Little Tin Soldiers Educational Center

8VAC20-790-600-D-1

Current certification in cardiopulmonary resuscitation (CPR) for all staff who work directly with children within 90 days of the date of employment or 90 days. Staff #3 employed for 4 months did not have a current certificate in cardiopulmonary resuscitation.

8VAC20-790-600-D-2

Current certification in first aid appropriate to the ages of children for all staff who work directly with children within 90 days of the date of employment or 90 days. Staff#3 employed for four months, did not have a current certificate in first aid.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #1 updated screening was due over two years ago.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated screening was due over two years ago. The updated screenings have not yet been completed.

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. One toilet in the girls bathroom was covered with a bag and not in operable condition.

8VAC20-780-350-C

When children are in ongoing mixed age groups, the staff-to-children ratio and group size applicable to the youngest child in the group shall apply to the entire group. Staff #2 and Staff#3 was observed supervising fourteen children (youngest child 15 months old; 1:4 ratio) from approximately 12:35 pm-12:52 pm.

8VAC20-780-160-A

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children. Staff#1 is currently working and has an incomplete TB screening.

8VAC20-780-70

Documentation of at least 2 references to character, reputation, and competency are to checked prior to employment. Staff#1, who has been working at the center for the past month, had one reference verification on file. Staff#2,who has been working at the center for the past four months, did not have any completed reference verifications on file.

8VAC20-780-270-A

The center shall ensure all areas and equipment of the center, inside, and outside, shall be maintained in a clean safe and operable condition. There were multiple sink faucet handles broken covered in blue tape in the center's bathrooms.

8VAC20-780-280-B

Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A bottle of air freshener with the warning labels, "danger" and "caution," was unlocked on the shelf three-four year old classroom. Disinfectant spray was unlocked on top of the refrigerator with the warning labels, "caution" and "keep out of reach of children. Three containers of disinfectant spray with the warning labels, "keep out of reach of children," were in an unlocked cabinet in the bathroom.

8VAC20-780-240-B

Based on staff record review and interview, the center did not ensure to complete orientation training prior to staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: In Staff#3's record, there was no documentation found of completion of orientation. Interview with staff confirmed there was no documentation available for review during the inspection.

8VAC20-780-500-B

Based on observation, the center did not ensure a nonabsorbent surface for diapering or changing shall be used Evidence: 1. The diapering surface in the infant room was observed torn in multiple areas. 2. The diapering surface in the bathroom was observed torn in multiple areas

8VAC20-780-280-B

Based on observation, the center did not ensure all hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: In the twos classroom, there was a bottle of hand sanitizer on the desk with the labels "keep out of reach" and "warning" accessible to the children in care.

8VAC20-780-270-A

Based on observations, the center did not ensure all areas inside and outside are maintained in a clean, safe, and operable condition. Evidence: In the boys/girls bathroom, two out of the four sinks were not operable, one with an out of order sign on it. The playground area grass was observed uncut and accessible to children during outdoor activity.

8VAC20-780-260-A

Based on documentation, the center did not ensure to obtain an annual fire inspection report. Evidence: The center's annual fire inspection was dated 04/13/2023 during the inspection.

8VAC20-780-160-C

Based on review of staff record and interview, the center did not ensure to obtain documentation of a tuberculosis screening every two years. Evidence: In Staff#1's record (date of hire: 05/21/21) the last dated tuberculosis screening was 05/19/21. In Staff#2's record (date of hire: 03/07/22) the last dated tuberculosis screening was 03/04/22. Interview with staff confirmed the available documentation for review during the inspection.