/18/2020.”

Rule 8VAC20-780-260-A.

Based on observation, areas and equipment of the center, inside and outside, were not maintained in a clean, safe and operable condition.

“Evidence: 1. In the school age room, there were two missing tiles and one chipped tile on the floor near the window. 2. In the school age room, the wooden trim around the window had water damage and was beginning to rot. 3. In the Radiant Rainbows classroom, there were four small spots of chipped paint on the back side of the half wall. 4. On the playground, there was a plastic dump truck toy that was cracked along the right side.”

Rule 8VAC20-780-270-A.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In the Grasshoppers classroom, various spray cleaners and disinfectant wipes were located at the bottom of an unlocked changing table. 2. In the Grasshoppers classroom, (2) gallon bottles of bleach were located on the floor of an unlocked cleaning supply closet, next to the children’s reading area. 3. In the School Age classroom, a spray bottle with bleach solution was located within children’s reach on a shelf in an unlocked closet.”

Rule 8VAC20-780-280-B.

Based on observation and interview, hazardous substances not kept in original containers were not labeled to clearly indicate their contents.

“Evidence: 1. In the bathroom of the Radiant Rainbows classroom, a spray bottle was not labeled. 2. In the School Age classroom, a spray bottle was not labeled. 3. Staff confirmed that each spray bottled contained a bleach/ water solution.”

Rule 8VAC20-780-280-G.

Based on observation, all electrical outlets did not have protective covers.

“Evidence: In the Radiant Rainbows classroom, an outlet between the bathroom and closet did not have a protective covering.”

Rule 8VAC20-780-290-A-3.

Based on observation, over-the-skin products were kept beyond the expiration date of the product.

“Evidence: The sunscreen for Child #2 expired in April of 2022.”

Rule 8VAC20-780-520-A.

Based on observation, not all requirements were met when using topical skin products.

“Evidence: 1. At the time of inspection, there was no written parent authorization for Child #2?s diaper cream. 2. At the time of inspection, there was no written parent authorization for Child #3?s Vaseline. 3. At the time of inspection, there was one diaper cream which belonged to Child #2 that was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on record review, the center did not obtain all required information for children’s records.

“Evidence: At the time of inspection, the name and phone number for Child #1?s physician was not located in the file.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, areas of the center were not maintained in a clean, safe and operable condition. Evidence: There was chipped and peeling paint observed on the wall near the window of the Radiant Rainbows classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-40-H

“Based on interview, evidence of insurance coverage was not kept on site and available upon request. Evidence: When requested, the program director did not have evidence of insurance coverage. The center owner was contacted to provide evidence of coverage.”

Rule 8VAC20-780-40-H.

8VAC20-780-550-F

“Based on record review and interview, lockdown procedures were not practiced annually. Evidence: There is no documentation of a lockdown drill being practiced during 2021. The center director stated that they had forgotten to complete a lockdown drill in 2021.”

Rule 8VAC20-780-550-F.