Ted & Ted’s Tiny Tots LLC

22.1-289.035-B-4

“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 1 month, did not have documentation of requesting a central registry check or child abuse and neglect search from a different state.”

Rule 22.1-289.035-B-4.

8VAC20-780-130-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 #5, who had been attending for 3 days, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-A.

8VAC20-780-280-B

“REPEAT VIOLATION Hazardous substances must be in a locked place that prevents access by children. In Classroom A, cleaner and sanitizer were unlocked and accessible to children. In Classroom B and Classroom C, multiple cleaners and sanitizers were unlocked and accessible to children.”

Rule 8VAC20-780-280-B.

8VAC20-780-240-I

“Documentation of orientation training shall be kept by the center and shall include: The entity or individual providing training. The record for Staff #2, employed 3 weeks, did not document the entity or individual providing the training.”

Rule 8VAC20-780-240-I.

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 #2 was not signed.”

Rule 8VAC20-780-150-B.

8VAC20-780-160-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. Staff #2 TB was dated 2 months prior to date of employment and has been employed for one week.”

Rule 8VAC20-780-160-A.

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 screening has not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the preschool classroom, a bottle of Dawn dish detergent was sitting on a sink, within reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-560-G

“When food is brought from home the food container must be clearly dated. None of the children’s food containers in the preschool classroom were dated.”

Rule 8VAC20-780-560-G.

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 #2, enrolled for eight months, was missing the following required components: name of child’s physician.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“The following staff records shall be kept for each person. The record for Staff #2, employed 1 week, was missing the following required components: job title.”

Rule 8VAC20-780-70.

8VAC20-780-130-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 three months, did not have documentation of an immunization record on file.”

Rule 8VAC20-780-130-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 three months.”

Rule 8VAC20-780-140-A.

8VAC20-780-70

“The following staff records shall be kept for each person. The record for Staff #1, employed 2 months, did not contain documentation that a second reference was checked. The records for Staff #2, employed 3 months, Staff #3, employed 1 month, did not contain documentation that two or more references were checked.”

Rule 8VAC20-780-70.

Based on the review of four children’s records, the center failed to ensure that documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child #2 start date was 1/9/2023 and on the day of the inspection did not have the immunization record documented.”

Rule 8VAC20-780-130-A.

Based on observation, the center failed to ensure if diaper ointment or cream is used, these products shall be in the original container and labeled with the child’s name.

“Evidence: Licensing Inspector observed in cubbies in the diaper changing area between the infant and toddler rooms Desitin, Aquaphor and Vaseline not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on review of four children’s records, the center failed to ensure that all immunization records were obtained before the child’s first date of attendance.

“Evidence: Child #2 first date of attendance was 1/9/2023 and on the day of the inspection did not have the required immunization record.”

Rule 8VAC20-780-130-A.

Based on the review of four children’s records, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician within 30 days after the first day of attendance.

“Evidence: Child #2 first date of attendance was 1/9/2023 and on the day of the inspection did not have the required physical examination record.”

Rule 8VAC20-780-140-A.