Imagination Land Childcare, LLC

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and operable condition. On the outdoor area near the brick patio there was a plastic pipe coming out of the ground approximately 2 1/2 inches tall and a loose root approximately 6 inches long; both of these created a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-80-A

“The center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The attendance sheet for Room D had 5 children listed and only 3 in care.”

Rule 8VAC20-780-80-A.

22.1-289.035-B-4

“The center is required to request background checks from any state in which the individual has resided in the preceding five years prior to employment. Staff #5, did not have documentation requesting a central registry check from a different state prior and it is overdue by over 3 months”

Rule 22.1-289.035-B-4.

8VAC20-780-150-B

“Physicals and Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization and physical records for Child #5 were not signed and they have been attending for over 3 months.”

Rule 8VAC20-780-150-B.

8VAC20-780-520-C

“Repeat Violation If diaper ointment or cream is used these products do not need to be kept locked but should be inaccessible to children. In Classroom D four diaper creams were observed on the shelf under the changing table and was accessible to children”

Rule 8VAC20-780-520-C.

8VAC20-780-60-A

“Repeat Violation The center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. Child #2, has a diagnosed food allergy and did not have 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”

Rule 8VAC20-780-60-A.

8VAC20-790-600-D-1

“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. Staff #2?s CPR certification was obtained approximately 6 weeks after required.”

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

8VAC20-790-600-D-2

“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. Staff #2?s CPR certification was obtained approximately 6 weeks after required.”

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

8VAC20-790-600-F

“The vendor shall ensure staff completed who work directly with children shall have completed the departments annual health and safety update course. Staff #2?s updated course was overdue by 1 month.”

Rule 8VAC20-790-600-F.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In Classroom A and Classroom C a soap solution labeled keep out of reach of children was observed in an unlocked manner.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“(Repeat Violation) 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. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. The resilient surfacing around the spring bouncers (truck and boat) and both meri-go-cycles was insufficient as it measured between 1 inch to 4 ? inches and a minimum of 6 inches is required.”

Rule 8VAC20-780-330-B.

8VAC20-780-330-C

“Ground supports shall be covered with materials that protect children from injury. The metal supports for the spring bouncers (truck and boat) had protruding bolts and were not covered in a way to protect children.”

Rule 8VAC20-780-330-C.

8VAC20-780-40-M

“(Repeat Violation) The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in 4 rooms was not dated and in 1 room it was not kept in a confidential manner.”

Rule 8VAC20-780-40-M.

8VAC20-780-520-C

“If diaper ointment or cream is used these products do not need to be kept locked but should be inaccessible to children. In Classroom A one diaper cream was observed on the shelf under the changing table and was accessible to children.”

Rule 8VAC20-780-520-C.

8VAC20-780-560-F

“Centers shall follow the most recent, age-appropriate nutritional requirements of the Child Care Food Program of the United States Department of Agriculture (USDA) which requires two food groups shall be served as snack and must meet the required nutritional guidelines. The snack provided, Frito Lay chips and Fudge Rounds cookies, do not meet the nutritional guidelines and 2 of the 5 food groups we not served.”

Rule 8VAC20-780-560-F.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

22.1-289.035-A

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for more than 4 months, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.”

Rule 22.1-289.035-A.

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 was no physical examination in the record of child #1, who had been attending for 6 weeks.”

Rule 8VAC20-780-140-A.

8VAC20-780-150-B

“Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. The immunization record for child #1 was not signed and dated.”

Rule 8VAC20-780-150-B.

8VAC20-780-330-B

“(Repeat Violation) Under equipment with moving parts or climbing apparatus, a fall zone free of hazardous obstacles must be created. The fall zones for the two meri-go-cycles and 1 spring bouncer had less than the required 6 feet of surrounding fall zone. The 2 meri-go-cycles had about 4 feet 11 inches between them and one also had about 3 feet between it and the playground boarder. The spring bouncer had about 4 feet 2 inches between it and a fence.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-D

“Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications. Staff #2, does not meet the lead teacher qualifications, and was designated as the lead teacher for the two’s room during the inspection.”

Rule 8VAC20-780-340-D.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. Child #2, has an allergy documented by a physician and it is not on a list in the room where Child #2 was during the inspection.”

Rule 8VAC20-780-40-M.

8VAC20-780-570-E

“Repeat Violation The center is required to ensure prepared infant formula shall be refrigerated, dated and labeled with the child’s name. There were 6 bottles observed with no name or date and two with no date.”

Rule 8VAC20-780-570-E.

8VAC20-780-60-A

“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, attending 6 weeks, was missing the following required components: parents employment information, second emergency contact address, allergies/heath problems and the record for Child #3 is missing the physicians phone number.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required shall be in each staff record. Staff #3 , designated as a Program Leaders and does not have documentation of qualifications”

Rule 8VAC20-780-70.

Based on record review and staff interview, the licensee did not ensure to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

“Evidence: Staff #2 lived in Minnesota with in the last five years. Staff #2 hire date was 08/28/2023. Staff #2 did not obtain results of sex offender and child abuse and neglect.”

Rule 22.1-289.035-B-4.

REPEAT Based on observation, the licensee did not ensure at least every two years from the date of the first initial screening.

“Evidence: Staff #6 most recent TB test 7/29/2021. Staff #5 most recent TB test was 11/18/2019.”

Rule 8VAC20-780-160-C.

Based on record review, the licensee did not ensure the shall be completed within 90 calendar days of employment.

“Evidence: Staff #3 hired on 10/09/2023 and and did not complete the Virginia Department of Education-sponsored orientation course with in 90 days of employment. Staff #3 completed training on 1/24/2024.”

Rule 8VAC20-780-240-A.

Based in staff interview and observation the licensee did not ensure where playground equipment is provided surfacing shall comply with the minimum safety standards and loose resilent surfacing should be under equipment with moving parts or climbing apparatus to create a fazzl zone free of hazordous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface.

“Evidence: There were two merri-go-round bikes , small slide, and spring equipment that did not have resilent surfacing. Center director confirmed the equipment was being used.”

Rule 8VAC20-780-330-B.

REPEAT Based on observation, the licensee did not ensure the food brought from home is labeled date and child’s name.

“Evidence: Two lunch boxes were observed not labeled with date.”

Rule 8VAC20-780-560-G.

Based on observation, the licensee did not ensure children should be allowed to drink or eat while walking around.

“Evidence: Child #1 was walking around in the classroom with a bottle. Child #2 was walking around down the hallway drinking out of a sippy cup.”

Rule 8VAC20-780-560-M.

Based on observation, the licensee did not ensure bottles were labeled with child’s name and dated.

“Evidence: Child #1 was walking around the classroom with a bottle not labeled with name and date .”

Rule 8VAC20-780-570-E.

Repeat violation

“Based on record review, the licensee did not ensure central registry finding were recieved within 30 days of employment . Evidence: Staff #3 hire date 04/21/2022. There was no results for Central Registry in Staff #3’s record.”

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

Based on record review and staff interview, the licensee did not ensure all staff records contain all required documents.

“Evidence: Staff #2 and Staff #5 record did not contain documentation for orientation .”

Rule 8VAC20-770-70-A.

Based on record review and staff interview, the licensee did not ensure child has had a physical examination prior to attendance or with in 30days after start date.

“Evidence: Child #1 ( start date 09/06/2022) physical was missing .”

Rule 8VAC20-780-140-B.

REPEAT Based on record review, the licensee did not ensure tuburculosis were completed with 30days prior prior to employment.

“Evidence: The center did not have Staff #3’s documentation of tuberculosis test. Staff #3 was hired 04/21/2022.”

Rule 8VAC20-780-160-A.

Based on record review and staff interview, the licensee did not ensure an annual fire inspection report completed.

“Evidence: The most recent fire inspection was conducted on 05/18/2022.”

Rule 8VAC20-780-260-A.

Based on staff interview and record review, the licensee did not ensure at least one staff in each classroom or area where children are present is certofoed in CPR and First Aid.

“Evidence: Staff #2 was with the School agers alone in classroom during the inspection. Staff #2 did not have CPR.”

Rule 8VAC20-780-530-A.

Repeat

“Based on record review and staff interview, the licensee did not ensure for each group of children shall maintain a written record of dauly attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The attendance in the classrooms did not have documentation departure as it occurs.”

Rule 8VAC20-780-80-A.

Based on interviews and document review, the licensee did not ensure when staff are supervising children, they shall always ensure their care, protection and guidance.

Rule 8VAC20-780-340-A. From a complaint.

Based on record review and staff interview, the licensee did not ensure the documentation for tuberculosis was 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: Staff#2 hire date was November 11, 2022 and TB test was completed November 17, 2022. Staff #3 hire date was November 22, 2022 and TB test was completed December 1, 2022.”

Rule 8VAC20-780-160-A.

Based on observation, the licensee did not ensure nonabsorbent surface for diapering or changing was used.

“Evidence: In the infant room, their was a multiple small tears on the diapering surface causing the surface being non-absorbant. In the girls bathroom, their was a tear on the diapering surface causing the surfacing being non-absorbant.”

Rule 8VAC20-780-500-B.

Based on record review and staff interview, the licensee did not enure Lockdown procedures were practiced at least annually.

“Evidence: Staff #5 confirmed the Lockdown drill was not conducted in the year of 2022.”

Rule 8VAC20-780-550-F.

Based on observation and staff interview, the licensee did not ensure there is a posted daily schedule that allows for flexibility as children’s needs require.

“Evidence: In the toddler room, there was not a daily schedule posted.”

Rule 8VAC20-780-380-A.

Based on observation, the licensee did not ensure disposable diapers shall 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.

“Evidence: During the inspection, the diaper pale in the infant classroom was broken and they were unable to use it unless they picked the lid up off the diapering pale.”

Rule 8VAC20-780-500-B.

Based on staff interview and observation, the licensee did not ensure the food container shall be clearly dated and labeled in a way that identifies the owner.

“Evidence: Staff confirmed that the food containers were not clearly dated.”

Rule 8VAC20-780-560-G.

Based on record review, the licensee did not ensure 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.

“Evidence: In the School Age group there was 16 children and only 14 children were documented on the written record of daily attendance.”

Rule 8VAC20-780-80-A.

Based on record review and staff interview, the licensee did not ensure employee of a licensed child day program must not be employeed until person completed sworn statement and affirmation.

“Evidence: The center was unable to provide sworn statement or affirmation documentaiton for staff #2 ( hire date 4/28/2022) and staff #3 ( hire date 05/02/2022).”

Rule 8VAC20-770-60-B.

Based on record review and staff interview, the licensee did not ensure there was a immunization record provided before child attend the center.

“Evidence: Child #3 ( start date 11/29/2021) did not have immunization record documentaiton at the center.”

Rule 8VAC20-780-130-A.

Based on record review and staff interview, the licensee did not enure there a physical for each child before the child attendance ot within one month after attendance.

“Evidence: Child #2 (start date 11/29/2021) and Child #3 ( start date 11/29/2021) physical was not available to be reviewed during the inspection . Director confirmed she was unable to locate the physical documents for child #2 and child #3 record.”

Rule 8VAC20-780-140-A.

Based on record review and staff interview, the licensee did not ensure each staff had documentation of the Tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: Staff #2 ( hire date 4/28/2022) and Staff #3 ( hire date 5/2/2022) did not have documentaiton of TB screening . Director stated she was unable to locate the documentaiton of the staff TB test.”

Rule 8VAC20-780-160-A-1.

Based on record review and staff interview, the licensee did not ensure all required documents were obtain prior to start date.

“Evidence: Child #2 was missing one emergency contact complete address . Child #3 was missing documentaiton of proof identity.”

Rule 8VAC20-780-60-A.

Based on record review and staff interview, the licensee did not ensure all required information for staff records were obtained.

“Evidence: Record for Staff #1, Staff #2 and Staff #3 did not have documentaiton of two references .”

Rule 8VAC20-780-70.

Based on observation and staff interview, the licensee did not label the substitute container indicate contents.

“Evidence: There was a container with a liquid substance in the girls and boys bathroom . Staff confirmed it was soap. The container was not label with the content.”

Rule 8VAC20-780-280-G.

Based on observation and staff interview, the licensee did not ensure there were at least 12 inches of space between occupied cots and rest mats.

“Evidence: In the Two 1/2 year old classroom, there were 6 rest mats occupied by children that did not have at least 12 inches space between the rest mats. Confirmed by Program Director.”

Rule 8VAC20-780-440-E.