Childtime Learning Centers - Alverser

The required ratio for children birth up to 16 months is one staff to four children.

“The center has an approved variance to allow a ratio of one staff to five children for ages birth up to 16 months. On June 30, 2026, the infant classroom had 11 children (youngest child 7 months old) supervised by two staff from approximately 10:44am to 1:53pm. One additional staff was required.”

Rule 8VAC20-780-350-B-1. From a complaint.

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

“Child #4, 20 months old, last documented immunization was over 7 months ago.”

Rule 8VAC20-780-130-E.

**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.

“A cabinet door directly above the 2-year-old classroom’s toilets was observed unstable and falling off the door hinge when opened during the inspection.”

Rule 8VAC20-780-270-A.

The diapering area shall have the following: A nonabsorbent surface for diapering or changing shall be used.

“The changing pad in the toddler room was observed with two tears making the surface absorbent.”

Rule 8VAC20-780-500-B.

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

“The sensory board used for children in the toddler classroom was observed with rusted metal brackets.”

Rule 8VAC20-780-270-A. From a complaint.

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

“On 5/15/2025, child #1 was served a meal at lunch time that included food listed on the dietary preference list as a food the child was unable to consume due to religious beliefs. Staff #1 confirmed the child was served food outside of their dietary preference sheet located in the classroom.”

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

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.

“Staff #1 did not have a current certification in cardiopulmonary resuscitation (CPR) and their most recent certification expired over 1 month ago.”

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

All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care.

“Staff #1 did not have a current certification in first aid and their most recent certification expired over 1 month ago.”

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

Based on observations and interview, the center did not ensure electrical outlets shall have protective covers.

“Evidence: 1. During the inspection, an electrical outlet in the two-year old’s classroom was observed with the protective cover in the open position with the outlet exposed posing a safety hazard to children. 2. Staff acknowledged the teachers in the classroom are responsible for ensuring the sliding outlet covers are closed when they are not in use.”

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

Based on review of children’s records, the center did not ensure each child record contained the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached.

“Evidence: 1. The record for child #1 contained only one emergency contact listed in his file and on his emergency card that was not a parent. 2. Staff acknowledged only one emergency was contact listed and obtained an additional emergency contact while inspector was on-site.”

Rule 8VAC20-780-60-A.

Repeat Based on review of five staff records and interview, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #4, employed 07/24/2023, contained documentation of a negative tuberculosis screening dated 04/08/2023, exceeding 30 days prior to the date of employment. 2. The director acknowledged the TB results for staff #4 were documented more than 30 days prior to employment.”

Rule 8VAC20-780-160-A.

Based on review of documentation, the center did not ensure infants, who cannot turn themselves over and are awake, were placed on their stomachs a total of 30 minutes each day to facilitate upper body strength and to address misshapen head concerns.

“Evidence: 1. The daily record for child #1, 3 months in age and unable to turn over himself, did not contain documentation of time spent on his stomach for four days during the period from February 20, 2024, through February 29, 2024. 2. On February 21, February 23rd, February 28th, and February 29, 2024, there was no documentation of child #1 having time on his stomach.”

Rule 8VAC20-780-370-5. From a complaint.

Based on review of documentation, the center did not ensure the daily record for each infant, who is awake and cannot turn over by themselves, contained the amount of time spent on their stomachs.

“Evidence: The daily sheet for child #1 (3 months in age), dated 02/21/2024 through 02/29/2024, did not contain the amount of time child #1 spent on his stomach each day.”

Rule 8VAC20-780-420-E-1. From a complaint.

Based on review of five staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children.

“Evidence: The record of staff #4, employed 11/7/2022, contained documentation of a negative tuberculosis screening dated 11/10/2022, exceeding the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the center did not ensure all areas and equipment, inside and outside, were maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on review of medications and authorizations, the center did not ensure that when an authorization for medication expires, the parent is notified that the medication needs to be picked up within 14 days or the parent must renew the authorization.

“Evidence: The medication authorization for child #7 expired 01/18/2023. The medication was on site had had not been returned to the parent nor had an updated authorization form been obtained.”

Rule 8VAC20-780-510-P.

Based on review of staff CPR certification certificates and interview, the center did not ensure that at least on staff in each classroom or area where children are present had current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of children in care.

“Evidence: 1. Staff #7, assigned to the preschool classroom did not have current CPR certification. The director acknowledged that the preschool classroom did not have a staff member present with current CPR. 2. Staff #1 and staff #6, assigned to the toddler classroom did not have current CPR certification. The director acknowledged that the toddler classroom did not have a staff member present with current CPR.”

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

Based on review of staff first aid certification certificates and interview, the center did not ensure that at least one staff in each classroom or area where children are present had current certification in first aid.

“Evidence: 1. Staff #7, assigned to the preschool classroom did not have current first aid certification. The director acknowledged that the preschool classroom did not have a staff member present with current first aid. 2. Staff #1 and staff #6, assigned to the toddler classroom did not have current first aid certification. The director acknowledged that the toddler classroom did not have a staff member present with current first aid.”

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

Based on review of children’s records and interview, the center did not obtain all required documentation for each child’s records.

Rule 8VAC20-780-60-A-8.

Based on review of eight staff records and interview, the center did not request an out of state abuse and neglect search for each state an individual has resided in the past five years by the end of the 30th day of employment for one staff.

“Evidence: 1. The record of staff #1, hired 04/25/2022, indicated staff #1 had resided in another state in the past five year. The record did not contain documentation of a abuse and neglect check request made within 30 days of employment. 2. The director stated an out of state abuse and neglect check had not been requested for staff #1.”

Rule 22.1-289.035-B-4.

Based on review of eight staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children that had been completed within the last 30 days prior to employment for four staff records.

Rule 8VAC20-780-160-A.

Based on review of eight staff records and interview, the center did not ensure two staff completed the Virginia Department of Education sponsored orientation course (VA preservice) within 90 calendar days of employment.

“Evidence: 1. The record of staff #3, hired 03/07/2022, did not contain documentation of VA preservice training exceeding 90 calendar days from employment. 2. The record of staff #5, hired 01/24/2022, did not contain documentation of VA preservice training exceeding 90 calendar days from employment. 3. The director stated the two staff had not completed the required training.”

Rule 8VAC20-780-240-A.

Based on review of medication, the center did not ensure medications were labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: The prescription medication for child #2 was not in its original box nor did it have the pharmacy label with the dosage, time or times to be given.”

Rule 8VAC20-780-510-G.

Based on review of staff records and interview, the center did not ensure at least one staff in each classroom or area where children are present current certification in cardiopulmonary resuscitation and certification in first aid training.

“Evidence: 1. The record of staff #7, the only staff assigned and present in the school age classroom, did not have documentation of current CPR and first aid certification. 2. The director stated staff #9, the only staff assigned and present in the toddler classroom, did not have current CPR and first aid certification. 3. The director stated staff #10, the only staff assigned and present in the pre-k classroom, did not have current CPR and first aid certification.”

Rule 8VAC20-780-530-A.