VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tiny Toes Creative Learning Center II
10817 Tidewater Trail #200
Fredericksburg, VA 22408
(540) 371-8770

Current Inspector: Sharon Allen (540) 272-2941

Inspection Date: Aug. 3, 2022

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) 22.1 BACKGROUND CHECKS CODE; CARBON MONOXIDE

Technical Assistance:

You will need to adhere to all standards regarding submitting and obtaining background checks which must be conducted for all agents and employees of the business. Fingerprint background checks and sworn statement or affirmations must be conducted prior to the first day of employment. Central registry background check results must be documented by the 30th day of employment. Additionally, you will need to provide parents and employees of the center with handbooks and follow all required documentation of each. You will need new parental agreements. The agreements need to be completed immediately and handbooks provided to all parties within 15 days. The Director will need to provide orientation training to all staff within 7 days.

Comments:

An announced initial study was conducted from 11:00 am - 1:30 pm. There were 39 children in care being supervised by 4 staff members. The children were observed participating in structured center play, eating lunch, and preparing for nap. The facility was observed for age/stage appropriate supplies, activities, and equipment for the ages of children in care. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 10 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of 10 staff records it was determined that not all staff records contained documentation of a determination letter based on fingerprinting on file. Evidence: The record for staff B did not have documentation of a determination letter based on fingerprinting during the time of the initial inspection.
Plan of Correction:	Staff B did complete the fingerprint request however, the results have not yet been obtained by the facility. The administrator will follow up with office of background investigations to request the status.
Standard #:	8VAC20-780-270-A
Description:	Based on observation of the playground it was determined that not all areas of the facility were maintained in safe operable condition. Evidence: 1.) The grass portion of the school age playground area had not been recently mowed, the length of the grass was over shin length. This poses a risk of potential ticks, snakes, or mosquitos to be present. 2.) A broken branch was observed on the school age playground partially attached to the tree and hanging down into the playground. 3.) There is a cracked caterpillar toy on the infant playground.
Plan of Correction:	The owner has called a lawn vendor to mow the grass and remove the branch. The cracked caterpillar toy has been removed.
Standard #:	8VAC20-780-330-B
Description:	Based on observation of the playground it was determined that not all equipment was accompanied by appropriate resilient surfacing. Evidence: There was scattered mulch throughout the school age playground with many bare spots observed. There was not a sufficient amount of resilient surfacing around the helicopter and car structure.
Plan of Correction:	Mulch has been ordered for the school age playground.
Standard #:	8VAC20-780-330-F
Description:	Based on observation of the preschool playground there was not a shady area provided during the months of June, July, and August. Evidence: The large umbrella that typically provides shade on the preschool playground was not present and was reported to be broken.
Plan of Correction:	A new umbrella will be placed on the preschool playground.
Standard #:	8VAC20-780-350-B-5
Description:	Based on observation of the school age room it was determined that a ratio of one staff member per every 18 children was not always maintained. Evidence: Staff A was observed caring for 20 children ranging in ages of 5 years - 12 years.
Plan of Correction:	School Age rooms will maintain a 1:18 ratio.
Standard #:	8VAC20-780-430-B
Description:	Based on observation of the two year old room it was determined that there was not an adequate supply of arts & crafts materials, texture materials, construction materials, music and sound materials, books, social living equipment and manipulative equipment. There was a small amount of social living and manipulative items. There were no arts & crafts materials, texture materials, construction materials, music and sound materials, or books observed in the two year old classroom.
Plan of Correction:	The owner will purchase the required supplies and materials for the two year old classroom.
Standard #:	8VAC20-780-500-B
Description:	Based on observation of the diapering area in the two year old room it was determined that not all procedures for diapering were followed. Evidence: The changing pad in the two year old room had a tear on top making it no longer nonabsorbent.
Plan of Correction:	The owner has purchased a new changing pad.