Itty Bitties Academy & Study Hall Kidz Club

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. Staff # 6, who had been employed for 10 months, did not have a central registry search on file.”

Rule 22.1-289.035-B-3.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The two plastic toddler slides on the playground are coming apart at the bottom.”

Rule 8VAC20-780-270-A.

8VAC20-780-290-3

“In areas used by preschool age or younger children, electrical outlets shall have protective covers. They two year old classroom had a multi electrical outlet on the desk used by the teachers. This outlet did not have protective covers.”

Rule 8VAC20-780-290-3.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall. The fall zones of the two toddler slides measured to be two feet when each piece of equipment required at least six feet of a fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-510-E

“The center’s procedures for administering nonprescription medication, shall be consistent with the manufacturer’s instructions for age, duration, and dosage. The center received a nonprescription medication for a 10 month old that had manufacturers instructions advising if medication is given to a child under 2 years of age a physician must be consulted.”

Rule 8VAC20-780-510-E.

8VAC20-780-70

“REPEAT VIOLATION SYSTEMIC DEFICIENCY Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #3 & #4, who had been working at the center for eight days and one day, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-140-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 were no physical examinations in the records of child #1 and 5, who had been in care for 9 months and 4 months.”

Rule 8VAC20-780-140-A.

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Eight bottles of staff’s personal over-the-counter medications, were in the wall cabinets beside the sink and above the fan, not locked.”

Rule 8VAC20-780-510-L.

8VAC20-780-70

“Documentation of at least two references to character, reputation, and competency are to be checked prior to employment. Name, address, and telephone number of a person to be notified in an emergency shall be kept at the center. Staff #2, who has been actively working at the center for the past four months, did not have any completed reference verifications on file. Staff # 3 & 5, who have been actively working at the center for 5 and six months, do not have an emergency contact listed.”

Rule 8VAC20-780-70.

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #1 was not dated .”

Rule 22.1-289.035-B-1.

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee’s first day of employment. Staff #2, who began working with children for two days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

8VAC20-780-160-A

“REPEAT VIOLATION Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 had no documentation and had been employed for one month, and Staff #2 who was in contact with children for two days had no documentation.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Staff shall complete orientation training in subsection C of this section prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff #1, who is working with children, did not date the orientation form.”

Rule 8VAC20-780-240-B.

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The blue bathroom, downstairs has paint peeling from the wall. This area is accessible to the children.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient are to include the child’s trajectory in the event of a fall. The fall zone on the playground measured to be approximately two feet when each piece of equipment required at least six feet of a fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-450-C

“Crib sheets shall be clean and washed at least daily. The crib sheets are being washed once a week.”

Rule 8VAC20-780-450-C.

8VAC20-780-510-B

“Prescription and nonprescription medication shall be given to a child only with written authorization from the parent. There was no written parent/guardian authorization to administer prescription to child D. There was no written parent/guardian authorization to administer non-prescription medications to child F. Medication has been administered during the month of May.”

Rule 8VAC20-780-510-B.

8VAC20-780-510-E

“The center’s procedures for administering medication shall include duration of the parent’s authorization for medication , provided that it shall expire or be renewed after 10 work days. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Child B had a long term non-prescription medication with no doctor authorization.”

Rule 8VAC20-780-510-E.

8VAC20-780-70

“Documentation of at lest 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for one month, and Staff #2, who has been actively working at the center for one day, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

8VAC20-780-160-A

“Each staff shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with children. The screening for staff #2 was completed 11 days after hire.”

Rule 8VAC20-780-160-A.

8VAC20-780-210-A-4-b

“Within six months of being promoted, a minimum of 24 hours of training shall be received related to the care of children. Such training may take place on site while not supervising children. Staff #4, who has been actively working at the center for the past 13 months, did not have a minimum of 24 hours of training documented prior to being promoted.”

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

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The most current fire inspection available for review was dated 10/4/2023.”

Rule 8VAC20-780-260-A.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Child #4, who has been in care 19 months, had a medication authorization that expired three months ago.”

Rule 8VAC20-780-510-P.

22.1-289.011-F

“Based on observation the center failed to ensure that all documents required by the Superintendent shall be posted in a conspicuous place on the licensed premises. Evidence: The most current violation notice dated 9/8/23 was not posted in a conspicuous place at the center.”

Rule 22.1-289.011-F.

22.1-289.023-A

“Based on observation the center failed to ensure that the notice of the Superintendent’s intent to take any of the actions enumerated in subdivisions B 1 through 6 shall be provided by the Department, and a copy of such notice shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: The Notice of Intent was not posted in a prominent place at each public entrance.”

Rule 22.1-289.023-A.

8VAC20-780-500-B

“Based on observation the center failed to ensure that the diapering surface was nonabsorbent. Evidence: The diapering pad used in the infant area has tears causing the surface to be absorbent.”

Rule 8VAC20-780-500-B.

8VAC20-820-120-E-6

“Based on observation the center failed to ensure that A copy of any special order issued by the department shall be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: The special order dated 8/15/23 was not posted at the center at each public entrance.”

Rule 8VAC20-820-120-E-6.

8VAC20-770-60-C-2

“(REPEAT VIOLATION) Based on record reviews the center failed to ensure that any employee of a licensed, child day program, must be denied continued employment if, the licensed child day program does not have a central registry finding within 30 days of employment. Evidence: Staff #3 (hire date 8/17/23) and staff #5 (hire date 3/22/23) do not have central registry checks on file. Both staff were working on the date of the inspection.”

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

8VAC20-780-260-A

“The center failed to ensure that the center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The last documented fire inspection report provided by the center was dated 3/9/2022.”

Rule 8VAC20-780-260-A.

8VAC20-780-270-A

“Based on observation the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The side of the building next to the door used by the infants/toddlers to go outside has siding that is cracked and holes. These areas are sharp and could snag clothing and skin.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Based on observation the center failed to ensure that each restroom area provided for children shall have sinks located near the toilets and that are supplied with running warm water that does not exceed 120 F. Evidence: The bathroom used by the preschool and two year old class has a water temperature measuring 123 degrees F.”

Rule 8VAC20-780-320-B.

8VAC20-780-540-C

“Based on observation the center failed to ensure that the required first aid kits shall included all the required items. Evidence: The first aid kit upstairs did not have gloves and a thermometer.”

Rule 8VAC20-780-540-C.

8VAC20-780-340-A

Rule 8VAC20-780-340-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

8VAC20-790-600-D-1

“Based on record reviews the vendor failed to ensure that all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff # 6 (hire date 9/7/22) and staff #7 (hire date 11/28/22) do not have current certification in CPR. Both staff have been employed more than 90 days.”

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

8VAC20-790-600-D-2

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

22.1-289.035-B-2

“Based on record review the center failed to ensure that a criminal history request, fingerprint through Fieldprint check prior to the first day of employment. Evidence: Staff #7, (hire date 11/28/22) does not have a fingerprint background check on file.”

Rule 22.1-289.035-B-2.

8VAC20-770-60-C-2

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

8VAC20-780-160-A

Rule 8VAC20-780-160-A.

8VAC20-780-240-B

“Based on record reviews the center failed to ensure that staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff #4 (hire date 2/13/23, staff #5 (hire date 1/2/23, staff # 7 (hire date 11/28/22) and staff #8 (hire date 9/25/22) do not have documentation on file that they received orientation training prior to working alone with children or no later than seven days of assuming job responsibilities.”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Based on observation the center failed to ensure that all 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: The closet located in the hallway with the curtain as a door had cleaning substances on a shelf. These items are not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-500-A

“Based on observation the center failed to ensure that children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Evidence: While observing the infant and toddler rooms the staff began preparing lunch for the children. The children sat on the rug and once their food was on the table, they proceeded to the table to sit down. No child washed their hands prior to eating lunch.”

Rule 8VAC20-780-500-A.

8VAC20-780-70

“Based on record reviews the center failed to ensure that staff records have documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position. Evidence: Staff # 6 & 9 do not have documentation on file that they possess the education, certification or experience required to be a lead teacher. Both staff are currently working in lead teacher roles.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on record review the vendor failed to ensure that all staff who work directly with children shall have within 90days of the date of employment, current certification in cardiopulmonary resuscitation (CPR)appropriate to the ages of the children in care. Evidence: Staff #4 (hire date 5/31/2022) does not have current certification in CPR.”

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

8VAC20-790-600-D-2

“Based on record review the vendor failed to ensure that all staff who work directly with children shall have within 90 days of employment current certification in first aid appropriate to the ages of children in care. Evidence: Staff #4 (hire date 5/31/2022) does not have current certification in first aid.”

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

8VAC20-770-60-C-2

“Based on record review the center failed to ensure that all staff have a central registry finding within 30 days of employment. Evidence: Staff #3 (hire date 10/11/2021), staff #4 (hire date 5/31/2022) and staff #5 (hire date 5/3/2022) do not have a central registry check on file.”

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

8VAC20-780-140-A

“Based on record reviews, the center failed to obtain documentation of a physical examination for a child within 30 days after the first day of attendance. Evidence: Child record #2 (first day of attendance 4/25/2022) and child record #4 (first day of attendance 5/26/2022) do not contain documentation of a physical examination within 30 days of the first day of attendance.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A

“Based on record review the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming in contact with children. Evidence: Staff # 4 (hire date 5/31/2022) does not have documentation of a TB screen on file.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-B

“Based on review of approvals from other agencies the center failed to provide an annual approval form the health department. Evidence: The last health department inspection was dated 7/26/2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-370-1

“Based on observation the center failed to ensure that when an infant is place in a crib, they shall be placed on their back (supine). Evidence: During the inspection a seven month old was placed in the crib on her stomach.”

Rule 8VAC20-780-370-1.

8VAC20-780-70

“Based on record reviews, the center failed to document all required information for staff reference checks when taken over the telephone. Evidence: Staff records # 3, 4, and 5 did not have documentation that references had been checked.”

Rule 8VAC20-780-70.

8VAC20-780-140-A

“Based on record reviews, the facility failed to obtain documentation of a physical examination for a child within 30 days after the first day of attendance. Evidence: 1. The inspector reviewed child record #1. Child record #1 did not contain documentation of a physical examination and child’s first day of attendance was 12/30/2021.”

Rule 8VAC20-780-140-A.

8VAC20-780-330-B

“Based on observation, the facility failed to have resilient surfacing underneath and surrounding climbing equipment on the playground. Evidence: 1. Upon arrival at the facility, two slides (approximately 2 feet in height) were observed in a grass area on the playground. There was no resilient surfacing underneath or surrounding the slides to create a fall zone.”

Rule 8VAC20-780-330-B.

8VAC20-780-60-A

“Based on record reviews, the facility failed to obtain all required information for the childen’s records. Evidence: 1. The name, address and phone number of two designated people to call in an emergency if a parent cannot be reached is requied information for each child’s record. Child record #1 did not contain telephone numbers for the emergency contacts. Child record #2 had only one emergency contact with a telephone number, but no physical address.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record reviews, the facility failed to document all required information for staff reference checks when taken over the telephone. Evidence: 1. Documentation for reference checks shall include dates of contact, names of persons and firms contacted, results and signature of person making the call. Reference checks for staff record #1 and #2 were reviewed and neither had dates of contact or the signature of the person making the call.”

Rule 8VAC20-780-70.

22VAC40-185-160-A

“Based on record reviews, the center failed to obtain a tuberculosis screening from a staff within 21 days of employment. Evidence: 1. The inspector reviewed two staff records. One of two records reviewed (staff record #2) did not contain documentation of a tuberculosis screening and staff’s date of employment was 10/04/2021.”

Rule 22VAC40-185-160-A.

22VAC40-185-280-B

“Based on observation, the center failed to have hazardous substances stored in a locked place. Evidence: 1. The inspector observed a box containing two gallon jugs of Clorox bleach sitting in the floor in an unlocked area in the office. The inspector also observed a can of disinfectant spray and a container of Clorox wipes in an unlocked base cabinet in the kitchen area.”

Rule 22VAC40-185-280-B.