Tiny Toes Creative Learning Center II

The center is required to obtain a completed sworn statement prior to the employee’s first day of employment.

“The sworn statement for Staff #4, who has been employed for over four months, was missing the date it was completed.”

Rule 22.1-289.035-B-1.

If diaper ointment or cream is used, the center should obtain written parent authorization noting any known adverse reactions.

“A diaper cream was observed on-site for Child #3, but the parent authorization expired five months ago.”

Rule 8VAC20-780-520-C.

The center shall maintain a record for each staff that contains all of the required information.

“Staff #2 and Staff #3 were identified as program leaders, but the records did not contain documentation to demonstrate the individuals possess the education, certification, and experience required by the job position.”

Rule 8VAC20-780-70.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years prior to employment.

“The out-of-state sex offender registry search and the out-of-state search of the child abuse and neglect registry for Staff #5, who has been employed for over three months, has not been requested.”

Rule 22.1-289.035-B-4.

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course.

“Staff #1, Staff #2, Staff #3, and Staff #4 did not have the 2025 health and safety course completed. The last completed course was 04/2024 for all staff members.”

Rule 8VAC20-790-600-F.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4, employed for more than two years, did not have documentation of requesting a central registry check or a criminal history check from a state they resided in the last five years.”

Rule 22.1-289.035-B-4.

(Repeat Violation) The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #2 (19-month-old), who has been in attendance for more than 14 months, does not have documentation of additional immunizations once every six months.”

Rule 8VAC20-780-130-E.

(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.

“The TB in the record of Staff #1 was completed more than three months after the date of employment and the TB in the record of Staff #2 was dated three months prior to the date of employment.”

Rule 8VAC20-780-160-A.

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 #1, who had been attending for more than eight weeks, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“Child #2, who had been in attendance for more than one year prior to turning two years old, did not have documentation of additional immunizations once every six months.”

Rule 8VAC20-780-130-E.

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 #2, who had been in attendance for more than one year.”

Rule 8VAC20-780-140-A.

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.

“The TB screening for Staff #2 was completed 18 days after the date of employment. Staff #4 had two TB screenings on file - one screening was completed more than one year prior to date of employment and the second screening was completed 11 days after the date of employment.”

Rule 8VAC20-780-160-A.

There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“During the on-site inspection on 10/07/24, there were no staff on duty with daily health observation training.”

Rule 8VAC20-780-245-L.

The required first aid kits did not contain the minimum requirements.

“The center’s first aid kits and the first aid kit used during transportation did not have triangular bandages.”

Rule 8VAC20-780-540-C.

The center shall maintain a record of the dates of the practice drills for one year.

“The center did not have documentation of the emergency evacuation drill practiced during the month of May 2024.”

Rule 8VAC20-780-550-H.

The center did not maintain the required information for each staff person.

“The record of Staff #2, who was identified as a program leader, did not contain documentation to demonstrate that the staff member possessed the education required by the job position.”

Rule 8VAC20-780-70.

8VAC20-780-280-B

“Based on review of the infant room it was determined that not all hazardous substances were kept locked to prevent access by children. Evidence: A spray bottle that was reported to be soap and water and spray bottle of bleach and water solution was observed on the handwashing sink of the infant room.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-G

“Based on interviews and observation of the infant room it was determined that not all hazardous substances that are not kept in original containers are labeled with their contents. Evidence: A spray bottle with liquid that was not labeled was observed on the handwashing sink in the infant room. It was reported that the contents in the spray bottle were soap and water.”

Rule 8VAC20-780-280-G.

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Seven infants were observed in the infant room that were under 12 months old. Six cribs were observed in the infant room. Child A (4 Months) did not have a designated crib assigned to them.”

Rule 8VAC20-780-440-A.

8VAC20-780-570-A

“Based on interviews and observation of the toddler room it was determined that protective belts were not used for infant seats. Evidence: A table was observed in the toddler room that had eight bucket seats on the table. The protective belts were not observed in the bucket seats. Staff reported that the belts were removed because the children were taking them out of the seats.”

Rule 8VAC20-780-570-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-270-A

“Based on observation of the Pre-K classroom it was determined that not all areas were maintained in safe and operable condition. Evidence: A loose, jagged floor tile was observed in front of the exit door to the playground of the Pre-K classroom posing a tripping hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-C

“Based on observation of the playground it was determined that not all ground supports were covered with materials that protect children from injury. Evidence: 1.) The fire truck structure on the preschool playground had ground supports that were visible and not covered by resilient surfacing. 2.) The fire truck structure and helicopter structure on the school age playground had ground supports that were visible and not covered by resilient surfacing.”

Rule 8VAC20-780-330-C.

8VAC20-780-430-F

“Based on observation of the infant room it was determined that the facility failed to ensure climbing equipment over 18 inches was not placed over bare flooring. Evidence: An infant climbing structure was observed over bare floor in the infant room.”

Rule 8VAC20-780-430-F.

8VAC20-780-430-G

“Based on observation of the toddler room it was determined that not all indoor slides more than 36 inches were located over resilient surfacing. Evidence: The slide portion of the climbing equipment in the Toddler room was not placed over resilient surfacing.”

Rule 8VAC20-780-430-G.

8VAC20-780-440-A

“Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Five infants were observed in the infant room that were under 12 months old. Four cribs were observed in the infant room. Child A (11 Months) did not have a designated crib assigned to them.”

Rule 8VAC20-780-440-A.

8VAC20-780-570-E

“Based on observation of the infant room and interviews it was determined that not all prepared formula bottles were labeled with the child’s name. Evidence: Two bottles were observed in the infant room refrigerator that were not labeled indicating who the bottles belong to.”

Rule 8VAC20-780-570-E.

22.1-289.035-B-2

“Based on review of 10 staff records it was determined that not all staff records contained documentation of a determination letter based on fingerprinting on file. Evidence: The record for staff B did not have documentation of a determination letter based on fingerprinting during the time of the initial inspection.”

Rule 22.1-289.035-B-2.

8VAC20-780-270-A

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on observation of the playground it was determined that not all equipment was accompanied by appropriate resilient surfacing. Evidence: There was scattered mulch throughout the school age playground with many bare spots observed. There was not a sufficient amount of resilient surfacing around the helicopter and car structure.”

Rule 8VAC20-780-330-B.

8VAC20-780-330-F

“Based on observation of the preschool playground there was not a shady area provided during the months of June, July, and August. Evidence: The large umbrella that typically provides shade on the preschool playground was not present and was reported to be broken.”

Rule 8VAC20-780-330-F.

8VAC20-780-350-B-5

“Based on observation of the school age room it was determined that a ratio of one staff member per every 18 children was not always maintained. Evidence: Staff A was observed caring for 20 children ranging in ages of 5 years - 12 years.”

Rule 8VAC20-780-350-B-5.

8VAC20-780-430-B

“Based on observation of the two year old room it was determined that there was not an adequate supply of arts & crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment and manipulative equipment. There was a small amount of social living and manipulative items. There were no arts & crafts materials, texture materials, construction materials, music and sound materials, or books observed in the two year old classroom.”

Rule 8VAC20-780-430-B.

8VAC20-780-500-B

“Based on observation of the diapering area in the two year old room it was determined that not all procedures for diapering were followed. Evidence: The changing pad in the two year old room had a tear on top making it no longer nonabsorbent.”

Rule 8VAC20-780-500-B.