Creative Childcare Center

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The record of Child #4 (17-month-old), who has been enrolled for 15 months, did not have documentation of additional immunizations since the child was enrolled.”

Rule 8VAC20-780-130-E.

If the child has had a physical examination prior to attendance, it shall be within 12 months prior to attendance for children two years of age through five years of age.

“The physical examination in the record of Child #1, who has been in attendance for three months, was completed over two years ago. The child is three years of age.”

Rule 8VAC20-780-140-B.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“In the Two’s room, there were nine children observed in attendance, but only eight listed as present on the attendance sheet. In the School Age room, there were 32 children observed in attendance, but only 31 listed as present on the attendance sheet.”

Rule 8VAC20-780-80-A.

(Repeat Violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The TB in the record of Staff #3, who has been employed for eleven months, was completed more than three months after the date of employment.”

Rule 8VAC20-780-160-A.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #6 was onsite, but the medication authorization had expired over two months ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed, and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #5, employed for more than a month, did not have documentation of requesting a central registry check from three states or documentation of requesting a criminal history check from two states they resided in the preceding five years.”

Rule 22.1-289.035-B-4.

(Repeat Violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The TB in the record of Staff #4, who has been employed for four months, was completed more than two months after the date of employment.”

Rule 8VAC20-780-160-A.

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

“Staff #2’s updated screening was due 43 days ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

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

“Staff #2 completed the DOE-sponsored orientation 29 days late.”

Rule 8VAC20-780-240-A.

The required ratio for children ages 3 years old up to 5 years old is one staff per 10 children.

“Two staff were observed supervising 24 children from approximately 10:45am-11:30am.”

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

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

“The references for Staff #4, who has been employed for four months, were obtained a day late.”

Rule 8VAC20-780-70.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4, employed for more than 2 months, did not have documentation of requesting a central registry check from a state in which they resided in the preceding five years.”

Rule 22.1-289.035-B-4.

Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

“The TB documentation in the record of Staff #3 did not indicate the results of the screening. The TB in the record of Staff #4 was completed 35 days prior to the date of employment. The staff had been employed for more than two months.”

Rule 8VAC20-780-160-A.

Based on review of five staff records, the center did not have documentation that staff completed orientation training no later than seven days of the date of assuming job responsibilities.

“Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of completed orientation training at the time of inspection.”

Rule 8VAC20-780-240-B.

Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe, and operable condition.

“Evidence: On the three-year and up playground warped boards on the fence were observed along with nail pops near the ground posing an impalement and scratch hazard. The playground had 1- ? to 3-inch gaps in the seam of the artificial grass in the area where children play, posing a trip hazard.”

Rule 8VAC20-780-270-A.

Based on a review of four staff files, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The record for Staff #4, with a start date of 2/26/24, did not contain documentation of two references at the time of inspection.”

Rule 8VAC20-780-70.

Repeat Violations Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs.

“Evidence: 1. In the three-year class there were 16 children present, the written record reflected 15. 2. The toddler class had no written record of attendance when they were at the bounce house. Staff stated that the attendance was in their classroom and that they did not bring the attendance with them.”

Rule 8VAC20-780-80-A.

Repeat Violation

“Based on review of eight child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child # 5, with a start date of 05/30/23, did not contain documentation of a physical at the time of inspection.”

Rule 8VAC20-780-140-A.

Based on a review of seven staff files, the center did not have documentation that an individual possesses the education required by the job position.

“Evidence: The record for Staff #6 did not contain documentation of education required for the job position”

Rule 8VAC20-780-210-A.

Based on a review of video and audio footage, the center did not always interact with children to provide needed help, comfort, and support.

“Evidence: On October 19,2023 at approximately 4:30 p.m. Staff #1 was observed holding, a 15-month-old, who was crying. The staff member was heard telling the child, ?Please don’t cry in my ear? and ?I’m not going to hold you if you keep crying.? The staff member was observed placing the crying child on the floor and walking away.”

Rule 8VAC20-780-400-A. From a complaint.

8VAC20-790-600-D-1

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: The CPR certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22”

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

8VAC20-790-600-D-2

“Based on review of six staff records, the center did not ensure that all staff who work directly with children had current certification in first aid within 90 days of employment. Evidence: The first aid certificate on record for Staff #4, with an employment date of 8/17/22, was dated 12/3/22.”

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

8VAC20-770-60-B

“Based on review of six staff records, the center did not ensure that all staff submitted a sworn statement prior to employment. Evidence: The sworn statement on record for Staff #5, with an employment date of 3/1/23, was dated 3/12/23.”

Rule 8VAC20-770-60-B.

8VAC20-780-140-A

“Based on review of six child records, the center did not obtain documentation of a physical examination by or under the direction of a physician within 30 days after the first day of attendance for one child. Evidence: The record for Child A, with a start date of 2/28/22, did not contain documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“Based on review of five staff records, the center did not ensure that a staff member obtained and submitted the results of a follow-up tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: The most recent TB screening or testing on record for Staff #4 was dated 11/11/19.”

Rule 8VAC20-780-160-C.

8VAC20-780-510-P

“Based on review of medication and medication authorization forms, the center did not ensure that when an authorization for medication expired, the parent was notified that the medication needed to be picked up within 14 days or the parent must renew the authorization. Evidence: An emergency medication was observed on site for Child B on 10/5/22. The corresponding medication authorization form contained documentation that the doctor’s authorization expired on 12/8/21.”

Rule 8VAC20-780-510-P.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-160-A

“Based on review of one staff record, the center did not ensure that each staff member submitted documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Evidence: The TB screening on record for Staff #1, with a start date of 3/21/22, was dated 4/20/22.”

Rule 8VAC20-780-160-A. From a complaint.

8VAC20-780-240-C

“Based on review of one staff record, the center did not ensure that orientation training included: prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies or distraught children; and prevention of and response to emergencies due to food and other allergic reactions. Evidence: The record for Staff #1 did not contain documentation of the training regarding the noted policies and procedures during orientation.”

Rule 8VAC20-780-240-C. From a complaint.

8VAC20-780-240-E

“Based on review of one staff record, the center did not ensure that within 30 days of the first day of employment, staff received orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: The record for Staff #1, with a start date of 3/21/22, did not contain documentation of CPR orientation training.”

Rule 8VAC20-780-240-E. From a complaint.

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place. Evidence: At approximately 10:40am three spray bottles were observed in the sink between the Infant and Toddler classrooms. One bottle was labeled ?soap and water?; another was labeled ?spray disinfectant?; and the last was not labeled but was similar in color to the spray disinfectant.”

Rule 8VAC20-780-280-B. From a complaint.

8VAC20-780-430-N

“Based on observation, the center did not ensure that recalled equipment was removed from the center. Evidence: Two original Bumbo seats were observed on the floor in the Infant classroom. Original Bumbo seats were recalled in 2012 and now require safety belts. The Bumbo seats observed did not contain safety belts.”

Rule 8VAC20-780-430-N. From a complaint.

8VAC20-780-500-A

“Based on observation, children’s hands were not washed with soap and running water or disposable wipes after eating a snack. Evidence: At approximately 10:23am an Infant was observed being removed from a high chair after eating a snack of crackers, cheese, and water, and being placed on the ground and being sent off to play without having their hands washed with soap and water or a disposable wipe.”

Rule 8VAC20-780-500-A. From a complaint.

8VAC20-780-550-P

“Based on 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: An incident report dated 3/17/22 was observed that contained documentation of a child hitting another child ?on the face leaving a mark?. There was no documentation of an injury report for the child who was hit on the face.”

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

8VAC20-780-160-A-1

“Based on review of three staff records, the center did not obtain documentation of a tuberculosis (TB) screening at the time of employment and prior to coming into contact with children for two staff. Evidence: 1. The TB test on record for Staff A, with a start date of 4/7/22, was dated 4/14/22. 2. The record for Staff B, with a start date of 3/21/22, did not contain documentation of a TB test.”

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

8VAC20-780-245-J-1

“Based on review of medication, documentation review, and interview, the center did not ensure that a Medication Administration trained (MAT) staff was on site at all times with medication on site. Evidence: There were four emergency medications for food allergies on site for Child A and Child B. The MAT certificates for the three managers all contained documentation that they expired on 4/13/22. Interview confirmed that there were no other MAT trained staff for the program.”

Rule 8VAC20-780-245-J-1.

22VAC40-185-80-A

“Based on review of documentation and interview with the provider, the center did not maintain an accurate record of children in attendance. Evidence: During the virtual inspection there were three children present in the infant classroom, but only two children were documented on the attendance record; in the two-year-old classroom there were ten children present but 12 were documented on the attendance record.”

Rule 22VAC40-185-80-A.