Mini Miracles Learning Center

8VAC20-780-140-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 six weeks.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There was a long crack on the surface of the outdoor slide that poses a scratch and pinch hazard. There were large open trash bags on the floor that posed a suffocation hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Repeat Violation 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 1 did not contain the following required components: The child’s last day of attendance and the home address, home phone number and employment place and work phone number for one parent.”

Rule 8VAC20-780-60-A.

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center and shall contain all of the required information. Staff #1 did not have documentation of completing orientation training.”

Rule 8VAC20-780-240-I.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center are maintained in a safe condition. In the cot area there was a long blue cord dangling from the ceiling to the floor, posing a strangulation hazard. The area was accessible to children.”

Rule 8VAC20-780-270-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. In a bathroom in the toddler room there were 2 cans of Lysol spray in an unlocked cabinet under the sink.”

Rule 8VAC20-780-280-B.

8VAC20-780-520-C

“If diaper ointment or cream is used, the product does not need to be kept locked but shall be inaccessible to children. A tube of Balmex diaper cream was in an accessible drawer in the two year old classroom.”

Rule 8VAC20-780-520-C.

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. There was a cracked wood door in the girls bathroom. The plastic on the upper side edge of the diaper changing table was cracked. In the preschool classroom, there was a white cubby with a broken shelf.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. There were cans of Lysol and containers of disinfecting wipes on a shelf in the unlocked room across from the children’s bathrooms.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-B

“The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Staff #2 cleaned the diaper changing surface and sprayed it with a bleach water solution, but did not allow it to dry for a period of at least two minutes.”

Rule 8VAC20-780-500-B.

8VAC20-780-60-A

“Repeat Violation 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 #4, was missing the name, address and phone number of a second emergency contact if the parents cannot be reached.”

Rule 8VAC20-780-60-A.

8VAC20-780-140-A

“Based on a record review and interview, it was determined that the facility did not ensure that all children had documentation of a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance. Evidence: 1. Child #4 (enrolled on 11/27/23) did not have documentation of having received a physical. 2. The Director confirmed the physical information was missing.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Repeat Violation Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: In the nap room, a power cord was stretched out and dangling from a television (TV) on a the end of a storage unit. The distance from the TV to the outlet on the wall was approximately 3 feet. This posed a hazard, as a child could pull the cord causing the TV to fall.”

Rule 8VAC20-780-270-A.

8VAC20-780-60-A

“Based on review of children’s records and interviews, it was determined that the center did not ensure that each child’s record contains all required information. Evidence: 1.The record for child #2 did not contain the parents work phone numbers. 2.The Director confirmed the phone numbers were not documented”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation and interviews, it was determined that the facility did not ensure all areas and equipment of the center shall be maintained in a safe and operable condition. Evidence: 1. In the two-year-old classroom, low on a partial wall and accessible to children, there was crumbling drywall. 2. In the four-year-old classroom, there was paint peeling on a partial wall. The peeling paint was approximately 3 feet from the ground and accessible to children. 3.The Director confirmed the paint and drywall was in need of repair.”

Rule 8VAC20-780-270-A.

8VAC20-780-420-E-3

“Based on record review and interviews, it was determined that the center did not ensure that staff request at least annually, parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child #1 did not include current documentation that the parent reviewed the record and confirmed the information was up to date. The last record review was dated 6/18/2022.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-510-E

“Based upon review of medication, the facility has not ensured that their medication policies are followed. Evidence: 1. The parent authorization for emergency administration of an asthma inhaler to child 2 did not include the duration of the parent’s authorization. 2. The allergy action plan for child 6 indicated to administer diphenhydramine, followed by an EpiPen should the diphenhydramine not be effective. There was no diphenhydramine for child 6. 3. There was no written uthorization for an EpiPen to be administered in an emergency to child 6.”

Rule 8VAC20-780-510-E.

8VAC20-780-570-E

“Based upon observation, the facility has not ensured that prepared bottles are labeled with the date. Evidence: There was a prepared bottle in the infant room for child 4 that was dated 2/13.”

Rule 8VAC20-780-570-E.

Based on a review of five children’s records, it was determined that the facility did not ensure that the center obtains documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1. The record for child #4, present during the inspection, did not contain documentation of an immunization record. 2. Staff #5 (Program Director) reviewed the record for child #4, and confirmed there was no immunization record available for viewing during the inspection.”

Rule 8VAC20-780-130-A.

Based on a review of five staff records, it was determined that the facility did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and shall have been completed in the last 30 calendar days.

“Evidence: 1. The record for staff #2(date of hire 4/6/22) contained documentation of a negative tuberculosis screening that was dated 4/24/22. 2. Staff #5 (Program Director) reviewed the record for staff #2, and confirmed that the documentation of a negative tuberculosis screening had been completed after employment began.”

Rule 8VAC20-780-160-A.

Based on observation and interviews, it was determined that the licensee did not ensure that for children, three years of age up to school age eligible, a ratio of one staff member for every ten children is maintained at all times children are in care.

“Evidence: 1. The Licensing Inspector entered the Pre-K classroom and observed staff #1 alone with 12 children present. 2. When staff #1 was asked the age of the children present, staff #1 stated that the children were 4 and 5 years old. 3. An additional staff arrived at the facility and entered into the classroom during the inspection. 4. Staff #5 (Program Director) confirmed the Pre-K classroom did not maintain the required staff-to child ratio.”

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

Based on a review of the medication being stored at the facility, it was determined that the facility did not ensure that in order to administer prescription medication, the center has obtained written authorization from a parent or guardian, and that any medication that was dispensed from a pharmacy is maintained in the original, labeled container.

“Evidence: 1. The written authorization for the medication (Ventolin inhaler) for child #1 was not signed by the parent. 2. Staff #5 (Program Director) confirmed that there was medication at the facility that did not have written authorization from the parent in order for it to be administered.”

Rule 8VAC20-780-510-I.

Based on a review of the emergency drill log and interview, it was determined that the facility did not ensure that a lockdown practice evacuation drill is completed annually.

“Evidence: 1. The emergency drill log did not have written documentation to demonstrate that a lockdown practice drill was completed during 2021. 2. Staff #5 (Program Director) confirmed that only one shelter-in-place practice drill was completed during 2021.”

Rule 8VAC20-780-550-F.