Little Tikes Family Care II LLC

8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening.

The updated screening for staff #4 was due 2 weeks ago and has not yet been completed.

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8VAC20-780-270-A · The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

1. The toilet in the bathroom was missing the back lid which allowed the components of the toilet to be exposed. 2. There was an area on the corner of the wall leading into the preschool classroom with chipping drywall.

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8VAC20-790-600-F · Staff who work directly with children shall annually attend the department's health and safety update course.

1. Staff #1 did not have documentation of attending the department's annual health and safety update course in 2024. 2. Staff #4 did not have documentation of attending the department's annual health and safety update course in 2024. 3. Staff #5 did not have documentation of attending the department's annual health and safety update course in 2024.

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22.1-289.057-A · The program is required to submit to VDH and implement a plan to test potable water for lead.

The program did not have evidence of a testing plan submitted to VDH.

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8VAC20-780-70 · Repeat Violation

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. References may not be from relatives. 1. Staff #1, who has been actively working at the center for the past 6 weeks, had 2 references in their file. One of the references was from a family member. 2. Staff #2, who has been actively working at the center for the past month had 1 reference in their file. The reference was from a family member.

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8VAC20-780-130-E · Based on record review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years.

Evidence: 1. The record for child # 2 age 16 months, date of enrollment 08/16/2023, contained immunizations dated 07/17/2023. The record did not contain additional immunizations. 2. The record for child #3, age 22 months, date of enrollment 03/01/2023, contained immunizations dated 02/13/2023. The record did not contain additional immunizations. 3. The record for child #8, age 15 months, date of enrollment 07/24/2023, contained immunizations dated 06/21/2023. The record did not contain additional immunizations. 4. The record for child #10, age 2 years, date of enrollment 03/01/2022, contained immunizations dated 02/25/2022. The record did not contain additional immunizations.

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8VAC20-780-560-F · Based on documentation review, and interview, the center failed to post the current menu for the one-week period.

Evidence: 1. The posted menu was dated for the previous week, March 11th-March 15th. 2. When asked, administration stated that the current week's menu could not be posted because the printer was not working.

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8VAC20-780-340-A · Based on interviews, the center failed to ensure that when staff are supervising children they shall always ensure their care, protection, and guidance.

Evidence: Interviews revealed that staff #1 has been observed on multiple occasions yelling at the children and grabbing the children to force them to walk or sit.

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8VAC20-770-60-C-2 · Based on record review, the center failed to obtain the results of a central registry finding within 30 days of employment.

Evidence: The record for staff #4, date of employment 10/23/23, did not contain the results of a central registry finding.

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8VAC20-780-40-H · Based on documentation review, and interview, the center failed to provide evidence of current liability insurance. Evidence: The liability insurance that was provided had an expiration date of 08/19/2022. When asked for the updated liability insurance evidence the provider stated that she had not been sent a copy of the new policy.

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8VAC20-780-160-A · Based on records review, the center failed to ensure that all staff submit documentation of a negative tuberculosis screening within the last 30 calendar days of the date of employment. Evidence: The record for staff #1, date of employment 06/20/2022, contained documentation of tuberculosis screening dated 09/03/2021.

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