Childtime Learning Center 1002

8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care and protection.

1. Staff 1 fell asleep, twice, while holding an 8 month old infant in a rocking chair for approximately 6 minutes on 08/20/2025. 2. Staff 2 and staff 3 stated that staff 1 had told them she was tired and needed to go home. When they realized she had fallen asleep with an infant in her arms, they did not intervene immediately to ensure the safety of the infant, or notify management until staff 1 had fallen asleep a second time.

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22VAC40-185-270-A · Based on observation, the center failed to ensure that outside areas of the center shall be maintained in a safe condition.

1. Seven tree roots were observed protruding from the ground, surrounding the outdoor play structure, on the toddler/two-year old playground. a. These tree roots present a trip hazard.

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8VAC20-780-180-A · Staff shall be capable of carrying out assigned responsibilities.

During observation of the infant classroom on 11/05/2025 and 11/07/2025 staff 1 could not meet the requirements of the job description for a teacher which requires lifting, carrying, kneeling, squatting, standing, balancing and pulling. Staff 1 was observed sitting in a chair while feeding infants placed in highchairs by other staff present. Staff 1 also cleaned and sanitized the highchair trays with cleaning products that had to be brought to her by the other staff. Staff 1 stated she was only able to sit in a chair and feed children or perform duties from a seated position as she did not have the ability to stand, lift, kneel, squat or pickup a child.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure there care and protection.

Staff 1 mistakenly fed 6 ounces of child 1?s bottle to child 2 on 3/6/2026 Both bottles were were labeled correctly with each child?s name.

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22.1-289.011-F · Based on observation and interview, the center failed to ensure that the findings of the most recent inspection shall be posted in a conspicuous place on the licensed premises.

Evidence: 1. The findings from the most recent inspection, conducted on 09/05/2023, were not posted. a. The findings from the 07/23/2023 were posted. 2. The program director confirmed that the findings from the 09/05/2023 monitoring inspection were not posted.

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8VAC20-780-340-A · When staff are supervising children, they shall always ensure their care and protection.

The two-year class was combined with the three-year old class for three days the week of 01/05/2026. Staff report this disrupted the routine and overall safety of children in care as they could not implement planned activities due to the developmental difference between the age groups. Additionally, staff report the three-year old children were shoving and hitting the two-year old children and one child in the group has behavior challenges they did not feel sufficiently trained to handle with the addition of the younger children.

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8VAC20-780-340-A · Based on staff interviews, observations and a review of center video and injury reports, the center failed to ensure the care and protection of children.

Evidence: 1. A review of injury reports for the two-year old classroom indicated approximately 122 injuries from approximately 12/02/2023 - 03/12/2024. a. 60 of these injuries were of children being bitten by another child; b. 39 of these injuries were of children being scratched, pushed or hit by toys thrown by another child. 2. Center staff interviewed, staff 1, staff 2, staff 3 and staff 4 described the two-year old classroom as "lacking structure," "chaotic," and difficult to manage. a. Staff additionally indicated that they did not feel they had the training or skills needed to manage children's behavior challenges especially biting. b. Staff also stated there were multiple children in the classroom with identified behavior challenges nevertheless, they had not received any training specific to these children or been apprised of any plan in place to address the behavior challenges. 3. A review of center video in the two-year old classroom, from approximately 8:10 am - 8:20 am on 03/08/2024, showed multiple incidents of children being injured by other children. a. One child was observed throwing toys while a second child hit another child. b. The video also showed ten children roaming around the room, climbing over overturned chairs, and attempting to climb up the diaper changing table while the two staff responsible for supervising the classroom of twelve children were occupied as they were assisting the other two children during this time. c. The lack of available activities and supervision for the ten children, resulted in the children occupying themselves in activities that increased the risk of injury. 4. During a classroom observation on 03/15/2024 child 1, who has been identified by all staff in addition to written records as having behavior challenges, bit another child while playing by the cots at approximately 11:10 am. a. During a planned activity, child 1 was not being supervised closely by staff which resulted in a "crowding" situation near the cots where child 1 was able to bite child 2.

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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 these standards and the center's own policies and procedures that are required by these standards.

1. Staff 1 did not follow center policy when she picked up child 1 by both wrists on 11/03/2025 at approximately 9:09 am. Written center policy states that "Lifting a child up by hands or wrists" is a behavior to avoid." a. Staff 1 confirmed she failed to follow center policy for lifting children.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required elements.

1. The enrollment records for child 1, 2, 3, 4 and 5 lacked a work phone number for one or both parents; 2. The enrollment record for child 6,7 and 8 lacked written documentation from the parent of annual review and update of the information in the child's record; 3. The enrollment record for child 3 lacked documentation of two emergency contacts that are not the parent; 4. The enrollment record for child 1 lacked written documentation of verification of age and identity .

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8VAC20-780-400-B · Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts.

When child 1, age 4 years, was acting out in a potentially dangerous manner, staff 1 used a phrase that was not constructure in nature in reacting to it, rather than using language that was more appropriate for redirecting the child.

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