Playful Platos

Repeat violation:

“A tuberculosis (TB) screening is required every two years from the last screening. Staff B’s TB screening is overdue by 19 days.”

Rule 8VAC20-780-160-C.

REPEATL VIOLATION Hazardous substances such as cleaning materials must be kept in a locked place using a safe locking method that prevents access by children.

“A can of Lysol was stored, within reach of children, on the sink in the classroom serving children ages 16 months to 3 years.”

Rule 8VAC20-780-280-B.

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff A and Staff E did not have current CPR certification. Staff A’s CPR certification was overdue by 42 days and Staff E’s was overdue by 5 days.”

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

All staff who work directly with children must have current certification in first aid appropriate to the ages of children in care.

“Staff A and Staff E did not have current first aid certification. Staff A’s first aid certification was overdue by 42 days and Staff E’s was overdue by 5 days.”

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

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

“Staff D’s TB screening was completed approximately two years and nine months after the required renewal date.”

Rule 8VAC20-780-160-C. From a complaint.

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

“A garden hose measuring greater than ten feet in length was stored on a low table within reach of children aged 16 months through 2 years in the Tulips classroom.”

Rule 8VAC20-780-270-A. From a complaint.

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“The Center did not maintain a written record of an injury for Child A that occurred during the month of April. Interviews with Staff A and B confirmed that child A sustained an injury after bumping their head on a gate in the classroom. Staff A stated that the child’s parent were notified and that Staff A wrote an injury report. A review of center records determined that no written entry documenting the injury was maintained as required.”

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

REPEAT VIOLATION: 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 A, who had been enrolled for 35 days.”

Rule 8VAC20-780-140-A.

Medication including refrigerated medication and staff’s personal medication must be kept in a locked place using a safe locking method that prevents access by children.

“In the 16-month to 2-year-old classroom, medication was stored unlocked on top of a low shelf accessible to children.”

Rule 8VAC20-780-510-L.

Staff must complete the department’s annual health and safety update course.

“Staff #5’s most recent health and safety update course was overdue by 46 days.”

Rule 8VAC20-790-600-F.

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 #5, who had been attending for nine months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-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 #5, who had been enrolled for nine months.”

Rule 8VAC20-780-140-A.

Hazardous substances such as cleaning materials must be kept in a locked place using a safe locking method that prevents access by children.

“A can of Lysol was stored on an open shelf in the Orchids room, out of reach of children.”

Rule 8VAC20-780-280-B.

Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The annual update of the information in the records of child #2 was overdue by 6.5 months and child #3 was overdue by 1 year and 7 months.”

Rule 8VAC20-780-420-E-3.

The diapering area must have a nonabsorbent surface for diapering or changing. For children younger than three years, this surface must be a changing table or countertop designated for changing. Disposable diapers must be disposed in a leakproof or 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.

“The Tulips classroom for children between the ages 18 months to 3 years did not have a changing table or countertop designated for changing and did not have a foot-operated storage system for the disposal of soiled diapers or pull ups.”

Rule 8VAC20-780-500-B.

REPEAT VIOLATION Staff must complete the department’s annual health and safety update course.

“Staff #1’s most recent health and safety update course was overdue by twenty-five days.”

Rule 8VAC20-790-600-F.

REPEAT VIOLATION: Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“Sanitizer and Lysol were stored on an open shelf above the sink in the diapering area in the infant room, out of reach of children. Lysol wipes were also found in an unlocked cabinet in the preschool classroom, out of reach of children.”

Rule 8VAC20-780-280-B.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The annual update of the information in the records of child #1 was overdue by twenty months, child #2 by five months, child #3 by twelve months, and child #4 by seven months.”

Rule 8VAC20-780-420-E-3.

Based on record review, staff did not complete the Virginia Preservice Training for Child Care Staff within the first 90 days of employment.

“Evidence: Staff #3 was missing the certificate for “Virginia Preservice Training for Child Care Staff.””

Rule 8VAC20-790-600-B.

Based on record review, staff were missing current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Evidence: Staff #3 and Staff #4 were missing current certification for CPR.”

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

Based on record review, staff were missing current certification in first aid appropriate to the ages of children in care.

“Evidence: Staff #3 and Staff #4 were missing current certification for first aid.”

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

Based on record review, staff did not complete the annual health and safety update course.

“Evidence: 1. Staff #1’s most recent health and safety course was completed on 4/11/2022. 2. Staff #2’s most recent health and safety course was completed on 10/25/2022.”

Rule 8VAC20-790-600-F.

Based on record review, the facility did not obtain a sworn statement or affirmation for staff prior to employment disclosing whether he/she has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth.

“Evidence: Staff #3 does not have a record of a Sworn Statement completed prior to being employed in June 2023.”

Rule 22.1-289.035-B-1.

Based on record review, the center did not obtain Out-of-State background checks for staff who have resided in another state in the preceding five years prior to employment.

“Evidence: Staff #3 was missing Out -of-State background checks for criminal history and child abuse and neglect prior to employment in September 2023:”

Rule 22.1-289.035-B-4.

Based on record review, the center did not obtain an annual fire inspection report from the appropriate fire official having jurisdiction.

“Evidence: The last annual fire inspection was completed in March 2023.”

Rule 8VAC20-780-260-A.

Based on record review, the center did not obtain an annual approval from the health department.

“Evidence: The last health inspection was completed in March 2023.”

Rule 8VAC20-780-260-B.

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

“Evidence: 1. The border of the rubber mat in the indoor gym was peeling, bending, and deteriorating with adhesive tape coming off along all four sides of the gym floor. This condition presents a trip hazard in an area designated for active play. 2. Several aluminum blinds were broken in the indoor gym. 3. The climbing gym equipment in the Tiny Tots classroom had several areas of peeling material and long loose threads that presented a choking hazard.”

Rule 8VAC20-780-270-A.

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

“Evidence: 1. Several bottles of cleaning materials such as Clorox were stored in an unlocked closet. 2. The safety lock was broken on the closet door. 3. The closet is located across the children’s restroom.”

Rule 8VAC20-780-280-B.

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

“Evidence: An electrical outlet was not covered in the Tiny Tots classroom.”

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

Based on observation, a foot-operated storage system was not available for the disposal of soiled diapers.

“Evidence: The Tulips classroom had an open trash container that was not foot-operated for the disposal of soiled diapers or pull ups.”

Rule 8VAC20-780-500-B.

Based on observation, over-the-counter skin products were kept and used beyond the expiration date of the product.

“Evidence: Child #2’s “Boudreaux” diaper cream expired in June 2024.”

Rule 8VAC20-780-520-A.

Based on record review, the center did not obtain written parent authorization to use a diaper cream.

“Evidence: Based on record review, Child #2’s parent authorization form to use the diaper cream expired on 11/28/2023.”

Rule 8VAC20-780-520-C.

Based on record review, the center did not maintain and keep all the required information for each child enrolled.

“Evidence: 1. Child #1 was missing the name, address, and phone number of a child’s physician. 2, Child #1 was missing name, address and phone number for 1 of 2 emergency contacts.”

Rule 8VAC20-780-60-A.

Based on review of records, video observations, and interviews, the center did not ensure that their activities and services are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

Rule 8VAC20-780-40-E. From a complaint.

Based on review of records, video observations and interviews, the staff did not interact with a child and one another to provide the needed help, comfort, support and respect of personal privacy.

Rule 8VAC20-780-400-A. From a complaint.

8VAC20-780-160-A

“REPEAT Based on staff file review, a TB screening was not obtained as required. Evidence: Staff #1 was hired on 04/25/2024. The TB screening was obtained more than 30 days prior to hire. The TB screening on file was dated 02/25/2024.”

Rule 8VAC20-780-160-A.

8VAC20-780-560-G

“Based on observation of the center, food brought from home was not properly labeled. Evidence: Food brought from home in the Orchids Classroom was not properly labeled with each child’s name and date.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-B

“Based on observation of the infant classroom, one infant was observed drinking a bottle in their designated sleeping location. Evidence: One infant was observed laying on a mat drinking an infant bottle during nap time.”

Rule 8VAC20-780-570-B.

8VAC20-780-60-A-8

“Based on review of medication and child files, a written care plan for one child was not obtained. Evidence: Child # 6 has a diagnosed food allergy. A written care plan was not obtained for this child.”

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

22.1-289.035-B-2

“Based on review of staff files, one background check result was not received prior to a staff’s start date. Evidence: A fingerprint background search result for Staff #2 was dated 06/23/2023. Staff #2 was onsite for orientation training on 06/20/2023.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“Based on review of staff files, one TB risk assessment was not obtained within 30 days of hire. Evidence: Staff #1 was hired on 09/05/2023, the TB risk assessment was dated 07/24/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-40-M

“Based on review of the center, the written list of children’s allergies was not current. Evidence: The list maintained in the Orchid’s Classroom was not updated. One child with a food allergy was no longer was enrolled and was listed on the allergy plan.”

Rule 8VAC20-780-40-M.

8VAC20-780-500-B

“Based on observation of the center, a proper diaper disposal receptacle was not found for one diapering area. Evidence: The diapering area located near the hall bath by the Orchid Classroom did not have a leak proof disposal receptacle that prevents staff hands or the soiled diaper from touching the exterior surface.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-E

“Based on review of medication, the center failed to follow their own medication policy. Evidence: A medication authorization was not obtained from a physician for one long term medication in the Orchid Classroom.”

Rule 8VAC20-780-510-E.

8VAC20-780-510-G

“Based on review of medication, one medication was not labeled with a child’s name. Evidence: A medication located in the Orchid Classroom was not labeled with Child #5’s name.”

Rule 8VAC20-780-510-G.

22.1-289.035-B-4

“Based on staff record review, background checks for 2 staff were not obtained. Evidence: An out of state Central Registry search was not obtained for Staff #1 and #2.”

Rule 22.1-289.035-B-4.

8VAC20-780-245-J-3

“Based on review of medication, one child with an emergency medication was not in the care of a staff member with required training. Evidence: 1. Child #4 has an emergency medication, Auvi Q that requires an additional medication training course to administer the medication. 2. Staff has not completed the additional Auvi Q medication administration course.”

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

8VAC20-780-60-A-8

“Based on child record review, a written care plan for a child with a diagnosed food allergy did not include instructions from a physician. Evidence: Child #4 has a diagnosed food allergy. The written care plan was not completed by a physician.”

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

22.1-289.035-B-4

“Based on staff record review, one background check was not obtained within 30 days of hire. Evidence: Staff #3 lived out of state during the past five years. A Central Registry search result has not been obtained.”

Rule 22.1-289.035-B-4.

8VAC20-780-240-A

“Based on staff record review, one staff did not complete required orientation training. Evidence: Staff #1 was hired on 10/22/2021. No documentation that Staff #1 completed the 10 hour VDOE sponsored orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-520-A

“Based on review of topical ointments, one ointment was kept beyond the expiration date of the product. Evidence: One topical ointment was found onsite with an expiration date of 2020.”

Rule 8VAC20-780-520-A.

8VAC20-780-520-C

“Based on observation of the center, topical ointments were found accessible to children in care. Evidence: One topical ointment was found within reach of children in care in the hall bathroom located on the left side of the school.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-D

“Based on review of the emergency evacuation log, monthly evacuation drills were not completed. Evidence: A monthly evacuation drill was not completed in April 2022.”

Rule 8VAC20-780-550-D.

8VAC20-780-550-E

“Based on review of shelter in place procedures, a shelter in place drill was not completed twice a year. Evidence: Only one documented shelter in place drill was conducted during the past year.”

Rule 8VAC20-780-550-E.

8VAC20-780-560-N

“Based on observation, food was not stored or prepared in a sanitary manner. Afternoon snack occurs after nap time. Children’s snack food which consisted of yogurt, fresh fruit and fresh vegetables and string cheese was left open and unattended on tables for up to 2 hours while the children nap.”

Rule 8VAC20-780-560-N.

8VAC20-780-280-B

“Based on observation of the center, hazardous substances were not kept in a locked place. Evidence: Cleaning agents were found unlocked in an unlocked area near the Orchids and Daisies classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-320-B

“Based on observation of the center, one toilet was not flushable. Evidence: The toilet located near Orchids classroom did not flush.”

Rule 8VAC20-780-320-B.

8VAC20-780-510-B

“Based on review of medication onsite, one authorization for one medication was incomplete. Evidence: The authorization for medication for Child #1 did not include the duration of the authorization.”

Rule 8VAC20-780-510-B.

8VAC20-780-520-C

“Based on observation of the center, some topical ointments were accessible to children in care. Evidence: Topical ointments were stored in an area near the Daisies and the Orchids classrooms that was accessible to children in care.”

Rule 8VAC20-780-520-C.

8VAC20-780-570-E

“Based on observation of the refrigerator located in the infant classroom, food brought from home was not properly labeled. Evidence: Infant bottles located in the refrigerator in the infant classroom were not labeled with dates for two infants.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A-8

“Based on review of documentation, an allergy care plan was incomplete. Evidence: The allergy action plan for Child #1 was not signed by the physician.”

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