Mom’s Tot Spot Child Development Center LLC-II

During the designated rest period the ratios are permitted to double . Children two years of age: one staff per 16 children.

“I observed 18 children resting on their cots with one staff. The youngest child was two years of age.”

Rule 8VAC20-780-350-I.

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

“Staff #1 confirmed medication was found and disposed in the trash can in a bathroom children use in the front of the center.”

Rule 8VAC20-780-510-L. From a complaint.

The center should have a list of all children allergies, sensitivities and dietary restriction confidential in each room or area where children are present.

“The record for child #8 had allergy listed. Child #8 was not list allergy list.”

Rule 8VAC20-780-40-M.

A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“There was not a written care plan for Child #8 with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic too.”

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

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

“In the Pre-k room, there was cabinet fixture (knobs) missing causing screws to protrude out of the drawers.”

Rule 8VAC20-780-270-A.

22.1-289.035-A

“Based on record review, the licensee did not ensure background checks need be completed every five years. Evidence: Staff #2 most recent sworn statement was 12/04/2018. The sworn statement was more than five years old.”

Rule 22.1-289.035-A.

Repeat Violation Based on observation and staff interviews, the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: Child #1 (age 3) was observed alone in the hallway at approximately 12:31 PM. LI saw the child alone and told staff. Staff returned child#1 to class.”

Rule 8VAC20-780-340-F.

Based on observation and staff interviews, the licensee did not ensure staff records were available for review and completed with all required documentation.

“Evidence: The records for Staff #1, date of hire 2-20-2024 did not include the two required reference checks.”

Rule 8VAC20-770-70-A.

Based on record review and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening prior to employment and coming in contact with children.

“Evidence: Staff #4 began working on 1-8-2024 and TB screening was dated 9-19-2022. Staff #4 did not have a negative TB screening prior to employment.”

Rule 8VAC20-780-160-A.

Based on observation and staff interviews, the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Evidence: Child #1 (age 4) was observed alone in the center’s hallway at approximately 10:48 AM. Center staff indicated Child #1 had run out of the room at approximately 10:30AM. Child #1 was not in sight sound supervision of staff for approximately 18 minutes.”

Rule 8VAC20-780-340-F.

Based on children’s record review and staff interviews, the licensee did not ensure to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for Child #1 did not have an immunization record and first date of attendance was April 24, 2023”

Rule 8VAC20-780-130-A.

Based on staff interviews, the licensee did not ensure there were at least two staff members supervising the swimming/wading activity.

“Evidence: Center Director and Infant teacher, staff #5 confirmed on August 15, 2023, 4 infants played in a wading pool and only staff, Staff #5, was supervising the 4 infants. The requirement of a minimum of two staff was not met.”

Rule 8VAC20-780-460-A.

Based on staff interviews, the licensee did not ensure that children who are not toilet trained may not use portable wading pools.

“Evidence: Center Director and Infant teacher, staff #5 confirmed on August 15, 2023, 4 infants played in a wading pool and they are not toilet trained and were wearing swim diapers.”

Rule 8VAC20-780-470-E.

Based on observations and staff interviews, the licensee did not ensure medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: Center Director confirmed medications, for Child #2 (medication albuterol) and Child #6 (medication, albuterol) were not labeled with the child’s name, the dosage amount, and the time or times to be given.”

Rule 8VAC20-780-510-G.

Based on documentation review and staff interviews, 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.

Rule 8VAC20-780-80-A.

22.1-289.035-B-4

“Based on record review and staff interviews, the licensee did not ensure, all staff had obtained an out of state criminal history name check ( CRC ) prior to the first day of employment and an out of state child abuse and neglect search ( CPS ) was request by the 30th day of employment Evidence: Staff #5?s record did not include an out of state CRC for Texas where they had lived within the last five years from hire date, 4-10-2023. Center Director confirmed the missing information.”

Rule 22.1-289.035-B-4.

8VAC20-780-40-M

“Based on observation and staff interview, the licensee did not ensure 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. This list shall be dated and kept confidential in each room or area where children are present. Evidence: Staff #4 confirmed there was not a list in the infant room documenting that child #2 had a food preference/ sensitivity.”

Rule 8VAC20-780-40-M.

8VAC20-780-570-A

“Based on observation and staff interviews, the licensee did not ensure that when a child is placed in an infant seat or high chair, the protective belt shall be fastened securely. Evidence Child #3. age 5 months was observed in the an infant seat and the strap was not used.”

Rule 8VAC20-780-570-A.

Based on record review of vendor interviews, the vendor did not ensure, all staff who work directly with children obtain the department’s annual health and safety update course.

“Evidence: The record for staff #4 and staff #5 did not include the annual health and safety update courses. The most recent course for staff #4 was dated February 23, 2020 and for staff #5 the most recent course was dated February 9, 2020.”

Rule 8VAC20-790-600-F.

Based on review of five staff records and staff interviews, the licensee did not ensure, all staff obtained a Criminal Records Check prior to the first day of employment

“Evidence: The following staff did not obtain a fingerprint as required. 1) Staff #1?s first date of employment was June 21, 2021 and there was not fingerprint check available for review. Staff #1 was observed working during the inspection. 2) Staff #3?s first date of employment was June 20, 2022 and the results of the fingerprint were dated June 27, 2022.”

Rule 22.1-289.035-B-2.

Based on review of five staff records and staff interviews, the licensee did not ensure that each staff member shall submit documentation of a negative tuberculosis screening 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: Two out of five records reviewed did not have documentation of TB screening/ test available for review for the following staff that was conducted in the required timeframe. 1) Staff #2?s TB screening was dated March 2, 2022 and the first date of employment was February 25, 2022. 2) Staff #3`s TB screening was dated July 4, 2022 and the first date of employment was June 20, 2022.”

Rule 8VAC20-780-160-A.

Based on observation and staff interviews, the licensee did not ensure 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

“Evidence: A television was observed sitting on a bookshelf and the book shelf was approximately 28 inches high. There was black plastic tape connecting the base of the television and the book shelf, however the television still moved easily when touched and is not secured to the book shelf and poses a safety risk to the children in care. This was observed in the two classrooms for ages 3 to 5 and in the two classrooms for ages 2 to 3.”

Rule 8VAC20-780-270-A.

8VAC20-780-500. A 3.b= B-1 Based on observation and staff interviews, the licensee did not ensure staff shall wash their hands with soap and running water before and after a diaper change.

“Evidence: Staff #2 was observed changing the diaper for child #6 and after their diaper was changed staff #2 took off their gloves and then used a baby wipe and wiped off the nose, mouth and face of child #6. Staff #2 did not wash their hands as required.”

Rule 8VAC20-780-500-A.

Based on record review and staff interviews, the licensee did not ensure at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Evidence: The record for staff #3 did not include an updated TB screening. The most recent screening available for review is dated 5-13-2019.”

Rule 8VAC20-780-160-C.