Smiling Faces Daycare

8VAC20-780-140-A

Each child shall have a physical examination by or under the direction of a physician: before the child's attendance or within 30 days after the first day of attendance. There was no documentation in the record of Child #1 to show that a physical examination report was received within the required timeframe.

8VAC20-780-130-A

The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. There was no documentation to show that immunization reports were received before Child #2 attended the center.

8VAC20-790-600-D-1

All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The CPR certification for Staff #2 did not include an in-person competency, as required. The CPR certification for Staff #1 was not received within 90 days of employment and did not include an in-person competency, as required.

8VAC20-780-350-B-1

The staff-to-children ratios are required whenever children are in care: birth up to 16 months- ratio 1:4 (staff:children). At the inspector's arrival, Staff #1 was observed working alone with five infants for approximately nine minutes.

8VAC20-780-150-B

Each immunization report shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #1 was not signed by a physician, his designee, or an official of a local health department, which is required.

8VAC20-780-560-F

When centers choose to provide meals or snacks, the following shall apply: A menu listing foods to be served for meals and snacks during the current one-week period shall list any substituted food. On the day of the inspection, a food served for am snack was not listed on the menu, or listed as a substitute.

8VAC20-780-160-A

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis (TB) screening. The TB screening for Staff #1 (employed for one month) and Staff #2 (employed for over one month) show that the documentation was not submitted at the time of employment and prior to coming into contact with children, which is required.

8VAC20-780-70

Repeat Violation The required information shall be kept in each staff?s record. Documentation to demonstrate that the individual possesses the education and experience required by the job position. The record for Staff #2 (employed for one year) did not contain documentation of education and experience for their job position.

8VAC20-780-400-C

When time out is used as a behavior guidance technique it shall not be used with infants or toddlers. During the inspection, Staff #1 put a child, who is a toddler, in timeout for approximately three minutes.

8VAC20-780-440-B

Cribs, cots, rest mats, and beds shall be identified for use by a specific child. On the day of the inspection, five cots reviewed did not identify which child uses each cot.

8VAC20-780-440-G

Cribs shall be used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat. There was one child in an infant room, over the age of 12 months, that has a crib designated for sleeping.

8VAC20-780-560-F

Repeat Violation A menu listing foods to be served for meals and snacks during the current one-week period shall be dated. On the day of the inspection, a breakfast menu and a snack menu did not contain dates, which is required.

8VAC20-780-160-A

The [tuberculosis] documentation shall have been completed within the last 30 calendar days of the date of employment. The tuberculosis (TB) results in the record of Staff #1 (employed for two weeks) show that the TB test was not completed within 30 calendar days of their date of employment. Complaint related: No

8VAC20-780-70

All the required information shall be kept for each staff person. The record for Staff #1 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment. The documentation of references in the record of Staff #2 show that the staff member?s references were not checked before employment; the references were checked four months after their date of hire. Complaint related: No

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. On 10/29/24, one staff member was observed outside with 12 children. The youngest child in the group was 16 months, requiring the ratio to be 1:5. During an inspection on 11/20/24, the inspector observed one teacher alone for approximately six minutes, with six children. The youngest child in the group was seven months, requiring the ratio to be 1:4. Complaint related: No