Cuddlebugs Child Development Center, LLC

REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; protruding nails, bolts or other components that could entangle clothing or snag skin.

Rule 8VAC20-780-270-A.

REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; protruding nails, bolts or other components that could entangle clothing or snag skin.

“Pathway off backyard deck leading to the playground, had cement tiles surrounded by a plastic enclosure that was lifting and no longer in tact, presenting as a trip hazard. On the outside playground, four scooters and two tricycles, made of metal with red pads, had chipped paint and rust on the handlebars, and two of the tricycles also had broken seats. One horse seesaw was cracked on the front seating and a turquoise foot-car was cracked on the seat.”

Rule 8VAC20-780-270-A.

Based on observations, areas and equipment of the center, inside and outside, were not maintained in a safe and operable condition.

Rule 8VAC20-780-270-A.

Based on observations, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In the Toddler room, in a cabinet, located in the corner of the room, there were two sanitizing solutions, and an aerosol can room spray. 2. In the Two-Year-Old restroom, in a cabinet above the countertop, there was a bottle of sanitizing solution. The cabinet’s lock was broken. 3. On the outside playground porch, there was an open bag of garden soil. Manufacturer’s warning label stated, ?keep out of reach of children?.”

Rule 8VAC20-780-280-B.

Based on observation, the center did not provide a 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.

“Evidence: 1. The trash can lid in the Infant Room was broken. Staff verified that they had to use their hands to remove the lid with their hands to dispose of the soiled diapers. 2. The trash can lid in the Two-Year-Old Classroom was broken, and on the floor, there were soiled diapers/pull-ups in the trash can.”

Rule 8VAC20-780-500-B.

Based on review of two staff records, the center did not obtain documentation of a tuberculosis screening for one staff record that was submitted at the time of employment and shall have been completed within the last 30 calendar days prior to employment.

“Evidence: The record of staff #2, employed 08/25/2023, contained documentation of a tuberculosis screening dated 09/02/2023, exceeding the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on review of five staff records, the center did not obtain results of the national fingerprint base criminal history background check prior to employment for one staff member.

“Evidence: The record of staff #3, employed 10/25/2022, contained the results of a national fingerprint background check dated 11/09/2022, exceeding the date of employment.”

Rule 22.1-289.035-B-2.

Based on observation, the center did not ensure all areas of the center, inside and outside, were maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on review of medication logs and medication authorizations, the center did not obtain written authorization from a parent or guardian before administering prescription medications.

“Evidence: 1. The medication authorization for child #5 expired on 04/30/2023. 2. The medication log documented that child #5 was administered the prescription medication on 05/18/2023. 3. The director acknowledged the medication had been administer on 05/18/2023.”

Rule 8VAC20-780-510-I.

Based on review of documentation, observation and interview, the center did not ensure parents were notified to pick up medication within 14 days after the medication authorization has expired or the parent must renew the authorization.

“Evidence: The parent portion of the medication authorization for child #5 expired on 04/30/2023. The medication was on site and had not been returned to the parent or disposed of. The director acknowledged the medication authorization had expired.”

Rule 8VAC20-780-510-P.

Based on review of children’s records, the center did not obtain a written care plan for each child with a diagnosed food allergy.

“Evidence: The record of child #9, diagnosed with a food allergy, did not contain an allergy care plan as required.”

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

Based on review of four staff records, the center did not ensure one staff member completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence: 1. The record of staff #3, hired 08/12/2021, did not contain documentation of completing the Virginia Preservice Training, exceeding 90 days from employment. 2. The administrator stated staff #3 was working on the training but had not completed it as of yet.”

Rule 8VAC20-790-600-B.

Based on a review of four staff records and interview, the center did not ensure that one staff obtained a fingerprint based background check determination from the Office of Background Investigation prior to employment.

“Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain results of the fingerprint-based national criminal background check. 2. During interview, a member of management stated the staff member was currently working with the children in the child care center during the 08/25/2022 onsite inspection.”

Rule 22.1-289.035-B-2.

Based on review of four staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children for two staff record.

“Evidence: 1. The record of staff #1, hired 06/27/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 2. The record of staff #2, hired 06/24/2022, did not contain documentation of a tuberculosis screening exceeding the first day of employment. 3. Administration stated staff #1 and staff #2 had not submitted a tuberculosis screening.”

Rule 8VAC20-780-160-A.

Based on review of four staff records, the center did not ensure one staff completed orientation training in first aid and cardiopulmonary resuscitation (CPR), within 30 days of the first day of employment.

“Evidence: The record of staff #1, hired 06/27/2022, did not have documentation of training in first aid and CPR, exceeding 30 days from employment.”

Rule 8VAC20-780-240-E.

Based on observation, the center did not maintain all areas and equipment of the center, inside and outside, in a clean, safe and operable condition.

“Evidence: 1. The cabinet under the sink in the toddler room had a broken front panel. 2. The wooden fence around the air conditioner unit located on the playground has several pickets that have separated from the frame exposing nails.”

Rule 8VAC20-780-270-A.

Based on review of medications and authorizations, the center did not ensure when an authorization for medication expires, the parent shall be was notified to pick up the medication within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days must be disposed of by the center.

“Evidence: The medication authorization for child #6 expired on 05/22/2022. The medication was still on site exceeding 14 days from the date the authorization expired.”

Rule 8VAC20-780-510-P.

8VAC20-780-60-A-8

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