Building Blocks III Day School

Repeat Violation: Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and use zones for equipment. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use.

“1. On the large playground, the green slide was within 4 feet of the awning post. 2. On the rear playground, a climber/slide had no fall zone as it was located up against a fence. 3. The standard requires at least a 6 foot clearance/fall zone on all sides of play equipment with a climbing apparatus or equipment with moving parts.”

Rule 8VAC20-780-330-B.

Each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“There was no physical on file for child A, the physical was overdue by 26 months.”

Rule 8VAC20-780-140-A.

Each immunization report shall include the dates of the immunizations and shall be signed by a physician/designee/health department.

“The immunization record for child A was not signed by a physician/designee. This signature was overdue by 27 months.”

Rule 8VAC20-780-150-B.

Orientation training shall be appropriate to the age of the children in care and include all of the following facility specific topics.

“The orientation training for staff A did not cover prevention of sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby and abusive head trauma including procedures to cope with crying babies or distraught children, prevention and response to emergencies due to food or other allergic reactions. This training was overdue by 10 months.”

Rule 8VAC20-780-240-C.

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

“The fire inspection report was dated 10/15/24 which was more than a year old.”

Rule 8VAC20-780-260-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The climber and slide on the older playground required a 6 foot fall zone, clear of all obstacles. The post to the awning was within 2 feet of the climber and slide.”

Rule 8VAC20-780-330-B.

Cribs, cots, rest mats, and beds shall be identified for use by a specific child.

“There was no name listed on the crib for one of the infants.”

Rule 8VAC20-780-440-B.

Each first aid kit shall be easily accessible to staff but not to children.

“The first aid kit backpack in the toddler room was hanging on a hook and was accessible to the children.”

Rule 8VAC20-780-540-B.

Repeat Violation: 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.

“There was no attendance being maintained in the infant room. There were 4 infants present.”

Rule 8VAC20-780-80-A.

Systemic Deficiency: The staff-to-children ratio of 1 staff to 5 toddlers ( 16 to 23 month old) must be maintained whenever children are in care.

“One two occasions, for approximately one minute in duration per occurrence, there was one staff with 7 toddlers, the youngest child present was 18 months of age.”

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

Repeat Violation: 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.

“A current allergy list was not kept in the Butterfly ( 3/4 year) classroom. Their list was dated 2/7/25 however the current allergy list was dated 5/29/25.”

Rule 8VAC20-780-40-M.

There shall be at least thirty inches of space between the service sides of occupied cribs and other furniture where the space is the walkway for staff to gain access to any occupied crib.

“There was 6 inches of space between the service side of an occupied crib and a table.”

Rule 8VAC20-780-440-J.

8VAC20-780-60-A-8

“Repeat Violation: 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 no allergy care plan for child A, who has a diagnosed allergy to dairy.”

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

Repeat violation: 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.

“There was no attendance being maintained in the infant room, there were 5 infants present. The attendance sheet in the 4/5 year old room had 12 children marked as being present when there was only 10 children present.”

Rule 8VAC20-780-80-A.

8VAC20-780-210-A-4-a

“Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children to include health and safety, child development, child abuse and neglect and playground safety for lead teachers. There was no lead teacher training for staff # 4 and # 7, both are functioning as lead teachers, both have been lead teachers over a year.”

Rule 8VAC20-780-210-A-4-a.

Orientation training shall include specific topics to include prevention of sudden Infant death syndrome, use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, including procedures to cope with crying babies and distraught children, prevention of and response to emergencies due to food and other allergic reactions, and prevention cross contamination. Staff shall complete orientation training prior to working alone with children and no later than seven days of the date of assuming job duties.

“Staff #1’s orientation training were missing the above listed components. Staff # 1 has been employed for seven weeks.”

Rule 8VAC20-780-240-C.

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

“There was a bottle of milk in the crib along with a young toddler in the infant room, which presents a potential choking issue.”

Rule 8VAC20-780-270-A.

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

“A container of hand sanitizer was stored on a shelf next to the high chairs, the sanitizer was in reach for any child who would sit in the chairs.”

Rule 8VAC20-780-280-B.

There shall be 1 staff to every 4 infants.

“There was1 staff with 6 babies/toddlers in the infant room for approximately 1 minute.”

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

Repeat violation: The center shall maintain, in a way that is accessible to all staff a current written list of all children’s allergies, sensitivities, and dietary restrictions.

“Child C has 5 food allergies and none were listed on the allergy list.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-I

“The center may administer prescription medication that would normally be administered by a parent or guardian to a child provided that the center has obtained written authorization from a parents and the center administers only those drugs to the child identified on the prescriptions label in accordance with the prescribers instructions pertaining to dose, frequency, and manner of administration. 1. There was no parental/guardian authorization for a medication for child #2. 2. There was no original prescription label/container for an emergency medication for child #1.”

Rule 8VAC20-780-510-I.

Repeat Violation: The center shall maintain a written record of children’s injuries in which entries are made the day of occurrence to include the time of the injury, the time parents were notified and a place to document ways to prevent recurrence of the injury.

“The injury reports do not include the time of injuries, the time parents were notified or a place to document way s to prevent recurrence of injuries.”

Rule 8VAC20-780-550-P.

Repeat violation:

“A written care plan for each child with a diagnosed food allergy is required from a physician for any foods the child is allergic to. There was no written allergy plan on file for child #1, child # 2, child #3 or child #4, all of which had diagnosed food allergies”

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

8VAC20-780-330-B

“Repeat Violation: Fall zones shall not include any barriers, be free from hazardous obstacles and shall not overlap. 1. The composite climber with the green slide on the Pre-K playground overlapped the composite climber with the red slide by 6 feet and was within 6 feet from the posts of the pavilion. 2. The composite climber with the red slide was within 6 feet of the posts from the pavilion.”

Rule 8VAC20-780-330-B. From a complaint.

8VAC20-780-180-A

Rule 8VAC20-780-180-A.

8VAC20-780-260-B

“Based on an interview, it was determined that there had not been annual approval from the health department for water supply and sewage disposal system. There was no documentation provided and interviews revealed that the last inspection was completed upon opening the center in 2019.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Repeat Violation: Based on observation, it was determined that the outside area was not maintained in a safe and operable condition. Evidence: The Licensing Inspector (LI) observed protruding nails and splintered wood on the fence surrounding the Pre-K playground. The protrusions present laceration hazards.”

Rule 8VAC20-780-270-A.

Based on observation and measurements, it was determined that the playground equipment on the 3 playgrounds are not maintaining adequate use zones for the play equipment. The standard requires at least 6 feet clearance from all obstacles or barriers and no overlapping use zones between the composite play structures. Evidence: 1. On the PreK playground in the front, there were four composite structures with slides and climbing capabilities. All of these structures required at least 6 feet of clearance from any obstacle and 12 feet of spacing between each composite structure.

“These four structures were too close to one another by 6 feet and were located between 1’4” to 4’7” from either the building/fence or posts from the pavilion. 2. On the Two’s Playground there were three composite structures with slides and climbing capabilities. These three structures were within 1’7” to 4’7” of the fence or the building. 3. On the Infant Playground there was one Kangeroo climber which was within 1.5 feet from the fence.”

Rule 8VAC20-780-330-B.

8VAC20-780-40-M

“Based on observation, interviews and a review of recordkeeping, it was determined that the center failed to maintain a current written list of all children’s allergies. Evidence: Child A has a diagnosed food allergy to dairy and the center’s allergy, sensitivity, dietary restriction list did not include this allergy.”

Rule 8VAC20-780-40-M.

8VAC20-780-550-P

“Based on a review of injury/accident reports and interview, it was determined that the center is not maintaining a complete record of injuries to children. Evidence: The injury documentation being maintained does not include an area to document * any future action to prevent recurrence of injury; and * the date, time and how parents are notified of injuries.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A-8

“Based on interviews and a review of recordkeeping, it was determined that there was no written allergy care plan on file for the diagnosed food allergy to diary for child A.”

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

8VAC20-780-80-A

Rule 8VAC20-780-80-A.

8VAC20-780-270-A

“Based on observation, the facility did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean. safe and operable condition. Evidence: observed that the ceiling in the downstairs classroom had water damage from a water leak that created a large mold stain.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) observed an unlocked hall closet with bleach, lysol spray, and cleaning agents accessible to children. 2) observed hand sanitizer on a child’s bookshelf accessible to children in the toddler classroom. 3) observed in the 3s classroom: hand sanitizer on a bookshelf accessible to children and lysol spray unlocked in the bathroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-520-B

“Based on observation, the facility did not ensure that sunscreen was labeled. Evidence: observed in the 3-4 yr old classroom, sunscreen that was not labeled.”

Rule 8VAC20-780-520-B.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments met the minimum requirements. Evidence: 1) observed in the infant classroom a small box of sample sized diaper ointments that were not labeled with children’s names, or listed as facility provided ointments with parental approval. 2) observed in a child’s supply box, diaper ointment that was not labeled with their name.”

Rule 8VAC20-780-520-C.

8VAC20-780-550-E

“Based on review, the facility did not ensure that two shelter in place drills were practiced every year. Evidence: reviewed emergency drill log and found that there was only 1 shelter in place drill conducted within the past 12 months.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on review, the facility did not ensure that lockdown procedures were practiced once a year. Evidence: reviewed the emergency drill log and found that the facility did not practice a lockdown drill within the past 12 months.”

Rule 8VAC20-780-550-F.

8VAC20-780-560-G

“Based on observation, the facility did not ensure that when food is brough from home it is labeled with the name and date. Evidence: 1) children’s food in the infant fridge that was not labeled with a name or a date. 2) observed a child’s lunch brought from home was not dated.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-E

“Based on observation, the facility did not ensure that infant formulas were refrigerated, dated and labeled with the child’s name. Evidence: observed several bottles in the infant refrigerator were not labeled with children’s names or dates.”

Rule 8VAC20-780-570-E.

8VAC20-780-160-A

“Based on review, the facility did not ensure that each staff member obtained documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: reviewed 4 staff records and found that Staff 3 started on 1/3/23 and did not obtain a TB screening until 2/23/23.”

Rule 8VAC20-780-160-A.

8VAC20-780-210-A

“Based on review, the facility did not ensure that program leaders met one of the listed qualifications Evidence: reviewed 4 staff records and found that staff 1 is used as a program leader, but did not have any documentation showing that they had program leader qualifications and staff 4 did not have translated documentation that they had program leader qualifications, but was utilized as a program leader.”

Rule 8VAC20-780-210-A.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances, such as cleaning materials, insecticides and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: observed sanitizing wipes accessible to children in “science” classroom and the 3s and 4s classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-F

“Based on observation, the facility did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: observed that staff 1 was in an empty classroom, and a staff 2 was supervising two children. When the front door bell rang, staff 2 left the 2 children unsupervised, to answer the front door, while staff 1 remained in the empty classroom.”

Rule 8VAC20-780-340-F.

8VAC20-780-500-B

“Based on observation, the facility did not ensure that they had disposable towels. Evidence: observed that the facility was using a cloth towel and not disposable towels to clean the diapering surface throughout the day.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-B

“Based on review, the facility did not ensure that prescription medication had parental authorization. Evidence: reviewed 2 children’s medications and found that 1 did not have documentation of parental authorization.”

Rule 8VAC20-780-510-B.

8VAC20-780-540-C

“Based on observation, the facility did not ensure that the minimum required items for the first aid kit were obtained. Evidence: observed that the first aid kit was missing a first aid manual.”

Rule 8VAC20-780-540-C.

8VAC20-780-80-A

“Based on staff interviews, the facility did not ensure that they maintained a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: identified through staff statements that they did not keep attendance of children’s arrival to the facility when they first arrive in the main classroom. Staff did not start recording attendance until the children were separated into their regular classrooms, after the arrival of additional staff.”

Rule 8VAC20-780-80-A.

8VAC20-780-130-E

“Based on review, the facility did not ensure that children under 2 years of age were providing documentation of additional immunizations every 6 months. Evidence: Reviewed 3 children’s records and found that Child 1 and Child 2 did not have documentation of updated immunizations every 6 months.”

Rule 8VAC20-780-130-E.

8VAC20-780-280-B

“Based on observation, the facility did not ensure that hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: observed a large container of hand sanitizer, marked keep out of reach of children, accessible to children on a shelf near the front entrance of the school, where children’s coats and personal belongings are kept.”

Rule 8VAC20-780-280-B.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-440-L

“Based on observation, the facility did not ensure that pillows and filled comforters shall not be used by children under two years of age. Evidence: observed in the infant classroom, a child, approximately 5 months old, sleeping in a crib, cradled on a round pillow.”

Rule 8VAC20-780-440-L.

8VAC20-780-570-E

“Based on observation, the facility did not ensure that infant formula shall be refrigerated, dated and labeled with the child’s name. Evidence: observed in the infant room refrigerator, none of the infant bottles had dates.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“Based on review, the facility did not maintain and keep at the center a separate record for each child enrolled which shall contain the required information. Evidence: 1) identified through staff interviews that Child 4 did not yet have a record maintained at the facility, but is currently in care. 2) reviewed 3 children’s records and found that Child 3 did not have documentation of the parent’s annual review of the child’s emergency contact information.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review, the facility did not ensure that staff records were kept for each staff person and contained the required minimum information. Evidence: 1) reviewed 2 staff records and found that staff 1 and 2 did not have documentation of 2 references completed prior to employment. 2) reviewed 2 staff records and found that staff 1 did not have documentation of completed background checks. The owner stated that the background checks were completed, but had not been filed.”

Rule 8VAC20-780-70.

22.1-289.058

“Based on observation, the facility did not have a carbon monoxide detector. Evidence: based on interviews with the facility owner, they did not have a carbon monoxide detector in the facility.”

Rule 22.1-289.058.