Virginia
Sign in
Back
Tiny Toes Creative Learning Center

Inspection · 2024-12-12

Date
2024-12-12
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site renewal inspection was initiated on 12/12/2024 and completed on 12/13/2024, as a part of the licensure period. The on-site inspection began at 11:45am and ended at 2:45pm. The inspector reviewed compliance in the areas listed above. There were 52
children present and ten staff. The inspector reviewed five children?s records and five staff records on-site. Additional documentation was reviewed electronically on 12/13/2024. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

6
Standard 22.1-289.035-B-4
(Repeat Violation) The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #1, employed for more than seven months, did not have documentation of requesting a central registry check from one state and no documentation of requesting a central registry check or criminal history check from a different state.
Plan of Correction: The missing out-of-state background checks will be requested.
Standard 8VAC20-770-60-C-2
For staff hired before July 1, 2024, the center must obtain the results of a central registry search within 30 days of employment.

The central registry search in the record of Staff #1 was obtained more than 90 days after the date of employment.
Plan of Correction: Corrected. In the future, the center will maintain documentation of contact with the Office of Background Investigation.
Standard 8VAC20-780-130-A
(Repeat Violation) The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Child #5, who has been attending for more than two months, did not have documentation of an immunization record on file.
Plan of Correction: The child was scheduled for an appointment and will provide the missing immunizations upon receipt.
Standard 8VAC20-780-160-A
(Repeat Violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment.

The TB in the record of Staff #2 was dated three months prior to the date of employment and the TB in the record of Staff #5 was dated two months prior to the date of employment.
Plan of Correction: Future staff will provide TBs that are dated no more than 30 days prior to the date of employment.
Standard 8VAC20-780-510-F
Medication authorizations shall be available to staff during the entire time it is effective.

A prescription medication was observed on-site for Child #6 and a prescription medication was observed on-site for Child #7, but no written parental authorization was present for these medications.
Plan of Correction: The authorizations will be signed by the parents.
Standard 8VAC20-780-550-P
The center is to maintain a written record of children's serious and minor injuries that contains all of the required information.

Two injury reports reviewed were missing any future action to prevent recurrence of the injury.
Plan of Correction: Staff will be reminded to complete the entire form to ensure all the required information is maintained.
View original record on Virginia Department of Social Services