Learning Paths Academy at Central Park (#54)

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for more than 10 months, did not have documentation of requesting a criminal history check from a different state.”

Rule 22.1-289.035-B-4.

8VAC20-790-600-D-1

“(Repeat Violation) All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Staff #1 employed for more than 10 months did not have documentation of certification in cardiopulmonary resuscitation (CPR). The CPR certification for Staff #5 expired over two months ago.”

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

8VAC20-790-600-D-2

“(Repeat Violation) All staff who work directly with children shall have current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Staff #1 employed for more than 10 months did not have documentation of certification in first aid. The first aid certification for Staff #5 expired over two months ago.”

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

8VAC20-790-600-F

“(Repeat Violation) 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. Completion of the department’s annual health and safety update course for Staff #5 was overdue by more than two months.”

Rule 8VAC20-790-600-F.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided, or approvals of a plan of correction, for meeting requirements for the water supply, sewage disposal system and food service. The Report of Environmental Sanitation was overdue by more than 3 months. The food inspection was overdue by more than 1 month.”

Rule 8VAC20-780-260-B.

8VAC20-780-510-P

“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. The medication authorization for Child #7 expired more than 18 months ago. The medication had not been picked up or 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) appropriate to the ages of children in care within 90 days of the date of employment. There was no documentation of current certification in cardiopulmonary resuscitation (CPR) in the record of S-2.”

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 appropriate to the ages of children in care within 90 days of the date of employment. There was no documentation of current certification in first aid in the record of S-2.”

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

8VAC20-780-240-B

“Staff shall complete orientation training addressing elements listed under 8VAC20-78-0-240.C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Staff Number 4 has been working for almost 17 months and there was no documentation of a completed orientation in the record. Staff Number 5 has been working for almost 15 months and there was no documentation of a completed orientation in the record.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-A

“(Repeat Violation) Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. Staff #4 did not obtain 16 required training hours in 2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-70

“Staff records must include documentation to demonstrate that the individual possesses the education and experience required by the job position. The record for Staff 3 did not include transcripts or a copy of their high school diploma.”

Rule 8VAC20-780-70.

Staff who work directly with children shall attend the department’s health and safety update course annually.

“Staff #2 has not taken the course and has been employed for over 16 months. Staff #5 has not completed the course within the last year.”

Rule 8VAC20-790-600-F.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #2 obtained 13 of the 16 required hours in 2023.”

Rule 8VAC20-780-245-A.

Annually, the center shall provide approval from the health department regarding water supply, sewage disposal system, and food service if applicable.

“The center did not obtain a Report of Environmental Sanitation annually as required.”

Rule 8VAC20-780-260-B.

The center shall verify proof of a child’s age and identity within seven days of initial attendance.

“There was no documentation of the age and identity of Child #2 or Child #4 in the records. Child #2 had been enrolled for almost four months and Child #4 had been enrolled for over three months.”

Rule 8VAC20-780-40-G.

The diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use.

“Staff #2 cleaned the diaper changing surface but did not sanitize the surface.”

Rule 8VAC20-780-500-B. From a complaint.

The center shall ensure that tables are sanitized before and after each use for feeding.

“Staff #6 assisted in serving lunch to a group of toddlers without sanitizing the tables first.”

Rule 8VAC20-780-560-J. From a complaint.

8VAC20-780-140-A

“Based on record review, the facility failed to obtain documentation that each child has received a physical examination prior to the child’s first attendance or within one month after attendance. Evidence: the record for child #5 (date of first attendance: 10/30/2023) did not have documentation of a physical examination.”

Rule 8VAC20-780-140-A.

8VAC20-780-40-L

“Based on staff interview, the facility failed to inform all staff who work with children of (all) children’s allergies, sensitivities and dietary restrictions. Evidence: when asked, not all staff could state the children in the classroom with allergies, sensitivities and/or dietary restrictions.”

Rule 8VAC20-780-40-L.

8VAC20-780-500-A

“(Repeat Violation) Based on observation, the facility failed to ensure that children’s hands were washed as required. Evidence: In the infant classroom, an infant was observed drinking a bottle and their hands were not washed afterwards. In the toddler classroom, a child was observed having a diaper change and their hands were not washed afterwards.”

Rule 8VAC20-780-500-A.

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 #4 and child #5 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-8

“Based on record review, it was determined that not all records contained all required information. Evidence: the record for child #5, with a diagnosed food allergy, did not contain a written care plan with instructions from a physician regarding the food to which the child is allergic to and the steps to be taken in the event of a suspected or confirmed allergic reaction.”

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

8VAC20-780-80-A

“Based on observation, and a review of the written attendance record, the facility did not maintain an accurate written record of daily attendance, for each group of children, that documents the arrival and departure of each child as it occurs. Evidence: 1) In the infant room, 7 children were observed, and 3 were listed in attendance; 2) In the toddler room, 9 children were observed, and 10 were listed in attendance;”

Rule 8VAC20-780-80-A.

8VAC20-780-500-A

“Based on observation, the facility failed to ensure that children’s hands were washed as required. Evidence: In the infant classroom, an infant was observed eating lunch and their hands were not washed afterwards. In the toddler classroom, a child was observed having a diaper change and their hands were not washed afterwards.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the facility failed to ensure that all diapering procedures were followed, as required. A nonabsorbent surface (changing table) shall be used for diapering children under three years of age. Evidence: In the two’s classroom, pullups were observed in a trash can in the bathroom; when asked, staff stated that they don’t use the changing table and change the children standing up in the bathroom. All six children in the two’s class are younger than three years of age.”

Rule 8VAC20-780-500-B.

8VAC20-780-70

“Based on review of four staff records, not all records contained all required information. Evidence: The records for staff #1 and staff #2, who were reported to be the lead teachers in their classrooms, did not contain verification of age requirement and documentation to demonstrate that the individual possesses the education, certification and experience required for the job position. The record for staff #3 (date of hire: 3/22/22) did not contain documentation of orientation training.”

Rule 8VAC20-780-70.

8VAC20-780-160-C

“Based on review of three staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #1 had a TB test/screening dated: 8/5/2021 and the record for staff #2 had a TB test/screening dated: 2/10/2021.”

Rule 8VAC20-780-160-C.

Based on observation of the playground, areas and equipment outside the center have not been maintained in a safe condition.

“Evidence: 1. On the School Age playground, at the bottom of the wooden bridge structure, there were 4 nails protruding that could entangle clothing or snag skin. 2. On the Infant/Toddler playground, there were four toddler bicycles with multiple cracks and holes in the plastic wheels.”

Rule 8VAC20-780-270-A.

Based on documentation review and staff interview, the center has not ensured that lockdown procedures are practiced at least annually.

“Evidence: The last lockdown drill was conducted on 1/12/2021.”

Rule 8VAC20-780-550-F.