Creative Learning School

8VAC20-790-600-D-1

“All staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #1 does not have current CPR certifications and has been employed for 8 months.”

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

8VAC20-790-600-D-2

“All staff shall have current certification in first aid appropriate to the ages of children in care. Staff #1 does not have current first aid certifications and has been employed for 8 months.”

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

22.1-289.036-A

“The center is required to have applicants undergo a background check every five years. The most recent fingerprint results for staff #5 was overdue by 2 years and 1 month.”

Rule 22.1-289.036-A.

8VAC20-780-350-F

“The center shall develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members. The center has not developed a written policy to ensure children receive care by consistent staff.”

Rule 8VAC20-780-350-F.

8VAC20-780-40-K

“The center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. The center did not have a written procedure for abusive head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-520-C

“When diaper cream is used, the center must follow the requirements. There was no written parent authorization for 3 children’s diaper creams in the Rabbits classroom. (child #6, 7 and 8) These diaper creams were found under the changing table, accessible to the children in care.”

Rule 8VAC20-780-520-C.

8VAC20-790-600-F

“Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. The annual health and safety update course for Staff #1 was seven months overdue.”

Rule 8VAC20-790-600-F.

8VAC20-780-140-A

“The center is required to obtain documentation of a physical examination by or under the direction of a physician for each child within 30 days after the first day of attendance. The record for Child #2 did not contain documentation of a physical examination. The documentation is overdue by one month.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #1 was due 4 months ago and the updated screening for Staff #5 was due more than one year ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-60-A

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. Staff #1, who has been actively working at the center for more than one year, did not have any completed reference verifications on file. Documentation of reference verifications for Staff #3 did not contain the date the references were verified.”

Rule 8VAC20-780-70.

Repeat Violation.

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. The written attendance for the Rabbits classroom was not complete. There were 7 children present.”

Rule 8VAC20-780-80-A.

Based on record review, the center did not obtain immunizations for each child.

“Evidence: Child 1 does not have documentation of immunization records.”

Rule 8VAC20-780-130-A.

Based on record review, the center did not have documentation of a physical examination by or under the direction of a physician.

“Evidence: Child 1 does not have documentation of a physical examination under a physician.”

Rule 8VAC20-780-140-A.

Based on record review, staff members did not obtain a follow up tuberculosis screening every two years from the date of their most recent screening.

“Evidence: Staff 3 has a tuberculosis screening which expired on 11/18/2023. Staff 4 has a tuberculosis screening which expired on 7/17/2021.”

Rule 8VAC20-780-160-C.

Based on record review, staff records were not complete.

“Evidence: Staff 1 and 2 do not have 2 references completed.”

Rule 8VAC20-780-70.

Based on record review, the center did not maintain a written record of attendance that documents the arrival and departure of each child in care as it occurs.

“Evidence: 1) In the Toddler classroom, attendance was not taken and there were 5 children in care. 2) In the school age classroom, attendance was not taken and there were 11 children in care. 3) In the preschool classroom, the departure of children was not documented on the attendance sheet.”

Rule 8VAC20-780-80-A.

Based on record review, staff members shall obtain at least every two years an updated tuberculosis screening.

“Evidence: 1- Staff 1 has a tuberculosis screening conducted on 11/18/2021. 2- Staff 2 has a tuberculosis screening conducted on 8/19/2021. 3- Staff 3 has a tuberculosis is screening conducted on 11/1/2021.”

Rule 8VAC20-780-160-C.

Based on record review, the center did not document viewing original proof of identity in their record.

“Evidence: Child 1 and 2 do not have documentation of viewing proof of identity in their record.”

Rule 8VAC20-780-60-A.

Based on record review, background checks were not repeated every five years for a applicant for licensure as a child day center.

“Evidence: 1) Staff 1 has a central registry search which was completed on 04/27/2018 and a fingerprint based criminal history search completed on 07/17/2018. 2) Staff 2 has a fingerprint based criminal history search completed on 04/22/2018.”

Rule 22.1-289.036-A.

Based on record review, staff did not undergo a follow up tuberculosis screening two years from the date of the most recent screening or test.

“Evidence: 1. Staff 1 has a tuberculosis screening which was last conducted on 1/20/20. 2. Staff 2 has a tuberculosis screening which was last conducted on 8/5/21.”

Rule 8VAC20-780-160-C.

Based on record review, the center did not ensure all staff completed orientation training no later than seven days of their start date.

“Evidence: 1) Staff 3 does not have a record of completing orientation. (Staff 3, DOH 7/3/23) 2) Staff 4 does not have a record of completing orientation. (Staff 4, DOH 4/27/23) 3) Staff 5 does not have a record of completing orientation. (Staff 5, DOH 5/11/23)”

Rule 8VAC20-780-240-B.

Based on observation, the center did not ensure hazardous substances such as cleaning materials kept in a locked place using a safe locking method.

“Evidence: Cleaning products and disinfecting products were kept on an upper shelf in a bathroom utilized by children.”

Rule 8VAC20-780-280-B.

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child 1 does not have documentation that each child has received immunizations.”

Rule 8VAC20-780-130-A.