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: Feb. 28, 2023

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:

During the center's hours of operation, one adult on the premises shall be in charge of administration of the center. This includes during rest/break time.

Comments:

An unannounced renewal study was conducted from 12:00 pm - 2:00 pm. There were 36 children in care being supervised by 5 staff. The children were observed resting and engaging in free play. 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 four child records and five 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. If you have questions regarding this inspection you may contact Sharon Allen at 540-272-2941 or sharon.allen@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of four staff records it was determined that not all out of state background checks were obtained for staff who have lived outside of VA in the last five years. Evidence: 1. The record for Staff A (start date: 08/03/22) documented on their sworn statement or affirmation form that they have lived in two states outside of VA in the last five years. Staff A did not have documentation of out of state central registry checks for the two states documented on the sworn statement form. Staff A did not have documentation of an out of state criminal history check for one of the states documented on the sworn statement form. 2. The record for Staff B (start date: 09/27/22) documented on their sworn statement or affirmation form that they have lived in one state outside of VA in the last five years. Staff B did not have documentation of an out of state central registry check or an out of state criminal history check for the state documented on the sworn statement form.
Plan of Correction:	Administration will request out of state central registry checks and out of state criminal history checks for Staff A and Staff B.
Standard #:	8VAC20-780-270-A
Description:	Based on observation of the Pre-K classroom it was determined that not all areas were maintained in safe and operable condition. Evidence: A loose, jagged floor tile was observed in front of the exit door to the playground of the Pre-K classroom posing a tripping hazard.
Plan of Correction:	The floor tile will be repaired.
Standard #:	8VAC20-780-330-C
Description:	Based on observation of the playground it was determined that not all ground supports were covered with materials that protect children from injury. Evidence: 1.) The fire truck structure on the preschool playground had ground supports that were visible and not covered by resilient surfacing. 2.) The fire truck structure and helicopter structure on the school age playground had ground supports that were visible and not covered by resilient surfacing.
Plan of Correction:	Ground supports will be covered with resilient surfacing.
Standard #:	8VAC20-780-430-F
Description:	Based on observation of the infant room it was determined that the facility failed to ensure climbing equipment over 18 inches was not placed over bare flooring. Evidence: An infant climbing structure was observed over bare floor in the infant room.
Plan of Correction:	The climbing structure will be placed over a carpet.
Standard #:	8VAC20-780-430-G
Description:	Based on observation of the toddler room it was determined that not all indoor slides more than 36 inches were located over resilient surfacing. Evidence: The slide portion of the climbing equipment in the Toddler room was not placed over resilient surfacing.
Plan of Correction:	Resilient surfacing will be placed under the slide portion.
Standard #:	8VAC20-780-440-A
Description:	Based on observation and interview it was determined that not all children were provided with a crib. Evidence: Five infants were observed in the infant room that were under 12 months old. Four cribs were observed in the infant room. Child A (11 Months) did not have a designated crib assigned to them.
Plan of Correction:	Each infant under 12 months old will have an individually assigned crib.
Standard #:	8VAC20-780-570-E
Description:	Based on observation of the infant room and interviews it was determined that not all prepared formula bottles were labeled with the child's name. Evidence: Two bottles were observed in the infant room refrigerator that were not labeled indicating who the bottles belong to.
Plan of Correction:	The bottles were labeled during the inspection.