Caterpillar Clubhouse #2

The center must request a search of the central registry prior to employment.

“The search of the central registry for Staff 2 was requested ten days after employment.”

Rule 22.1-289.035-B-3.

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 were no physical examinations for Child 1 (enrolled eight months) and Child 6 (enrolled seven months).”

Rule 8VAC20-780-140-A.

REPEAT VIOLATION Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks and after toileting and any contact with blood feces, or urine.

“In Room 2, children were observed getting their cots after eating without washing hands or using a disposable wipe. In Room 1, a child was observed being taken to the crib after a diaper change without washing hands.”

Rule 8VAC20-780-500-A.

The center shall implement a monthly practice evacuation drill.

“The was no documentation of a monthly practice evacuation drill for June 2026, July 2026, and September 2026.”

Rule 8VAC20-780-550-D.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The records for Child 1 (enrolled eight months), Child 2 (enrolled two weeks), and Child 3 (enrolled one month) were each missing several of the required components.”

Rule 8VAC20-780-60-A.

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

“The most recent criminal history check for Staff 3 was overdue by one month.”

Rule 22.1-289.035-A.

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

“Staff 1 has not completed this course, which is overdue by five months.”

Rule 8VAC20-780-240-A.

Children under 10 years of age shall always be within actual sight and sound supervision of staff.

“On 10/07/2026, Child 1 (age 3 years) was not in actual sight and sound supervision of staff approximately one minute.”

Rule 8VAC20-780-340-F.

Centers shall be in compliance with the center’s own policies and procedures.

“The center’s arrival policy states that ?teachers and aides are always to keep a head count and use this frequently to make sure all children are accounted for? and the centers inside safety policy states ?children are to be in sight and sound supervision at all times? On 10/07/2026, Child 1 (age 3 years) was unaccounted for and not in sight and sound supervision for approximately one minute.”

Rule 8VAC20-780-40-E.

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

“Staff 2 updated screening was due 2 months ago.”

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

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks and shall be washed with soap and running water after toileting and any contact with blood feces, or urine. Staff shall wash hands with soap and running water before and after a diaper change.

“In Room 6, children were observed eating meals and snacks without washing hands with soap and running water or disposable wipes before and after eating. In Room 6, children and staff were observed not washing hands with soap and running water after diaper changes. In Room 5, children and staff were observed not washing hands with soap and running water after a diaper change.”

Rule 8VAC20-780-500-A.

The diapering surface shall be used only for diapering or cleaning children and shall be cleaned with soap and at least room temperature water and sanitized after each use.

“In Room 3, children were observed using glue sticks that were being stored on the changing table. In Rooms 5 and 6 the diapering surfaces were not cleaned and sanitized after each use.”

Rule 8VAC20-780-500-B.

Tables shall be sanitized before and after each use for feeding.

“In Room 6, the tables were not sanitized before lunch.”

Rule 8VAC20-780-560-J.

High chairs, infant carrier seats, or feeding tables shall be used for children under 12 months who are not held while being fed.

“Child 3 (age 9 months) was not put into a high chair, carrier seat, or feeding table and was observed drinking a bottle while lying on a boppy pillow located on the floor of Room 4.”

Rule 8VAC20-780-570-A.

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.

“During the inspection, there were 10 children present in Room 1 and 15 children were marked present on the attendance record; there were 20 children present in Room 2 and 17 children were marked present on the attendance record: there were 12 children present in Room 3 and 10 children were marked present on the attendance record. The attendance did not document arrival and departure as it occurs.”

Rule 8VAC20-780-80-A.

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff 6 completed orientation training three weeks late.”

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

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing all of the required information.

“The required written information was provided to Staff 6 three weeks late.”

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

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The records for Child 1 (enrolled one month), and Child 2 (enrolled one month), were each missing several of the required components.”

Rule 8VAC20-780-60-A. From a complaint.

The diaper changing area shall have a nonabsorbent surface for diapering or changing.

“The diaper changing pads in Class 1, 2, 3, and 4 were worn with holes causing the surface to be absorbent.”

Rule 8VAC20-780-500-B.

Cosmetics, medications, or other harmful agents shall not be stored in areas, purses or pockets that are accessible to children.

“On 05/14/2025, Child 1 (age 10) was allowed access to a storage area where harmful substances were accessible to the child.”

Rule 8VAC20-780-280-H.

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.

“There was no immunization documentation in the record of Child #6, who had been enrolled for over 7 months.”

Rule 8VAC20-780-130-A.

The following nonmedical emergency supplies shall be required: one working, battery-operated radio in each building used by children.

“There was no working, battery-operated radio in either building available during the inspection.”

Rule 8VAC20-780-540-E.

Children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“Children, ages two and three years, were observed consuming mini corn dog nuggets for lunch. The mini corn dog nuggets contained a whole mini hot dog inside batter. These mini hot dogs are a potential choking hazard.”

Rule 8VAC20-780-560-F-4.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #6 was missing the following required components: written care plan for each child with a diagnosed food allergy, to include instruction from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. The record for Child #6 contained documentation of a diagnosed food allergy.”

Rule 8VAC20-780-60-A-8.

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: 1. In the 3-year-old classroom, one child that was present was not marked present on the attendance sheet at approximately 11:15 AM. The child is normally in another classroom and is marked present on that attendance sheet.”

Rule 8VAC20-780-80-A.

Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.

“Evidence: The record for Child # 3, with a documented first day of attendance of 09/25/2023, did not have the immunization prior to attending.”

Rule 8VAC20-780-130-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 # 4 has a diagnosed food allergy and did not have a physician completed food allergy action plan.”

Rule 8VAC20-780-60-A.

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

“Evidence: 1.The record for Child # 1 was missing Chronic physical problems. The enrollment date was 4/2/2023. 2. The record for Child # 5 was missing Chronic physical problems. The enrollment date was 04/11/2022.”

Rule 8VAC20-780-60-A.

Based on interviews and attendance, the center failed to ensure the staff-to-children ratio for school age eligible children up to age 9 years.

“Evidence: On 12/27/2022, there were 25 school age children with one staff person. Staff 2 confirmed the 25 children in attendance under 1 staff. The youngest child was 5 years old. The ratio for this age group would be 1 staff to 18 children. Two staff would be required.”

Rule 8VAC20-780-350-B-5.

Based on document review and interviews conducted by licensing staff and an outside partner agency, the center failed to ensure that physical punishment, striking a child, roughly handling or shaking a child, restricting movement through binding or tying, forcing a child to assume an uncomfortable position, or exercise as punishment did not occur.

Rule 8VAC20-780-410-1.

Based on review of five staff’s records, the center failed to ensure that all program leads had the required education documented per the standard.

“Evidence: 1. Staff # 1, 3, and 4 were working as a program lead and did not have documentation of High Diploma or equivalent.”

Rule 8VAC20-780-210-A-1.

Based on review of five children’s records the center failed to ensure that all records were complete per the standard.

“Evidence: 1. Child # 1 did not have, chronic physical problems completed on the enrollment form by the parent or the guardian. 2. Child # 3 was missing father’s information, chronic physical problems and any noted allergies.”

Rule 8VAC20-780-60-A.