Mom’s Tot Spot Child Development Center, LLC- III

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 updated screening was due 3 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with these standards, the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The licensee confirmed the center operates before school program. The center application stated the center operates only in afternoon except for full days and the summer.”

Rule 8VAC20-780-40-E.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent sworn statement of affirmation for staff #2 was overdue by a year and four months.”

Rule 22.1-289.035-A.

Based on record review, documentation review and staff interviews, the licensee did not ensure to inform all staff who work with children of children’s allergies, sensitivities, and dietary restrictions.

“Evidence: Child # 1 has a diagnosed food allergy (eggs) and Staff #2 who was supervising Child #1 was not aware of the food allergy.”

Rule 8VAC20-780-40-L.

Systemic Based on record review and staff interviews, the licensee did not ensure there was 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.

“Evidence: The record for child # 1 has a diagnosed food allergy (eggs) and the record did not include a written care plan, to include instructions from a physician.”

Rule 8VAC20-780-60-A.

Based on interviews and documentation review, the licensee did not ensure all children under 10 years of age shall always be within actual sight and sound supervision of staff.

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

Based on a review of the center’s documentation and interviews, the licensee did not ensure the operational responsibilities of the licensee shall include ensuring that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

“Evidence: The center staff did not follow their own policy related to playground safety procedures. Staff #1 confirms they did not follow the center’s playground policy of ?count children before you leave the playground?. Staff #1 did not count children until after they came inside from the playground.”

Rule 8VAC20-780-40-E. From a complaint.

Based on observation and staff interview, the licensee did not ensure that provision shall be made for an individual place for each child’s personal belongings.

“Evidence: In the foyer area of the center, on a table there were 19 backpacks stacked on top of one another and on a second table there were 17 coats stacked on top of one another. Center Director confirmed they did not provide an individual place for each child’s belongings.”

Rule 8VAC20-780-430-K.

Based on record review and staff interview the center did not maintain a record for each child enrolled which contained all the required information.

“Evidence: Center Director confirmed that the record for child #1 did not contain a second emergency contact or the required appropriate legal paperwork when the custodial parent requests the center not to release the child to the other parent.”

Rule 8VAC20-780-60-A.

Based on observation and staff interviews, the licensee did not ensure to obtain all required equipment.

“Evidence: There was not an operable nonpay telephone.”

Rule 8VAC20-780-270-F.

Based on measurements, observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. 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. Falls zones shall not include barriers for resilient surfacing.

“Evidence: There was not an adequate fall zone for a yellow climber as the fall zone available was measured 4?10 inches and minimum of 6 feet is required.”

Rule 8VAC20-780-330-B.

Based on documentation review and staff interviews, the licensee did not ensure the procedures for emergencies included all required items.

“Evidence: The center owner confirmed the emergency procedures did not include staff training requirement and drill frequency for lock down procedures and shelter in place.”

Rule 8VAC20-780-550-B.

Based on staff interviews, the licensee did not ensure to post emergency information.

“Evidence: The numbers for 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center were not posted in a visible place at each telephone.”

Rule 8VAC20-780-550-I.