HoneyTree Early Learning Center - Salem

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff cleaned the diaper changing surface after a diaper, but did not sanitize the surface.”

Rule 8VAC20-780-500-B.

8VAC20-780-530-A-1

“Staff #1 was alone with a group of five children and was not certified in CPR by an organization that included in-person competency demonstration.”

Rule 8VAC20-780-530-A-1.

8VAC20-780-530-A-2

“Staff #1 was alone with a group of five children and was not certified in first aid by an organization such as the American Red Cross, American Heart Association, American Safety and Health Institute, or National Safety Council. .”

Rule 8VAC20-780-530-A-2.

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 three weeks, was missing name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record for child #5, enrolled for three weeks, was missing documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

The required ratio for children ages 16 to 24 month is one staff per five children.

“Staff stated there are times weekly they have been by themselves with up to seven children for approximately 10 minutes.”

Rule 8VAC20-780-350-B-2. From a complaint.

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

“Child 1,age 15months was missing an updated immunization documentation. The immunizations were 2 months overdue.”

Rule 8VAC20-780-130-E.

Centers shall be in compliance with the center’s own policies and procedures required by these standards.

“The center’s procedure for lost or missing children includes calling the police when a child is lost or missing. On 3/13/2026, Child 1 (age 8 years), ran away from the center. A staff person chased after the child but could not stop the child from leaving the premises. For approximately 40 minutes, the staff at the center was unaware of the location of both the child and the staff member. The center did not call police to assist with searching for the child.”

Rule 8VAC20-780-40-E.

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

“On the playground, there was a 3-inch drop from the asphalt to the mulch where the children play. This is a tripping hazard for children. Children were observed in this area.”

Rule 8VAC20-780-270-A.

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children.

“There were unlocked chemicals under the sink area in the twos room. The locking mechanism on the cabinet was broken”

Rule 8VAC20-780-280-B.

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 large playground had un unmeasurable amount of surfacing under equipment.”

Rule 8VAC20-780-330-B.

When any surface has been contaminated with bodily fluids, it shall be cleaned and sanitized.

“In the two-year-old room a child had previously vomited on the carpet. The staff used a product on the carpet to absorb bodily fluid. Once swept away, the carpet was not cleaned and sanitized. Some of the contents remained on the carpet. Children were observed in this area.”

Rule 8VAC20-780-490-E.

Medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“In the medication box there was an epi pen that not in a box and did not have a label attached.”

Rule 8VAC20-780-510-G.

All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

“Staff 1?s certification in CPR was not current. It was overdue by 3 weeks. Staff 2?s certification in CPR was not current. It was overdue by 2 weeks.”

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

All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care.

“Staff 1?s certification in first aid was not current. It was overdue by 3 weeks. Staff 2?s certification in first aid was not current. It was overdue by 2 weeks.”

Rule 8VAC20-790-600-D-2.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #1, who is working with children, has not yet completed this course which is overdue by 3 weeks.”

Rule 8VAC20-780-240-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #2, who is working with children, has not yet completed this course which is overdue by 5 months.”

Rule 8VAC20-780-240-A.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 5/24/2024, Staff 1 engaged in inappropriate conversations with Child 1 (age 8) and Child 2 (age 9) about actions with another adult. During the conversations, Staff 1 included gestures describing the actions that were not appropriate for children.”

Rule 8VAC20-780-340-A.

Based on record review and interview, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1.Staff #2, hire date of 1/23/2024 had fingerprint eligibility letter was dated 1/24/2024.”

Rule 22.1-289.035-B-2.

REPEAT VIOLATIONS Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: On the school age playground, the top of the wooden boarder was separated from bottom boarder creating approximately a 3 inch gap. This causes a tripping hazard for children.”

Rule 8VAC20-780-270-A.

Based on record review, the center failed to obtain a copy of the results of a search of the central registry for any founded complaints of child abuse or neglect within 30 days of employment.

“Evidence: Staff #5 had an employment date of 3/20/2023. There were no results from the Central Registry on file during the inspection 12/14/2023”

Rule 8VAC20-770-60-C-2.

REPEAT VIOLATION SYSTEMIC VIOLATION Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #1 was enrolled on 8/14/2023 had no documentation of a physical on file during the inspection on 12/11/2023.”

Rule 8VAC20-780-140-A.

SYSTEMIC VIOLATION Based on record review, the center failed to have documentation of the TB screening completed within the last 30 calendar days of the date of employment.

“Evidence: Staff #1 had an employment date of 8/22/2023. The TB screening on file was dated 4/11/2023 which is more than 30 days from the employment date.”

Rule 8VAC20-780-160-A.

REPEAT VIOLATION SYSTEMIC VIOLATION Based on observation, the center failed to ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

SYSTEMIC VIOLATION Based on observation, the center failed to ensure the restrooms were equipped with soap.

“Evidence: In the restrooms in the hallway, used by all children in the center, there was no soap in the girls or boys bathroom.”

Rule 8VAC20-780-320-B.

Repeat violation systemic violation

“Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing. Evidence: 1.On the preschool playground, observed a non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing. 2.On the preschool playground there was climbable a toy Jeep. This had a fall zone of approximately 3 feet to the end of the slide, which is stationary.”

Rule 8VAC20-780-330-B.

Based on observation, the center failed to ensure that there is a nonabsorbent surface for diapering or changing and that disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the system during disposal.

“Evidence: 1.In the infant class, the changing pad used for diapering had rips in the pad. 2.The diaper pale in the two year old classroom was not foot operable. That part of the diaper pale was broken.”

Rule 8VAC20-780-500-B.

Based on review of medication, the center failed to obtain written authorization from a parent or guardian for prescription medication or have medication administered by a staff person who meets the requirements per the standards.

“Evidence: 1. Child #5 had medication on site during the inspection on 12/14/2023. There was no authorization from the parent to administer the medication. 2. Medication was administered by Staff 6 on 11/28/2023, 12/5/2023 and 12/7/2023 to Child 6. Medication was administered by Staff 6 on 12/4/2023 to Child 7. Staff 6 does not have current MAT certification”

Rule 8VAC20-780-510-I.

Based on documentation review and interview, the center failed to ensure that the record of each child on formula shall contain the brand of formula.

“Evidence: In the infant class, the children’s schedules did not contain which brand of formula each child required.”

Rule 8VAC20-780-570-C.

Based on observation, the center failed to ensure that all infant prepared formula shall be refrigerated, dated and labeled with the child’s name.

“Evidence: In the infant class, there were bottles in the refrigerator and on the counter that had no label to show ownership or dates.”

Rule 8VAC20-780-570-E.

Based on record review, the center failed to have physical examination documentation for each child enrolled.

“EVIDENCE: Record for Child #1 did not include a physical examination before the child’s 1st day of attendance (8/10/2020) nor within 30 days after the first day of attendance”

Rule 8VAC20-780-140-A. From a complaint.

Based on interviews, record review, and inspection, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection and guidance.

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

Based on interviews and record review, the center did not ensure that 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 record review, the center upon enrollment of a child, failed to require information regarding proof of the child’s age and identity.

“EVIDENCE: Record for Child #1 (date of enrollment 8/10/2020) did not include evidence that the child’s proof of age and identity was reviewed/confirmed.”

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

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #2, which was enrolled on 08/29/2022 had no documentation of a physical on file during the inspection on 1/18/2023”

Rule 8VAC20-780-140-A.

Based on observation, the center failed to maintain the playground in a clean, safe, and operable manner.

“Evidence: On the door of the wooden gate, the slacks of wood and been broken creating sharp, pointed edges which create a snagging hazard for children. There was a screen from a window on the ground on the blacktop. The screws that hold the screen in place were protruding upward causing an impalement hazard for children. No children were observed on the playground”

Rule 8VAC20-780-270-A.

Based on observation, the center failed to ensure that all climbable playground equipment had the required resilient surfacing.

“Evidence: Observed non-measurable amount of resilient surfacing under the required fall zone. The required amount is 6 inches of resilient surfacing,”

Rule 8VAC20-780-330-B.

Based on record review, the center failed to maintain a current CPR certificate for each staff member within the first 90 days.

“Evidence: Staff #1, which was hired on 10/11/2022 and Staff #4, which was hired on 08/31/2022, had no record of an CPR certificate during the inspection on 1/18/2023”

Rule 8VAC20-780-530-A-1.

Based on record review, the center failed to maintain a current First Aid certificate for each staff member within the first 90 days.

“Evidence: Staff #1, which was hired on 10/11/2022 and Staff #4, which was hired on 8/31/2022, had no record of a First Aid certificate during the inspection on 1/18/2023.”

Rule 8VAC20-780-530-A-2.

Based on record review, the center failed to obtain a copy of child’s immunizations before first day in attendance.

“Evidence: Child #1, which was enrolled on 9/6/2022 had no documentation of immunizations on file during the inspection on 05/4/2023. Based on record review, the center failed to obtain a copy of child’s immunizations before first day in attendance. Evidence: Child #2, which was enrolled on 9/19/2022 had immunization documentation on file, they were unable to read and determine who they belonged to.”

Rule 8VAC20-780-130-A.

Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance.

“Evidence: Child #1, which was enrolled on 9/6/2022 had no documentation of a physical on file during the inspection on 5/4/2023. Based on record review, the center failed to obtain a copy of the child physical examination before child’s first day or within 30 days after first day of attendance. Evidence: Child #2, which was enrolled on 9/19/2022 had no documentation of a physical on file during the inspection on 05/4/2023.”

Rule 8VAC20-780-140-A.

Based on observation the center failed to install carbon monoxide detectors in each building that serves preschool children.

“Evidence: Inspector asked if the center had carbon monoxide detectors installed and was informed they did not.”

Rule 22.1-289.058.

Based on observation, the center failed to keep hazardous substances in a locked place.

“Evidence: Inspector observed cleaning materials on the shelves in classroom 1 and 2. The cleaning materials were out of the reach of children and there were no children present in the classroom at the time.”

Rule 8VAC20-780-280-A.

Based on observation, the center failed to provide addresses of emergency contacts for child’s record.

“Evidence: Child #1 and child #2 were missing addresses for emergency contacts in the record.”

Rule 8VAC20-780-60-A.