Little Learners Academy LLC

Documentation of training shall be kept by the center.

“Staff #1’s record was missing documentation of 9 out of 16 annual training hours for 2025. Staff #5’s record was missing documentation of 4 out of 16 annual training hours for 2025.”

Rule 8VAC20-780-245-M.

Each child shall have a physical examination before the child’s attendance or within 30 days after the first day of attendance.

“Child #3 did not have a physical examination on file and has been enrolled for five months.”

Rule 8VAC20-780-140-A.

Hazardous substances shall be kept in a locked place.

“A spray bottle containing a bleach/water solution was on a counter, accessible to children.”

Rule 8VAC20-780-280-B.

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 #2 and #5 have diagnosed food allergies. There was no written care plan on file for Child #2 and Child #5. Child #2 has been enrolled for over nine months. Child #5 has been enrolled for over eight months.”

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

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Authorization for a medication belonging to Child #6 expired over a month ago. The parent did not pick up the medication and the medication was not disposed of by the center.”

Rule 8VAC20-780-510-P.

8VAC20-790-600-D-1

“All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR). Staff #2 has been employed for 2 years and was observed working with children. Staff #2’s CPR certification has been expired for 2 months.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have current certification in first aid. Staff #2 has been employed for 2 years and was observed working with children. Staff #2’s first aid certification has been expired for 2 months.”

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

Based on record review, the center did not obtain documentation of a negative tuberculosis screening at the time of employment for 1 out of 2 staff.

“Evidence: Staff #2 (start date: 02/28/2022) did not have documentation of a negative tuberculosis screening on file.”

Rule 8VAC20-780-160-A.

Based on record review and staff interview, the center failed to develop written procedures for prevention of shaken baby syndrome or abusive head trauma, safe sleeping practices and sudden infant death syndrome awareness.

“Evidence: Staff #5 confirmed that the center did not have written procedures for prevention of shaken baby syndrome or abusive head trauma, safe sleeping practices and sudden infant death syndrome awareness.”

Rule 8VAC20-780-40-K.

Based on observation, not all requirements for diaper ointment or cream were met.

“Evidence: There were several diaper ointments and creams in an unlocked drawer on the changing table in the infant classroom, accessible to children.”

Rule 8VAC20-780-520-C.

Based on record review, not all staff who work directly with children have a current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment.

“Evidence: Staff #6 (employment date: 04/18/2022) does not have a current certification in CPR.”

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

Based on record review, not all staff who work directly with children have a current certification in first aid within 90 days of the date of employment.

“Evidence: Staff #6 (employment date: 04/18/2022) does not have a current certification in first aid.”

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

Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #1?s (age: 14 months) most recent immunization record was dated 01/13/2022.”

Rule 8VAC20-780-130-E.

Based on observation, hazardous substances were not kept in a locked place using a safe locking method that prevents access by children.

“Evidence: A spray bottle containing floor cleaner, a spray bottle containing a bleach/water solution, a spray disinfectant and an air freshener were on a shelf in the Pre-K bathroom, accessible to children.”

Rule 8VAC20-780-280-B.

Based on observation and staff interview, not all substitute containers, for hazardous substances not stored in the original container, clearly indicated their contents.

“Evidence: 1. A spray bottle on a shelf in the Pre-K bathroom was not labeled with its contents. 2. Staff #5 stated that the bottle contained a floor cleaner.”

Rule 8VAC20-780-280-G.

Based on record review and staff interview, the center did not meet the proof of child identity and age requirements.

“Evidence: The center did not verify proof of identity for Child # 3 (start date:01/04/2023) within seven days of enrollment.”

Rule 8VAC20-780-40-G.

Based on observation and staff interview, the center did not maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities and dietary restrictions.

“Evidence: 1. Staff# 3 and Staff# 4 stated that Child #1 has an egg allergy. 2.The allergy lists posted in the Infant, Preschool and Pre-K classroom did not list Child #1?s allergy.”

Rule 8VAC20-780-40-M.

Based on observation, over-the-counter skin products were kept beyond the expiration date of the product.

“Evidence: Under the changing table in the Preschool classroom, a healing ointment belonging to Child #5 expired September 2022.”

Rule 8VAC20-780-520-A.

Based on observation, not all diaper ointments or crems were labeled with the child’s name.

“Evidence: A diaper cream belonging to Child #6 was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

Based on record review, the center’s written emergency preparedness plan did not contain all procedural components.

“Evidence: The center’s written emergency preparedness plan did not contain procedural components for a lockdown.”

Rule 8VAC20-780-550-B.

Based on record review and staff interview, the center did not practice lockdown procedures at least annually.

“Evidence: Staff #3 stated that the center has not practiced lockdown procedures.”

Rule 8VAC20-780-550-F.

Based on observation, areas and equipment, inside, were not maintained in a safe condition.

“Evidence: In the School Age 1 classroom, there was chipped paint located on the column between the cubbies and word wall, multiple spots of chipped paint on the side wall with the clock, chipped red paint by the closet and chipped paint on the column near the closet.”

Rule 8VAC20-780-270-A.

Based on record review, the center did not obtain all information for children’s records.

“Evidence: 1. Child #5?s record indicates an allergy to tree nuts. The record for Child #5 did not include a written allergy care plan. 2. Child #6?s record indicates an allergy to tree nuts. The record for Child #6 did not include a written allergy care plan.”

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