Tiny Toes Creative Learning Center II

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 prior to employment. The out-of-state sex offender registry search and the out-of-state search of the child abuse and neglect registry for Staff #5, who has been employed for over three months, has not been requested.

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8VAC20-790-600-F · Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course.

Staff #1, Staff #2, Staff #3, and Staff #4 did not have the 2025 health and safety course completed. The last completed course was 04/2024 for all staff members.

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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 #4, employed for more than two years, did not have documentation of requesting a central registry check or a criminal history check from a state they resided in the last five years.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #1, who had been attending for more than eight weeks, did not have documentation of an immunization record on file.

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8VAC20-780-280-B · Based on review of the infant room it was determined that not all hazardous substances were kept locked to prevent access by children. Evidence: A spray bottle that was reported to be soap and water and spray bottle of bleach and water solution was observed on the handwashing sink of the infant room.

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22.1-289.035-B-4 · Based on review of four staff records it was determined that not all out of state background checks were obtained for staff who have lived outside of VA in the last five years. Evidence: 1. The record for Staff A (start date: 08/03/22) documented on their sworn statement or affirmation form that they have lived in two states outside of VA in the last five years. Staff A did not have documentation of out of state central registry checks for the two states documented on the sworn statement form. Staff A did not have documentation of an out of state criminal history check for one of the states documented on the sworn statement form.

2. The record for Staff B (start date: 09/27/22) documented on their sworn statement or affirmation form that they have lived in one state outside of VA in the last five years. Staff B did not have documentation of an out of state central registry check or an out of state criminal history check for the state documented on the sworn statement form.

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22.1-289.035-B-2 · Based on review of 10 staff records it was determined that not all staff records contained documentation of a determination letter based on fingerprinting on file. Evidence: The record for staff B did not have documentation of a determination letter based on fingerprinting during the time of the initial inspection.

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