Caterpillar Clubhouse #4

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“A spray container of hard surface cleaner and a spray container of soap/water were in an unlocked cabinet under the changing table in Room 1.”

Rule 8VAC20-780-280-B.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time to be given.

“Medication 2 was not labeled with the child’s name, the dosage amount, or the time to be given.”

Rule 8VAC20-780-510-G.

Medication shall be kept in a locked place using a safe locking method that prevents access by children.

“Medication 1 was located in an unlocked cabinet under the changing table in Room 1”

Rule 8VAC20-780-510-L.

REPEAT VIOLATION Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Skin product 1 was kept 2 months beyond the expiration date and skin product was kept 8 months beyond the expiration date.”

Rule 8VAC20-780-520-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, sensitives and restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present.

“The list for Room 1 was posted outside the room door and the list for Room 2 was posted on a whiteboard in the room. Both lists were visible to anyone and not kept in a confidential manner.”

Rule 8VAC20-780-40-M.

Nonprescription drugs and over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Over the Counter Skin Product 1 was kept 1 year and 2 months beyond the expiration date.”

Rule 8VAC20-780-520-A.

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

“On 12/302025, Staff 1 struck Child 1 (age 17 months).”

Rule 8VAC20-780-410-1.

Medication, including staff personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“On 11/14/2025 for approximately 30 minutes, Medication 1 was left unlocked on a shelf in Room 1. Medication was accessible to children.”

Rule 8VAC20-780-510-L.

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

“Evidence: The record for Child # 4 contained documentation that the first day of attendance was 01/16/2024. The date of the immunization record was 02/16/2024.”

Rule 8VAC20-780-130-A.

Repeat Violation

“Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children. Evidence: 1. In the entrance way under the check in counter there was a bucket with two chemicals containers.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that all children under the age of 10 was in actual sight and sound supervision of the staff.

“Evidence: LI observed a speech therapist from a local school system walking child # 1 up stairs to provide services. The child was not logged out of the sign in and out sheet. Child # 1 was in the care of the center at the time and was not within sight and sound supervision.”

Rule 8VAC20-780-340-F.

Based on interviews with staff, the center failed to ensure that all tables were sanitized before and after each meal or snack.

“Evidence: In the infant 2 room, the teacher stated that she uses Pinesol after the children eat. According to Pinesol’s directions it is to be used as a cleaning agent.”

Rule 8VAC20-780-560-J.

Based on observation, the center failed to ensure that all medications were locked.

“Evidence: On the diaper changing table an opened tube of prescription diaper cream was unlocked.”

Rule 8VAC20-780-510-L.

Based on observation of the infant room, the center failed to ensure that children three years of age or younger may not be offered foods that are considered to be potential choking hazards.

“Evidence: Observed child # 8 (11 months old) having a whole meatball for lunch. A meatball is considered a potential choke hazard for the size and shape of the piece of food.”

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

Repeat violation

“Based on observation of the infant room, food brought from home shall be clearly dated and labeled with the owner’s name. Evidence: 1.Child # 7 had a cup and a bottle in the refrigerator that was not clearly dated.”

Rule 8VAC20-780-560-G.

Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children.

“Evidence: 1.In the entry way of the center, there were four containers of cleaning chemicals that were unlocked and accessible to the children. 2.In the two infant rooms, there was a spray can of Febreze sitting on the soap dispenser that was unlocked.”

Rule 8VAC20-780-280-B.

Based on observation, the center failed to ensure that children’s hands were washed with soap and running water or use disposable wipes before and after eating meals and snacks.

“Evidence: 1.Observed in the young infant room, two infants that were fed lunch did not have their hands washed with running water or a disposable wipe before being placed on a cot.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that all diapering standards were met.

“Evidence: Observed in the young infant room, the disposal container did not allow for a staff person’s hand or the soiled diaper to touch the exterior surface of the trash can. The foot pedal was not in operation for the lid to open with out touch of a staff person’s hand.”

Rule 8VAC20-780-500-B.

Based on observation, the center failed to ensure that all food items bought from home was labeled with the child’s name and the date.

“Evidence: There was a container of milk in the infant room’s refrigerator that was not labeled to indicate the owner or the date it was bought in.”

Rule 8VAC20-780-560-G.

Based on the review of six children’s records, the center failed to ensure that immunization records shall be signed by a physician or designee.

“Evidence: 1. Child 1 start date was 06/13/2022 and on the day of the inspection did not have the required immunization record signed by a physician. 2. Child 3 start date was 09/07/2022 and on the day of the inspection did not have the required immunization record signed by a physician.”

Rule 8VAC20-780-150-B.

Based on observation, the center failed to ensure that areas and equipment shall be maintained in a clean, safe and operable condition.

“Evidence: The two toilet tank lids in the three year old room bathroom showed visible cracks and chipping and the toilet on the left had been repaired on the underside with what appeared to be duct tape.”

Rule 8VAC20-780-270-A.