Skipwith Academy @ Lauderdale Square (#77)

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. 1. The most recent central registry background check for staff #1 was dated over five years ago. An updated central registry was overdue by eight days.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“At least every two years from the date of the initial screening or testing staff members and individuals from independent contractors shall obtain and submit the results of a follow-up tuberculosis screening. The record of staff #2 contained documentation of a tuberculosis screening that expired one month and 26 days ago. An updated tuberculosis screening has not been conducted.”

Rule 8VAC20-780-160-C.

8VAC20-780-245-J-3

“Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of Medication Administration Training (MAT). Child #8, child #9, child #10, and child #11 have emergency medications on site that the center has agreed to administer if needed. The staff present during the inspection were not currently certified in Medication Administration Training (MAT).”

Rule 8VAC20-780-245-J-3.

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. Staff #8, employed for five months, did not have current CPR certification.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment current certification in first aid appropriate to the ages of children in care. Staff #8, employed for five months, did not have current first aid certification.”

Rule 8VAC20-790-600-D-2.

8VAC20-780-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Staff #7 did not have documentation of completing the department’s health and safety update course for the 2024 year.”

Rule 8VAC20-780-600-F.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff #2 updated tuberculosis screening was due 17 days ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

Based on review of five staff records and interview, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #4, employed 03/13/2024, contained documentation of a negative tuberculosis screening dated 03/14/2024, exceeding the first day of employment. 2. The director acknowledged the TB results for staff #4 were documented after the first day of employment.”

Rule 8VAC20-780-160-A.

Based on interview and review of documentation, the licensee did not ensure the care, protection and guidance by staff when supervising children.

Rule 8VAC20-780-340-A.

Based on interviews and a review of documentation, the facility failed to ensure children under the age of 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

8VAC20-780-40-E

Rule 8VAC20-780-40-E.

Repeat Violation Based on observation and interviews with center staff, the center failed to ensure the 1:8 staff-to-child ratio requirement was met for children ages 2 years old.

“Evidence: 1. During the inspection, the Stepping Stones room (two year olds) was observed via live video footage at approximately 3:10 pm to have 9 children with one staff. 2. During an interview with the Staff #2 and Staff #3, it was acknowledged that the center was out of ratio with 9 children being supervised by one staff. One additional staff was required.”

Rule 8VAC20-780-350-B-3. From a complaint.

Based on an interview with the center’s director, the center failed to ensure the 1:5 staff-to-child ratio requirement was met for children ages 16 months up to 24 months.

“Evidence: During an interview with the director it was stated, ?This morning was a bit chaotic and we were over.? The director stated, that on 7/10/2023 at approximately 7:40 am, toddler room B (16 months-24 months) was out of ratio with 6 children being supervised by 1 teacher for approximately 10 minutes. One additional staff was required.”

Rule 8VAC20-780-350-B-2. From a complaint.

Based on an interview with the center’s director, the center failed to ensure the 1:10 staff-to-child ratio requirement was met for children ages 3 years up to school age eligible.

“Evidence: During an interview with the director it was stated, ?This morning was a bit chaotic and we were over.? The director stated, that on 7/10/2023 at approximately 8:10 am, the prep room (3-4 year olds) was out of ratio with 12 children being supervised by 1 teacher for approximately 15 to 20 minutes. One additional staff was required.”

Rule 8VAC20-780-350-B-4. From a complaint.

Based on review of nine staff records, the center did not obtain documentation of negative tuberculosis screening at the time of employment and prior to coming into contact with child for one staff record.

“Evidence: The record of staff #4, employed 04/18/2023, did not contain documentation of a tuberculosis screening. The director stated current results of a tuberculosis screening had not been obtained. Staff #4 was observed working with children on May 8, 2023.”

Rule 8VAC20-780-160-A.

Based on review of nine staff records and interview, the center did not obtain the results of the central registry background report within 30 days of employment for one staff member.

“Evidence: The record of staff #1, employed 05/11/2022, contained the results of a central registry background report dated 08/17/2022 exceeding 30 days from employment. Documentation showed the request for the central registry portability had been made on 05/11/2022. The director stated she did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

Rule 8VAC20-770-60-C-2.

Based on review of ten children’s records, the center did not obtain documentation of immunizations for one child’s record prior to the child attending the center.

“Evidence: The record of child #9, enrolled 05/09/2022, had documentation of immunizations dated 06/08/2022, exceeding the first day of attendance.”

Rule 8VAC20-780-130-A.

Based on observation, interview and review of staff records, the center did not ensure at least one staff in each classroom or area where children are present had current CPR and First aid certification.

“Evidence: 1. Neither staff #3 or staff #5, both assigned to the toddler A classroom and present on 02/01/2023, had current CPR and First aid certification. 2. Staff #2, assigned to the infant room and present on 02/01/2023, did not have current CPR and First aid certification. 3. The director stated staff #2, staff #3 and staff #5 did not have current CPR and First aid certification.”

Rule 8VAC20-780-530-A.

Based on observation and interview, the center did not ensure all required information was in vehicles used for transportation.

“Evidence: Van #1, used for transportation of children in care, did not contain the following required information: 1. emergency numbers including 911 and the number for the regional poison control center. 2. Documentation containing local emergency contact information, potential shelters, hospitals, evacuation routes that pertain to each frequently visited or routes frequently driven by center staff for center business such as field trips or pick up or drop off of children to or from school. The director stated the van did not have the emergency documentation.”

Rule 8VAC20-780-580-C.

Based on a review of documentation on 02/01/2023, the center did not ensure that written injury records contained the required information.

Rule 8VAC20-780-550-P. From a complaint.

Based on review of staff records, the center did not ensure one staff member met program leader qualifications.

“Evidence: 1. The record of staff #2, employed 09/21/2020 and identified as a program leader, did not contain documentation of additional education or 24 hours of training within six months of beginning work or within 30 days after being promoted or beginning work. 2. The record contained documentation of a high school diploma and six months of programmatic experience, however there was no documentation of 24 hours of training.”

Rule 8VAC20-780-210-A. From a complaint.

Based on a review of records and interview, the center did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding.

“Evidence: The record for staff #3 had an updated central registry dated 4/06/2021. The central registry should have been updated prior to expiration of the last central registry finding dated, 02/05/16.”

Rule 22.1-289.035-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. On preschool and school - age playground, four poles had protruding rusted bolts. Two boards of the fence surrounding the playground had holes, one hole was protruding out with sharp edges. 2. On the toddler playground, the tunnel legs had peeling paint and rust. There were two wasp nest in the top of the playhouse.”

Rule 22VAC40-185-270-A.

Based on a review of staff records and interview, the provider did not ensure staff had a Sworn Statement completed prior to the first day of employment.

“Evidence: The records for staff #1 (start date 10/25/21) did not contain the Sworn Statement documentation.”

Rule 8VAC20-770-60-B.

Based on a review of staff records, the center did not ensure that each staff member shall submit communicable tuberculosis (TB) screenings at the time of employment and prior to coming into contact with children.

“Evidence: 1. The record for staff #5, did not contain documentation of a TB screening/test.”

Rule 8VAC20-780-160-A.

Based on observation and interview, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan.

“Evidence: 1. The center did not have a current list of all children’s allergies, sensitivities and dietary restrictions in six of the eight classrooms. 2. Two out of eight classrooms had an allergy plan dated June 2021. 3. A member of management stated that the allergy list had not been updated.”

Rule 8VAC20-780-40-M.

Based on a review of records and interview, the center failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then failed to dispose of medications that were not picked up.

“Evidence: 1. A medication authorization, for a prescription Epinephrine pen, was observed on 06/21/2022 for child # 2 with an expiration date of April 15, 2022. A medication authorization, for a prescription Epinephrine pen, was observed on 06/21/2022 for child # 6 with an expiration date of August 24, 2021. The medications were still on site at the time of the inspection. 2. The administrator acknowledged that the authorizations were expired and that the medication had not been properly disposed of.”

Rule 8VAC20-780-510-P.

Based on review of children’s records, the facility did not ensure each child’s record contained all required information.

“Evidence: The records for child #1 (date of enrollment 5/09/2022), did not have documentation of proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.