Toddler Station II

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. The record for child #1 who has been enrolled for approximately two years had a physical that was completed more than 30 days after the first day of attendance.”

Rule 8VAC20-780-140-A.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. Multiple bathrooms had air freshener spray on a shelf. The items had the warning label, ?Keep out of reach of children? and were unlocked within reach of children.”

Rule 8VAC20-780-280-B.

22.1-289.035-A

“The center shall repeat background checks for all staff every five years. The record for staff #1 had an expired sworn statement.”

Rule 22.1-289.035-A. From a complaint.

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening. The TB screening in the record for staff #1 were expired for approximately two months.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of toilet bowl cleaner with the label ?keep out of reach of children? was unlocked on a shelf in the children’s restroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-245-L

“Based on record review and interview, it was determined the center did not ensure that there is always 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: 1.There was no documentation that any of the staff on duty during the inspection had current daily health observation training. 2.The Director confirmed the training was not current.”

Rule 8VAC20-780-245-L.

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the center did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. 1.A doll house in the front classroom was broken. 2.On the playground the yellow tube connecting two play units had two cracks approximately 3-4? long. 3.Staff #3 confirmed the equipment was cracked and broken.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Based on observation and interviews, it was determined that the facility did not 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. 1.There were cleaning and disinfecting liquids located in an unlocked storage room adjacent to the classroom. 2.Staff #1 confirmed the door was not locked.”

Rule 8VAC20-780-280-B.

8VAC20-790-600-D-1

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff #1 and #2 did not have current certification in CPR. The certification had expired 8/2023.”

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

8VAC20-790-600-D-2

“Based on record review and interviews, it was determined that the vendor did not ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #1 and #2 did not have current certification in CPR. The certification had expired 8/2023.”

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

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided. Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 10/18/2022. 2. The Director confirmed that the annual inspection from the health department had not been completed.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Repeat violation Based on observation and interviews, it was determined that the center did not ensure that all areas and equipment of the center shall be maintained in a safe and operable condition. 1.There was peeling paint along the baseboards and paint chips on the carpet in a classroom. 2.The wood surrounding the older children’s playground was cracked and was splintering. 3.The Director confirmed the timber was cracked on the playground and the paint was peeling in one of the classrooms.”

Rule 8VAC20-780-270-A.

8VAC20-780-530-C

“Based on record review and interviews, it was determined the center did not ensure that at least two staff members were present on the premises during the center’s hours of operation, on fieldtrips, and wherever children are in care current with certification in cardiopulmonary resuscitation (CPR) and first aid. Evidence: 1. Only one staff member present during the inspection had current first aid and CPR. 2.The Director confirmed only one staff member had CPR and first aid.”

Rule 8VAC20-780-530-C.

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. The record for child #2, child #4 and child #5 did not contain a parent work phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that equipment, inside and outside, is maintained in a safe condition. Evidence: The metal handle bars on a tricycle and on a toddler balance bike on the playground were not covered with handle bar grips, creating a potential impalement hazard should a child fall on the handle bars.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based upon observation, the facility has not ensured that hazardous substances are kept in locked places using a safe locking method that prevents access by children. Evidence: There was a container of toilet bowl cleaner with a hazard label on a high shelf in the bathroom used by the preschool girls.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-G

“Based upon observation and staff interview, the facility has not ensured that when hazardous substances are not kept in the original containers, the substitute containers clearly indicated their contents. Evidence: Staff 4 was observed cleaning the changing table with a fluid in a spray bottle. The bottle was not labeled as to the contents. Staff 4 acknowledged that the spray bottle was not labeled and stated that it was “Fabuloso” multi purpose cleaner in the spray bottle.”

Rule 8VAC20-780-280-G.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“Based upon observation, the facility has not ensured that they maintain a current written list of all children’s allergies, sensitivities and dietary restrictions that is dated and kept confidential. Evidence: There was an allergy chart posted on the wall of the preschool classroom. The chart was not covered or made confidential. The children’s names and allergies were open to viewing by whomever entered the room. The list was not dated.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-A

“Based upon observation, the facility has not ensured that children’s hands are washed after toileting. Evidence: Staff 4 was observed changing a child’s diaper after outdoor play. The child’s hands were not washed after the diaper change before being allowed to begin playing.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based upon observation, the facility has not ensured that soiled diapers are disposed in a lidded diaper pail that is operated in such a way that neither the caregiver’s hands nor the soiled diaper touch the outside of the diaper pail. Evidence: Staff 4 was observed changing a child’s diaper after outdoor play. Staff 4 used her hands to open the lid on the diaper pail and dispose of the soiled diaper.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-G

“Based upon review of documentation, the facility has not ensured that documentation of emergency drills includes all required information. Evidence: The documentation of emergency drills did not include the following: 1. the identity of the person conducting the drill 2. the method used to notify staff/children of the drill 3. any special conditions simulated 4. any problems 5. weather conditions for evacuation drills.”

Rule 8VAC20-780-550-G.

Based on a review of documentation and interview, it was determined that the facility did not ensure that an annual approval from the health department shall be provided.

“Evidence: 1. The most recent annual health inspection report inspection available for viewing during the inspection was dated 5/28/21. 2. Staff #2 (Assistant Director) confirmed that the annual inspection from the health department had not been completed.”

Rule 8VAC20-780-260-B.

Based on on observation and interviews, it was determined that the facility did not ensure that for children, three years up tp school age eligible, one staff member for every ten children is maintained at all times children are in care.

“Evidence: 1. Staff #1 was observed working alone in the Pre-K classroom with 11 children. The children present were ages 4 years old. 2. Staff #1 was observed working alone in the Pre-K classroom with 11 children. The children present were ages 4 years old. 3. Staff #4 confirmed the two classrooms were not operating with the correct staff-to-child ratio.”

Rule 8VAC20-780-350-B.