Precious Time, LLC

22VAC40-185-400-B · Based on interviews and review of video footage, the facility did not ensure behavioral guidance was constructive in nature and age and stage appropriate.

Evidence: 1. Video footage of the Ladybug classroom revealed that around 10:50am to 11:05am on 9/1/21, child #1 (Age: 3 years) was visibly crying and upset. While child #1 was near the classroom?s restroom, Staff #1 seemed to try to console and redirect child #1 from the restroom area to the reading corner. The child continued to cry and resist staff #1?s redirection attempts. Child #1 stopped walking and began to push back against staff #1 who was in turn pushing forward against the child while holding the upper area of both arms of the child. While continuing to hold the child?s upper arms staff #1 picked the child up off of the ground and carried the child about 2-3 feet onto the carpet in the reading area of the classroom. The child landed on their feet and immediately dropped to the floor. 2. The Child Protective Services Representative, assigned to the case, informed the inspector that child #1 was taken to get the child?s upper arm medically evaluated. It was determined that the marks on child #1?s arm were from another person grabbing the child. 3. This use of behavioral guidance in the above described incident does not meet the requirements of being constructive in nature, age and stage appropriate, nor being used to redirect the child to appropriate behavior.

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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. The center did not request a criminal history check, a search of the child abuse and neglect registry, and national sex offender search from one state for Staff #1, who has been employed for more than three months and was working with children at the time of the inspection.

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8VAC20-780-280-B · Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. A container of cleaning chemicals was in an unlocked cabinet located in Classroom B.

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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 11/13/2025, Child #1 sustained an injury at the center. The injury required medical treatment. The center did not inform the department?s representative of the injury within two business days.

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22.1-289.035-B-1 · The center is required to obtain a complete sworn statement prior to the employee's first day of employment. The record for Staff #1 did not contain a complete sworn statement. Staff #1 has been employed at the center for over seven months.

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8VAC20-780-190-A-4 · Program directors shall be at least 21 years of age and shall have at least a one-year early childhood certificate from a college or university that consists of at least 30 semester hours or a child development credential. The record for Staff #1, who has been employed for three weeks, did not contain documentation of qualifications to operate as a center director. Staff #1 stated they did not have the required education qualifications.

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8VAC20-780-270-C · In inside areas occupied by children, the temperature shall be maintained no lower than 68?F. During the inspection, the temperature was 66.6 degrees in Classroom #1 and 65.4 degrees in Classroom #2. Children were observed in each classroom.

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8VAC20-790-600-F · The vendor did not ensure two staff annually completed the required department sponsored health and safety update training. The record for Staff #4 contained an annual health and safety update certificate from 2023. The updated annual health and safety training was required to be completed seven months ago. The record for Staff #5 contained an annual health and safety update certificate from 2023. The updated annual health and safety training was required to be completed one month ago.

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8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening. Staff #6 updated screening was due over seven months ago. The updated screening has not been completed.

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8VAC20-780-160-A · Based on a review of five staff records and interviews, the center did not ensure one staff member submitted documentation of a negative tuberculosis (TB) screening within the required timeframe.

Evidence: The TB screening in the record of Staff #2 (DOE: 04/03/2023) was dated 04/05/2023. During interview, a member of management confirmed the TB screening was completed on 04/05/2023. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children.

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8VAC20-790-600-D-1 · Based on a review of five staff records and interviews, the vendor did not ensure one staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care, in which the training included an in-person competency demonstration, within 90 days of the date of employment.

Evidence: The CPR certification in the record of Staff #2, employed on 04/03/23, was completed on 05/31/23, but the training did not include an in-person competency demonstration. During interview, a member of management confirmed the CPR certification on file for Staff #2 did not meet the requirements.

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22.1-289.035-B-4 · Based on a review of three staff records and interviews, the center did not obtain a required out-of-state background check from any state in which one staff member had resided in the preceding five years within the required time frame.

Evidence: The record for Staff #2, employed on 01/22/24, indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain an out-of-state search for founded complaints of child abuse or neglect. The search of the child abuse and neglect registry is required to be requested within the first 30 days of employment. During interview, a member of management confirmed the required out-of-state background check was not obtained for Staff #2 within the required time frame.

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22.1-289.035-B-2 · (Repeat Violation) Based on a review of two staff records and interview, the center did not obtain the satisfactory results of a national fingerprint-based criminal record search for one staff prior to employment.

Evidence: 1) The national fingerprint-based criminal record search in the record of Staff #1, employed on 12/07/23, was completed on 12/20/23. 2) During interview, a member of management confirmed the fingerprint-based criminal record search for Staff #1 was not completed prior to employment.

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