Peake Childhood Center

8VAC20-780-500-B

“Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The disposal system in Room A required the staff member to use their hand to open it.”

Rule 8VAC20-780-500-B.

8VAC20-780-60-A

“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. Child #6, did not have a written care plan in their file.”

Rule 8VAC20-780-60-A.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-780-400-B

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: roughly handling a child.

“On 3/3/2025 staff #1 lifted and roughly sat a two-year-old child (Child #1) onto the picnic table bench 5 separate times, over an approximate 3-minute time span. Staff #1 Grasped and lifted child #1 by her forearm swinging her up off of her feet and onto the ground where she landed on her bottom, then, minutes later, grasped child #1?s wrist pulling her back onto the ground a second time where she toppled over onto her back when she landed.”

Rule 8VAC20-780-410-1.

8VAC20-780-80-B-2

“Based on a review of documentation and interview, the licensee did not always inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. Evidence: The licensee submitted an online report to the department on 7/26/2024 regarding an child’s injury requiring outside medical treatment that occurred on 7/17/2024. The injury was reported more than 2 business day from the occurrence of the injury.”

Rule 8VAC20-780-80-B-2.

Based on observation and staff interviews, the licensee did not ensure that fans or other cooling systems shall be used when the temperature of inside areas occupied by children exceeds 80?F.

“Evidence: During the inspection the thermostat in the ?Busy Bees? classroom, (children age range, 16 months to 24 months), was observed and it increased from 80.4 F. to 81.1 F. and there was not a fan or cooling system in the room.”

Rule 8VAC20-780-270-D.

Based on center documentation review and staff interview the licensee did not ensure to develop written procedures for injury prevention

“Evidence: Program Director confirmed they did not have an injury prevention plan.”

Rule 8VAC20-780-40-I.

Based on documentation review and provider interview the licensee did not ensure that 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: The ?Hummingbird ?classroom had 9 children on the roll and only 8 observed in the classroom. Center staff confirmed the 9th child had left the classroom and their departure had not been marked on the attendance list.”

Rule 8VAC20-780-80-A.

Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence that includes all required information.

“Evidence: The injury report for Child #1 did not include the staff present during injury”

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

Based on center documentation review and staff interviews, the licensee did not ensure to inform the department’s representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

“Evidence: Child #1 was injured at the center on June 23, 2023 and the injury required outside medical treatment (stitches) and the department was not notified of the injury.”

Rule 8VAC20-780-80-B-2. From a complaint.

Based on record review and licensee interviews, the licensee did not ensure to a obtain the results out of state criminal records check ( CRC ) and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: Staff records were reviewed and 2 out of 9 did not have out of state background checks as required, 1) Staff #1?s record did not include the out of state CRC or the CPS check for Michigan where they had lived within the last five years. Staff #1?s first date of employment was 8-21-2023. 2) Staff #9?s record did not include the out of state CRC for Massachusetts where they had lived within the last five years. Staff #9?s first date of employment was 8-1-2023.”

Rule 22.1-289.035-B-4.

22.1-289.058

“Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that house a child day program that is licensed and serves preschool-age children shall be equipped with at least one carbon monoxide detector. Evidence: The center director confirmed they do not have a carbon monoxide detector available for review.”

Rule 22.1-289.058.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands with soap and running water before and after a diaper change.

“Evidence: Staff #9 was observed assisting child #9 and was putting on their diaper and then immediately Staff #9 took off their gloves and began to work with other children and hand out equipment for playing. Staff #9 did not wash their hands as required.”

Rule 8VAC20-780-500-A.

Based on observation and staff interviews, the licensee did not ensure the diapering surface shall be used only for diapering or cleaning children.

“Evidence: In room #104, a bean bag chair was observed stored on the diaper changing table/pad and staff #9 removed it and gave it to the children to play on. Diaper pads/tables shall not be used for storing equipment; Staff #9 indicated it was stored there to keep the children from playing on it.”

Rule 8VAC20-780-500-B.

Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

“Evidence: In the following classrooms children were observed with lunch boxes/containers and they were not labeled with the required information. 1. In room #113 lunch time was observed and 2 out of 2 lunch containers did not have their name (identifiable information) or date. 2. In room #110 lunch time was observed and 1 out of 1 lunch container did not have their name (identifiable information) or date.”

Rule 8VAC20-780-560-G.

Based on observation and staff interviews, the licensee did not ensure that each building that was built before 2015 and that houses a child day program that is licensed and that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

“Evidence: The center curriculum coordinator confirmed they did not have a carbon monoxide detector.”

Rule 22.1-289.058.

Based on observation an confirmation from center staff, the licensee did not ensure staff wash hands their hands after a diaper change and that children’s hands shall be washed with soap and running water after toileting.

“Evidence: In the infant room, Staff #1 was observed changing the diaper for child #4 . Immediately after the diaper was change, Staff #1 took a baby wipe and wiped the face (around the mouth and nose) of child #4 and did not wash their hands after the diaper change and before they wiped child #’4 face. The hands of child #4 were not washed after diapering.”

Rule 8VAC20-780-500-A.

Based on record review and staff interviews, the licensee did not ensure that at least one staff with each group of children had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. The training shall include an in-person competency demonstration.

“Evidence: During the inspection, there was only one staff, Staff #2 in Room # 104 with 6 two old’s. Staff #2 had not obtained certification in CPR.”

Rule 8VAC20-780-530-A-1.

Based on record review and staff interviews, the licensee did not ensure that at least one staff with each group of children had current certification in first aid from an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council.

“Evidence: During the inspection, there was only one staff, Staff #2 in Room # 104 with 6 two old’s. Staff #2 had not obtained certification in first aid.”

Rule 8VAC20-780-530-A-2.