Tots Around the Clock, LLC

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. There were multiple disinfectants and a sanitizer with warning labels, ?Keep out of reach of children,? were unlocked in the toddler and threes classroom.

8VAC20-780-440-B

Cribs shall be identified for use by a specific child. In the infant room, one crib was properly identified for use by a specific child. There were a total of four infants present who were under 12 months of age.

8VAC20-780-60-A

The center is required to maintain and keep at the center a separate record for each child enrolled which contains all required information, to include documentation that staff request, at least annually, parent confirmation that the required information in the child's record is up to date. The written parent confirmation of current information in records was 2 weeks overdue for child #1, 4 years overdue for child #4 and 3 years overdue for child #5.

8VAC20-780-70

The center must maintain staff records for each staff person to include documentation to demonstrate that the individual possesses the education, certification, and experience required for the job position. The records for staff #1, staff #2, staff #3 and staff #4 do not contain complete documentation to demonstrate qualification for their currently assigned position of program leader.

8VAC20-780-80-A

For each group of children, the center must maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Staff #6 was supervising 6 children, ages 4 1/2 to 5 years old and did not have a written attendance record of the children currently in her care. Staff #4 was supervising 9 children, ages 2 to 3 years old and did not have a written attendance record of the children currently in her care.

8VAC20-780-340-F

Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that individuals who are not staff members or persons allowed to pick up a child can not enter the restroom area and staff check on a child who has not returned from the restroom after 5 minutes. Child #1, four years old, was observed leaving her classroom and walking un down the hall to the restroom out of sight and sound of the staff who was supervising her. . Child #1 returned to her classroom in less than 4 minutes.

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 #5 were observed supervising twelve children ranging in age from 7 months to 2 years of age during rest time. The required ratio for children ages birth to 16 months is one staff per four children.

8VAC20-780-560-F

When centers choose to provide meals or snacks, the center must follow the most recent age appropriate nutritional requirements of the Child and Adult Care Food Program of the USDA. Children in the 4-5 year old classroom were observed being served cookies and water for snack. Children in the 3-4 year old classroom were observed being served cupcakes and water for snack.

8VAC20-790-600-D-1

All staff who work directly with children must have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care which includes an in-person competency demonstration. Staff #2 who was working with children at the time of the inspection does not have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2's certification expired 14 months ago.

8VAC20-790-600-D-2

All staff who work directly with children must have current certification in first aid, appropriate to the ages of children in care. Staff #2 who was working with children at the time of the inspection does not have current certification in first aid. Staff #2's certification expired 14 months ago.

8VAC20-790-600-F

(repeat Violation) Staff who work directly with children must annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #4's record did not contain documentation to demonstrate that they had attended the department's health and safety update course had been attended within the last 12 months.

8VAC20-790-600-F

Staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Staff #3 had not completed the department's health and safety update course within one year of the last annual update training. The current annual update training was overdue by 8 months.

8VAC20-780-70

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position is required in staff records. The staff #1, staff #3, staff #4 and staff #5 were currently employed as lead teachers (program leaders) but did not have a diploma, transcript or degree along with additional documentation to demonstrate their program leader qualifications.