Childtime Childcare, Inc. - Windmill

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

“1. Two staff were observed supervising nine infants from approximately 8:09am-8:15am. A 10th child entered the infant room at 8:15am. The infant room was out of ratio until 8:17am when children were transitioned to another classroom. At approximately 8:34am, the infant room had nine infants with two staff until 8:40am when a third staff arrived. 2. In classroom #2, one staff was observed with five children (youngest child 15 months old) from approximately 8:23am until 8:45am. A second staff was required to meet ratio.”

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

The required ratio for children ages two years is one staff per eight children.

“In classroom #3, one staff was observed supervising 10 children (youngest age two years) from approximately 8:20am until 8:40am. A second staff was required to meet ratio.”

Rule 8VAC20-780-350-B-3. From a complaint.

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #1, who had been attending for two months, had documentation of an immunization that was dated 25 days after first date of enrollment.”

Rule 8VAC20-780-130-A.

Repeat Violation:

“Each staff member shall submit documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with the children. There was no documentation of a TB screening for staff #3, employed for seven months, at the time of the inspection. There was no documentation of a TB screen for staff #5, employed for eight months, at the time of the inspection.”

Rule 8VAC20-780-160-A.

Repeat Violation:

“Staff records shall be kept for each staff person that includes all required information. Staff #3, staff #4 and staff #6, who were identified as program leads, did not have documentation on file demonstrating that the individual possesses the education required by the job position.”

Rule 8VAC20-780-70.

Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1?s annual health and safety update course was due three months ago. Staff #2?s annual health and safety update was due three months ago. Staff #5?s annual health and safety update was due seven months ago. Staff #8?s annual health and safety update was due three months ago.”

Rule 8VAC20-790-600-F.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #4 had a central registry search requested three days after first day of employment.”

Rule 22.1-289.035-B-3.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall be completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“The screening for staff #1 was completed seven months prior to date of employment. The screening for staff #5 was completed 11 months prior to date of employment. Staff #2, employed for four months, did not have a TB screening on record at the time of the inspection.”

Rule 8VAC20-780-160-A.

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

“Staff #2, employed for 112 days, did not have documentation of a completed Virginia Department of Education-sponsored orientation course at the time of the inspection. Staff #3, employed for seven months, did not have documentation of a completed Virginia Department of Education-sponsored orientation course at the time of the inspection.”

Rule 8VAC20-780-240-A.

The following staff records shall be kept for each staff person: documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position.

“Staff #2 had references completed 15 days after date of employment. Staff #5, identified as a program lead, did not have documentation of education in the record at the time of inspection.”

Rule 8VAC20-780-70.

Repeat Violation:

“All staff who work directly with children shall have within 90 days of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2, who had been employed for 112 days, did not have a current CPR certification at the time of inspection.”

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

Repeat Violation:

“All staff who work directly with children shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care. Staff #2, who had been employed for 112 days, did not have a current first aid certification at the time of inspection.”

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

The center shall 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.

“On 03/31/2026, child #1 was injured while at the center that received outside medical attention the same day. The center reported the serious injury to the department on 04/06/2026, exceeding two business days.”

Rule 8VAC20-780-80-B-2.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff # 3, employed for one year and nine months, had a CPR certification that expired four months ago.”

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

All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care.

“Staff # 3, employed for one year and nine months, had a first aid certification that expired four months ago.”

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

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

“In the school age classroom, a coat of dust covered the ceiling vent tile. In the school age bathroom, a loose exhaust fan cover was observed hanging from the ceiling.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“The play structure had resilient surfacing that measured less than the required 6 inches. The slide had resilient surfacing that measured less than the required 6 inches.”

Rule 8VAC20-780-330-B.

Staff shall wash their hands with soap and running water before and after a diaper change.

“A staff member did not wash hands after changing a child’s diaper in classroom #3.”

Rule 8VAC20-780-500-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The center had a fire inspection report that expired two months ago.”

Rule 8VAC20-780-260-A.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

“On the older playground, a wooden play structure was observed with splintered areas near the ladder area and pole area that could entangle clothing or snag skin. A loose board was also observed on the bottom portion of the wooden structure.”

Rule 8VAC20-780-270-A.

The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by the standards.

“The center’s medication procedures states ?Medications must have a visible expiration date, expired medications may not be administered to children and must be returned to the parent for disposal.? Child #2 had over the counter medication at the center that expired two months ago. Child #4 had over the counter medication at the center that expired 30 days ago.”

Rule 8VAC20-780-40-E.

8VAC20-780-340-A

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

Based on observation, the center failed to maintain the required ratio of one staff to five children for ages 16 months up to 24 months.

“Evidence: 1. On 09/12/2024, at approximately 7:52am, the licensing inspector observed 21 children in care with three staff supervising during morning group in classroom A. The youngest child in the room was 21 months old which was confirmed by staff. Two additional staff were needed to meet the 1:5 staff-to-children ratio requirement. 2. At approximately 7:56am, the ratio requirement was met when another staff arrived and took children to classroom B, leaving 11 children in care with three teachers supervising in classroom A.”

Rule 8VAC20-780-350-B-2. From a complaint.

8VAC20-780-350-B-3

“Based on observation, the center did not ensure the required ratio of 1 staff to 8 children for 2 years olds were followed. Evidence: 1. At approximately 7:58am, the licensing inspector observed 12 children with one staff in the 2 year old classroom. One additional staff was needed to meet the required ratio. At approximately 8:06am, a 2nd staff entered the classroom. 2. The youngest child in the classroom was 2 years, 11 months of age confirmed by staff and documentation, requiring a 1-8 staff to child ratio.”

Rule 8VAC20-780-350-B-3. From a complaint.

8VAC20-780-40-E

“Based on interviews and documentation reviewed, the center did not follow their own policies and procedures regarding discipline of children. Evidence: 1. The center’s handbook states that staff must create a warm, nurturing and safe environment for the children in care. 2. On 06/17/2024, staff #2 placed child #1 down on a cot for nap time aggressively, resulting in child #1 biting their tongue. 3. Another staff in the room observed blood in the child’s mouth due to biting their tongue.”

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

The following actions or threats thereof are forbidden: roughly handling a child.

“Evidence: 1. Staff #2 was working in the toddler room on 06/17/2024. Based on interview, child #1 was running around the room right before nap time. Staff #2 pulled child #1 by the upper arm, sat child down on the cot and told child to lay down for a nap. 2. Staff #2 stated the child bit their tongue when they sat the child down on the cot and acknowledged they sat the child down aggressively.”

Rule 8VAC20-780-410-1. From a complaint.

8VAC20-780-550-P

“Based on interview and review of documentation, the center did not maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence. Evidence: 1. On 06/17/2024, a minor injury occurred to child #1 while in care. 2. Staff acknowledged the injury but could not locate the injury report on site. No injury report was provided to the licensing inspector to view during the inspection.”

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

Based on record review and interview, the center did not ensure to obtain repeat background checks every 5 years for staff.

“Evidence: 1. The record for staff 4 contained a criminal record check dated 06/27/2019. 2. Leadership confirmed there was no updated criminal record check in the file.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“Repeat: Based on record review and interview, the center did not ensure staff receive repeat Tuberculosis screenings at least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department. Evidence: 1. Staff 2?s tuberculosis screenings were dated 05/16/2021 and 07/11/2024. 2. Staff 3?s latest tuberculosis screening was dated 06/08/2022.”

Rule 8VAC20-780-160-C.

Based on observation and interview the center failed to maintain required ratio in one classroom.

Rule 8VAC20-780-350-B-2. From a complaint.

Based on staff record review, the provider did not ensure that staff working directly with children shall complete annually the department’s health and safety update.

“Evidence: At the time of inspection, the record for staff #1, staff #2, staff #8 did not have the annual health and safety update documented in the record.”

Rule 8VAC20-790-600-F.

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

Rule 8VAC20-780-130-E.

REPEAT VIOLATION Based on record review and interview it was determined the center did not ensure at least every two years from the date of the first initial screening or testing, staff members obtained and submitted the results of a follow-up tuberculosis screening as stated in subsection B of this section.

“Evidence: 1. At the time of inspection, the record for staff #4 had documentation of a follow up TB screening/test on 03/06/23, exceeding the two-year allowance. 2. At the time of inspection, the record for staff #6 had documentation of a follow up TB screening/test on 10/12/23, exceeding the two-year allowance. 3. At the time of inspection, the record for staff # 8 had documentation of a follow up TB screening/test on 11/20/23, exceeding the two-year allowance.”

Rule 8VAC20-780-160-C.

REPEAT VIOLATION 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: On the playground, one jungle gym had multiple areas where part of the plastic cover was cracking, and/or peeling from the metal, posing a risk for entangled clothing and/or snagged skin.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots.

“Evidence: In the two year old classroom and the preschool classroom, occupied cots were not spaced 12 inches apart during the inspection.”

Rule 8VAC20-780-440-E.

Based upon review of documentation, the facility did not ensure that the emergency preparedness plan (EPP) includes all required procedural components.

“Evidence: 1. At the time of inspection, the written emergency preparedness plan on site did not list the most current contact information. The contact information had a terminated employee listed. 2. The emergency preparedness plan did not have the evacuation location, address, and phone number included in the plan under ?In the event it becomes necessary to remove children from school property the children will be evacuated to?.”

Rule 8VAC20-780-550-B.

Based on a review of five staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for two staff members at least every two years from the date of the initial screening or testing.

“Evidence: 1. The record of Staff (S) S1 documented tuberculosis screenings dated 10/10/2019 and 5/18/2022, which is beyond every 2 years. 2. The record of Staff (S) S5 documented tuberculosis screenings dated 8/21/2020 and 03/01/2023, which is beyond every 2 years.”

Rule 8VAC20-780-160-C.

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

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that the maximum group size limitations were followed whenever children are in care.

“Evidence: 1. At approximately 10:50 am, the licensing inspector observed a total of 20 children (ages 18 months to 2 years of age) as one group in the toddler classroom supervised by one staff. The maximum group size was exceeded by 5 children. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. The maximum group size was exceeded by 9 children.”

Rule 8VAC20-780-350-A.

Based on observation and interview, the center failed to ensure the maximum group size is limited to 15 for children ages 16 months up to 24 months.

“Evidence: 1. At approximately 10:50 am, the licensing inspector observed 20 children (18 months to 2 years of age) with one teacher supervising in the toddler room. Three additional staff were required. 2. Four additional children (18 months to 2 years of age) were observed entering the room at approximately 11:00 am with a second teacher. Three additional staff were required. 3. During observation and interview with the director, it was acknowledged that the toddler room was out of compliance with staff -to-child ratio requirements.”

Rule 8VAC20-780-350-B-2.

Based on observation, record review and interview with staff, the center failed to ensure that if diaper ointment or cream is used written parent authorization noting any known adverse reactions shall be obtained.

“Evidence: 1. In a locked cabinet in the infant room, a Ziploc bag with the name of Child #6 on it contained Boudreaux’s diaper cream. 2. Teacher #1, stated during the inspection, that the diaper cream is used on Child #6 and should have an authorization form. 3. There was not a written parent authorization noting any known adverse reactions for the diaper cream. 4. During an interview with the center director, it was acknowledged that an authorization for the cream was not documented.”

Rule 8VAC20-780-520-C.

Based on record review and interview, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards.

“Evidence: The record for Child #5, did not contain the address for the two designated people to call in an emergency if a parent cannot be reached. During an interview with the center director, it was acknowledged that the addresses were not documented.”

Rule 8VAC20-780-60-A.

8VAC20-790-600-F

“Based on record review and interview, the center did not ensure that five out of eight staff completed all required annual training. Evidence: The records for staff #1, staff #3, staff #6, staff #7, and staff #8 did not contain documentation of the department’s Health and Safety Update training. 2. A member of management stated that the Health and Safety Update training was not in the records for staff #1, staff #3, staff #6, staff #7, staff #8.”

Rule 8VAC20-790-600-F.

Based on record review and interview, the center did not have documentation of central registry findings for three staff members.

“Evidence: 1. The record for staff #2 (hire date 06/14/22) and staff #8 (hire date 12/04/18), did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry findings had not been received as of 08/29/22.”

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

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.

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Based on observation, the center failed to ensure that all diapering areas had the required supplies. Evidence: 1. In the Two’s room, there is a diaper changing area. The diaper changing area did not include a working leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.”

Rule 8VAC20-780-500-B.

Based on review of staff records and interview, the center did not ensure to update required background checks every five years for all employees.

“Evidence: The record for staff #1, contained a Central Registry dated 03/29/2016 with an updated Central Registry dated 03/25/2022. The record for staff #1, contained a Sworn Statement dated 03/01/2016 with an updated Sworn Statement dated 02/25/2022.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“Based on a review of staff records, 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 #4 had a TB screening dated 06/08/2022. The last TB documented was dated 09/04/2019.”

Rule 8VAC20-780-160-C.