Childtime Childcare, Inc. - Harbourside

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In Classroom #1, a cleaning product was in an unlocked cabinet, out of reach of children.”

Rule 8VAC20-780-280-B.

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

“Evidence: 1. The chains for four swings on the playground were found to be rusty. 2. A member of management stated a work order has already been placed for the chains.”

Rule 8VAC20-780-270-A.

Based on a review of documentation, the center did not ensure that when choosing to provide meals and snack, they followed the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: The menu for the week of August 26th through August 30th, 2024 listed the afternoon snack for Monday, August 26, 2024 as strawberry yogurt and water. The menu listed the morning snack for Friday, August 30, 2024 as pancakes and water. Snacks are required to consist of two (2) of the five (5) components which are fluid milk, meat or meal alternatives, vegetables, fruits, and grains.”

Rule 8VAC20-780-560-F.

Based on review of records and interview, it was determined that out of state background checks were not completed as required.

“Evidence: The record for staff #2 (employed: 01/24/23) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Sex Offender Registry search was completed for each state prior to their first day of employment.”

Rule 22.1-289.035-B-4.

Based on a review of children’s records, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The record for child #4 (enrolled: 02/06/23) did not contain one of the updated immunization records which are required every six months for children under the age of two. 2. A member of management confirmed that an updated immunization record was needed.”

Rule 8VAC20-780-130-E.

Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment, prior to coming in contact with children, and within the last 30 calendar days of the date of employment.

“Evidence: 1. The record for staff #2 (employed: 01/24/23) did not have documentation of the TB screening or test completed within the last 30 calendar days of the date of employment. 2. A member of management confirmed that the screening was not completed within the last 30 calendar days of the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the center did not ensure that staff wash hands with soap and running water before and after eating meals.

“Evidence: In classroom #3, staff #5 put on gloves to serve milk and water to the children without washing their hands.”

Rule 8VAC20-780-500-A.

Based on staff interviews, the center failed to follow the required diapering procedures.

“Evidence: Staff #1 did not ensure the immediate safety of each child during diapering. Staff #1 walked away from the changing table while diapering child #2 (14 months old), to intervene between child #1 and the child that was being bitten, leaving child #2 alone on the diapering surface.”

Rule 8VAC20-780-500-B.

Based on observation, the center did not ensure that all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan are kept confidential in each room or area where children are present.

“Evidence: In room #1, room #2, room #3, room #4, and room #5 did not have a confidential allergy posting.”

Rule 8VAC20-780-40-M.

Based on observation and review of documentation, the center did not ensure staff to child ratio requirements for infants were maintained.

Rule 8VAC20-780-350-B-1. From a complaint.

Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups.

Rule 8VAC20-780-350-C. From a complaint.

Based on observation, review of the license and interview, the licensee failed to ensure that the center’s activities are maintained in compliance with the terms of the current license issued by the department.

“Evidence: 1. The center’s own Child Supervision Procedure, section 2 states procedures for blending classrooms (opening and closing rooms), ?when mixing age groups or blending classrooms,... the staff must adhere to the ratio of the youngest child.? 2. The center’s own Child Supervision Procedure, section 1 states Infant classrooms must maintain a 1:4 ratio unless a stricter ratio is required by licensing. 3. The assistant director stated that the room #1 and room #2 were out of ratio throughout the morning of 11/30/2022.”

Rule 8VAC20-780-40-E. From a complaint.

Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for child #7 (start date 6/12/22) and child # 9 (start date 4/04/22) did not include documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #7 (start date 6/12/22) and child #9 (start date 4/04/22), did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for staff #6 (start date 2/21/22), staff #7 (start date 5/30/22), staff #8 (start date 7/22/22), and staff #9 (start date 1/25/21) did not have documentation of the TB screening or test. 2. A member of management confirmed that the screening was not in the record for staff#6, staff #7, staff #8 and staff #9.”

Rule 8VAC20-780-160-A.

Based on a review of staff records and interview, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: 1. The record for staff #3 (date of last TB screening 1/24/19) staff #4 (date of last TB screening 1/09/19) and staff #5 (date of last TB screening 5/19/18) did not contain updated TB screening results. 2. A member of management confirmed that the screening was not in the record for staff #3, staff #4, and staff #5.”

Rule 8VAC20-780-160-C.

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

“Evidence: 1. On the playgrounds, three out of three swing sets had rust, chipped and peeling paint. 2. In room #2, the blue sofa cushions had tears in the material on the top and bottom. 3. In room #2, four rest mats were ripped in room #4, six rest mats were ripped.”

Rule 8VAC20-780-270-A.

Based on a review of children’s records, the center did not ensure that each record contains all required information.

“Evidence: The record for child #9 did not have documentation of proof of identity.”

Rule 8VAC20-780-60-C.

Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups.

Rule 8VAC20-780-350-C. From a complaint.