Connections Child Care & Learning Center

Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks. Staff shall wash their hands with soap and running water before preparing or serving food or beverages.

“Immediately after nap, children ate snack without washing hands or using a disposable wipe. Staff #4 did not wash hands before serving snack to the children.”

Rule 8VAC20-780-500-A.

Tables shall be sanitized before and after each use for feeding.

“The tables in the Pre-K classroom were not sanitized before the children sat down for snack.”

Rule 8VAC20-780-560-J.

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.

“There was not at least one staff person present who has received daily health observations training within the last three years.”

Rule 8VAC20-780-245-L.

Program leaders shall be at least 18 years of age and have fulfilled a high school program completion or equivalent.

“The record for staff # 6 did not contain documentation of a high school diploma or equivalent and was working as a program lead on the day of the inspection.”

Rule 8VAC20-780-210-A.

Repeat violation

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions. This list shall be dated and kept confidential in each room or area where children are present. The allergies lists were posted and were not dated.”

Rule 8VAC20-780-40-M.

Repeat violation

“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, enrolled for over two years, was missing the following required components: Allergies and intolerance to medication or any other substances, and actions to take in an emergency situation; and Chronic physical problems and pertinent developmental information and any special accommodations needed.”

Rule 8VAC20-780-60-A.

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 on the climbing piece of equipment measured to be two/ three feet when the piece of equipment required at least six feet of a fall zone. Children were observed playing on the equipment.”

Rule 8VAC20-780-330-B. From a complaint.

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 children 3 and 4 were not signed and dated. Child # 3 has been in attendance for 18 months and child # 4 has been in attendance for 22 months.”

Rule 8VAC20-780-150-B.

The required rest period ratio for ages 16 months to 24 months us 10 resting children to one staff.

“The toddler classroom was observed during nap time and there were 11 children (youngest child 16 months old) with one staff.”

Rule 8VAC20-780-350-I.

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 allergies, sensitivities, and dietary restrictions list did not contain child # 9 that had a food sensitivity.”

Rule 8VAC20-780-40-M.

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 Children # 3,4 and 5 has been enrolled for over a year, was missing the documentation of an annual update. The record for Child # 2 has been enrolled for 3 weeks and did not have the allergies and intolerance to medications or any other substances, and actions to take un an emergency situation.”

Rule 8VAC20-780-60-A.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“Staff #3, who has been actively working at the center for the past 2 ? months, did not have any completed reference verifications on file.”

Rule 8VAC20-780-70.

Based on observation, the center failed to ensure that children washed their hands before and after eating a meal or snack.

“Evidence: Three groupings of children were observed eating lunch without washing hands prior to eating lunch.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that all diapering standards.

“Evidence: The diaper changing pad in the toddler room had several tears. The tears make the changing pad no longer nonabsorbent.”

Rule 8VAC20-780-500-B.

Based on record review and interviews, the center failed to ensure that all shelter in place drills were practiced a minimum of twice a year.

“Evidence: The center did not have documentation of two shelter in place drill for 2023.”

Rule 8VAC20-780-550-E.

Based on observation, the center failed to ensure that staff sat with children during meal times.

“Evidence: Staff did not sit with the children while eating lunch.”

Rule 8VAC20-780-560-L.

Based on observation, the center failed to ensure that all children did not drink or eat while walking around.

“Evidence: Observed one toddler walking from lunch to the classroom drinking from the bottle.”

Rule 8VAC20-780-560-M.

Based on review of five children’s records, the center failed to ensure that all children had the immunization record prior to beginning attendance.

“Evidence: The record for Child # 5, with documented first day of attendance of 01/12/2023, did not have the immunization prior to attending. There was no documentation on the day of the inspection of an immunization record in the child’s file.”

Rule 8VAC20-780-130-A.

Based on review of staff’s records, the center failed to ensure that all program leaders had the required education and experience.

“Evidence: 1.Staff # 1 was hired on 11/21/22 as a program leader and did not meet one of the program leader qualifications.”

Rule 8VAC20-780-210-A.

Based on observation, the center failed to ensure that the ratio for infants was met.

“Evidence: Upon arrival at approximately 11:45 AM, the infant room had 9 children with two staff members. The youngest child was 4 months of age. Stated by staff # 1 the nineth child arrived at 9:45 AM. The required ratio is 4 children to 1 staff person. Three staff members were required for the room.”

Rule 8VAC20-780-350-B-1.

Based on observation, the center failed to ensure that each child washed their hands after toileting.

“Evidence: Staff was observed changing an infant’s diaper and the infant’s hands were not washed after the diapering.”

Rule 8VAC20-780-500-A.

Based on observation, the center failed to ensure that all medications were locked.

“Evidence: On the shelf in the child # 1 basket was an opened tube of prescription diaper cream that was unlocked.”

Rule 8VAC20-780-510-L.

Based on interviews, the center failed to ensure that all medications administered to children was documented on a medication log.

“Evidence: Staff # 1 stated that child # 5 had the prescription diaper cream administered at least twice and not documented on a medication log.”

Rule 8VAC20-780-510-N.

Based on review of nonprescription medication and topicals, the center failed to ensure that all nonprescription medication and topicals were not kept or used beyond the expiration date.

“Evidence: 1. There were three diaper ointments/creams and one Sunscreen in the toddler room that had expired. The Aquaphor ointment expired on 5/23, Boudreaux expired on 6/23, the Destin expired on 7/23 and the sunscreen expired on 11/22.”

Rule 8VAC20-780-520-A.

Repeat violation

“Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards. Evidence: 1. The record for Child # 3 did not include the following information: previous childcare and schools. 2. The record for Child #5 did not include the following information: place of employment’s contact number, the , chronic physical problems, allergies and action to be taken, and previous schools attended.”

Rule 8VAC20-780-60-A.

Based on review of three staff records, the center failed to ensure that all records were complete per the standard.

“Evidence: Staff # 2 and 4 did not have at the center, about any health problems that may interfere with fulfilling the job responsibilities.”

Rule 8VAC20-780-70.

Based on review of five children’s records, the center failed to ensure that all immunizations were signed by a physician or a physician’s designee.

“Evidence: Children # 2, 4 and 5 did not have a physician signature or designee on the immunization record.”

Rule 8VAC20-780-150-B.

Based on observation, the center failed to ensure that all chemicals were locked using a safe locking method that prevents access by children.

“Evidence: In a basket in the infant room, there was a container of cleaning chemical behind the diapering area. The chemicals were not in a locking mechanism that would prevent entry. There was a gate that was approximately 2 1/2 feet high around the diapering area. The chemicals were still accessible to staff and was not locked in a way that would prevent entry.”

Rule 8VAC20-780-280-B.

Based on review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.

“Evidence: Medication authorization for Child # 2 expired 14 days after 11/7/2022. As of 04/03/2023, the medication had not been returned to the parent or disposed of by the center.”

Rule 8VAC20-780-510-P.

Based on observation of the nonprescription drugs, the center failed to ensure that all nonprescription drugs are used in accordance with the manufacturer’s recommendations.

“Evidence: Child # 2 that was 12 months old had non-prescription Infant pain reliever at the center and was administered to the child on 11/17/2022, and 02/20/2023. The manufacturer’s recommendation is for children under the age of 2 years to consult a physician to administer.”

Rule 8VAC20-780-520-A.

Repeat violation

Rule 8VAC20-780-60-A.

Based on observation of the infant room, the center failed to ensure that all bottles were dated.

“Evidence: There were three bottles two sitting on the counter and one in the refrigerator that were not dated with today’s date.”

Rule 8VAC20-780-570-E.

Based on observation of the refrigerator the center failed to prepared baby food no consumed during that feeding by an infant may be used by that same infant later in the same day; provided that the food is not served out of the baby jar and is dated and stored in the refrigerator.

“Evidence: 1. There was a baby food jar of Harvest Turkey Dinner in the refrigerator with no name and no date. The jar was previously opened and partly consumed. 2. Staff was not able to confirm the owner of the baby food jar.”

Rule 8VAC20-780-570-H.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.

Rule 8VAC20-780-60-A.