HoneyTree Learning LLC - Belle

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Child #1, who had been attending for seven weeks, did not have documentation of an immunization record on file. Child #2, who had been attending for seven weeks, did not have documentation of an immunization record on file. Child #3, who had been attending for two days, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

After the first license, annual approval from the health department shall be provided.

“The annual approval was overdue by 2 months.”

Rule 8VAC20-780-260-B.

Sinks that are supplied with running water should not exceed 120F.

“The sinks in the classroom where children were observed washing hands, temped at 131F.”

Rule 8VAC20-780-320-B.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child A was onsite, but the medication authorization had expired over 2 months ago. The medication was administered during the expired period. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, enrolled for seven weeks, was missing proof of child’s identity and age. The record for Child #2, enrolled for seven weeks, was missing proof of child’s identity and age. The record for Child #3, enrolled for two days, was missing proof of child’s identity and age.”

Rule 8VAC20-780-60-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children

“There was no staff member with daily health observation on site during the inspection.”

Rule 8VAC20-780-245-L.

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 #2, who had been enrolled for four months.”

Rule 8VAC20-780-140-A.

Systemic violation The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“Staff #4, who was observed providing care to the children, did not have a completed sworn statement during the inspection.”

Rule 22.1-289.035-B-1.

Systemic violation The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff#4, who was observed providing care to the children, did not have a completed national criminal background check during the inspection.”

Rule 22.1-289.035-B-2.

Systemic violation The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #4, who was observed providing care to the children, did not have a central registry search requested during the inspection.”

Rule 22.1-289.035-B-3.

Repeat violation, Systemic violation The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children.

“Staff # 4 had no TB screening documented on record. Staff 4 was observed working with children.”

Rule 8VAC20-780-160-A.

Systemic violation A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2 updated screening was due over a year ago and Staff #3 updated screening was due 4 years ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

The center shall have a qualified program director or a qualified back-up program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center’s hours of operation.

“During the inspection, the center did not have a qualified program director or a qualified back-up program director.”

Rule 8VAC20-780-200-A.

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe, and operable condition.

“In the cafeteria, one of the stools used for sitting was broken and had sharp edges.”

Rule 8VAC20-780-270-A.

Repeat violation When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child 7 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Systemic violation Documentation of name, address, verification of age, job title, and date of employment; name. address, and telephone number of a person to be notified in an emergency, and reference checks shall be kept for each staff person.

“Staff #4, who was observed providing care to the children, did not have any of the required information on record during the inspection.”

Rule 8VAC20-780-70.

Based on record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1.Staff #1, hire date of 8/16/2023 had fingerprint eligibility letter was dated 8/23/2023. 2. Staff #4, hire date of 2/21/2024 had fingerprint eligibility letter was dated 2/26/2024.”

Rule 22.1-289.035-B-2.

Based on record review, the center failed to obtain a completed Sworn Statement prior to first day of employment for staff member.

“Evidence: Staff # 1 with a hire date of 8/16/2023, had a sworn statement in the record dated for 8/22/2023 during the inspection on3/25/2024.”

Rule 8VAC20-770-60-B.

Based on record review, the center failed to have documentation of the TB screening submitted at the time of employment and prior to coming into contact with children.

“Evidence: 1.Staff #1, which was hired on 8/16/2023 had a TB screening on file dating 8/21/2023 during the inspection on 3/25/2024. 2. Staff #2, which was hired on 2/21/2024 had a TB screening on file dating 2/26/2024 during the inspection on 3/25/2024.”

Rule 8VAC20-780-160-A.

Based on interview and observation, the center failed to ensure any child with emergency medications shall always be in the care of a staff member who is MAT certified.

“Evidence: Child 6,7,8,9 and 10 has emergency medication on site. During interview staff #5 state they are the only staff member Mat trained. They stated they work the hours of 9am ton 5:30pm and the children with emergency medication are there when the center opens at 7am to 5:30pm.”

Rule 8VAC20-780-245-J.

Based on record review and staff interviews, the center failed to ensure that there shall be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: There was not a staff member on duty from the hours of 7am to 9am that has obtained instruction in performing the daily health observation of children during the inspection on 03/25/2024”

Rule 8VAC20-780-245-L.

Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: In the cafeteria/ main room area there was a broken seat at the table. The seat had a plastic bag over it. This causes a suffocation hazard to children. Children were observed on this area.”

Rule 8VAC20-780-270-A.

Based on review of medication the center failed to obtain written authorization from a parent or guardian for prescription medication. The center administers only medication that is maintained in the original, labeled container.

“Evidence: 1.Child #10 had medication on site during the inspection on 12/13/2023. There was no authorization from parent, to administer. 2.Medication for child #10 was found locked in a first aid kit. There was no box or label with the medication.”

Rule 8VAC20-780-510-I.

Based on medication review, the center failed to notify the parent of expired medication for pick-up or the parent to renew the authorization.

“Evidence: 1.Child #6 had medication site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor. 2. Child #10 had medication on site during the inspection on 3/25/2024. This medication had no authorization from the parent or doctor.”

Rule 8VAC20-780-510-P.

Based on staff record review and interview, the center failed to obtain an Out of State child abuse and neglect search request for a new staff member.

“Evidence: Staff #1 began employment on 8/25/2020. Staff #1 has lived in another state within the past five years. The record for Staff #1 does not have a child abuse and neglect search request for the state of prior residence.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment.

“Evidence: Staff #3, hired on 8/23/21 had no record of a Central Registry on file during inspection on 8/7/2023. Staff #6 was unable to provide documentation when requested.”

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

Based on observation, the center failed to maintain areas and equipment of the center in a clean, safe operable condition.

“Evidence: 1.The net on the basketball goal was ripped and hanging down where children could grab and pull down on it. Children were observed pulling the net to the goal. 2.An unused basketball backboard with rim attached was observed sitting on the ground under the pavilion. There were children observed playing in that area. 3.In the afterschool classroom, there was a hole in the wall approximately 4 inches long. The hole was near an outlet socket. Children were observed in this area.”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that hazardous substances, shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence 1.In the afterschool classroom, there were cleaning supplies under the sink. The sink had no locking method in place that prevented children access. Children were observed in this area. 2. Outside under the pavilion, the door to the storage shed was open. Hazardous material (5 gallon bucket of paint, propane gas for grill) was inside the shed. Children were observed in this area.”

Rule 8VAC20-780-280-B.

REPEAT VIOLATION Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure after each day’s use, portable wading pools shall be emptied, sanitized, and stored in a position to keep them clean and dry.

“Evidence: There were 2 wading pools located on the playground. Both pools had approximately 2 inches of water in them. Children were observed playing in the water in one of the pools.”

Rule 8VAC20-780-470-F.

Based record review, the center failed to ensure that the separate record for each enrolled child shall contain name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: 1.Child #1 had no address for one emergency contacts on record. 2.Child #2 had no address for emergency contacts on record. 3.Child #3 had no address for one emergency contact on record.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to keep a separate record foreach child which shall contain written agreements between the parent and the center.

“Evidence: Child #2, had no agreement between parents to notify center within 24 hours or the next business day after the child or any household member has developed a communicable disease.”

Rule 8VAC20-780-90-A.

Based on observation, the center failed to ensure tables shall be sanitized before and after each use for feeding.

“Evidence: The lunch tables were cleaned with a Lysol wipe before lunch. Lysol wipes are not considered as proper sanitation.”

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

Based on observation and interview, the center failed to ensure any vehicle used by the center for the transportation of children shall meet the following requirements: The vehicle shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children.

“Evidence: The inspection sticker for Van #1 had an end date of 7/23.”

Rule 8VAC20-780-580-B. From a complaint.

Based on record review, the center failed to ensure each staff member has a documented TB test or screening every two years.

“Evidence: Staff #1, with a hire date of 1/25/2019, last TB screening was dated 10/20/2020.”

Rule 8VAC20-780-160-C.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing.”

Rule 8VAC20-780-330-B.

Based on review, the center failed to maintain documentation of the emergency evacuation drills.

“Evidence: There was no documentation of emergency drills on record for January, February or March of 2023.”

Rule 8VAC20-780-550-G.

Based on record review, the center failed to keep a separate record for each child which shall contain written agreements between the parent and the center.

“Evidence: Child #1 and Child #2, had no agreement between parents to notify center within 24 hours or the next business day, after the child or any household member has developed a communicable disease.”

Rule 8VAC20-780-60-A.

Based on observation, the center failed to have area outside maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.