VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tiny Toes Creative Learning Center
4540 Plank Road
Suite E
Fredericksburg, VA 22407
(540) 412-0771

Current Inspector: Florence Martus (804) 389-0157

Inspection Date: June 24, 2024

Complaint Related: 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Potable Water Lead Testing Requirements The VDOE recently distributed memos to licensed child day programs, certified preschools and religiously exempt child day centers, sharing the requirement to develop and implement a plan to test potable water pursuant to ? 22.1-289.057 of the Code of Virginia. The VDOE will begin determining compliance with this statute effective January 1, 2025. The memos can be found on the VDOE child care website: www.childcare.virginia.gov.

Comments:

An unannounced monitoring inspection was conducted from 9:00 - 11:15am with the center director. There were 54 children, ranging from three months to ten years of age, present with 11 staff supervising. Infant care was observed and older children were observed playing in centers, outside on the playground, engaged in an art project and completing teacher directed work at tables. Five child records and five staff records were reviewed, along with the emergency drill log, written daily attendance, written allergy list, menu, fire and health inspection, and the required posted information. If you have further questions about this inspection, please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-A
Description:	(Repeat Violation) Based on review of five staff records, the facility failed to obtain an updated Sworn Statement every 5 years, as required, for all staff. Evidence: the record for staff #5 had a sworn statement dated: 5/31/2016.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on review of five staff records, it was determined that no out of state child abuse and neglect search was requested within 30 days of hire, and no out of state criminal history name check was conducted prior to hire, for all staff who stated they have lived outside of Virginia in the past five years. Evidence: the record for staff #4, (Date of hire: 3/27/2023), who indicated that they have lived out of the state of Virginia in the past five years, had no documentation of an out of state central registry search request or an out of state criminal history name check.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-A
Description:	Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within 30 days of employment. Evidence: the record for staff #2 (date of hire: 5/9/2024) had a TB test/screening dated: 2/28/2024.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-160-C
Description:	(Repeat Violation) Based on review of five staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed at least every two years from the date of the initial test or screening. Evidence: the record for staff #3 had a negative TB test/screening dated: 6/23/2021. The record for staff #5 had a negative TB test/screening dated: 2/21/2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-E
Description:	Based on observation, review of documentation and interview, the facility failed to ensure their operational responsibilities adhered to the standards and terms of the current license. Evidence: children and staff were observed in a part of the building that was not licensed for child care. The facility did not have an occupancy permit or fire inspection indicating that the new space was safe, and the space was not measured for capacity by the licensing inspector.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	(Repeat Violation) Based on observation, the facility did not ensure all areas of the center, inside and out, were maintained in a safe and operable condition. Evidence: 1) In the infant classroom, there was one crib with a loose fitting sheet. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death. 2) On the playground, there was a rock climbing wall with missing screws, protruding screws, cracked and deteriorating splintered wood and a wood plank coming loose. 3) On the playground, the surrounding fence had multiple broken pickets, one that caused a gap in the fence where a child could potentially fit through. Staff stated that it has been broken, with the gap, for approximately one week.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-350-B-1
Description:	Based on observation, the facility did not maintain the staff-to-children ratio of one staff for every four children birth to 16 months of age. Evidence: there were nine infants and two staff in the infant room, after one staff left the room to enter the adjoining bathroom. When the bathroom door closed, the staff did not have sight/sound supervision of the infants, therefore is not counted in the ratio.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-440-A
Description:	Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Six infants were observed in the infant room that were under 12 months of age. Four cribs were observed in the infant room. Two children in attendance, and one child not in attendance do not have a designated crib assigned to them and staff stated that they sleep in swings/bouncy chairs.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-A
Description:	(Repeat Violation) Based on observation, the facility failed to ensure that handwashing procedures are followed as required. Evidence: 1) In the infant room, two infants were observed eating in a high chair, and their hands were not washed afterwards. Two other infants were observed being fed a bottle, and their hands were not washed before or afterwards. 2) In the infant room, a child was observed during a diaper change and their hands were not washed afterwards. 3) Staff in the infant room did not wash their hands before and after completing a diaper change, before feeding a child a bottle, or before preparing bottles.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-500-B
Description:	Based on observation and staff interview, not all diapering procedures were followed, as required. Evidence: 1) In the two year old classroom, not all children younger than three years are diapered on a changing table or countertop designated for changing. Staff stated that the children (all age two) have their diapers/pullups changed while they are standing up in the bathroom. 2) In the infant classroom, staff were observed during a diaper change and they failed to clean and sanitize the diapering surface afterwards.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-A
Description:	Based on observation of the toddler room it was determined that protective belts were not used for infant seats. Evidence: A table was observed in the toddler room that had eight bucket seats on the table. The protective belts were not observed in five of the eight bucket seats.
Plan of Correction:	Not available online. Contact Inspector for more information.