Tiffany's Learning Center LLC

8VAC20-780-60-A-8 · A written care plan is required 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.

Child #1 was diagnosed with a food allergy over two months ago and did not have a written care plan in their file.

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8VAC20-780-270-A · Repeat Violation

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. On the infant playground, a nut was found on the floor that was used to tighten the post of the fence, causing the post and the fence to be unstable.

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22.1-289.035-B-3 · The center must request a search of the central registry prior to the employee's first day of employment.

The search of the central registry for Staff #5 was requested 21 days after their first day of employment.

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8VAC20-780-450-A · Cribs, cots, mats and beds used by children other than infants during the designated rest period shall have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

On 03/26/25, in the preschool classroom, there were three children sleeping on mats without a bottom cover or without a one-piece covering open on three edges.

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8VAC20-780-550-P · (Repeat Violation) The center is to maintain a written record of children's serious and minor injuries that contains all of the required information.

An injury report dated 08/22/2024 was missing any future action to prevent recurrence of the injury.

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8VAC20-780-370-5 · Staff shall provide awake infants not playing on the floor or ground a change in play space at least every 30 minutes or more often as determined by the individual infant's needs.

On 01/15/2025, Child #2 (10-month-old) was observed in the same play space, a bouncer seat, for over an hour.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

The CPR certification in the record of Staff #4, who has been employed for five months and works directly with children, does not include an in-person competency demonstration.

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22.1-289.035-B-4 · The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #5, employed for more than four months, did not have documentation of requesting a criminal history check from one state. The request of the central registry for that state was dated three months after the date of employment. The out-of-state background checks must be requested prior to employment.

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8VAC20-780-140-A · Based on review of five child records, the center did not obtain a physical examination for children within 30 days after the first day of attendance. Evidence: The physical on record for Child C, with a start date of 3/6/23, was dated 8/18/23. The physical on record for Child E, with a start date of 4/26/23, was dated 11/21/23.

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8VAC20-780-80-A · (REPEAT VIOLATION) Based on observation and review of documentation, the center did not ensure that a written record of attendance that documented the arrival and departure of each child in care as it occurred was maintained for each group of children. Evidence: On 12/14/23 at approximately 9:37am, there were 10 children in care in the ?Threes? classroom. The written attendance did not contain documentation of any children in care and the online attendance contained documentation of only six children in care.

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8VAC20-780-550-P · Based on review of documentation and interview, the center did not maintain a written record of children's serious and minor injuries in which entries were made the day of occurrence and included the following: 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Evidence: Interview revealed that prior to October 18, 2023, when an injury occurred at the center, staff would send a message through their app to notify parents of an injury. There was no written record kept that contained the required documentation.

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8VAC20-780-50-A · Based on review of documentation and interview, children?s records were not made available to a parent on request, unless otherwise ordered by the court. Evidence: On 11/13/23, the parent of two enrolled children requested copies of the two children?s records from the center, and provided a court order to show they were entitled to the documentation. The center refused to give the parent copies of the records.

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