Inspection · 2025-12-18

A tuberculosis (TB) screening is required every two years from the last screening. S4 updated screening was due 31 days ago. The updated screening has not been completed.

Prior to working alone with children and within seven days of the first day of employment, staff shall be provided in writing with the center?s information listed in 8VAC20-780-420 and information required by 8VAC20-780-240-D. 1-7. The staff file for S3 employed for 16 days did not document this requirement.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of
children in care. S4 did not complete any annual training between 12/11/2024 and 12/11/2025. S5 obtained 10 of the 16 required hours between 11/20/2024 ? 11/20/2025.

Repeat Violation
The center shall ensure that areas and equipment of the center, inside and outside,
are maintained in a clean, safe and operable condition.
1. Baskets holding the children?s milk bottles in the infant room refrigerator contained a standing liquid substance of an unknown origin.
2. The freezer compartment in the infant room refrigerator had a spilled brown substance and other debris in the compartment where breast milk was stored.
3. The safety straps on multiple infant highchairs were caked with dried and sticky food debris.
4. Highchairs in the infant room failed to have the cloth covers on the chairs exposing the children to bolts that hold the chairs together.
5. Highchairs were observed to have food debris in the crevices of the chairs.
6. Food crumbs were observed on the floor in front of the pre-school children?s cubbies and unwrapped cookies in the cubbies.
7. Vinyl baseboard was missing at the door opening between the toddler and infant room.
8. Contact paper on the children?s sink cabinet in the toddler room was peeling and accessible to the children in care.

Staff shall request at least annually parent confirmation that the required information in the
child's record is up to date. Up-to-date information is required to be requested from
the parent for each child's record at least annually. The information in the record of C1
has not been updated and is overdue by 13 days. The information in the record of C2 was overdue by 9 months.

The Center is required to ensure they have a menu listing foods to be served for meals and
snacks during the current one-week period. The menu posted did not specify the fruit that was served to children.

When food is brought from home, the food container shall be sealed. An infant bottle observed in the refrigerator did not have a cap to cover the nipple of the bottle.

Children shall not be allowed to drink while walking around. A child was observed during
the inspection drinking from a cup with a straw while walking around in the infant room.