Carousel Child Development Center

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

“-The last documented immunization for Child #4 (17 months old), was over 11 months ago and overdue by over 5 months. -The last documented immunization for Child #5 (2 years old), was over 10 months ago and overdue by 4 months.”

Rule 8VAC20-780-130-E.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“A broken window screen with a sharp edge was on the outside part of the window of Classroom #4, within reach of children on the playground.”

Rule 8VAC20-780-270-A.

The required ratio for children ages 3 years old up to school age eligible is one staff per 10 children.

“-Staff #1 was observed leaving the playground into Classroom #5 to get chalk. Leaving Staff #4 supervising 16 children alone outside for less than one minute. -Staff #2 was observed leaving Classroom #6 for less than one minute to get a pull up from the back hallway bathroom, leaving Staff #3 supervising 14 children alone.”

Rule 8VAC20-780-350-B-4.

All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“The CPR training received by Staff #4 (employed over 4 months) and Staff #5 (employed over 3 years) did not include an in-person competency demonstration.”

Rule 8VAC20-790-600-D-1.

The record of each child on formula shall contain the brand of formula and the child’s feeding schedule.

“The record for Child #1 (4 months old) and Child #3 (9 months old) did not contain the brand of formula or the child’s feeding schedule.”

Rule 8VAC20-780-570-C.

A one-day’s emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center.

“The center did not have a one-day’s emergency supply of disposable bottles, nipples, and commercial formulas maintained at the center.”

Rule 8VAC20-780-570-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 allergy lists in 7 out of 7 classrooms were not current and had children listed who were no longer enrolled and children who have moved to different classrooms.”

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 Child #4 (enrolled 2 days), was missing the addresses of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

“A paper towel dispenser in the children’s restroom had a broken cabinet door, exposing rust and broken edges.”

Rule 8VAC20-780-270-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“Child #1, (4 years old), left Classroom A for approximately 1 minute to put a jacket away and was not in sight and sound supervision of staff during that time.”

Rule 8VAC20-780-340-F.

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

“-The immunization record for Child #5 (2 years old) was dated over 18 months ago and overdue by over 1 year. -The immunization record for Child #6 (over 2 years old) was dated over 11 months ago and overdue by over 5 months.”

Rule 8VAC20-780-130-E.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a safe and operable condition.

“The center’s electrical closet in the back of the building near the restrooms and kitchen area was unlocked and accessible to children.”

Rule 8VAC20-780-270-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“During an incident on 11/15/24, Staff #3 (employed over 3 years) did not ensure the care, protection, and guidance when Child #7 (5 years old) was playing with the paper of a coloring activity rather than coloring, and Staff #3 hit their hand to put down the project to stop playing with it.”

Rule 8VAC20-780-340-A.

Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

“During an incident on 11/15/24, Staff #3 (employed over 3 years) hit Child #7 (5 years old) on the hand for playing with a coloring activity, rather than coloring. Staff #3 hit the child’s hand to put down the coloring project. A witness, Staff #7, confirmed that Staff #3 was frustrated with Child #7?s behavior since they were not listening prior to Staff #3 hitting their hand.”

Rule 8VAC20-780-400-B.

The following actions or threats thereof are forbidden: striking a child.

“During an incident on 11/15/24, Child #7 (5 years old) was playing with a coloring activity and not coloring the paper. Staff #3 (employed over 3 years) hit their hand to put down the project.”

Rule 8VAC20-780-410-1.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date. Up-to-date information is required to be requested from the parent for each child’s record at least annually.

“The information in the record of Child #3 had not been updated in over 18 months and is overdue by 5 months.”

Rule 8VAC20-780-420-E-3.

When a child is placed in an infant seat or high chair, the protective belt shall be fastened securely.

“In Classroom #1, Child #1 (6 months old) was in an infant bouncy seat on the floor without the protective belt fastened. Child #2 (13 months old) was sitting at the feeding table without the protective belt fastened.”

Rule 8VAC20-780-570-A.

Any suspected incident of child abuse shall be reported in accordance with the Code of Virginia.

“During the monitoring inspection, a written warning for an incident occurring on 11/15/2024 with Staff #3 was discovered. The center’s written warning for Staff #3 documented ?child abuse, rough handling, and striking or hurting a child.? The center did not report the incident as required.”

Rule 8VAC20-780-80-B.

The center is required to obtain a completed Sworn Statement prior to employment.

“The sworn statement for Staff #6 was completed one day after beginning employment.”

Rule 22.1-289.035-B-1.

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 #1 was dated over 1 year prior to the date of employment and has been employed over 3 months.”

Rule 8VAC20-780-160-A.

The center is required to document orientation training for staff members that includes the required components.

“The documentation of orientation was not complete for Staff #3 and did not include the name or date of the training.”

Rule 8VAC20-780-240-I.

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“-Classroom #3 contained chipping paint on the door to the playground. -Classroom #4, #5, #6, and #7 contained rust around the bottom of the window next to the back door to the playground. -Classroom #6 contained cracked and chipping wood along the bottom of the interior classroom door.”

Rule 8VAC20-780-270-A.

Repeat Violation Harmful agents shall be kept inaccessible to children.

“Classroom #4 had shaving cream labeled ?keep out of reach of children? in an unlocked bottom filing cabinet drawer.”

Rule 8VAC20-780-280-H.

Repeat Violation 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.

“Six out of seven classrooms did not have an allergy list. One classroom had an allergy list that was not current.”

Rule 8VAC20-780-40-M.

When using cribs, the center shall ensure there is no more than one inch between the mattress and the crib.

“Child #6, 8 months old, was asleep in a crib with the mattress propped up approximately 3-4 inches.”

Rule 8VAC20-780-440-H.

The center shall ensure that cribs, cots, mats and beds used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover. Cribs when being used by infants shall have a bottom cover.

“Child #7, 12 months old, was asleep in a crib with an unzipped sleep sack and a blanket.”

Rule 8VAC20-780-450-A.

The center shall ensure that a nonabsorbent surface for diapering or changing is used.

“The diaper changing pad in Classroom #2 had a rip in it, causing it to not be a nonabsorbent surface.”

Rule 8VAC20-780-500-B.

The center shall ensure that over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Classroom #2 contained one diaper ointment that expired over 7 months ago.”

Rule 8VAC20-780-520-A.

The center shall ensure that insect repellent is inaccessible to children.

“Classroom # 2 contained a bottle of insect repellent on top of a low children’s shelf by the back playground door.”

Rule 8VAC20-780-520-D.

Lockdown procedures shall be practiced at least annually.

“The center did not have documentation of conducting a lockdown procedure.”

Rule 8VAC20-780-550-F.

Based on record review, the center did not ensure all background check components were completed as required every five years.

“Evidence: The date of the sworn statement or affirmation for Staff #4 (date of hire 11/27/2006) was dated 8/31/2018.”

Rule 22.1-289.035-A.

Based on observation, areas of the center outside were not maintained in a safe and operable condition.

“Evidence: -An area of peeling paint and splintering wood was located outside on the children’s climbing structure. -There was a broken plastic table leaning against the wall on the playground. - The caterpillar tunnel on the playground had broken feet, causing sharp edges.”

Rule 8VAC20-780-270-A.

Based on observation, the center did not ensure that harmful agents were not stored in areas accessible to children.

“Evidence: A lotion labeled ?keep out of reach of children? was on the sink area in the Green Frogs room.”

Rule 8VAC20-780-280-H.

Based on observation, the center did not ensure electrical outlets shall have protective covers.

“Evidence: The power strips located in the Tigers, Ducks, and Cardinal rooms did not have protective covers.”

Rule 8VAC20-780-290-A-3.

Based on observation, the center did not ensure resilient surfacing complied with minimum safety standards.

“Evidence: The mulch on the playground was minimal and not sufficient to create resilient surfacing under fall zones.”

Rule 8VAC20-780-330-B.

Based on observation, the center did not ensure a current written list of all children’s allergies, sensitivities, and dietary restrictions were kept confidential in each room or area where children are present.

“Evidence: The allergy list was posted in each classroom and in the office without a cover sheet.”

Rule 8VAC20-780-40-M.

Based on observation, the center did not ensure sleeping equipment when stacked shall not be permitted.

“Evidence: There were three mattresses stacked in a crib for the infant to sleep on.”

Rule 8VAC20-780-440-C.

Based on observation and review of documentation, the center did not ensure the requirements were met for diaper ointments.

“Evidence: -The diaper ointments for Child #5 and Child #6 in the Tiger classroom did not have written parent authorizations. -One diaper ointment in the Teddy Bear classroom was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on observation, the center did not ensure that prepared infant formula was dated.

“Evidence: The bottles for Child #7 and Child #8 in the Infant classroom did not have the date.”

Rule 8VAC20-780-570-E.

Based on record review, the center did not ensure each child’s record contained the required information.

“Evidence: -The addresses were missing for both emergency contacts for Child #3. -Documentation of viewing proof of the child’s identity and age was missing for Child #3.”

Rule 8VAC20-780-60-A.

Based on observation and record review, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care for each group of children.

“Evidence: The teachers confirmed there were 12 children present in the Red Cardinals classroom, but only 11 children were signed in on their attendance records.”

Rule 8VAC20-780-80-A.

8VAC20-780-270-A

“Based on the inspection of the physical plant, the center failed to keep the space in an operable condition. Evidence: During the inspection a cracked window in the yellow ducks room, next to the door was found as well as a leaking toilet in the boys bathroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-510-F

“Based on the review of medications and authorization forms, the center does not have a current authorization for one medication on site. Evidence: An Epi-pen was in the medication box and will expire in September of 2023. The center could locate a medication authorization that expired in August of 2022. No current authorization could be located.”

Rule 8VAC20-780-510-F.