Living Hope Child Development Center

Repeat Violation

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children. Evidence: The screening for Staff #1 was completed 11 days after their first date of employment.”

Rule 8VAC20-780-160-A.

The center shall provide to the licensing representative an annual health department inspection report for meeting requirements for water supply, sewage disposal and food service.

“Evidence: The most recent health department inspection on file was 15 months ago.”

Rule 8VAC20-780-260-B.

When a child is placed in an infant seat or highchair, the protective belt shall be fastened securely.

“Evidence: In the infant room a ten-month-old was observed sitting in a highchair without the protective belt fastened.”

Rule 8VAC20-780-570-A.

Repeat Violation

“Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with the children. Evidence: The screening for Staff #2 was completed 18 days after their employment date.”

Rule 8VAC20-780-160-A.

Repeat Violation

“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. Evidence: In the infant classroom, ages six weeks to 16 months, there were seven children present, the written attendance record reflected there were 10. In the Dolphin Classroom, ages two and three-years-old, there were 12 children present, the written attendance record reflected there were 11.”

Rule 8VAC20-780-80-A.

The responsibility of the licensee shall include ensuring that the center’s own policies and procedures are followed.

“Evidence: The center’s policy on cell phone use states, ?Employees may us their cellular phones in a non-disruptive manner during rest time, when all students are asleep.? In April of 2024 a staff member, in the toddler class, was observed using a multimedia messaging app during rest time. The staff member was sitting on the floor with their legs across the back of a child, actively using their cell phone while children were off their cots and walking around the classroom.”

Rule 8VAC20-780-40-E. From a complaint.

Repeat Violation

“The following actions or threats thereof are forbidden enclosure in any space that the child cannot freely exit himself. Evidence: In April of 2024 three different staff members working in the toddler classroom, ages 16-24 months old, would put their legs across the back of an eighteen-month-old child during rest time to prevent them from getting up from their cot. It was reported that the teachers did this for two months.”

Rule 8VAC20-780-410-2. From a complaint.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior.

“For two months, staff in the Dolphin’s classroom placed Child #2 in a ?buckle chair?, a chair with a belt that fastened around the child’s lap, at circle time to prevent them from running and climbing during instruction time.”

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: Enclosure in a small confined space or any space that the child cannot freely exit himself.

“In the Dolphin’s classroom, two-years-old, staff used a ?buckle chair” for Child #1 at lunch time to prevent them taking food off of other children’s plates.”

Rule 8VAC20-780-410-2.

Based on review of six staff records, the program did not obtain the results of a national fingerprint-based criminal history record check for one staff prior to employment.

“Evidence: The record for Staff #5, with a start date of 4/8/24, did not contain documentation of the results of a national fingerprint background check at the time of inspection.”

Rule 22.1-289.035-B-2.

Based on review six staff records; the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members.

“Evidence: The record for Staff #4 with a start date of 2/1/24, the results of the Central registry search background check was dated 3/20/24.”

Rule 8VAC20-770-60-C-2.

Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for Staff #4, with an employment date of 2/1/24, contained documentation of a tuberculosis screening dated 2/12/24. 2. The record for Staff #5, with an employment date of 4/8/24, did not contain documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

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

Rule 8VAC20-780-270-A.

Based on observation, the facility did not ensure that electrical outlets had protective covers.

“Evidence: In the Dolphins room, a power strip (surge protector) was observed, with two outlets that were not covered and in the Flamingos room, a power strip was observed with three outlets that were not covered.”

Rule 8VAC20-780-290-A-3.

Based on observation and staff interviews; it was determined that the center did not always ensure that cribs were identified for use by a specific child.

“Evidence: In the infant room, four cribs were not labeled with the name of the specific child it was assigned to.”

Rule 8VAC20-780-440-B.

Based on observation, it was determined the center did not ensure that when mattresses are used, they will be covered with a waterproof material which can be cleaned and sanitized.

“Evidence: In the infant room, two mattresses were observed with cracks and tears causing them to no longer be waterproof material which can be cleaned and sanitized.”

Rule 8VAC20-780-450-E.

Based on observation, it was determined that not all procedures for diapering were followed.

“Evidence: In the Bumblebees room, a ball was observed on top of the diapering surface.”

Rule 8VAC20-780-500-B.

Based on review of medication it was determined that the center did not follow procedures regarding expired medication.

“Evidence: The emergency medication on site for Child #6 and Child #7 expired on 3/24.”

Rule 8VAC20-780-510-E.

Based on review of authorizations for diaper ointment/cream, parent authorizations had expired.

“Evidence: Parent authorizations for Child #6, expired on 3/2/24 and Child #7, expired on 4/13/24.”

Rule 8VAC20-780-520-C.

Based on observation, the center did not ensure that infant bottles were dated and labeled with the child’s name.

“Evidence: In the infant room, there were two bottles observed in the refrigerator that were not labeled with the date or a child’s name.”

Rule 8VAC20-780-570-E.

Repeat Violation

“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: In the infant classroom, there was no written record of attendance.”

Rule 8VAC20-780-80-A.

Repeat Violation

“Based on interviews with staff, the center failed to ensure that all children wash their hands with soap and running water after toileting and any contact with feces or urine. Evidence: An interview with staff revealed that staff in the infant classroom did not always wash the children’s hands after changing their diapers.”

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

Repeat Violation

“Based on observation, the center did not ensure that where playground equipment was provided, resilient surfacing was maintained in fall zones. Evidence: There was less than one inch of mulch around the composite play structure on the preschool playground.”

Rule 8VAC20-780-330-B.

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 Bumblebee’s classroom, ages 15 months to 2-years-old, there were eight children present in the classroom, the written record reflected there were six. 2. In the Panda’s classroom, ages three-years-old, there were seven children present in the classroom, there was no written record of attendance.”

Rule 8VAC20-780-80-A.

Based on a review of five staff files and an interview with Administrative staff, it was determined that one staff did not have an out of state criminal record check prior to the first day of employment.

“Evidence: There was no California criminal record check on file for staff A at the time of employment, which was 3/3/23”

Rule 22.1-289.035-B-4.

Based on observation the center did not ensure that equipment was maintained in a clean, safe and operable condition.

“Evidence: LI’s observed three tricycles on the three/four year old playground missing the foot petals exposing a hard metal rod.”

Rule 8VAC20-780-270-A.

Based on observation not all hazardous substances were kept in a locked place.

“Evidence: 1. In the toddler classroom the Licensing Inspector’s (LI’s) observed a sanitizing agent in the window sill near the diaper area unlocked. 2. In the two’s classroom the LI’s observed a sanitizing agent on the window sill near the diaper area unlocked.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Based on observation it was determined that there was inadequate resilient surfacing surrounding the composite play structure. Evidence: 1. On the three/four year old playground the mulch surrounding the composite play structure measures between 1/4 inch to 4 inches. The standard requires 6 inches of mulch. 2. On the toddler/two playground there was 1/4 inch of mulch on the sides of the tan slide. The standard requires at least 6 inches of mulch”

Rule 8VAC20-780-330-B.

Based on observation and interview the center did not 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.

“Evidence: 1. In the Younger Infant class, staff reported that Child A has a milk sensitivity. The sensitivity was not listed on the allergy list. 2. In the Younger Infant class staff reported that Child B has a peanut and egg allergy. A different staff member reported that Child B had an egg allergy. Child B was not listed on the allergy list.”

Rule 8VAC20-780-40-M.

Based on observation the children did not always wash their hands after eating meals.

“Evidence: The LI’s observed the children in the Pre-K classroom finish snack and transitioning to Circle time. The children failed to wash their hands after eating, nor did the teachers direct them to do so.”

Rule 8VAC20-780-500-A.

Based on observation medication was not kept in a locked place

“Evidence: The LI’s observed two Epinephrine medications in a cabinet above the counter. The cabinet lock was broken, therefore the medication was not locked.”

Rule 8VAC20-780-510-L.

Based on observation it was determined that diaper cream was accessible to the children.

“Evidence: 1. In the toddler class the diaper creams were stored in the bottom section of the changing table accessible to children. 2. In the two year class the diaper creams were stored in the bottom section of the changing table accessible to children.”

Rule 8VAC20-780-520-C.

22.1-289.035-B-4

“Based on a review of five staff files and an interview with Administrative staff, it was determined that one staff did not have out of state criminal background checks prior to the first day of employment. Evidence: Staff A was hired on 8/23/22 and there was no criminal records background check on file for the District of Columbia and Texas.”

Rule 22.1-289.035-B-4.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Based on observation and measurements, it was determined that there was insufficient use zone for a dome climber on the older playground. Evidence: The dome climber requires 6 feet of fall zone, free of hazardous obstacles, however the concrete walkway was within 3 feet of the dome climber.”

Rule 8VAC20-780-330-B.

Based on observation, it was determined that medication was not kept locked. Evidence: The Licensing Inspector (LI) observed two Epinephrine medications unlocked in a cabinet in the Panda’s classroom, which serves 3/4 year old children. The LI observed two Epinephrine medications unlocked in a cabinet in the Butterfly classroom, which serves 2 year old children.

“Although the medications were out of reach of the children, the latch to the cabinets were broken and therefore was not locked.”

Rule 8VAC20-780-510-L.