Sullins Academy, Inc.

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #5 was overdue by 2 months.”

Rule 22.1-289.035-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.

“Child #3 did not have an immunization record on file and had been enrolled for over 1 month.”

Rule 8VAC20-780-130-A.

Each child shall have a physical examination by or under the direction of a physician within 30 days of enrollment.

“Child # 3 did not have a physical exam on file and had been enrolled for approximately 6 weeks.”

Rule 8VAC20-780-140-A.

The center shall implement a monthly practice evacuation drill.

“The evacuation drill had not been completed in April.”

Rule 8VAC20-780-550-D.

Shelter in place procedures shall be practiced a minimum of twice per year.

“Two shelter place drills had not been completed last year.”

Rule 8VAC20-780-550-E.

Lockdown procedures shall be practiced at least annually.

“A lockdown drill had not been completed in 2025.”

Rule 8VAC20-780-550-F.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain documentation of viewing proof of the child’s identity and age within 7 days of enrollment.

“Child #3 and #4 did not contain proof of identity and had been enrolled for over 7 days.”

Rule 8VAC20-780-60-A.

A written care plan for each child with a diagnosed food allergy, to include instructions from a 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;

“Child #5 had a diagnosed food allergy but there was not a written care plan.”

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

At least every two years from the date of the first initial screening or testing, or more frequently as if recommended by a licensed physician or the local health department, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“Staff #5 repeat TB screening was overdue by about 5 weeks.”

Rule 8VAC20-780-160-C.

The center shall implement a monthly practice evacuation drill.

“The October drill was not completed.”

Rule 8VAC20-780-550-D.

The center is required to obtain a completed sworn statement prior to the employee’s’ first day of embayment.

“The sworn statement for Staff #1, #2, #3 and #9 were signed a few days after the employee’s first day of employment.”

Rule 22.1-289.035-B-1.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“Staff #4 employed for more than 5 months, did not have documentation of requesting a central registry check fand sexual offender registry check from one state”

Rule 22.1-289.035-B-4.

Each staff member and individual shall submit documentation of a negative tuberculosis screening.

“Staff f#2 did not have a TB screening and had been employed for several months.”

Rule 8VAC20-780-160-A.

Areas and equipment of the center, inside and outside, shall be maintained in a safe and condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint.

“The wooden red truck is peeling paint presenting a splinter hazard.”

Rule 8VAC20-780-270-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards when tested in accordance with the procedures described in the American Society for Testing and Materials standard F1292-99 as shown in Figures 2 (Compressed Loose Fill Synthetic Materials Depth Chart) and 3 (Use Zones for Equipment) on pages 6-7 of the National Program for Playground Safety’s “Selecting Playground Surface Materials: Selecting the Best Surface Material for Your Playground,” February 2004, and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. Fall zones are defined as the area underneath and surrounding equipment that requires a resilient surface. A fall zone shall encompass sufficient area to include the child’s trajectory in the event of a fall while the equipment is in use.

Rule 8VAC20-780-330-B.

The center is required to obtain a Virginia central registry request before the hire date.

“Staff #1’s central registry was submitted several days after the hire date.”

Rule 22.1-289.035-B-4.

8VAC20-780-160-C

“Based on record review, the center failed to ensure all staff had repeat TB screenings every two years. Evidence: Staff #3 last had a TB screening completed 11/15/2021.”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Based on observation, the center failed to ensure that all areas and equipment of the center were maintained in a clean, safe and operable condition. Evidence: 1. The tricycle piece of equipment had two missing petals. 2. The wooden truck had peeling paint creating a splinter hazard.”

Rule 8VAC20-780-270-A.

8VAC20-780-330-B

“Based on a tour of the playground the facility failed to ensure that the resilient surface material complies with minimum safety standards. Evidence: 1. There is one inch or less of rubber mulch under climbing equipment. REPEAT VIOLATION”

Rule 8VAC20-780-330-B.

22.1-289.036-A

“Based on a review of applicant/agent/ board officers background checks, the facility failed to ensure that all repeat background checks are completed within the five year anniversary. Evidence: 1. There is no repeat sworn statement on file for board officer #1. The report on file is dated 11/7/17. 2. There is no repeat central registry check on file for board officer #1. The form on file is dated 5/12/17.”

Rule 22.1-289.036-A.

22.1-289.036-B-2

“Based on a review of applicant/agent/ board officer background checks, the facility failed to ensure that fingerprint background checks are completed prior to the first day of service. Evidence: 1. There is no fingerprint background check on file for board officer #3.”

Rule 22.1-289.036-B-2.

8VAC20-770-40-D-1-a

“Based on a review of applicant/agent / board officer background checks, the facility failed to ensure that all background checks are completed within the required timeframes. Evidence: 1. There is no sworn statement on file for board officer #3. 2. There is no central registry background check on file for board officer #3.”

Rule 8VAC20-770-40-D-1-a.

8VAC20-780-330-B

“Based on a tour of the playground, the facility failed to ensure compliance with the required depth (6 inches) of resilient surface material under equipment with moving parts or climbing apparatus. Evidence: 1. There is less than two inches of mulch under climbing equipment. REPEAT VIOLATION”

Rule 8VAC20-780-330-B.

8VAC20-780-330-B

“Based on a tour of the playground, the facility failed to ensure compliance with the required depth (6 inches) of resilient surface material under equipment with moving parts or climbing apparatus. 1. There are three to four inches of mulch under climbing equipment.”

Rule 8VAC20-780-330-B.

8VAC20-780-240-B

“Based on record reviews the center failed to ensure that staff complete orientation training prior to working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff #1, (hire date 5/27/22, staff #2 (hire date 6/6/22), staff #4 (hire date 11/5/21), do not have documentation of receiving orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-260-A

“Based on record reviews and interviews the center failed to have an annual fire inspection. Evidence: The last documented fire inspection is dated 4/15/2021.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“Based on record reviews and interviews the center failed to have an annual approval from the health department. Evidence: The last documented health inspection was dated 5/4/2021.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Based on observation the center failed to ensure that equipment of the center, outside, shall be maintained in a safe and operable condition. Evidence: 1. The slides on the small red and green play equipment are cracked and could pinch or snag skin.”

Rule 8VAC20-780-270-A.

8VAC20-780-245-L

“Based on record reviews and interview, the center failed to have a staff on duty who had current daily health observation training. Evidence: 1. The inspector reviewed three staff records. Staff records #1, #2 and #3 did not have documentation of daily health observation training. 2. The inspector asked if other staff had daily health observation training and was told that staff had not renewed this training.”

Rule 8VAC20-780-245-L.