Childtime Childcare, Inc.-1011

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 #1, who had been enrolled for over one month.

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8VAC20-780-60-A-8 · A written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

Child #8 had a doctor diagnose allergy but the center did not have a allergy action plan. Child #8 has been in the program for 8 months.

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8VAC20-780-260-B · Based on staff interview and documentation review, the licensee did not ensure annually approval from the health department be provided for meeting requirements for water supply; sewage disposal system and food services.

Evidence: The center provided food establishment inspection but did not provide the water supply and sewage disposal system inspection (Enviromental Sanitation inspection ).

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22.1-289.035-B-2 · Based on record review, the licensee did not ensure prior to hire fingerprint results were recieved.

Evidence: Staff #2 hire date on record was 1/15/2024 and fingerprint results were 1/16/2024.

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8VAC20-780-40-E · Based on interview and review, the center did not ensure that the center's activities were maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department.

Evidence: 1. Child Supervision Guidelines states: "Children must be supervised, in the direct line of sight and within ear shot of a staff member, at all times. All state mandated adult to child ratios must be followed at all times. " 2. Center policy also states: "Face-to-Name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day. Face to names must be used to document staff to child ratios throughout the day: hourly, children arriving or leaving the classroom, transitioning children from one location to another (playground, fieldtrips, electives etc), combining and or blending classrooms. Face to Name sheets is kept current at all times." 3. The Face to Name sheet for the toddler room did not have Child #1 checked in the classroom. The face to name did not have child #1 checked out of the 2's classroom. Staff #1 and Staff #2 confirmed they did not check child #1 in and out of the classrooms when child #1 transitioned. Staff confirmed name to face sheet was not current. Child #1 was not supervised, in the direct line of sight within ear shot of a staff member for approximately nine minutes.

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8VAC20-780-160-A · Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. Documentation of the screenin shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Evidence: Staff #4 hire date 09/18/2023 the TB results were recieved 09/19/2023. Staff #7 hire date 10/2/2023 the TB results were recieved 10/03/2023 . Which the date of results were recieved were after the date of employment.

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8VAC20-780-160-A · Based on record review, the licensee did not ensure each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department.

Evidence: Staff # 3 hire date was 03/20/2023 . TB test results were 4/13/2023 after date of employment.

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8VAC20-780-40-E · Based on a review of written center procedure and staff interviews, the center did not ensure that the operational responsibilities of the licensee shall include, but not be limited to, ensuring that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by these standards.

Evidence: 1. Infant feeding procedures : Center procedures for bottle feeding states "to verify the name on bottle with child needing to be fed." 2. On February 28, 2023, Staff #1 fed Child #2 's bottle (formula)to Child #1. 3. Staff #1 and Staff #2 confirmed the wrong bottle was fed to Child #1.

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8VAC20-780-270-A · Based on observation and staff interview, the licensee did not esure areas of equipment of the center , inside and outside shall be maintained in a clean, safe and operable condition.

Evidence: Outside on the School Age/Preschool playground, there was black peeling paint flaking off from multiple parts of the fence.

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22.1-289.035-B-4 · Based on record review, the licensee did not ensure Out of State Sex Offender Registry completed for each state an individual has resided in the past 5 years prior to the 1st day of employment/service.

Evidence: Staff #1 hire date 11/01/2021 did not have a Out of State Sex Offender Registry completed for Maryland prior to first date of employment. Staff #2 hire date 01/31/2022 did not have a Out of State Sex Offender Registry completed for Colorado prior to first date of employment. Program director confirmed they did not have documentation and complete the sex offender check during the inspection for both staff.

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8VAC20-820-120-E-5 · Based on observation and interview, the Notice of Intent (NOI) regarding intermediate sanctions was not posted in a prominent place at each public entrance of the facility.

Evidence: During the inspection, the licensing inspector asked to view where the Notice of Intent (NOI) was posted in the facility. A member of management and the licensing inspector went to view the postings located at the front entrance of the building. The NOI was not posted. Before inspector left the NOI was posted with inspection and letter.

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