Bree’s Playhouse Daycare and Learning Center, LLC

(Repeat violation) Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In classroom 2 there was peeling yellow wallpaper separating from the wall. In classroom 4, there was peeling and chipped paint on the green wall. Three sleeping mats were torn exposing the inside cushion that is accessible to children.”

Rule 8VAC20-780-270-A.

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, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin.

Rule 8VAC20-780-270-A.

Disposable diapers shall be disposed in a 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.

“In the infant room, the foot-operated trash can, did not lift it’s lid, when pressed for disposal.”

Rule 8VAC20-780-500-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“An annual fire inspection was not completed in 2024 and was overdue by one year and five months.”

Rule 8VAC20-780-260-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, rusting or breakage of any equipment and protruding nails or other components that could entangle clothing or snag skin.

“On the playground, there were three types of playing equipment with rust and chipping paint: the blue spin-around unicycle, blue hummer metal car and a green, red and blue jumping toy. A pink push-car had a broken steering part presenting sharp ridges, and a piece of the playhouse was laying on the ground, and was cracked and had exposed nails.”

Rule 8VAC20-780-270-A.

Prepared baby food not consumed during that feeding by an infant may be used by that same infant later in the same day; otherwise, it shall be discarded or returned to the parent at the end of the day.

“In the Infant Classroom, in the refrigerator, there were two jars of baby food that were not disposed of within the required timeframe. One jar of the baby food was dated 10/09/2024 and the other jar of baby food was dated 10/16/2024. Both jars were observed in the refrigerator by the Licensing Inspector on the date of the inspection 11/18/2024.”

Rule 8VAC20-780-570-H.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On 10/11/2024, during a field trip to a local park, Child #1 (aged 3 years old) was out of sight and supervision for approximately 10 minutes. Child #1 was found by a community member, who was not staff, and returned the child to Staff #1, and Staff #2. In the surrounding area, there were two roads, a parking lot and a pond that was accessible and within walking distance to the playground.”

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

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On 10/11/2024, during a field trip to a local park, Child #1 (aged 3 years old) was out of sight and supervision for approximately 10 minutes. Child #1 was found by a community member, who was not staff, and returned the child to Staff #1, and Staff #2.”

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

Based on review of six staff records, the center did not ensure three staff completed, in addition to preservice, and orientation training, annually attend at least 16 hours of training to include the department’s health and safety update course.

“Evidence: 1. The record of staff #4, employed 12/19/2021, did not contain documentation of the department’s annual health and safety update course. 2. The director stated staff #4 had completed the training however documentation could not be located during the inspection.”

Rule 8VAC20-790-600-F.

Based on review of six staff records, the center did not obtain the results of the central registry background report within 30 days of employment for four staff members.

“Evidence: The record of staff #1, employed 02/05/2024, did not contained the results of a central registry background, exceeding 30 days from the date of employment. There was no documentation of a follow-up to the status of the request.”

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

Based on review of six staff records, the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within 30 days prior to employment.

“Evidence: 1. The record of staff #2, employed 07/21/2023 as a rehire, did not contain documentation of a negative tuberculosis screening, exceeding the date of employment. 2. The record of staff #3, employed 01/09/2024, contained documentation of a negative tuberculosis screening dated 11/19/2023, exceeding 30 days prior to 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 observation, the center did not ensure where playground equipment is provided, resilient surfacing complied with the minimum safety standards to create a fall zone free of hazardous obstacles.

“Evidence: Children were observed playing on a small piece of climbing equipment in the grassy area outside the fenced playground on 03/25/2024. The climbing equipment was sitting on an artificial turf carpet, that did not meet the minimum safety standards for resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on interview and review of documentation, 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: 1. The center’s allergies, sensitivities, and dietary restriction list could not be located. There was no list in each room. The record of child #2 list a dietary restriction. 2. The director acknowledged the list of allergies, sensitivities, and dietary restriction could not be located for review.”

Rule 8VAC20-780-40-M.

Based on review of six staff records and observations, the center did not ensure at least one staff in each classroom or area, where children are present shall have current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care. The training shall include an in-person competency demonstration.

“Evidence: The record for staff #6 did not contain documentation of current CPR certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

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

Based on review of six staff records and observation, the center did not ensure at least one staff in each classroom or area where children are present 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: The record of staff #6, did not contained documentation of first aid certification. Staff #6 was observed alone and in charge of a group of children in the three-year-old classroom on 03/25/2024.”

Rule 8VAC20-780-530-A-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.

“Evidence: Two pickets on the wooden fence enclosing the playground were broken. The pickets had splintered wood creating jagged points that could snag the skin of a child.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely.

“Evidence: Child #1, 7 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

Rule 8VAC20-780-570-A.

Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name.

“Evidence: Two prepared bottles were observed setting on the feeding table in the infant room. The two bottles were not labeled with a name or date. An additional prepared bottle was observed on top of the refrigerator, without a name or date.”

Rule 8VAC20-780-570-E.

Based on review of staff records and interview, the center did not obtain documentation within the first 90 days of employment that one staff who works directly with children had completed the Virginia Preservice training for Child Care Staff.

“Evidence: The record of staff #2, did not contain documentation of completion of the Virginia preservice training. The director stated she could not find the certificate but that the staff had completed it.”

Rule 8VAC20-790-600-B.

Based on review of children’s records, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The record for Child #2 (first day of attending center 10/03/2022) contained an immunization record dated 06/04/2022. Child #2 is under two years of age. Updated immunization records were required to be obtained. 2. The record for Child #4 (first day of attending center 05/16/2022) contained an immunization record dated 05/12/2022. Child #4 is under two years of age. Updated immunization records were required to be obtained. 3. A member of management confirmed the information during the inspection.”

Rule 8VAC20-780-130-E.

Based on interview, the center could not provide the licensing inspector an annual fire inspection report.

“Evidence: The director stated she could not locate the current fire inspection report”

Rule 8VAC20-780-260-A.

Based on review of the center’s policies and procedures, the center did not ensure the center’s policies for administering medication were consistent for the parent and staff handbook

“Evidence: 1. The director stated that medication was not administer at the center. 2. The parent handbook stated ?No Medication will be given at the daycare by staff. At this time, no medication will be administered by the staff?. 3. The staff handbook states, ?Medication will be administered by the director only?.”

Rule 8VAC20-780-40-E.

Based on observation, the center did not ensure there was at least 12 inches of space between occupied cots, beds and rest mats.

“Evidence: In the two year old classroom, eight children were observed napping on cots. Four of the cots were less than 12 inches away from each other”

Rule 8VAC20-780-440-E.

Based on review of eight staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present 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.

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

Based on review of eight staff records and interview, the center did not ensure in each grouping of children there was at least one staff with current first aid certification.

“Evidence 1. The record of staff #1, who was observed alone with a group of eight school age children, did not contain documentation of current first aid certification. The director stated she did not have documentation of the staff completing first aid certification. 2. The record of staff #8, who was observed alone with a group of 5 toddler aged children, did not have documentation of first aid certification. The director stated she did not have documentation of staff #8 completing first certification.”

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

Based on review of three injury reports, the center did not maintain a written record of children’s serious and minor injuries that included all required documentation.

“Evidence: Three injury reports reviewed did not have documentation of the time when parents were notified of the injury.”

Rule 8VAC20-780-550-P.

Based on observation, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt is fastened securely.

“Evidence: Child #2, 17 months in age, was observed sitting in the bucket seat of the feeding table. The protective belt was not fastened.”

Rule 8VAC20-780-570-A.

Based on observation and interview, the center did not ensure prepared infant formula was refrigerated, dated and labeled with the child’s name.

“Evidence: Two prepared bottles were observed in the refrigerator. The two bottles were not labeled with a name or date. Staff #5 identified the two bottles as belonging to child #4.”

Rule 8VAC20-780-570-E.

Based on review of five staff records, the center did not obtain all required documentation for each staff record.

“Evidence: The record of staff #1, staff #5, staff #6, staff #7 and staff #8 (all identified as program leaders) did not contain to demonstrate that the individual possesses the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.

Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books, and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision.

Rule 22.1-289.018-A.

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

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure when a child was placed in an infant seat, the protective belt was fastened securely.

“Evidence: 1. On November 10, 2022, the licensing agents observed four infants sitting in infant seats at the feeding table. All four infants did not have the protective belts fastened. 2. Infant #1, four months in age, was observed sitting in an infant rocking bouncer without the protective belt fastened.”

Rule 8VAC20-780-570-A.

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

“Evidence: 1. The gate on the chain link fence located on the playground was broken and not secure on all sides, creating head entrapment hazards. 2. The wooden fence contained four broken boards creating sharp edges that could entangle clothing or snag skin.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-350-B-1

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

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

Based on observation and interview, the licensee did not afford the Superintendent reasonable opportunity to inspect all of their facilities, books and records, and to interview their agents and employees and any person living or participating in such facilities, or under their custody, control, direction, or supervision.

Rule 22.1-289.018-A.

8VAC20-770-60-C-2

“Based on review of eight staff records, it was determined that the facility did not deny continued employment of a staff who did not have a search of the central registry finding within 30 days of employment. Evidence: The record for Staff #4 (DOE: May 30, 2022) did not contain the results of a central registry finding. There was no documentation of a follow up to check the status of the requested central registry search. Staff #4 was observed supervising classrooms on July 26 and July 27, 2022.”

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

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“Based on review of eight staff records and interview, the center did not ensure one staff obtained and submitted the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening. Evidence: The record for Staff #7 contained documentation of a tuberculosis screening dated July 4, 2019. During the July 27, 2022 inspection, Staff #8 stated ?If it’s not in the record, she didn’t get one?.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-A

“Based on review of eight staff records, the center did not ensure one staff completed 16 hours of annual training appropriate to the age of children in care. Evidence: The record for staff #7 (DOE: February 23, 2016) did not contain documentation of annual training for the 2021 calendar year.”

Rule 8VAC20-780-245-A.

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

“Evidence: The gate on the chain link fence located on the playground was broken and not secure on all sides, creating head entrapment hazards.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

Based on interview and review of eight staff records, the center did not ensure each grouping of children had regularly present at least one staff member who met the qualifications of a program leader or program director.

“Evidence: During the July 27, 2022 inspection, Staff #8 was asked to identify the program leaders for each grouping of children. Staff #8 stated the Toddler classroom has not had a program leader for a couple of months.”

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care.

“Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.”

Rule 8VAC20-780-340-F.

Based on observation and interview, the center did not ensure the staff-to-child ratios were maintained whenever children were in care.

“Evidence: 1. On July 26, 2022, the licensing inspector observed eight children (three months to 15 months of age) in the infant room with one staff member from approximately 2:00pm to 4:00pm. 2. Staff #4 stated two staff members left earlier in the day leaving her alone with eight infants to supervise. 3. The required staff-to-child ratio for children birth to 16 months of age is one staff person for every four children in care.”

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

Based on observation and interview, the center did not ensure one staff member did not supervise more than one room or area during rest time.

“Evidence: On July 26, 2022, the licensing inspectors observed the following: Staff #3 stated two staff members left early and Staff #3 was walking the hallways during naptime, trying to keep an eye on the children in the Toddler classroom, Two’s classroom and Three’s classroom.”

Rule 8VAC20-780-350-M.

Based on interview and observations, the center did not ensure cribs were identified for use by a specific child.

“Evidence: On July 26, 2022, the licensing inspectors observed the following: 1. Child #1 was observed sleeping in a crib that was identified as belonging to Child #2. 2. Child #3 was observed sleeping in a crib that was identified as belonging to Child #1.”

Rule 8VAC20-780-440-B.

8VAC20-780-530-A-1

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

Based on observation and review of eight staff records, the center did not ensure at least one staff in each classroom or area where children were present had current certification in first aid.

“Evidence: 1. On July 26, 2022, the licensing inspectors observed Staff #4 alone with eight infants in the classroom. 2. The record for Staff #4 did not contain documentation of current certification in first aid. 3. Staff #8 stated on July 27, 2022 ?if it is not in the record then we don’t have it?.”

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

Based on observation, the center did not ensure when a child was placed in an infant seat, the protective belt was fastened securely.

“Evidence: On July 26, 2022 the licensing inspectors observed three infants placed in the infant feeding table seats. The seats contained protective belts but the belts were not fastened.”

Rule 8VAC20-780-570-A.

Based on observation and interview, the center did not ensure before leaving on a field trip, a schedule of the trip’s events and locations was posted and visible at the center site.

“Evidence: On July 26, 2022 the licensing inspectors were informed six school age children were on a field trip with three staff members. Information regarding the scheduled field trip’s event and location was not posted and visible at the center site.”

Rule 8VAC20-780-580-I.

8VAC20-780-70

Rule 8VAC20-780-70.

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-160-A

“Based on a review of records the center did not ensure that each staff member submitted documentation of a negative tuberculosis screening no more than 30 days prior to the first date of employment. Evidence: 1 out of 4 staff records had a TB test done more than 30 days prior to employment. Staff #1, date of employment 06/27/22, had a TB record with the date of 04/26/22.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-A

“Based on a review of documentation, the center did not ensure to provide an annual fire inspection report. Evidence: The most recent Fire Inspection was dated 07/20/20.”

Rule 8VAC20-780-260-A.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-70

“Based on a review of records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment for one of four staff. Evidence: The record of Staff #3, date of employment 09/20/21, did not contain any references.”

Rule 8VAC20-780-70.