HoneyTree Early Learning Center - Smith Mountain Lake

8VAC20-780-245-A

“Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care. Staff #3 had no annual training completed for 2025.”

Rule 8VAC20-780-245-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“In Classroom #1, staff were unaware that Child 4 (19 months old) had emergency medication on site for a severe food allergy. The child was present during the inspection.”

Rule 8VAC20-780-340-A.

The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan required. This list shall be dated and kept confidential in each room or area where children are present.

“The list in classroom #1 was not up-to-date. There was a child with diagnosed allergies requiring emergency medication present in the classroom. The child was not on the allergy list.”

Rule 8VAC20-780-40-M.

A written care plan is required for each child with a diagnosed food allergy, to include instructions 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.

“Staff #1 was aware of a diagnosed food allergy for Child 1 (19 months old) for approximately 2 months. The allergy care plan for Child 1 was not updated to include the new allergy.”

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

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff #2, who is currently working, had no sworn statement in the record.”

Rule 22.1-289.035-B-1.

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

“Child 2 with had been enrolled for over a year, had no updated immunizations in the records.”

Rule 8VAC20-780-130-E.

Repeat violation Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall.

“The fall zones on the large playground had un unmeasurable amount of surfacing under equipment.”

Rule 8VAC20-780-330-B.

Based on record review, the provider failed to ensure any employees hired after 7/1/2024 may begin employment without having all required background checks if their eligible national fingerprint results have been received; a completed sworn statement is on file and all other background checks have been requested. The staff must be supervised at all times by an individual with all required background checks completed within the last five years.

“Evidence: The results from central registry search for Staff 1 were requested prior to employment but have not returned for review. Staff 1 is left alone with children daily for approximately one hour and fifteen minutes at the end of the day. Staff 1 has been employed for one month and 3 days at the time of the inspection on 8/20/2024.”

Rule 22.1-289.035-B-3.

Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: 1.Child 2, with a documented enrollment date of 7/10/2024 had immunizations on file dated for 8/15/2024. 2.Child 2, with a documented enrollment date of 4/9/2024 had immunizations on file dated for 4/11/2024.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child 2, with a documented enrollment date of 7/10/2024 had no documentation of a physical on file during the inspection on 8/20/2024.”

Rule 8VAC20-780-140-A.

Repeat violation 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 for Child 1, who had been enrolled for four months.”

Rule 8VAC20-780-140-A.

Based on record review, the center failed to ensure that documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

“Evidence: Staff 4 with a documented hire date of 5/1/2024, had a tb screening on file dated for 5/21/2024.”

Rule 8VAC20-780-160-A.

200-A The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation.

“Staff #2 was identified as the program director but did not have documentation of program director qualifications on file at the time of inspection.”

Rule 8VAC20-780-200-A.

Repeat violation Based on observation, the center failed to 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.

Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food and shall be stored in areas physically separate from food.

“Evidence: In classroom 3, all the cleaning and sanitizing materials were located on the top shelf in the cabinet over the sink. There was food on the shelf under the materials. Teachers stated they were used for children’s activities.”

Rule 8VAC20-780-280-D.

Repeat violation Based on observation and interview, the center failed to have supply bathroom sinks with running warm water that does not exceed 120?F.

“Evidence: Classroom 2 had no hot water in the classroom sink or the bathroom sinks.”

Rule 8VAC20-780-320-B.

Repeat violation Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

The following acts are forbidden: roughly handling a child.

“On 8/13/2024, Staff #1 roughly handled child #1 (age 6).”

Rule 8VAC20-780-410-1.

Based on observation, the center failed to ensure disposable diapers shall be disposed on a leakproof or plastic-lined storage system that is either foot-operated or used in a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: In classroom 3 the teachers were using the regular classroom trashcan to dispose of diapers in the classroom.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that hazardous substances, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1.In classroom #4, the chemicals were unlocked above the sink.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the center failed to have supply bathroom sinks with running warm water that does not exceed 120?F.

“Evidence: In classrooms 2, 3 and 4 the classrooms had no hot water in the classroom sink or the bathroom sinks.”

Rule 8VAC20-780-320-B.

REPEAT VIOLATION Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on record review, the center failed to obtain a copy of a criminal record check and a child abuse and neglect registry check from any state in which the individual has resided in the preceding five years.

Rule 22.1-289.035-B-4.

Based on observation and interview, the center failed to ensure the center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on the site at least 50% of the center’s hours of operation.

Rule 8VAC20-780-200-A.

Based on observation, the center failed to provide an annual fire inspection report.

“Evidence: Upon review of annual reports, the last inspection on record was dated for 6/8/2022.”

Rule 8VAC20-780-260-A.

REPEAT VIOLATION Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition.

“Evidence: 1.The wooden boarder on the playground has split apart at the corner causing a three-inch gap. This causes an entrapment hazard for children. Children were observed playing in this area. 2. In the afterschool room the cabinet door under the sink is broken on one side. The wood is splintered and jagged. This is a snagging hazard to children.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on medication review, the center failed to notify the parent of expired medication for pick-up within 14 days or the parent to renew the authorization .

“Evidence: Child #4 had medication authorization that expired on 07/30/2023 on site during the inspection on 08/09/2023”

Rule 8VAC20-780-510-P.

Based record review, the center failed to ensure that the separate record for each enrolled child shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: 1.Child #1 had no address for emergency contacts on record. 2.Child #2 had no address for emergency contacts on record.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #2 has an enrolled on 1/23/2023, had no documentation of a physical on file during the inspection on 03/15/2023.”

Rule 8VAC20-780-140-A.

Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition.

Rule 8VAC20-780-270-A.

Based on observation the center failed to keep all sunscreen inaccessible to children.

“Evidence: Observed bottles of sunscreen in children’s cubbies in the school age classroom.”

Rule 8VAC20-780-520-B.