Horizon Child Development, Inc

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“1. A thin measuring tape was used as a cord to secure a portable basketball hoop to a piece of cabinetry in the two year old classroom. The measuring tape was fitted loosely in a way that presented a potential ensnarement hazard. 2. The log cabin playground structure was observed to have cracking plastic underneath two of the structures windows. The cracked plastic was sharp to the touch.”

Rule 8VAC20-780-270-A.

If portable wading pools without integral filter systems are used, they shall be emptied after the use of each group of children, rinsed, and filled with clean water, or more frequently as necessary.

“A portable wading pool full of water was observed in a side yard outside of Classroom D.”

Rule 8VAC20-780-470-D.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child 3 did not contain the names and contact information for two emergency contacts other than the parents.”

Rule 8VAC20-780-60-A.

Individuals from independent contractors shall not be counted in the staff-to-children ratios unless they meet the qualifications for the applicable position.

“An independent contractor, who did not meet staff qualifications and was not an employee of the center, was being included in ratio for approximately 45 minutes.”

Rule 8VAC20-780-230-A.

The center shall ensure that areas and equipment, are maintained in a clean and safe condition.

“~Cots and child materials were being kept in the bathrooms (next to the toilet) in Classrooms D, E, and F, that are routinely used by the children. ~Cots were propped up in the corner of Classrooms D and F in preparation of naptime, which was over an hour ahead in the schedule. The schedule was confirmed by staff in these classrooms. This was a hazard for the children who could be hit by a falling cot.”

Rule 8VAC20-780-270-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“~Bibs were observed hanging, within reach of the children, on the sides of four out of five cribs, in classroom A. Infants were napping in the cribs during this time.”

Rule 8VAC20-780-340-A.

The required ratio for children ages birth to 16 months is one staff per four children.

“Staff 4 was observed supervising five infants for a period of more than 5 minutes, while second staff was in the bathroom.”

Rule 8VAC20-780-350-B-1.

The required ratio for children 2 years to 3 years old is one staff per eight children.

“Staff #1 was observed on the playground (during FitKids class) supervising twelve children (youngest child 2 years old) from approximately 10:15am-11:00am. Individuals not directly employed by the center, do not count in ratio.”

Rule 8VAC20-780-350-B-3.

Areas and equipment of the center, shall be maintained in a clean, safe and operable condition.

“Multiple electrical cords that could cause choking or strangulation, were hanging accessible to the children in Classroom C.”

Rule 8VAC20-780-270-A.

Hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

“Classroom B was observed to have cleaning materials in an unlocked cabinet accessible to the children.”

Rule 8VAC20-780-280-B.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence and include all required information.

“The written record did not document the time the parent was notified of the sustained injury to Child 1 on January 16. 2025.”

Rule 8VAC20-780-550-P. From a complaint.

8VAC20-780-270-A

“All areas of the center, inside and outside, shall be maintained in a safe condition. Classroom H had a plug-in air freshener, which can pose a fire hazard for the center.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Each bathroom will have soap, toilet paper, and paper towels within reach of the children. Classroom E had no toilet paper available for the children to use.”

Rule 8VAC20-780-320-B.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, and protection. One infant was observed in Classroom A sleeping with a pacifier attached to a ribbon clip presenting a strangulation hazard.”

Rule 8VAC20-780-340-A.

8VAC20-780-440-L

“The center did not ensure that a blanket was not used in the crib by a child under the age of 2 years. Children under 2 years of age should never have blankets in their crib as it can pose a suffocation hazard and can increases the risk of Sudden Infant Death Syndrome.”

Rule 8VAC20-780-440-L.

8VAC20-780-550-D

“The center will implement a monthly practice evacuation drill. There was no fire drill recorded for September 2024.”

Rule 8VAC20-780-550-D.

8VAC20-780-580-K

“Staff will verify that all children have been removed from the vehicle at the conclusion of any trip. Staff member returned from taking children to school and did not check the bus for children before exiting the vehicle.”

Rule 8VAC20-780-580-K.

Repeat violation

“Based on observation of Classroom F and staff interview, hand washing procedures were not followed. Evidence: 1. The inspector walked in during snack and observed 1 out of 22 students wash their hands after snack before going to the carpet as instructed by Staff #2. 2. When the inspector asked the teacher if any other students washed their hands after eating snack, they responded that about 7 students did before the inspector walked in. 3. Approximately 8 out of 22 students washed their hands after snack.”

Rule 8VAC20-780-500-A.

Based on observation, the facility did not ensure that sunscreen were inaccessible to children under 5 years old.

“Evidence: In classroom D, there was a three-drawer white plastic storage cabinet in the bathroom that contained sunscreens and was easily accessible to students.”

Rule 8VAC20-780-520-B.

Based on observation, the facility did not ensure that diaper creams were inaccessible to children.

“Evidence: In classroom D, there was a three-drawer white plastic storage cabinet in the bathroom that contained diaper creams and was easily accessible to students.”

Rule 8VAC20-780-520-C.

Repeat violation

“Based on record review and interview, staff records were missing two references. Evidence: Staff #4 (DOH: 4/15/2024) records were missing documentation that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

Repeat violation

“Based on observation and interview, the center did not ensure that a building built before 2015 and serving preschool-age children is equipped with at least one carbon monoxide detector. Evidence: 1. The building was built prior to 2015. 2. The center currently provides care for children who are preschool-age. 3. The administration confirmed that the center has gotten a carbon monoxide detector, however, it has not been installed.”

Rule 22.1-289.058.

Based on record review and interview, a sworn statement was not completed prior to the first day of employment.

“Evidence: The sworn statement for Staff #2 is dated 6/26/2023 and the employment date for Staff #2 is 06/21/2023.”

Rule 8VAC20-770-60-B.

Based on record review and interview, 1 of 5 staff files indicated that the facility has not ensured that each staff member has submitted documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment.

“Evidence: 1. The tuberculosis test documentation on file for Staff #1 was dated 06/09/2023. 2. The employment date for Staff #1 was listed in their record as 08/02/2023.”

Rule 8VAC20-780-160-A.

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

“Evidence: On the toddler playground, a tree root is exposed causing a tripping hazard.”

Rule 8VAC20-780-270-A.

Based on observation and interview, hazardous substances such as cleaning materials, insecticides, and pesticides were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In Classroom B, a small container of bleach, a spray bottle of bleach water, a spray bottle of glass cleaner, and a bottle of all-purpose cleaner were stored under the classroom sink cabinet unlocked.”

Rule 8VAC20-780-280-B.

Based on observation, cleaning and sanitizing materials were not stored in areas physically separate from food and food utensils.

“Evidence: A small container of bleach, a spray bottle of bleach water, a spray bottle of glass cleaner, and a bottle of all-purpose cleaner were stored in Classroom B’s sink cabinet, next to a bag of veggie straws and a container of white plastic spoons.”

Rule 8VAC20-780-280-D.

Based on observation and staff interview, the center failed to have adequate resilient surfacing as required in the fall zones underneath and surrounding equipment.

“Evidence: 1. There was no resilient surfacing at the bottom of two slides on the toddler’s playground. 2. There was no resilient surfacing at the bottom of three slides on the 3-year-old, 4-year-old, and before and after school playground.”

Rule 8VAC20-780-330-B.

Based on observation and interview, hand washing procedures were not followed.

“Evidence: 1. Staff A was observed not washing their hands after changing Child A’s diaper. 2. Staff A was observed returning Child A to the group without washing Child A’s hands after diapering.”

Rule 8VAC20-780-500-A.

Based on record review and interview, documentation was not maintained for emergency evacuation drills.

“Evidence: There was no documentation of a July 2023 evacuation drill being practiced.”

Rule 8VAC20-780-550-G.

Based on multiple interviews, medical documentation, and photographs, the center failed to ensure their care and protection, when supervising children.

“Evidence: 1. On Tuesday, May 2, 2023, at approximately 9:30 am, Child #1 (two-years-old) ran into Staff #1 who was holding a thermos cup filled with hot tea. Tea spilled out of the spout of the thermos cup and onto the right side of Child #1?s ear, face, and upper chest causing burns. 2. Medical documentation from the emergency room and burn clinic was reviewed and the document states Child #1 suffered superficial burns and partial thickness burns of multiple sites.”

Rule 8VAC20-780-340-A. From a complaint.

Based on staff interview, the center failed to inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

Rule 8VAC20-780-80-B-2. From a complaint.

Based on record review and interview, one of five staff background checks was not repeated every five years.

“Evidence: 1. The most recent central registry result on file for Staff #2 is dated 1/31/2017. 2. The central registry results on file for Staff #2 expired on 1/31/2022. 3. Staff #2’s new central registry application was mailed to the Virginia Department of Social Services on 2/15/2023, according to the documentation presented during the inspection.”

Rule 22.1-289.035-A.

Based on observation and interview, the center did not ensure that a building built before 2015 and serving preschool-age children is equipped with at least one carbon monoxide detector.

“Evidence: 1. The building was built prior to 2015. 2. The center currently provides care for children who are preschool-age. 3. The administration confirmed that the center did not have a carbon monoxide detector and was unaware that one was required.”

Rule 22.1-289.058.

Based on record review and interview, one of five staff records did not have an orientation completed within 7 days of the date of assuming job responsibilities.

“Evidence: 1. Staff #5 (DOH 6/7/2019) record did not have documentation of receiving an orientation of their current job responsibilities. 2. The administration stated that staff #5 did receive orientation, but they were unable to locate the documentation.”

Rule 8VAC20-780-240-B.

Based on record review and interview, one of five staff records was missing two references.

“Evidence: Staff #3 (DOH: 4/17/2023) record was missing 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 staff statement and record review, the center failed to obtain documentation of a negative tuberculosis screening for an independent contractor.

“Evidence: Independent contractor #1 documentation of a negative tuberculosis screening was not submitted prior to coming into contact with children. The start date for independent contractor #1 was 2/15/2022.”

Rule 8VAC20-780-160-A. From a complaint.

Based on record review, the center failed to ensure program leaders have at least six months of supervised programmatic experience and the required 24 hours of training (6 months prior to promotion or within one month of being promoted.

“Evidence: There was no documentation of trainings or programmatic experience available during review of staff #2?s records. Staff #2 was promoted June 6, 2022.”

Rule 8VAC20-780-210-A-4. From a complaint.

Based on staff statement, the center failed to ensure that a staff person was onsite with MAT training when emergency medication was present.

“Evidence: Staff #1 MAT certification (medication administration training) expired on 4/30/2018. There was no other staff member on site with MAT certification on 8/5/2022.”

Rule 8VAC20-780-245-J-3. From a complaint.

8VAC20-770-60-C-2

“Based on record review, the center did not obtain central registry background check results for one staff member within 30 days of hire. Evidence: Staff 1 has a hire date listed as 12/6/2021. The central registry results are dated 3/24/2022. The request was made after seven days of hire, as the original request form was dated 2/21/22.”

Rule 8VAC20-770-60-C-2. From a complaint.