Caterpillar Clubhouse #3

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff in Room 1 did not clean and sanitize the diaper changing surface in between a diaper change.”

Rule 8VAC20-780-500-B.

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

“Staff 3 has not yet completed this course, which is overdue by over 1 year.”

Rule 8VAC20-780-240-A.

The required ratio for children 3 years old up to school age eligible is one staff per ten children.

“On 05/08/2025, Staff 1 was alone supervising 11 children (all 3 years old) for 2 to 4 minutes.”

Rule 8VAC20-780-350-B-4.

When children are in ongoing mixed age groups, the staff to child ratio and group size applicable to the youngest child in the group shall apply to the entire group.

“On 05/13/2025, two staff were supervising 9 children, ages 14 months to 19 months. The required staff ratio for this group of children was 1: 4. Three staff would be required.”

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

8VAC20-780-130-A

“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.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #2, who had been enrolled for three months.”

Rule 8VAC20-780-140-A.

Cleaning and sanitizing materials shall not be located above food equipment.

“A bottle of sanitizing material was located above sippy cups in the 18 month- 24-month-old room.”

Rule 8VAC20-780-280-D.

Systemic deficiency

“Based on review of staff’s records, the center failed to ensure that every two years from the date of the initial screening or testing, that staff members shall obtain and submit the results of a follow up TB. Evidence: Staff # 3 most recent TB screening was 11/22/2021.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure that all prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence Observed in the Creeper’s 2 room, three bottles that were in the refrigerator that were not dated and labeled with the child’s name.”

Rule 8VAC20-780-570-E.

Systemic deficiency

“Based on review of staff records, the center failed to ensure that all records were complete per the standard. Evidence: 1.Staff # 5 with hire date of 10/23/2023 and the required two references were dated 10/27/2023 and 10/24/2023. References are to be obtained prior to hire.”

Rule 8VAC20-780-70.

3rd REPEAT VIOLATON SYSTEMIC DEFICIENCY

Rule 8VAC20-780-80-A.

Based on observation, the center failed to ensure that all toileting requirements were met.

“Evidence: Observed urine in a toilet chair in the 3-year-old bathroom. All toilet chairs shall be emptied promptly and cleaned and sanitized after each use.”

Rule 8VAC20-780-500-C.

Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred.

“Evidence: At approximately 9 AM the attendance for the Creeper’s room only had one child marked as present. There were four children present.”

Rule 8VAC20-780-80-A.

Repeat Violation

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: In the cabinet under the sink in the creepers room there were several chemicals stored in a basket. The cabinet door’s locking mechanism did not prevent entry to the chemicals and was accessible to the children.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that all chemicals were not stored with or above food.

“Evidence: In the creepers room a large container of infant formula was stored in a basket on the same shelf as the unlocked chemicals.”

Rule 8VAC20-780-280-D.

Repeat violation

“Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: At 12:31 PM the written attendance for the creepers room was not completed for the day of inspection. Four children were in attendance that day.”

Rule 8VAC20-780-80-A.

Based on observation, the center failed to ensure that infants were not using pillows to sleep.

“Evidence: 1. In the infant room, the there was an infant sleeping on the floor on a boppy pillow. The requirement is not for children under the age of two to use a pillow.”

Rule 8VAC20-780-440-G.

Based on observation in the Spinners room, the center failed to ensure that all hands were washed as required.

“Evidence: 1. Staff was observed changing diapers and used hand sanitizer in between diapers. The requirement is for staff to wash with soap and water after each diaper change.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to clean and sanitize the diaper changing table as required.

“Evidence: 1. The Spinners room staff did not use soap and water to clean the diaper changing table”

Rule 8VAC20-780-550-B.

Based on review of attendance records, the center failed to ensure that each room has the arrival and departure as it occurs.

“Evidence: 1. Reviewed nine classroom’s attendance records and two classrooms did not have completed attendance records. The two classroom attendance records did not accurately indicted the number of children in care.”

Rule 8VAC20-780-80-A.

Based on interviews, the center failed to ensure that each building was equipped with at least one carbon monoxide detector.

“Evidence: 1. Verified through interviews that they were unaware of the new requirement of the carbon monoxide detector. A Detector has not been purchased.”

Rule 22.1-289.058.

Based on observation of the toddler room, the center failed to ensure that all chemicals were stored with or above food or single service articles.

“Evidence: 1. Observed snack food stored on a shelf in the storage closet and directly above the food was several containers of hazardous chemicals.”

Rule 8VAC20-780-280-D.

Based on review of six children’s records, the center failed to ensure that all records were completed per the requirement of the standard.

“Evidence: 1. Child # 3 did not have previous child care documented. 2. Child # 4 did not have the allergies portion completed.”

Rule 8VAC20-780-60-A.

Based on observation, interviews, and record review, the center failed to ensure that all children assigned to a different age grouping had the required items.

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