The Ware Academy, Inc.

8VAC20-780-160-A

“(Repeat Violation) Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated four months prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #3 TB was dated two days prior to date of employment.”

Rule 8VAC20-780-160-A.

8VAC20-780-280-B

“(Repeat Violation) Hazardous substances must be in a locked place that prevents access by children. In the Wee Waves room there were several disinfectant bottles and a bottle of pain reliever in an unlocked cabinet, out of reach of the children.”

Rule 8VAC20-780-280-B.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. In the Pre K 4 bathroom, disinfectant wipes and spray were in an unlocked cabinet, out of reach of children. In the Gym, two containers of disinfectant wipes and one hand sanitizer bottle were sitting on cabinets, within reach of children. In the girls bathroom, disinfectant wipes were on the paper towel dispenser, out of reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The list in the Pre K 3 and Pre K 4 rooms were posted but not confidential.”

Rule 8VAC20-780-40-M.

Based on record review and staff interview the licensee did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment.

“Evidence: The director confirmed that staff #1 did not have a criminal record check prior to their first day of working in a supervisory capacity. Their first day of employment was 7-5-2023.”

Rule 22.1-289.035-B-2.

Based on observation and staff interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector.

“Evidence: The provider confirmed there was no carbon monoxide detector installed.”

Rule 22.1-289.058.

Based on record review and staff interview the licensee did not ensure that an employee who is alone with, in control of, or supervising one or more children shall have a search of the central registry before 30 days of employment at the facility.

“Evidence: The director confirmed that staff #1, date of hire 7/5/2023, did not have documentation of a search of the central registry.”

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

Based on record review, the licensee did not ensure to obtain documentation that each child has received a physical examination by or under the direction of a physician before the child’s first day of attendance; or within 30 days after the first day of attendance.

“Evidence: The record for child #3, (start date 9/1/2022) did not include documentation of a physical.”

Rule 8VAC20-780-140-A.

Based on observation the center did not ensure there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

“Evidence: The director confirmed that none of the staff on duty had documentation of current training in daily health observation.”

Rule 8VAC20-780-245-L.

Based on observation and staff interview, the provider did not ensure the center shall 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: The director confirmed that the written list of children’s allergies, sensitivities, and dietary restrictions, hanging in the school age classroom did not have child #1 listed with the child’s allergy.”

Rule 8VAC20-780-40-M.

Based on document review the center did not ensure evacuation drills shall be practiced monthly.

“Evidence: The director confirmed there was no evacuation drill conducted in the month of June, 2023.”

Rule 8VAC20-780-550-D.

Based on record review and staff interview, the center did not maintain a record for each child that contained the following information:

“Evidence: The director confirmed that the record for child #1 (start date 11/9/2022) did not include the employment phone # for one or more parents listed.”

Rule 8VAC20-780-60-A.

22.1-289.058

“Based on observation and provider interview the licensee did not ensure that each building that houses a child day program that is licensed, that serves preschool-age children, shall be equipped with at least one carbon monoxide detector. Evidence: Staff confirmed there was no carbon monoxide detector.”

Rule 22.1-289.058.

8VAC20-780-160-A

“Based on record review and staff interview the center did not ensure documentation of the Tuberculosis screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: Staff confirmed that Staff #5 (hire date 8-31-2022) did not have documentation of a TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-240-A

“Based on record review the center did not ensure staff complete the Virginia Department of Education (VDOE) sponsored orientation course within 90 calendar days of employment. Evidence: Staff confirmed that staff #3 (start date 8/30/2022) completed the sponsored orientation on 1-5-2023, more than 90 days after their start date.”

Rule 8VAC20-780-240-A.

8VAC20-780-40-K

“Based on review of center documentation and staff interviews, the licensee did not ensure the center shall develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: Staff confirmed that the center’s written procedures did not include abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on observation and staff interview, the licensee did not ensure the center shall 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. This list shall be dated and kept confidential in each room or area where children are present.

“Evidence: Staff confirmed there was no allergy list in the Pre-K 4 room and that child #5, in attendance, has a known food allergy.”

Rule 8VAC20-780-40-M.

Based on a review of 5 children’s records and staff interviews, the licensee did not ensure each child shall have a copy of a physical examination by or under the direction of a physician in the child’s record within 30 days after the first day of attendance.

“Evidence: The record for child #4 did not include a copy of a physical and fist date of attendance June 10, 2022.”

Rule 8VAC20-780-140-A.

Based on observation, the licensee did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, rusting or breakage of any equipment.

“Evidence: The swing set was observed and the swings had metal connectors that connected the swing seats to the swing chains and the swing chains to the swing set and they were rusty. Eight of 8 swings had rust on the metal connectors to the swing seats that come of easily when touched.”

Rule 8VAC20-780-270-A.

Based on observation and staff interviews, the licensee did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: In the school age room in an unlocked closet, the following was observed 2 containers of hand sanitizer, 1 container of disinfectant wipes and 1 container of spray disinfectant. These items are hazardous chemicals and they were labeled “keep out of reach of children” and at least one other statement “caution”, “flammable” and “warning”.”

Rule 8VAC20-780-280-B.

Based on observation, the licensee did not ensure that play equipment used by children shall meet the requirement that where S-hooks are provided that they may not be open more than the thickness of a penny.

“Evidence: There were 8 swings observed and one of the S hooks observed that used to connect the swing to the swing set was not closed (the S hook opening was more than the thickness of a penny).”

Rule 8VAC20-780-430-C.

Based on a review of 5 staff records, staff interviews and observation, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in cardiopulmonary resuscitation (CPR) as appropriate to the age of the children in care.

“Evidence: In the school age room, staff #5 and staff #6 were the only two staff members in the room with 11 children and there was not a staff member who obtained CPR certification.”

Rule 8VAC20-780-530-A-1.

Based on record review and staff interviews, the licensee did not ensure there was at least one staff in each classroom or area where children are present had obtained a current certification in first aid.

“Evidence: In the school age room, staff #5 and staff #6 were the only two staff members in the room with 11 children and there was not a staff member who obtained First Aid certification.”

Rule 8VAC20-780-530-A-2.

Based on staff interviews and review of documentation, the licensee did not ensure to maintain documentation of monthly emergency evacuation drills.

“Evidence: The center staff confirmed they did not have evacuation drills available for review for March 2022, April 2022 and May 2022.”

Rule 8VAC20-780-550-G.

Based on observation and staff interviews, the licensee did not ensure the findings of the most recent inspection of the facility were posted.

“Evidence: The results of the most recent inspection dated March 9, 2022 were observed stored in a notebook and not posted for the public to view. Center staff confirmed they did not have them posted.”

Rule 8VAC20-820-120-E-2.