Tots N Us Children’s Academy

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition

“There was carpet that creates a possible tripping hazard, peeling paint in classrooms and on bathroom wall.”

Rule 8VAC20-780-270-A.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Three out of Four bottles in the infant refrigerator did not have required names and or dates.”

Rule 8VAC20-780-570-E.

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, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present.

“The allergy list was not posted in the Pre-K room.”

Rule 8VAC20-780-40-M.

Repeat Violation:

“There shall be at least 12 inches of space between occupied cots, beds, and rest mats. Exception: Twelve inches of space are not required where cots, beds, or rest mats are located adjacent to a wall or a divider as long as one side is open at all times to allow for passage. In the 2 year old classroom and Pre- K classroom there were 4 mats that were not 12 inches apart as required.”

Rule 8VAC20-780-440-E.

The center shall notify the parent by the end of the day of any known minor injuries.

“The center notification to parents did not have all required information. 1 out of 10 reports was missing future action to prevent reoccurrence. 1 out of 10 reports was missing time of incident.”

Rule 8VAC20-780-550-O.

Repeat

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. There was a shelf missing a wooden foot and was not stable, The red long rug protecting the carpet was bunched up creating a tripping hazard. Crack in drywall under window.”

Rule 8VAC20-780-270-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, sensitivities and dietary restrictions.

“There was no list posted in the classroom where the child had the food allergy.”

Rule 8VAC20-780-40-M.

The diaper changing surface shall be clean and sanitized.

“The diaper changing pad was torn in many spots which prevented the pad to be cleaned and sanitized properly.”

Rule 8VAC20-780-500-B.

Areas and equipment of the center shall be maintained in a clean, safe and operable condition.

“The wood countertop accessible to children behind the diapering area was peeling off and there was peeling paint and a hole in the wall by the window.”

Rule 8VAC20-780-270-A.

Repeat

“Hazardous substances must be in a locked place that prevents access by children. In the two year old classroom, cleaning product were on the teacher counter within reach of children.”

Rule 8VAC20-780-280-B.

A ratio of 1 caregiver to 5 children is required for children ages 16 months up to 24 months.

“For approximately 15 minutes during the inspection there were 11 children being supervised by 2 caregivers.”

Rule 8VAC20-780-350-B-2.

A ratio of 1:10 children was not maintained.

“In the 3 year old classroom for approximately 15 minutes during the inspection there were 11 children being supervised by 1 caregiver.”

Rule 8VAC20-780-350-B-4.

Based on interview, staff who work directly with children were not capable of communication with emergency personnel.

“Evidence: 1. Staff 1 and Staff 2 confirmed they could not communicate with emergency personnel.”

Rule 8VAC20-780-180-B.

Based on observation substances not stored in the original container were not labeled.

“Evidence: 2 spray bottles in the pre-school bathroom were not labeled with contents inside.”

Rule 8VAC20-780-280-F.

Based on observation there was not at least 12 inches of space between cots and rest mats.

“Evidence: 2 Cots in the Toddler 1 and 2 cots in the Toddler 2 room did not have 12 inches of space between them as required.”

Rule 8VAC20-780-440-E.

Based on observation, bottles from home were not labeled.

“Evidence: 4 bottles in the infant room did not have date as required.”

Rule 8VAC20-780-560-G.

Based on review of four staff records, the center did not update criminal history record reports every five years.

“Evidence: Staff A’s nationwide fingerprint search expired on 7/11/23 and has not been repeated as required,”

Rule 22.1-289.035-B-2.

Based on record review, staff members did not obtain and submit results of a follow up tuberculosis (TB) screening at least every two years as required.

“Evidence: Staff A- last TB screen expired 7/2023 and had not been repeated as required. Staff B- last TB screen expired 11/22/23 and had not been repeated.”

Rule 8VAC20-780-160-C.

Based on observation, staff to child ratios for 2 year olds ( 1 staff to 8 children) was not followed while children were in care.

“Evidence: 1. On 4/3/2024 There was 1staff with 9 children when the inspector walked into the classroom. 2. From approximately 2:30 pm- 2:45 pm there was only 1 staff in the classroom as nap was ending. 3. Staff returned to classroom at 2:45 pm after preparing snack.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-500-B

“Based on observation, the surface used for diapering was no longer considered nonabsorbent. Evidence: There was a rip in the plastic covering on the diaper changing pad in the infant room.”

Rule 8VAC20-780-500-B.

Based on record review, staff member did not submit documentation of a negative tuberculosis screening.

“Evidence: Staff #1 Tuberculosis Screen was dated 3/2023. The documentation shall be completed within the last 30 calendar days of date of employment. Staff #1 date of employment was 8/7/2023.”

Rule 8VAC20-780-160-A.

Based on observation, food brought from home was not clearly dated and labeled in a way that identifies owner.

“Evidence: There were 2 bottles without names and dates in the toddler room refrigerator.”

Rule 8VAC20-780-560-G.

8VAC20-780-420-E-1

“Based upon record review, required information on infant daily record was incomplete. Evidence: Infant daily tummy time reporting to parent was missing from daily sheet.”

Rule 8VAC20-780-420-E-1.

Based upon observation, there was not at least 12 inches of space between occupied cots as required.

“Evidence: The 3’s classroom and 2’s classroom cot spacing was less than 12 inches.”

Rule 8VAC20-780-440-E.

Based on observation, hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: Toddler 2 classroom, bleach water was observed on the counter next to the sink. 2’s classroom bleach water was observed on the counter next to the sink. Pre-K classroom ( bathroom) cleaning product was sitting next to the sink.”

Rule 8VAC20-780-280-B.

Based upon observation, electrical outlets did not have protective covers.

“Evidence: Toddler 2 classroom had 1 outlet near sink that did not have protective cover. School aged classroom had 2 outlets uncovered by the white board and 1 outlet uncovered by the window/ globe.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-E

“Based upon observation, sandbox was not covered. Evidence: The sandbox on the playground does not have a cover to protect from the elements and animal. It is also a fall hazard due to the fact that it is not full of sand and has a large drop from the edge to the bottom.”

Rule 8VAC20-780-330-E.

8VAC20-780-440-E

“Based upon observation, 12 inches of space was not maintained between nap cots. Evidence: The 2’s classrom was observed during nap time and 3 cots did not have space of required 12 inches in between for sleeping.”

Rule 8VAC20-780-440-E.