Little Tin Soldiers Educational Center

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“1. Staff #1 and Staff #3, both employed for 1 year and working with children, did not have the required course completed.”

Rule 8VAC20-780-240-A.

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

“One toilet in the girls bathroom was covered with a bag and not in operable condition.”

Rule 8VAC20-780-270-A.

Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“1. In classroom #1, 2 bottles of hand sanitizer were found on a counter within reach of children. 2. In classroom #2, 1 bottle of hand sanitizer was found in an unlocked cabinet out of reach of children. All items found were marked with warning labels “keep out of reach of children””

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-1

“The required ratio for children ages Birth up to 16 months is one staff per four children. Staff #3 was observed supervising 5 children (youngest child 6 months old) from approximately 10:15am-10:35am.”

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

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care for all staff who work directly with children within 90 days of the date of employment.

“1. Staff #3, employed for 1 year and currently working with children, did not have a current certificate in CPR.”

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

Current certification in first aid appropriate to the ages of children in care for all staff who work directly with children within 90 days of the date of employment.

“1. Staff #3, employed for 1 year and currently working with children, did not have a current certificate in First Aid.”

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

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due over two years ago.”

Rule 8VAC20-780-160-C.

Current certification in cardiopulmonary resuscitation (CPR) for all staff who work directly with children within 90 days of the date of employment or 90 days.

“Staff #3 employed for 4 months did not have a current certificate in cardiopulmonary resuscitation.”

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

Current certification in first aid appropriate to the ages of children for all staff who work directly with children within 90 days of the date of employment or 90 days.

“Staff#3 employed for four months, did not have a current certificate in first aid.”

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

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2 updated screening was due over two years ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

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

“One toilet in the girls bathroom was covered with a bag and not in operable condition.”

Rule 8VAC20-780-270-A.

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.

“Staff #2 and Staff#3 was observed supervising fourteen children (youngest child 15 months old; 1:4 ratio) from approximately 12:35 pm-12:52 pm.”

Rule 8VAC20-780-350-C.

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff#2 who had been employed for four months, did not have a copy of the result of the central registry.”

Rule 22.1-289.035-B-3.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

8VAC20-780-160-A

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff#1 is currently working and has an incomplete TB screening.”

Rule 8VAC20-780-160-A.

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

“There were multiple sink faucet handles broken covered in blue tape in the center’s bathrooms.”

Rule 8VAC20-780-270-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. A bottle of air freshener with the warning labels, “danger” and “caution,” was unlocked on the shelf three-four year old classroom. Disinfectant spray was unlocked on top of the refrigerator with the warning labels, “caution” and “keep out of reach of children. Three containers of disinfectant spray with the warning labels, “keep out of reach of children,” were in an unlocked cabinet in the bathroom.”

Rule 8VAC20-780-280-B.

Documentation of at least 2 references to character, reputation, and competency are to checked prior to employment.

“Staff#1, who has been working at the center for the past month, had one reference verification on file. Staff#2,who has been working at the center for the past four months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Based on review of staff record and interview, the center did not ensure to obtain documentation of a tuberculosis screening every two years.

“Evidence: In Staff#1’s record (date of hire: 05/21/21) the last dated tuberculosis screening was 05/19/21. In Staff#2’s record (date of hire: 03/07/22) the last dated tuberculosis screening was 03/04/22. Interview with staff confirmed the available documentation for review during the inspection.”

Rule 8VAC20-780-160-C.

Based on staff record review and interview, the center did not ensure to complete orientation training prior to staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: In Staff#3’s record, there was no documentation found of completion of orientation. Interview with staff confirmed there was no documentation available for review during the inspection.”

Rule 8VAC20-780-240-B.

Based on documentation, the center did not ensure to obtain an annual fire inspection report.

“Evidence: The center’s annual fire inspection was dated 04/13/2023 during the inspection.”

Rule 8VAC20-780-260-A.

Based on observations, the center did not ensure all areas inside and outside are maintained in a clean, safe, and operable condition.

“Evidence: In the boys/girls bathroom, two out of the four sinks were not operable, one with an out of order sign on it. The playground area grass was observed uncut and accessible to children during outdoor activity.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the twos classroom, there was a bottle of hand sanitizer on the desk with the labels “keep out of reach” and “warning” accessible to the children in care.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not ensure a nonabsorbent surface for diapering or changing shall be used

“Evidence: 1. The diapering surface in the infant room was observed torn in multiple areas. 2. The diapering surface in the bathroom was observed torn in multiple areas”

Rule 8VAC20-780-500-B.

Based on review of staff record and interview, the center did not ensure all staff obtain current certification in cardiopulmonary resuscitation (CPR) as required.

“Evidence: 1. In Staff#1’s record, there was no current certification in cardiopulmonary resuscitation found. 2. Interview with staff confirmed documentation for CPR was not available for review during the inspection.”

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

Based on review of staff records and interview, the center did not ensure all staff obtained a current certification in first aid appropriate to the ages of children in care.

“Evidence: 1. In Staff#1’s record (date of hire: 03/26/23), there was no current certification in first aid found. 2. Interview with staff confirmed documentation for first was not available for review during the inspection.”

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

Based on review of children’s record and interview, in 1 of 4 children’s record, the center did not ensure to obtain a physical examination within 30 days after the first day of attendance.

“Evidence: 1. In Child#1’s record (start date: 6/26/21) there was no documentation of a physical examination found. 2. Interview with staff confirmed there was no physical examination available for review during the inspection.”

Rule 8VAC20-780-140-A.

Based on review of staff records and interview, in 1 of 3 records, the center did not ensure to obtain documentation of a tuberculosis screening at least every two years from the date of the first initial screening or testing.

“Evidence: 1. In Staff#3’s record, the tuberculosis screening was dated for 02/09/2021. 2. Interview with staff confirmed the documentation available for review during the inspection.”

Rule 8VAC20-780-160-C.

Based on review of staff records and interview, the center did not ensure to obtained all documentation of the two references.

“Evidence: 1. In Staff#1’s record (date of hire: 03/26/23), the signature of person making call and dates of contact on two references was not found on documentation. 2. Interview with staff confirmed the information available for review.”

Rule 8VAC20-780-70.

Based on review of staff records and interview, the center did not ensure to obtain all background checks for all applicants for employment, employees, applicants to serve as volunteers, and volunteers every five years thereafter.

“Evidence: In Staff#2’s record (date of hire: 02/07/08) the sworn statement was last dated 02/06/18 and the OBI criminal results was dated 06/28/18. Interview with staff confirmed the documentation available for review during the inspection.”

Rule 22.1-289.035-A.

Based on review of records, the center did not ensure to obtain documentation of each child’s immunization before the child can attend the center.

“Evidence: In Child #4’s record (start date: 09/12/23), there was no documentation of immunization found for review during the inspection.”

Rule 8VAC20-780-130-A.

Based on review of records, the center did not obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: In Child’s 4’s record (start date: 09/12/23, there was no documentation of a physical examination found for review during the inspection.”

Rule 8VAC20-780-140-A.

Based on review of staff records and interview, the center did not ensure to obtain documentation of a tuberculosis screening at least every two years.

“Evidence: In Staff #2’s record( date of hire: 02/07/18), the last tuberculosis screening was dated 03/23/18. Interview with staff confirmed the documentation available for review during the inspection.”

Rule 8VAC20-780-160-C.

Based on review of records and interview, the center did not ensure to maintain a separate record for each child enrolled.

“Evidence: In Child#4’s record (start date: 09/12/23) the addresses for two emergency contacts were incomplete. Interview with staff confirmed the information available for review during the inspection.”

Rule 8VAC20-780-60-A.

Based on review of staff records and interview, the center did not ensure to obtain a central registry finding within 30 days of employment or volunteer service.

“Evidence: In Staff#2’s record (date of hire: 01/17/23) and Staff#3’s record (date of hire: 03/20/23), there were no central registry findings found. Interview with staff confirmed the central registry findings were not available for review.”

Rule 8VAC20-770-60-C-2.

Based on review of children’s record, the center did not ensure to obtain documentation of a physical examination within 30 days after the first day of attendance.

“Evidence: In Child#3’s record (start date: 04/27/23) there was no documentation of a physical examination found for review during the inspection.”

Rule 8VAC20-780-140-A.

Based on review of children’s record, the center did not ensure the date of the physical examination and date of immunization were signed by physician, his designee, or an official of a local health department.

“Evidence: In Child#3’s record (start date 4/27/23), there was not a signature and date on the immunization documentation.”

Rule 8VAC20-780-150-B.

Based on review of staff record and interview, the center did not ensure to obtain tuberculosis screening every two years for all staff.

“Evidence: In Staff#1’s record (date of hire: 05/21/21), the last dated TB screening was 05/19/21. Interview with staff confirmed no updated TB screening for review during the inspection.”

Rule 8VAC20-780-160-C.

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

“Evidence: 1. In the boy’s bathroom, one out of the four sinks were not working properly. 2. In the girl’s bathroom, two of the toilet seats were unsecured, and missing a white piece. 3. There were multiple pieces of equipment stored in the hallway nearby the exit causing a safety hazard.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the center’s kitchen area, there was an unlocked cabinet under the sink contained multiple disinfectant cleaners with the labels “keep out of reach of children”, “caution” and “danger”.”

Rule 8VAC20-780-280-B.

Based on review of staff record and interview, the center did not ensure to obtain all staff records information.

“Evidence: 1. In Staff#1’s (date of hire: 5/21/21) record, there was no documentation found for two or more references. 2. In Staff#3’s (date of hire: 3/20/23) record, there was no documentation for signature of person making the call for two references. 3. In Staff#4’s (date of hire: 06/02/20) record, there was no documentation for signature of person making the call for one reference. 4. Interview with staff confirmed the available documentation for review during the inspection.”

Rule 8VAC20-780-70.

Based on the staff interview, the licensee did not ensure each building that has built before 2015 and thar serves preschool age children shall be equipped with at least one carbin monoxide detector.

“Evidence: Center did not provide requested documentation that their fire alarm system includes a carbon monoxide detector.”

Rule 22.1-289.058.

Based on record review , the licensee did not esure their was a fire inspection conducted annually.

“Evidence: The most recent inspection was 03/02/2022.”

Rule 8VAC20-780-260-A.

Based on staff interview and observation, the licensee did not ensure thier was a working battery operated radio.

“Evidence: During the inspection their was not a working battery operated radio.”

Rule 8VAC20-780-540-E.

Based on record review and staff interview, the licensee did not ensure a central registry finding were recieved within 30 days of employment.

“Evidence: Staff #1 ( date of employment 03/07/2022)record did not have central registry results with in 30days. Confirmed by Staff #4.”

Rule 8VAC20-770-60-C-2.

Based on record review and staff interview, the licensee did not ensure staff had The Virginia Department of Education-sponsored orientation course completed within 90 calendar days of employment.

“Evidence: Staff #1( date of employment 03/07/2022 ) has not completed Va Department of education-sponsored orientation with in 90 days of employment. Confirmed by Staff #4.”

Rule 8VAC20-780-240-A.

Based on observation , the licensee did not ensure all outdoor equipment was in a safe and operable condition.

“Evidence: The outdoor area had a broken wheel on the radio flyer which is cracked could cause snagging or pinching. The little playhouse outside door handle was broken. There was trike that was missing rubber handle covers which leaves a metal handle exposed.”

Rule 8VAC20-780-270-A.

Based on observation, the diapering surface was not nonabsorbent.

“Evidence: The diaper pad in the bathroom had two tears, making it a nonabsorbent surface.”

Rule 8VAC20-780-500-B.

Based on observation and staff interview, the licensee did not ensure there was at least two staff members that aew CPR and First Aid present on the premises during the center’s hours of operations.

“Evidence: There was not two people with CPR and First Aid certified at the center upon arrival. Staff #4 arrived approximatley 10 mins later . Staff #4 stated there is a certification setup for all staff in mid July.”

Rule 8VAC20-780-530-C.

Based on record reveiw, the licensee did not ensure staff records obstained all required documents.

“Evidence: The record for staff #1 and staff #2 were missing documentation to demonstrate that the individual possesses the education and certification job position.”

Rule 8VAC20-780-70.

Based on observation and inspection of the facility, the licensee did not ensure that a copy of any special order issued by the department was posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations.

“Evidence: Staff #4 confirmed that the special order issued by the department was not posted in the facility.”

Rule 8VAC20-820-120-E-6.

Based on record review, the licensee did not ensure staff completed tuberculosis screening prior to coming in contact with children or submitted at the time of employment.

“Evidence: The director was unable to provide documentation of staff #1 negative tuberculosis screening. Staff #1 hire date was November 29, 2021 . Staff #1 was working during the inspection on December 17, 2021.”

Rule 8VAC20-780-160-A-1.

Based on record review, the licensee did not ensure there was annual fire inspection completed.

“Evidence : The most recent fire inspection documentation provided during the inspection was dated 10/09/2020. The inspection was more than year old.”

Rule 8VAC20-780-260-A.