CREATIVE KIDS CHILD DEVELOPMENT CENTER 2, LLC

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The centers most recent sanitation inspection available for review was overdue by 9 months.”

Rule 8VAC20-780-260-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-260-A

“The center shall provide the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The center’s most recent fire inspection available for review was overdue by 1 month.”

Rule 8VAC20-780-260-A.

8VAC20-780-270-A

“Repeat Violation Areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. On the outside walking path, there were areas of the landscape fabric that were torn and coming up form the ground causing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-550-P

“Repeat Violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Injury reports were reviewed and they did not have all required information to include the injured child’s name, the time and how parents were notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. 1.In Classroom D there were containers of cleaner, disinfectants and air freshener in a bin on a shelf. 2. In Classroom E a container of bleach and water mixture was observed in an unlocked cabinet. Containers were labeled ?keep out of reach of children? and at least one other statement, ?hazardous?, ?harmful? and ?flammable?.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Repeat Violation Hand washing and toileting procedures were not followed by Staff #6. 1.Staff #6 was observed changing a diaper for child #6 and the child’s hands and staff hands were not washed with soap and running water after the diaper change. 2.Staff #6 was observed serving snack to Child #6 and the staff hands were not washed with soap and water before serving snack. 3. Child #6’s hands were not washed with soap and water or a disposable wipe before eating snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Repeat Violation The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Diapering was observed in Room A, Staff #6 did not wash the diaper pad or sanitize it after changing a diaper.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-P

“Repeat Violation The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Five injury reports were reviewed and 2 did not include the future action to prevent recurrence of the injury and documentation on how parents were notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“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. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. On the Two’s playground the resilient surfacing at the base of the blue slide chute measured between 4-5 inches and a minimum of 6 inches is required.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-J

“The center is required to update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. There was not an updated injury plan available for review.”

Rule 8VAC20-780-40-J.

8VAC20-780-440-F

“Rest mats used for napping shall have cushioning and be sanitized on all sides weekly. A mat used by a child in Room B for napping was torn around the edges, had exposed foam and was no longer nonabsorbent and cannot be sanitized.”

Rule 8VAC20-780-440-F.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Children in Room A and Room D were observed eating snack and they did not was their hands after eating.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-A

“Staff shall wash their hands with soap and running water before preparing or serving food or beverages. Staff #3 in Room A did not wash their hands before preparing and serving snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“The diapering area shall have a sink with running warm water not to exceed 120?F. The mobile sink designated for diaper changing had run out of water and was not available for children and staff to wash their hands after diapering.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which entries are made on the day of occurrence. Five injury reports were reviewed, and they did not include the date and time when parents were notified; future action to prevent recurrence of the injury and documentation on how parents were notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-560-M

“Children shall not be allowed to drink or eat while walking around. Two children were observed walking around eating crackers in Room B and two children were observed walking around drinking in Room A.”

Rule 8VAC20-780-560-M.

8VAC20-780-70

“Repeat Violation The provider shall keep for each staff person the following information for each staff record. Staff #3 who has been working for the past 13 months and was missing information related to any health issues that may interfere with the job and Staff #4 was missing a name, address, and telephone number of a person notified in an emergency.”

Rule 8VAC20-780-70.

8VAC20-780-80-A

“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. 1.In Room A there were 12 on the attendance list and 10 in care 2. In Room B there were 4 on the attendance list and 7 in care 3. In Room D there were 3 on the attendance list and 10in care”

Rule 8VAC20-780-80-A.

8VAC20-780-140-A

“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 of Child #3, has been attending for 8 months.”

Rule 8VAC20-780-140-A.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. On the playground there two seats on the merry-go-cycle that were cracked and broken causing pinch points.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

“Children under 10 years of age shall always be within actual sight and sound supervision of staff except that staff need only be able to hear a child who is using the restroom. Child #3, age 3 was observed without sound supervision in the centers hallway restroom as Child #3 was alone and no other staff were in the hallway and all of the centers classrooms doors were closed.”

Rule 8VAC20-780-340-F.

8VAC20-780-40-M

Rule 8VAC20-780-40-M.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“The provider shall keep for each staff person the following information for each staff record. Staff #5 who has been working for the past 4 months and was missing documentation of information related to any health issues that may interfere with the job and documentation to demonstrate that the individual possesses the education required by the job position.”

Rule 8VAC20-780-70.

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and shall include an in-person competency demonstration.

“Evidence: Staff #2 did not have a current CPR certification as it expired on 4-6-2024.”

Rule 8VAC20-790-600-D-1.

Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have, a current certification in First Aid appropriate to the ages of children in care.

“Evidence: Staff #2 did not have a current First Aid certification as it expired on 4-6-2024”

Rule 8VAC20-790-600-D-2.

Repeat Based on documentation review, observations and staff interviews, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care.

“Evidence: There were 17 infants and toddlers, observed on the playground with only 4 staff members supervising. Center owner, verified the 17th child, Child #1 arrived at approximately 9:48 AM and the 5th staff arrived at approximately 11:50 AM. The center did not meet the ratio of 1 staff to every 4 infants for approximately 2 hours.”

Rule 8VAC20-780-350-B-1.

Repeat Based on observation and staff interviews, the licensee did not ensure to follow handwashing procedures.

“Evidence: Staff #5 was observed feeding an infant outside on the playground and the infant did not have their hands washed with soap and running water or disposable wipes after eating..”

Rule 8VAC20-780-500-A.

Repeat Based on observation and staff interviews, the licensee did not ensure the required procedures were followed for diapering.

Rule 8VAC20-780-500-B.

Based on review of the medication policy and staff interviews, the center did not ensure all required information was in the policy.

“Evidence: The medication policy did not include the following required component’s; 1.Non-prescription medication be consistent with the manufacturer’s instructions for age, duration and dosage. 2 Duration of the parent’s authorization for medication, provided that it shall expire or be renewed after 10 work days. Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent.”

Rule 8VAC20-780-510-E.

Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Evidence: Child #8 had a medication (Albuterol) and the medication authorization signed by the parent expired on 4-2-24. The medication had not been sent home to the parents or disposed of as required.”

Rule 8VAC20-780-510-P.

Repeat 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: Five injury reports reviewed all were missing some information to include the future action to prevent injury, the date, time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation and provider interviews, the licensee did not ensure that prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence: One bottle was observed, and it was not dated.”

Rule 8VAC20-780-570-E.

Repeat Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

“Evidence: On the infant playground there was a plastic playground set that only had approximately 2 feet of fall zone behind the equipment and minimum of 6 feet is required”

Rule 8VAC20-780-330-B. From a complaint.

Based on observation and staff interviews, the licensee did not ensure that during the center’s hours of operation, one adult on the premises shall be in charge of the administration of the center.

“Evidence: On March 21, 2024, during inspection the Licensing Inspector confirmed with all center staff there was not a designated person in charge of the center at the time inspection.”

Rule 8VAC20-780-340-B. From a complaint.

Based on observation, record review and staff interviews, the licensee did not ensure the staff-to-children ratio one staff for every five children for ages 16 months to 24 months was followed.

“Evidence: On April 23, 2024 the ratio for the Infant Two room was not met as there were 10 children with 2 staff and the youngest (Child #1) was 13 months old and the ratio of 1 to 4 was not met.”

Rule 8VAC20-780-350-B-1. From a complaint.

Based on observation and staff interviews, the licensee did not ensure staff wash their hands with soap and running water before preparing or serving food or beverages and that children wash their hands with soap and running water or disposable wipes before and after eating.

“Evidence: On April 23, 2024, staff was observed serving snack on the playground to preschool children and they did not follow hand washing procedures; 1.Staff #1 did not wash their hands prior to serving preschool children their afternoon snack. 2.Seven preschool children were observed being served and eating snack and they did not wash their hands with soap and running water or use disposable wipes before eating.”

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

Based on observation and staff interviews, the licensee did not ensure that no child shall be allowed to drink or eat while walking around.

“Evidence: On April 23, 2024 two children from the preschool classroom were observed walking around outside eating their afternoon snack of cheese sticks.”

Rule 8VAC20-780-560-M. From a complaint.

Based on observation and staff interviews, the licensee did not ensure areas andequipment of the center, inside and outside,shall be maintained in a clean, safe and operable condition.

“Evidence: Two protruding nails and a sharp metal square bar were observed on the fence that divides the toddler and preschool playground.”

Rule 8VAC20-780-270-A.

Repeat Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

“Evidence: There following was observed on the playground and there was inadequate fall zone and resilient surfacing. 1.There was no approved resilient surfacing for the slide/ swing composite piece on the toddler playground and there was only 2 feet of fall zone in the back of the composite feet and 6 feet is required. 2. The merry- go-round bike set on the preschool playground was within 19 inches of a metal fence and minimum of 6 feet of fall zone is required.”

Rule 8VAC20-780-330-B.

Based on center documentation review and staff interview the licensee did not ensure injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.

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

Rule 8VAC20-780-40-J.

Based on observation and staff interviews, the licensee did not ensure the required the diaper pad/ surface was cleaned with soap and at least room temperature water and sanitized after each use.

“Evidence:. Infant staff were observed conducting diaper changes and they did not clean or sanitize the diaper pad in between changing two children.”

Rule 8VAC20-780-500-B.

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.

“Evidence: Staff #2 confirmed they did not have documentation of evacuation drills conducted in December 2023.”

Rule 8VAC20-780-550-G.

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: Five out of five injury reports reviewed were missing information to include the date, time and how the parents were notified of the injury.”

Rule 8VAC20-780-550-P.

Repeat 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: There were 17 children on the preschool playground and the roll/ attendance list only had 13 children listed. There was not a list for the 5 toddlers observed on the toddler playground.”

Rule 8VAC20-780-80-A.

Based on interviews with staff and other parties involved, center documentation and a review of text messages, the licensee did not ensure the center shall notify the parent by the end of the day of any known minor injuries.

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

Based on record review and staff interview the licensee did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment, prior to coming into contact with children and the documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“Evidence: Center Director confirmed the following staff did not obtain TB screenings within the required timeframe. 1.Staff #1 date of hire was 5-17-23 and TB screening date was 5-22-23 2.Staff #2 date of hire was 5-22-23 and TB screening date was 5-23-23 3.Staff #3 date of hire was 5-17-23 and TB screening was 5-23-23 4.Staff #4 date of hire was 3-13-23 and TB screening was 1-30-23 5.Staff #5 date of hire was 5-16-23 and TB screening was 5-19-23”

Rule 8VAC20-780-160-A.

Based on record review and staff interviews, the licensee did not ensure each staff member had completed orientation training in all required facility specific topics prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Evidence: Staff #4 (hire date 3-13-23) did not have documentation they had obtained orientation training to include prevention of abusive head trauma.”

Rule 8VAC20-780-240-C.

Based on documentation review and staff interviews, the licensee did not ensure that for any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements for medication administration training.

“Evidence: Child #6, has an emergency medication at the center. Child #6 arrived at the center on 6-7-2023 at 7:34 AM and there was not a staff member at the center who had obtained the required medication administration training until 8:49 AM when Staff #1 arrived. .”

Rule 8VAC20-780-245-J-3.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing.

Rule 8VAC20-780-330-B.

Based on record review and staff interviews, the licensee did not ensure to maintain and keep at the center a separate record for each child enrolled which contained the required information.

“Evidence: The record for child #5 did not include the appropriate legal paperwork on file when the custodial parent requests the center not to release the child to the other parent.”

Rule 8VAC20-780-60-A.

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: There were 6 children in the 3?s classroom observed outside on the playground and the center staff confirmed they did not have an attendance sheet for the 6 children they were supervising.”

Rule 8VAC20-780-80-A.

8VAC20-780-350-B-1

“Based on staff interviews, center documentation and review of video footage, the licensee did not ensure the staff-to-children ratio one staff or every four infant children was followed. Evidence: On May 1, 2023 between approximately 12:00 PM and 1:00 PM there were 12 children in the infant classroom with only two staff (Staff #1 and Staff #2). The age range of children in the infant room was 4 months (Child #3) and to age 4 (Child #2).”

Rule 8VAC20-780-350-B-1. From a complaint.

Based on interviews with staff and other parties involved, center documentation and a review of text messages, the licensee did not ensure the center shall notify the parent by the end of the day of any known minor injuries.

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

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: On May 1st in the infant room, during the centers designated nap time there were 12 children in the infant room and the attendance list for the infant room only listed 10 children. Staff#1 confirmed Child #1 and Child #2 were in the infant room, however they were not listed on the daily attendance for that group of children.”

Rule 8VAC20-780-80-A. From a complaint.

8VAC20-780-40-I

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for injury prevention. Evidence: Center Owner confirmed there was not a policy available for review related injury prevention.”

Rule 8VAC20-780-40-I.

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for abusive head trauma. Evidence: Center Owner confirmed there was not a policy available for review related to head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-550-P

“Based on review of center documentation 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: Center Owner, after a review of 4 injury reports, confirmed that 2 did not have documentation on how parent was notified, and the date and time the parent was notified and 1 did not have any future action to prevent recurrence of the injury.”

Rule 8VAC20-780-550-P.

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.”

Rule 22.1-289.058.

Based on a review of 5 staff records and staff interviews, the licensee did not ensure that all required items were in a staff record.

“Evidence: The following records did not have documentation to demonstrate the individual possesses the education and certification, required by the job position. 1.The record for staff #4, the designated program lead for the toddler room did not have documentation to demonstrate the individual possesses the education and certification, required for Program Lead. 2.The record for staff #1, the designated Program Director did not include documentation to demonstrate the individual possesses the education and certification, required for Program Director.”

Rule 8VAC20-780-70.