Little School Childcare, Inc.

Systemic Deficiency and Repeat Violation: A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due over one year ago. The updated screening has not been completed.”

Rule 8VAC20-780-160-C.

Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care.

“Staff #1 did not have a minimum of 16 hours of completed training hours documented for 2025.”

Rule 8VAC20-780-245-A.

Shelter in place procedures shall be practiced a minimum of twice per year.

“The center did not document the shelter-in-place drills that were conducted in 2025.”

Rule 8VAC20-780-550-E.

Staff who work directly with children are required to attend at least 16 hours of training annually including the department’s health and safety update course.

“The 2025 health and safety course for Staff #1 was five months overdue.”

Rule 8VAC20-790-600-F.

Repeat Violation: A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2 updated screening was due four days ago. Staff #3 updated screening was due over one year ago. Staff #4 updated screening was due over one year ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards.

“The playground slide and merry go round for children had less than 6 inches of required resilient surfacing under and around the climbing equipment and fall zones.”

Rule 8VAC20-780-330-B.

The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from schools etc. This document must be kept in vehicles that centers use to transport children to and from the center.

“Documentation was not available at the time of inspection for vehicle #1. Vehicle #1 is used to transport children to and from school.”

Rule 8VAC20-780-550-K.

Each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within 30 days after the first day of attendance.

“Child #2 had a physical that was dated four months after first date of attendance.”

Rule 8VAC20-780-140-A.

(Repeat Violation) A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #1 updated screening was due six months ago and staff #5 updated screening was due 12 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

22.1-289.036-A

“Based on record review, the provider did not have a central registry check or criminal history check that was updated every five years for agents. Evidence: 1. Agent #1 had a criminal history background check which was last conducted on 04/12/2018. 2. Agent #1 had a central registry background check which was last conducted on 08/16/2018. 3. Leadership acknowledged the background checks have not been renewed for Agent #1.”

Rule 22.1-289.036-A.

8VAC20-780-160-C

“Based on record review, the center did not obtain Tuberculosis (TB) screening at least every two years from the date of the initial screening or testing. Evidence: 1. Staff #4’s most recent TB screening was completed on 01/16/2022. 2. Staff acknowledged there was no updated TB screen.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-J-3

Rule 8VAC20-780-245-J-3.

8VAC20-790-600-D-1

“Based on review of three staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff 2 (date of employment 8/06/2023), did not have documentation of CPR certification.”

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

8VAC20-790-600-D-2

“Based on review of three staff records, the facility failed to have each staff current in first aid certification within 90 days of employment. Evidence: Staff 2 (date of employment (8/06/2023) did not have documentation of first aid certification.”

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

8VAC20-780-70

“Based on review of three new staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 3 (date of employment 1/23/2024) did not have documentation of a second reference on file.”

Rule 8VAC20-780-70.

8VAC20-780-500-B

“Based on observation and staff interview, the facility failed to ensured that the diaper changing area is equipped with 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 storage system during disposal. Evidence: The diaper disposal trashcan in the bathroom was not equipped with a lid. Staff acknowledged that there was no lid on the trashcan where diapers were disposed.”

Rule 8VAC20-780-500-B.

8VAC20-780-510-B

“Based on review of two prescription medications, the facility failed to have written authorization from the parent and the child’s physician to administer medication. Evidence: There was no written parent or physician authorization to administer one prescription medication to one child. Staff confirmed that Child A did not have a completed medication authorization on file.”

Rule 8VAC20-780-510-B.

8VAC20-770-60-C-2

“Based on review of two staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 2 (date of employment 4/6/2022) There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

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

8VAC20-780-340-F

“Based on observation, the facility failed to have all children within actual sight and sound supervision, During the inspection on 9/9/2022, Staff 2 came upstairs to assist Staff 1 during rest time. This left the four year old class out of sight and sound supervision for approximately 3 minutes.”

Rule 8VAC20-780-340-F.

8VAC20-780-350-M

“Based on observation, the center failed to ensure that one staff member shall not supervise more than one room or area during rest time. Evidence: 1. Staff 1 was observed supervising 15 preschool children during nap from the doorway between two classrooms. a. Staff 1 was not able to fully see all of the children in both classrooms from the door way area and: b. One classroom would have been left unattended if this staff had to attend to a child in one of the classrooms during rest time.”

Rule 8VAC20-780-350-M.

8VAC20-780-510-B

Rule 8VAC20-780-510-B.