Learning Paths Academy at Leavells (#8)

A tuberculosis (TB) screening is required every two years from the last screening.

“The most recent TB screening in the record of Staff #1 expired over three months ago.”

Rule 8VAC20-780-160-C.

All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) and first aid appropriate to the ages of children in care.

“Staff #4 obtained CPR and first aid certification 143 days after the date of employment.”

Rule 8VAC20-790-600-D-1.

Nonprescription drugs and over-the counter skin products shall not be kept or used beyond the expiration date of the product.

“Three expired over-the-counter ointments were observed at the center during the inspection.”

Rule 8VAC20-780-520-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.

“The immunizations in the record of Child #1, who has been in attendance for over a month, were obtained 53 days late.”

Rule 8VAC20-780-130-A.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record of Child #2, who has been in attendance for two months, was missing the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. The second emergency contact in the record of Child #4 was missing the contact’s address. The child has been in attendance for 11 months.”

Rule 8VAC20-780-60-A.

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 #1 has not completed the 2024 annual health and safety training, which was overdue by seven months.”

Rule 8VAC20-790-600-F.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child # 1 (age 2 years), who has been attending for over a year, did not have documentation of updated immunizations on file. Child #2 (age 1 year), who has been attending for over 10 months, did not have documentation of updated immunizations on file.”

Rule 8VAC20-780-130-E.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #5, who had been enrolled for over one year.”

Rule 8VAC20-780-140-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The center had a fire inspection that was dated 03/10/2023, which expired over seven months ago.”

Rule 8VAC20-780-260-A.

The diapering area shall have a sink with running warm water not to exceed 120?F.

“Infant room 1 had running water, which was used for hand washing, measured at 134?F. Infant room 2 had running water, which was used for hand washing, measured at 130?F.”

Rule 8VAC20-780-500-B.

8VAC20-780-40-M

“Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: not all classrooms had an allergy list, and the list, which was dated 12/11/23, did not include all children with allergies, sensitivities and dietary restrictions.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-E

“Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child’s physician and parent. Evidence: the records for child #2 and child #3 did not contain complete written authorization from the child’s parent and physician for long term emergency medication that was observed on site.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A-7

“Based on record review, the facility failed to obtain a written care plan for each child with a diagnosed food allergy, as required. Evidence: the records for child #3 and child #4, with diagnosed food allergies, did not contain a written care plan with instructions from the physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

Rule 8VAC20-780-60-A-7.

8VAC20-780-340-A

“Based on interviews, photos and documentation review it was determined that the facility failed to ensure the children’s care, protection, and guidance. Evidence: 1) in July 2023, there were approximately 22 documented accidents/incidents in the two’s classroom including four bites, four scratches, and six bumps/hits. 2) in August 2023 there were approximately 20 documented accidents/incidents in the two’s classroom including seven bites and eight scratches/hits. 3) interviews revealed that there were staffing issues and the unusually high number of incidents have been rectified with new/consistent staffing.”

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-500-B

“Based on observation, the facility did not ensure that the diaper changing surface was nonabsorbent. Evidence: observed that the diaper changing surface had several small rips and tears exposing the absorbent surface beneath.”

Rule 8VAC20-780-500-B.

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments were labeled with the child’s name. Evidence: observed diaper ointment in a small cubby above the changing table that was not labeled with a name.”

Rule 8VAC20-780-520-C.

8VAC20-780-290-A-3

“Based on observation the facility did not ensure that electrical outlets accessible to children’s were covered with a protective cover. Evidence: observed in room 12 a safety outlet that was in the “open” position and accessible to children.”

Rule 8VAC20-780-290-A-3.

8VAC20-780-550-P

“Based on review, the facility did not ensure that written injury records were maintained with the required minimum information. Evidence: Reviewed 8 injury reports and found that 1 did not have documentation of the time parents were notified.”

Rule 8VAC20-780-550-P.

8VAC20-780-60-A

“Based on review, the facility did not ensure that children’s records were maintained with the required minimum information. Evidence: Reviewed 5 children’s records and found that Child 2 did not have documentation of emergency medical authorization.”

Rule 8VAC20-780-60-A.