VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Childtime Learning Center 1002
6048 Providence Road
Virginia beach, VA 23464
(757) 523-1655

Current Inspector: Rene Old (757) 404-1784

Inspection Date: July 1, 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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

Reviewed and discussed the following with the program director: *Standard 430.I - labeling individual items such as water bottles; *Keep an eye on weeds beginning to grow in the mulch on the preschool playground; *Background check requirements effective July 1, 2024; *Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new.

Comments:

An unannounced renewal inspection was initiated on 07/01/2024 at 8:52 am and concluded on 07/01/2024 at 1:10 pm. At the time of the tour there were 57 children present with 12 staff supervising. The ages of the children in care ranged from infant - school age. Children were observed during morning program time which included group, free play and lunch. Records were reviewed for six staff and eight children in care during the inspection. The inspector additionally reviewed a sample size of 15 injury reports, medication and emergency supplies. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and staff interview, the center failed to obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Staff 1, hire date 07/24/2023, lacks the results of a central registry check for another state of residence within the past five years. 2. Administrative staff confirmed that the results of a central registry check had not been received.
Plan of Correction:	Moving forward all out of state background checks will be submitted prior to employee's first day of employment. Employee will remain a provisional hire, in compliance with the new standard, until all out of state background checks have been returned. A spreadsheet is used to track employee file requirements. A new column will be added to distinguish between backgrounds that are submitted and backgrounds that have been returned.
Standard #:	8VAC20-780-130-A
Description:	Based on record review, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. Child 3, enrollment date 05/15/2023, lacks documentation of required immunizations. 2. Child 4, enrollment date 08/09/2023, lacks documentation of required immunizations. 3. Both children were in care during the inspection and administrative staff confirmed the immunization documentation was not on file in the enrollment record.
Plan of Correction:	All out of date or missing immunizations must be updated and returned by July 31st in order for children to remain in care. New enrollments may not start until a valid immunization record is on file.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation that each child has had a physical examination by or under the direction of a physician before attendance or within one month after attendance. Evidence: 1. Child 2, enrollment date 03/18/2024 lacks documentation of a physical exam. 2. Administrative staff confirmed the results of a physical exam were not on file for child 2.
Plan of Correction:	All out of date or missing physicals must be updated and returned by July 31st in order for children to remain in care. New enrollments may not start until a valid physical is on file.
Standard #:	8VAC20-780-200-A
Description:	Based on record review, the center failed to have a qualified program director who meets one of the director qualifications who shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. The educational credentials provided do not indicate sufficient documentation to confirm that staff 2 meets program director qualifications outlined in standard 210.A a. Administrative staff confirmed that staff 2 does not have all of the required educational credentials for the program director position. 2. Staff 2 has been functioning in the program director position since 08/28/2023. b. Staff 2 is listed as the program director on the renewal application.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on staff interview, the center failed to obtain for the facility annual approval from the health department. Evidence: 1. Administrative staff stated an annual inspection had not been conducted by the Virginia Beach Health Department in 2023 or 2024.
Plan of Correction:	Health Inspection was obtained on July 2, 2024. All center inspection expirations have been entered into the school calendar to maintain compliance.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center failed to ensure that areas of the center shall be maintained in a safe condition. Evidence: 1. The top half of the "Dutch" door in the two-year classroom bathroom was open at the top. a. The top half of the door was not securely latched to prevent the door from swinging back and forth. b. Unsecured Dutch doors are a pinch point safety hazard.
Plan of Correction:	We will be submitting a desk review for this violation.
Standard #:	8VAC20-780-340-F
Description:	Repeat Violation Based on staff interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: 1. Center administrative staff, staff 2 and staff 3, reported to the inspector that the gate between the two outdoor play areas was left open on 04/29/2024 at approximately 10:00 am resulting in 6 children from the two-year old class wandering over to the toddler playground without knowledge of the two staff responsible for their supervision. a. Administrative stated that the toddler playground was not within sight and sound supervision of the area of the preschool outdoor play area where staff were standing. b. Administrative staff confirmed that the 6 children were unsupervised on the toddler playground for approximately 10 minutes based on a review of center video.
Plan of Correction:	Gate latch repaired and tightened, and a child lock was placed, to prevent accidental opening of the gate. A Playground Checklist is completed daily by a member of management prior to children going outside for the day. All staff members retrained May 6-10, 2024 on proper playground supervision and positioning. A classroom playground observation checklist is completed regularly and ongoing coaching with staff on playground best practices takes place during observations.
Standard #:	8VAC20-780-510-G
Description:	Based on medication review, the center failed to ensure that medication shall be labeled with the child's name. Evidence: One prescription medication was not labeled with the child's name.
Plan of Correction:	All medication must be reviewed by a member of management for compliance, in front of the parent before being accepted for use. Medication will not be accepted if it does not meet the requirements. Requirements for medication will be discussed at the next weekly management meeting. All staff instructed not to accept any medication from families, and direct them to a member of management for assistance.
Standard #:	8VAC20-780-510-I
Description:	Based on medication review and interview, the center failed to ensure that prescription medication shall be maintained in the original, labeled container. Evidence: 1. One prescription medication for child 1 was not stored in the original medication box with prescription affixed label. 2. Administrative staff confirmed that this medication was received without the medication box and prescription label.
Plan of Correction:	As of July 1st, all medication must be reviewed by a member of management for compliance, in front of the parent before being accepted for use. Medication will not be accepted if it does not meet the requirements. Requirements for medication will be discussed at July 19, 2024 management meeting. All staff instructed not to accept any medication from families, and direct them to a member of management for assistance.