Children’s Harbor Eastern Shore

8VAC20-780-150-A

“The current form required by the Virginia Department of Health or a physician’s form shall be used to report immunizations received and the results of the required physical examination. The form used to report immunizations for child #2 and #3 did not include the doctor’s signature indicating they were adequately immunized.”

Rule 8VAC20-780-150-A.

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in safe condition. In the outdoor play area there were 3 tricycles that were missing handle bar covers. The hinges on the half doors to the hallway bathrooms, posed a pinching hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-570-C

“The record of each child on formula shall contain the brand of formula and the child’s feeding schedule. The infant room had a list with the names of the infants in care and whether they took formula or solid foods. The record did not include the brand of formula or each individual baby’s feeding schedule.”

Rule 8VAC20-780-570-C.

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering. The diaper pad on the changing table in the toddler classroom is torn so cannot be adequately cleaned and sanitized.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-E

“Shelter in place procedures shall be practiced a minimum of twice per year. There was only one shelter-in-place drill documented for 2025 to date of inspection.”

Rule 8VAC20-780-550-E.

8VAC20-780-430-I

“If combs, toothbrushes, or other personal articles are used, they shall be individually assigned. There was a pacifier in the young toddlers classroom that was not individually assigned.”

Rule 8VAC20-780-430-I.

8VAC20-780-510-E

“The center’s procedures for administering medication shall include methods to prevent the use of outdated medication. The center’s procedures for administering medication did not include their methods to prevent the use of outdated medication. There was emergency asthma medication for child 6 that expired in June 2025.”

Rule 8VAC20-780-510-E.

8VAC20-780-560-F

“When centers choose to provide snacks, they shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA. Children in the young toddler classroom were given only graham crackers and water for afternoon snack - 1 food group component.”

Rule 8VAC20-780-560-F.

8VAC20-780-60-A

“Repeat violation Each center shall maintain and keep at the center a separate record for each child enrolled that contains the required information. The record provided for child 2 did not contain the street address for one person to be contacted if a parent cannot be reached. The record for child 3 did not contain the parent agreement stating that the parent will inform the center within 24 hours or the next business day of after his child or any member of the household has developed a reportable communicable disease.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Staff records shall be kept for each staff person that includes the date of separation from employment. The record provided for staff 1 did not include the date of separation from employment.”

Rule 8VAC20-780-70.

8VAC20-780-280-B

“Repeat violation 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. The swinging doors to the kitchen in which are accessible hazardous substances do not have a means to make the kitchen inaccessible to the children when no one is in the kitchen.”

Rule 8VAC20-780-280-B.

8VAC20-780-510-P

“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. The parent authorization for emergency medication for a child expired one month ago.”

Rule 8VAC20-780-510-P.

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas of the center are maintained to be in safe condition. Evidence: There is a six inch strip of vinyl cove base along the floor by the sink in the Prekindergarten classroom that has come unattached from the wall.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat violation: Based upon observation, the facility has not ensured that hazardous substances are kept in locked locations using safe locking methods that prevent access buy children. Evidence: In an unlocked cabinet un the sink in the unlocked teacher’s lounge, there was a container of dish detergent and a container of antibacterial hand soap, both with warning labels.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-550-P

“Repeat violation: Based upon review of children’s injury records, the facility has not ensured that the records include all required documentation. Evidence: 1. An injury record dated 8/21/21 for child 5 did not include the method by which the parent was notified of the child’s injury. 2. An injury record dated 8/9/2024 for child 6, included only 1 staff signature instead of the required two staff signatures or one staff signature and a parent signature.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based upon review of children’s records, the facility has not ensured that each child’s record include the business telephone number for each parent. Evidence: The record provided for child 2 did not include the business telephone number for the father.”

Rule 8VAC20-780-60-A.

8VAC20-780-500-B

Rule 8VAC20-780-500-B.

8VAC20-780-510-P

“Based upon review of medication stored for potential administration to children, the facility has not ensured that 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. Evidence: There was ibuprofen stored for potential administration to child 2. The parent authorization indicated 2/1/24 to 2/11/25. The parent authorization was not renewed after ten days and the ibuprofen was not returned to the parent.”

Rule 8VAC20-780-510-P.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-280-B

Rule 8VAC20-780-280-B.

8VAC20-780-280-D

“Based upon observation and staff interview, the facility has note ensured that cleaning and sanitizing materials are stored in areas physically separate from food. Evidence: 1. In the two year old classroom, there were containers of cheese puffs and pretzels, identified by staff as snack items for those children who may not eat the foods listed on the menus, stored under the diaper changing table on the same shelf as cleaning and sanitizing fluids. 2. Staff 1 acknowledged that the children’s food items were stored with cleaning fluids”

Rule 8VAC20-780-280-D.

8VAC20-780-320-B

“Based upon observation and measurements, the facility has not ensured that the restrooms have warm running water that does not exceed 120 degrees F. Evidence: 1. Staff 1 measured that water temperature in the preschool boys’ bathroom at 133 degrees F. 2. There was no warm water in the preschool girls’ bathroom.”

Rule 8VAC20-780-320-B.

8VAC20-780-430-I

“Based upon observation and staff interview, the facility has not ensured that children’s personal articles are individually assigned. Evidence: 1. The two year old children were observed in the hallway upon returning from outdoor play. The children’s water bottles were not labeled with the children’s names. 2. Staff stated that the names must have come off the bottles.”

Rule 8VAC20-780-430-I.

8VAC20-780-510-E

Rule 8VAC20-780-510-E.

8VAC20-780-550-G

Rule 8VAC20-780-550-G.

8VAC20-780-550-P

“Based upon review of records and staff interview, the facility has not ensured that the written record of children’s injuries includes all required documentation. Evidence: 1. An injury record dated 03/15/2023 for child 6 does not have documented the time the parent was notified of the child’s injury or how the parent was notified of the injury. 2. Staff 1 verified that the injury record was missing both the time and how the parent was notified of the injury.”

Rule 8VAC20-780-550-P.

8VAC20-780-570-E

“Based upon observation and staff interview, the facility has not ensured that prepared infant formula is dated and labeled with the child’s name. Evidence: 1. None of the prepared bottles in the infant room were labeled with the children’s names and dates. 2. Staff 1 acknowledged that the bottles were not labeled with names and dates.”

Rule 8VAC20-780-570-E.

Based on observation, it was determined that the facility did not 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: 1. There was a can of disinfectant spray sitting on the top of the toilet in the bathroom located in the main lobby area. 2. Staff #6 (program Director) confirmed there were hazardous substances present that were not kept in a locked place.”

Rule 8VAC20-780-280-B.

Based on interviews, it was determined that the licensee did not ensure that personal items are individually assigned.

“Evidence: 1. The bottles that the children used for water were not labeled with their name. 2. Staff #6 (Program Director) confirmed that the bottles the children were using to drink water were not individually assigned.”

Rule 8VAC20-780-430-I.

Based on a review of ten staff records, it was determined that the licensee did not ensure that they obtain a copy of the results of a criminal record check from any state in which the individual has resided in the preceding five years.

“Evidence: 1. The record for staff #7 did not contain documentation of a completed criminal record check from Pennsylvania. The sworn statement indicated staff #7 had previously lived in Pennsylvania within the last 5 years. 2. Staff #11 (Program Director) confirmed the sex offender registry check and search of the central registry from the State of Pennsylvania.”

Rule 22.1-289.035-B-4.

Based on observation and interview, it was determined that the facility did not ensure that sunscreen shall be inaccessible to children under five years of age.

“Evidence: 1. The Licensing Inspector observed a can of sunscreen in a cubby in the Preschool classroom. 2. Staff #11 (Program Director) confirmed that the sunscreen was accessible to the children present in the classroom.”

Rule 8VAC20-780-520-B.

Based on a review of documentation and interviews, it was determined that the licensee did not ensure that the record of each child shall contain the child’s feeding schedule.

“Evidence: 1. There was no document that contained the feeding schedule for each child who is on formula. 2. Staff #11 (Program Director) confirmed that there was not a feeding schedule for each child who is on formula available for viewing during the inspection.”

Rule 8VAC20-780-570-C.