Creative Kids Child Development Center 2, Llc

8VAC20-780-80-A · Based on documentation review and provider interview the licensee did not ensure that for each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

Evidence: On May 1st in the infant room, during the centers designated nap time there were 12 children in the infant room and the attendance list for the infant room only listed 10 children. Staff#1 confirmed Child #1 and Child #2 were in the infant room, however they were not listed on the daily attendance for that group of children.

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8VAC20-780-260-A · The center shall provide the licensing representative an annual fire inspection report

from the appropriate fire official having jurisdiction. The center?s most recent fire inspection available for review was overdue by 1 month.

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8VAC20-780-280-B · Hazardous substances must be in a locked place that prevents access by children.

1.In Classroom D there were containers of cleaner, disinfectants and air freshener in a bin on a shelf. 2. In Classroom E a container of bleach and water mixture was observed in an unlocked cabinet. Containers were labeled ?keep out of reach of children? and at least one other statement, ?hazardous?, ?harmful? and ?flammable?.

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8VAC20-780-40-J · The center is required to update at least annually the injury prevention procedures based on documentation of injuries and a review of the activities and services. There was not an updated injury plan available for review.

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8VAC20-780-140-A · Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #3, has been attending for 8 months.

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8VAC20-780-350-B-1 · Repeat

Based on documentation review, observations and staff interviews, the licensee did not ensure to follow the required ratio of 1 staff for every 4 infants in care. Evidence: There were 17 infants and toddlers, observed on the playground with only 4 staff members supervising. Center owner, verified the 17th child, Child #1 arrived at approximately 9:48 AM and the 5th staff arrived at approximately 11:50 AM. The center did not meet the ratio of 1 staff to every 4 infants for approximately 2 hours.

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8VAC20-790-600-D-1 · Based record review and staff interviews, the vendor did not ensure staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and shall include an in-person competency demonstration.

Evidence: Staff #2 did not have a current CPR certification as it expired on 4-6-2024.

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8VAC20-780-330-B · Repeat

Based on observation and staff interviews, the licensee did not ensure where playground equipment is provided, there shall be under equipment with moving parts or climbing apparatus enough resilient surfacing to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use. Falls zones shall not include barriers for resilient surfacing. Evidence: On the infant playground there was a plastic playground set that only had approximately 2 feet of fall zone behind the equipment and minimum of 6 feet is required

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8VAC20-780-40-J · Based on center documentation review and staff interview the licensee did not ensure

injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Center Director confirmed they did not have an annual injury prevention plan.

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8VAC20-780-550-O · Based on interviews with staff and other parties involved, center documentation and a review of text messages, the licensee did not ensure the center shall notify the parent by the end of the day of any known minor injuries.

Evidence: On May 31, 2023, Child #1, age 1 was in the infant room and at approximately 12:15 PM another infant threw a small toy and it Child #1 in the forehead. Text messages on May 31, 2023 between Staff #1 and Staff #2 confirm that an injury report was completed on the day of the injury, however the parent of Child #1 had not been notified of the injury on May 31, 2023. On June 3, 2023, the parent of Child #1 contacted Staff #1 about a bruise they noticed on the forehead of Child #1. Staff #1 at that time notified the parent of the injury that occurred on May 31, 2023.

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