Caterpillar Clubhouse # 1

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

“Staff 1 updated screening was due six months ago and Staff 4 updated screening was due six days ago.”

Rule 8VAC20-780-160-C.

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

“In the infant room, two cans of Glade air freshener and one can of stain fighter were unlocked but out of reach of the children.”

Rule 8VAC20-780-280-B.

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

“Over the counter skin Product 1 was kept over 11 months beyond the expiration date.”

Rule 8VAC20-780-520-A.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“In the infant room, a cup of milk brought from home was not dated or labeled in a way that identifies the owner.”

Rule 8VAC20-780-560-G.

The center is required to have employees undergo a background check every five years.

“The most recent sworn disclosure statement for Staff 3 was overdue by one year.”

Rule 22.1-289.035-A.

Pillows and filled comforters shall not be used by children under two years of age.

“Child 6 (13months) was using a pillow at rest time.”

Rule 8VAC20-780-440-L.

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

“Staff 1, who has been employed for nine months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff 5 has not completed this course which is overdue by 2 months.”

Rule 8VAC20-780-240-A.

Each restroom area provided for children shall have sinks located near the toilets and that are supplied with running warm water that does not exceed 120 degrees Fahrenheit.

“The water in the girls? and boys? restroom measured 124 degrees Fahrenheit.”

Rule 8VAC20-780-320-B.

Playground equipment with moving parts or climbing apparatus must have appropriate resilient surfacing in the fall zones.

“The resilient surfacing in the fall zone of the playground measured four inches in multiple areas. The resilient surfacing in the fall zone of the merry go cycles measured less than one inch. Grass was observed growing in multiple areas of the fall zone. Six inches of resilient surfacing is required in these fall zones.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-A

“The center shall ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Interviews revealed that a staff member picked a 3 year old child up by the arm and then placed the child in a dark closet with the door closed. A staff member could hear the child crying while inside of the closet.”

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

“The center shall ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Interviews revealed that a 3 year old child was not within actual sight and sound supervision of staff during the time that they were placed in the storage closet with the door closed.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

“The center shall ensure that the center’s own policies and procedures were followed. The policy stated that behavior management techniques such as enclosing a child in a confined space is unacceptable. Interviews revealed that a staff person placed a 3 year old child in a dark closet with the door closed.”

Rule 8VAC20-780-40-E.

8VAC20-780-410-2

“Enclosing a child in any space that they cannot freely exit and roughly handling a child are forbidden. Interviews revealed that a staff member picked a 3 year old child up off of their cot by their arm and placed them into a dark storage closet with the door closed.”

Rule 8VAC20-780-410-2.

Based on record review and staff interview, the center failed to obtain documentation that each child has received the immunization required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child 2 documented the first date of attendance as 05/20/2024. There was no immunization record available for review. Staff 6 confirmed there was no immunization record available for review. Child 2 was observed in care during the inspection.”

Rule 8VAC20-780-130-A.

Based on observations, the center failed to ensure that hazardous substances such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: An aerosol can of ?Impact Disinfectant Spray?, an aerosol can of ?glass cleaner?, an aerosol can of ?Glade? and a spray bottle labeled ?Fabuoso? were located in the unlocked cabinet underneath the changing table in the 2-year old room.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“Evidence: 1.The height of the slide of the play structure measured approximately 36 inches. The resilient surfacing (mulch) fall zone measured approximately 6 feet in front of the slide chute. A total of 7 feet of resilient surfacing (mulch) fall zone is required in front of the slide chute. 2.The resilient surfacing (mulch) fall zone to the left of the slide measured approximate 4.5 feet. A total of 6 feet of resilient surfacing (mulch) fall zone is required underneath and surrounding equipment.”

Rule 8VAC20-780-330-B.

Based on record review and interviews, the center failed to ensure that 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.

“Evidence: 1. The record for Child # 5 contained documentation that the first date of attendance was 03/06/23. There was no documentation of a physical in the record on the day of the inspection.”

Rule 8VAC20-780-140-A.

Based on observation of the infant room, the center failed to ensure that pillows and filled comforters were not used by children under two years old.

“Evidence: At 10:50 AM, a 7-month-old was sleeping on the floor in the play area laying in a boppy pillow. The LI returned to the infant room at 12:32 and the infant was still sleeping laying on the boppy pillow.”

Rule 8VAC20-780-440-L.

Based on observation, the center failed to ensure that all hand washing procedures were met.

“Evidence: 1.Observed staff # 3 caring a soiled diaper from the bathroom into the classroom to discard. The staff person proceeds to the lunchroom and placed a child’s lunch on a plate without washing hands after discarding the soiled diaper.”

Rule 8VAC20-780-500-A.

Based on observation center failed to ensure that all infants using highchairs had the safety belt fastened.

“Evidence: Observed four infants sitting in highchairs eating lunch without safety belts being fastened. The safety belts were observed hanging down the side of the highchair.”

Rule 8VAC20-780-570-A.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.

“Evidence: 1. The record for Child # 1 did not include the following information: allergies and action to be taken. 2. The record for Child #5 did not include the following information: address and phone number of one of the two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Based on observation, the center failed to ensure that all diapering procedures per the standard were followed.

“Evidence: Observed a diapering in the toddler room and the diaper changing mat was not sanitized after each use. The staff person used a cleaning chemical and wiped it off with a towel and did not complete the sanitizing step.”

Rule 8VAC20-780-500-B.

Based on review of five staff’s members, the center failed to ensure that all out of state background checks were obtained.

“Evidence Staff # 3 lived outside of the state of Virginia in the past five years in a non NFF state (national fingerprint file). The Staff is required to have a criminal background prior to starting the position. The staff’s start date was 10/27/2022.”

Rule 22.1-289.035-B-4.

Based on observation, the center failed to ensure that the ratio was meet when children are in ongoing mixed age group, the staff-to children ratio and group size is applicable to the youngest child in the group.

“1.At arrival to the center the school age classroom had 27 children present with one staff person. The youngest child in the grouping was 3 years old. Approximately 10 minutes after arrival two children were picked up making the total number of children 25 with one staff person. The total number of staff for this grouping of children is 10 children to one staff.”

Rule 8VAC20-780-350-C.

Based on review of five children’s records the center failed to ensure that all children enrolled had the three parental agreements signed by the parent.

“Evidence: 1.Child # 1 did not have documentation of the signed three parental agreements in the child’s record. The child was enrolled on 10/10/2022.”

Rule 8VAC20-780-90-A.