Childtime Childcare, Inc. - Harbourside

8VAC20-780-280-B · Hazardous substances must be in a locked place that prevents access by children. In Classroom #1, a cleaning product was in an unlocked cabinet, out of reach of children.

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8VAC20-780-270-A · Based on observations and interview, areas and equipment, inside and outside the center were not maintained in a clean, safe and operable condition.

Evidence: 1. The chains for four swings on the playground were found to be rusty. 2. A member of management stated a work order has already been placed for the chains.

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22.1-289.035-B-4 · Based on review of records and interview, it was determined that out of state background checks were not completed as required.

Evidence: The record for staff #2 (employed: 01/24/23) who indicated they lived out of state in the past five years, did not contain documentation that an Out of State Sex Offender Registry search was completed for each state prior to their first day of employment.

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8VAC20-780-500-B · Based on staff interviews, the center failed to follow the required diapering procedures.

Evidence: Staff #1 did not ensure the immediate safety of each child during diapering. Staff #1 walked away from the changing table while diapering child #2 (14 months old), to intervene between child #1 and the child that was being bitten, leaving child #2 alone on the diapering surface.

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8VAC20-780-40-M · Based on observation, the center did not ensure that all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan are kept confidential in each room or area where children are present.

Evidence: In room #1, room #2, room #3, room #4, and room #5 did not have a confidential allergy posting.

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8VAC20-780-40-E · Based on observation, review of the license and interview, the licensee failed to ensure that the center?s activities are maintained in compliance with the terms of the current license issued by the department.

Evidence: 1. The center?s own Child Supervision Procedure, section 2 states procedures for blending classrooms (opening and closing rooms), ?when mixing age groups or blending classrooms,... the staff must adhere to the ratio of the youngest child.? 2. The center?s own Child Supervision Procedure, section 1 states Infant classrooms must maintain a 1:4 ratio unless a stricter ratio is required by licensing. 3. The assistant director stated that the room #1 and room #2 were out of ratio throughout the morning of 11/30/2022.

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8VAC20-780-130-A · Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

Evidence: The record for child #7 (start date 6/12/22) and child # 9 (start date 4/04/22) did not include documentation of immunizations.

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8VAC20-780-350-C · Based on information obtained during the inspection, the center did not ensure staff to children ratio requirements applicable to the youngest child in the group were followed when children were regularly in mixed age groups.

Evidence: In class #4, a review of the staff to child ratio was conducted using the facility?s Face-To- Name Transition sheet for 9/01/22. The following ratios and times were recorded on the Face-To-Name Transition sheet by staff #1. At 6:55 AM, 1:11 ratio with the youngest child two years of age. At 7:10 AM, 1:11 ratio with the youngest child two years of age. At 7:15 AM, eight pre-k children are separated from the group to go to class with staff #2. The Face-To-Name Transition sheet continues to document the following times and ratios: 7:53 AM 1:11 ratio; 7:55 AM 1:12; 8:00 AM 1:14 with the youngest child two years of age. At 8:05 AM, five preschool children are separated from the group to go to class with staff #3 At 8:25 AM, staff #4 arrives leaving the ratio 2:10 with the youngest child age two years. At 8:47 AM, 2:14 with the youngest child a one year old. At 8:55 AM, 2:15 with the youngest child a one year old. At 9:06 AM, 2:16 with the youngest child a one year old. At 9:08 AM, 2:17 with youngest child one year old. At 9:10 AM, 2:19 with the youngest child one year old. At 9:15 AM, staff #5 arrives and three children are transitioned to another classroom leaving the ratio at 2:16 with the youngest child age two years. When children are regularly in ongoing mixed age groups, the staff-to-children ratio applicable to the youngest child in the group shall apply to the entire group. The ratio for children 16 months to 24 months is 1:5 and the ratio for children two years old is 1:8.

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22VAC40-185-140-A · Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.

Evidence: The record for child #1 (date of enrollment 07/19/21), did not have a physical examination.

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