Childtime Childcare, Inc. - Windmill

8VAC20-780-160-C · Based on a review of five staff records and interview, the center did not ensure to obtain a follow up tuberculosis screening for two staff members at least every two years from the date of the initial screening or testing.

Evidence: 1. The record of Staff (S) S1 documented tuberculosis screenings dated 10/10/2019 and 5/18/2022, which is beyond every 2 years. 2. The record of Staff (S) S5 documented tuberculosis screenings dated 8/21/2020 and 03/01/2023, which is beyond every 2 years.

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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.

Staff #4 had a central registry search requested three days after first day of employment.

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8VAC20-780-80-B-2 · The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention.

On 03/31/2026, child #1 was injured while at the center that received outside medical attention the same day. The center reported the serious injury to the department on 04/06/2026, exceeding two business days.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.

Staff # 3, employed for one year and nine months, had a CPR certification that expired four months ago.

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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. In the school age classroom, a coat of dust covered the ceiling vent tile. In the school age bathroom, a loose exhaust fan cover was observed hanging from the ceiling.

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8VAC20-780-40-E · The operational responsibilities of the licensee shall include ensuring that the center?s activities, services, and facilities are maintained in compliance with the center?s own policies and procedures that are required by the standards.

The center?s medication procedures states ?Medications must have a visible expiration date, expired medications may not be administered to children and must be returned to the parent for disposal.? Child #2 had over the counter medication at the center that expired two months ago. Child #4 had over the counter medication at the center that expired 30 days ago.

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8VAC20-780-40-E · Based on interviews and documentation reviewed, the center did not follow their own policies and procedures regarding discipline of children.

Evidence: 1. The center's handbook states that staff must create a warm, nurturing and safe environment for the children in care. 2. On 06/17/2024, staff #2 placed child #1 down on a cot for nap time aggressively, resulting in child #1 biting their tongue. 3. Another staff in the room observed blood in the child's mouth due to biting their tongue.

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22.1-289.035-A · Based on record review and interview, the center did not ensure to obtain repeat background checks every 5 years for staff.

Evidence: 1. The record for staff 4 contained a criminal record check dated 06/27/2019. 2. Leadership confirmed there was no updated criminal record check in the file.

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8VAC20-780-350-B-2 · Based on observation and interview the center failed to maintain required ratio in one classroom.

Evidence: 1. On 05/09/2024, two licensing staff observed a grouping of 16 children ranging in ages from 17 months to 2.5 years with two supervising staff. The ratio required for the grouping of children was one staff to five children; two additional staff were required. 2. During interviews, the two staff confirmed there were a total of 16 children present. The staff reported a third staff member would be arriving. At approximately 10:05am, a third staff member arrived in the toddler classroom, and children were moved to another classroom to comply with ratio requirements. 3. The "Face-To-Name Transition Sheet" for 05/09/2024 confirmed that the classroom was out of ratio from approximately 8:40am-10:05am.

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8VAC20-780-130-E · Based on a review of children's records, the center did not ensure each record contained documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. At the time of inspection, the record for child #1 (birth date: 8/15/22), who enrolled at the center on 01/03/23, had documentation of immunizations dated 12/15/22. An additional immunization document was reviewed, this immunization document did not have a written date indicating when or if the immunizations were updated. 2. At the time of inspection, the record for child #10 (birth date: 1/07/21), who enrolled at the center on 2/14/22, had documentation of immunizations dated 2/07/22. Documentation of additional immunizations once every six months was not in the record for child #10.

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8VAC20-790-600-F · Based on staff record review, the provider did not ensure that staff working directly with children shall complete annually the department's health and safety update.

Evidence: At the time of inspection, the record for staff #1, staff #2, staff #8 did not have the annual health and safety update documented in the record.

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8VAC20-770-60-C-2 · Based on record review and interview, the center did not have documentation

of central registry findings for three staff members. Evidence: 1. The record for staff #2 (hire date 06/14/22) and staff #8 (hire date 12/04/18), did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry findings had not been received as of 08/29/22.

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8VAC20-790-600-F · Based on record review and interview, the center did not ensure that five out of eight staff completed all required annual training.

Evidence: The records for staff #1, staff #3, staff #6, staff #7, and staff #8 did not contain documentation of the department?s Health and Safety Update training. 2. A member of management stated that the Health and Safety Update training was not in the records for staff #1, staff #3, staff #6, staff #7, staff #8.

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22.1-289.035-A · Based on review of staff records and interview, the center did not ensure to update required background checks every five years for all employees.

Evidence: The record for staff #1, contained a Central Registry dated 03/29/2016 with an updated Central Registry dated 03/25/2022. The record for staff #1, contained a Sworn Statement dated 03/01/2016 with an updated Sworn Statement dated 02/25/2022.

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