Childtime Childcare, Inc. - Old Lane

8VAC20-780-150-B · Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

The immunization record for child #1 was not signed or dated by a physician, his designee, or an official of a local health department..

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8VAC20-790-600-F · Staff who work directly with children shall annually attend the department's health and safety update course.

1. The annual health and safety update course was for staff #1 was overdue by 6 months. 2. The record for staff #2, employed for 1 year 10 months, did not have documentation of completing the department's annual health and safety update course.

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8VAC20-780-270-A · Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Classroom #3 has several areas of peeling paint and exposed drywall on the lower portion of the wall within reach of children.

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22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

The record for staff #3, employed for 2 months, did not have a completed sworn statement.

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8VAC20-780-350-B-2 · The required ratio for children ages 16 to 24 months is one staff per five children.

1. Review of documentation revealed that staff #1 and staff #2 were alone in classroom #1 with 16 children (youngest child 17 months) from approximately 12:30 pm - 3:30 pm. 2. Staff #1 and staff #2 were observed supervising 12 children on the playground (youngest child 18 months) at approximately 4:25 pm.

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22.1-289.035-A · The center is required to have employees undergo a background check every 5 years.

1. The most recent central registry check for staff #5 was overdue by 4 months. 2. The most recent national criminal background check for staff #5 was overdue by 5 months.

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8VAC20-780-140-A · Repeat Violation

Based on record review, and interview, the center failed to obtain documentation of a physical examination within 30 days after the first day of attendance. Evidence: 1. The record for child #4, date of enrollment 11/20/2023, did not contain documentation of a physical examination. Documentation of the physical examination was due on or before 12/20/2023. 2. Interview with administration confirmed that the record did not contain documentation of the physical examination.

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8VAC20-790-600-F · Based on record review, the center failed to ensure that staff annually attend the department's health and safety update course.

Evidence: The record for staff # 2, date of employment 04/26/21, contained documentation of the department's annual health and safety update course dated 09/06/2022. The health and safety update course should have been completed no later than 09/06/2023.

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8VAC20-780-60-A-8 · Based on review of records and documentation, the center failed to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence: 1. The posted allergy list listed child #3 as having a food allergy. The record for child #3 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 2. The posted allergy list listed child #4 as having a food allergy. The record for child #4 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. 3. The posted allergy list listed child #5 as having a food allergy. The record for child #5 did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

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22.1-289.035-A · Repeat Violation

Based on records review, the center failed to ensure that background checks are conducted every five years. Evidence: 1. The record for staff #4, date of employment 05/26/2015, contained criminal background check dated 03/12/2018. A repeat criminal background check was due on or before 03/12/2023.

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8VAC20-780-430-A · Based on review of video footage, interviews, observation, and documentation review, the center failed to ensure that equipment shall be of an appropriate size for the child using it.

Evidence: Interviews with staff #1, staff #2, staff #3, and staff #4 and review of video footage revealed that on July 17th, child #1 (age 5 years 5 months) was observed improperly riding a tricycle which caused child #1 to flip backwards and hit child #1's head on the chain link fence. Child #1 required a visit to the emergency room and received medical intervention. Observation and measurement of the tricycle revealed that it is approximately 10 inches in height. Documentation review of the manufacturers label revealed that the tricycle is designed for children ages 3 years to 4 years.

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