Willowcreek Academy

A tuberculosis (TB) screening is required every two years from the last screening.

“Staff #2 updated screening was due over 1 month ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

A written agreement between the parent and the center shall be in each child’s record by the first day of the child’s attendance. The agreement shall be signed by the parent and include a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.

“The record for Child #2 (enrolled 3 weeks), did not include a statement regarding reporting communicable diseases.”

Rule 8VAC20-780-90-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A.

Children under 10 years of age always shall be within actual sight and sound supervision of staff.

“On July 14, 2026, Staff #1 brought the children from Classroom #1 back inside from the playground and left Child #1 (5 years old), alone outside for approximately 1 minute.”

Rule 8VAC20-780-340-F.

Complaint Related When staff are supervising children, they shall always ensure their care, protection, and guidance.

Rule 8VAC20-780-340-A. From a complaint.

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present.

“Staff #1 (employed 7 weeks) was alone in Classroom #3 supervising 7 children and did not meet the qualifications of a program leader.”

Rule 8VAC20-780-340-D. From a complaint.

For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the rest period ratios permitted for children 16 through 24 months of age is one staff per 10 children.

“Classroom #2 and Classroom #3 combined for nap time, leaving Staff #1 alone with 11 children between the ages of 16 months to 2 years old for approximately 36 minutes.”

Rule 8VAC20-780-350-I. From a complaint.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff shall wash their hands with soap and running water before and after a diaper change.

“-Staff #1 changed Child #2 and Child #3?s diaper and did not wash the children’s hands. -Staff #1 changed Child #1, Child #2, and Child #3?s diaper and did not wash their hands before or after the diaper change.”

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

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use.

“-During diapering, Staff #1 did not use the foot pedal of the diaper trash can, instead lifted the lid to dispose of diapers. -Staff #1 did not clean or sanitize the diapering surface after changing Child #1, Child #2, or Child #3.”

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

The center shall maintain a written record of children’s serious and minor injuries in which entries are made the day of occurrence.

“In documentation shared by the center and Staff #6, incidents involving Child #7 (4 years old) and hurting others in Classroom #7 were not documented or recorded properly by Staff #2 for over 2 months.”

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

Repeat Violation Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Two bottles for Child #4 (13 months old) and one bottle for Child #5 (15 months old) were not labeled with the date.”

Rule 8VAC20-780-570-E. From a complaint.

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years.

“The record for Child #5 (21 months old) was missing an updated immunization record and was overdue by 3 weeks.”

Rule 8VAC20-780-130-E. From a complaint.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“The left side of the playground contained a broken metal plant support laying on the ground. The right side of the playground underneath the gate had an opening of approximately 11 inches and was 4 inches away from the concrete step, creating a tripping/fall hazard.”

Rule 8VAC20-780-270-A.

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child’s trajectory in the event of a fall.

“The fall zones on the playground did not comply with minimum safety standards.”

Rule 8VAC20-780-330-B.

Prepared infant formula shall be refrigerated, dated and labeled with the child’s name.

“Two bottles for Child #4 (10 months old) did not contain the date.”

Rule 8VAC20-780-570-E.

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position are required.

“There was no documentation of the required education in the record for Staff #2.”

Rule 8VAC20-780-70.

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 1 year and 2 months, did not have documentation of requesting a criminal history check, central registry check, and sex offender check from one state.”

Rule 22.1-289.035-B-4.

A tuberculosis (TB) screening is required every two years from the last screening.

“The updated screening for Staff #2 (employed for over 2 years) was due over 3 months ago and the updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“Child step stools being used in the bathroom of Classroom #3 and #6 were broken with chipping wood.”

Rule 8VAC20-780-270-A.

Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

“An open bag of potting soil with warning labels, ?Keep out of reach of children,? were unlocked in Classroom #4, within reach of children.”

Rule 8VAC20-780-280-B.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for Child #7 was onsite, but the medication authorization had expired over 4 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

The center shall ensure over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

“Two sunscreens in Classroom #7 had been kept and used beyond the expiration date of the product.”

Rule 8VAC20-780-520-A.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #2, enrolled for over seven months, was missing the address of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

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

“The center did not request prior to employment, a search of the child abuse and neglect registry, criminal history check, or sex offender check from one state for Staff #3, who has been employed for one week and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“There are areas of chipping paint on four pillars on the outside playground.”

Rule 8VAC20-780-270-A.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“At approximately 9:30 a.m. on 11/13/2024, there were 6 children present in the Infant room, but only 3 were marked present on the attendance record.”

Rule 8VAC20-780-80-A.

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff C’s certification for CPR expired on 2/19/24.”

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

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff C’s first aid certification expired 2/19/24.”

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

22.1-289.036-A

“Based on a review of records, one applicant file did not contain documentation of a repeated criminal record check within the allowable 5 year time frame. Evidence: Agent B’s fingerprint results were dated 6/26/18. (expired)”

Rule 22.1-289.036-A.

8VAC20-780-160-C

“Based on a review of records, one staff record did not contain documentation of a repeat tuberculosis (TB) screening result within the allowable two year time frame. Evidence: Staff C’s TB screening result on file was dated 2/3/22. (expired)”

Rule 8VAC20-780-160-C.

8VAC20-780-270-A

“Based on observation, the center was not maintained in a clean, safe an operable condition. Evidence: Peeling paint was observed on a low window sill in the infant room, that was within reach of infants.”

Rule 8VAC20-780-270-A.

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous materials were not stored locked using a safe locking method. Evidence: Two spray bottles of sanitizer and :cleaner” were observed in the two sinks in the Infant room. (Both sides of the diaper changing area).”

Rule 8VAC20-780-280-B.

8VAC20-780-370-5

“Based on a review of documentation, the center did not document 30 minutes of time on their stomachs, for infants that cannot turn themselves over. Evidence: One infant, required to have tummy time, had 10 of the 30 required minutes of time on their stomach documented for 5/7/24 and 5/8/24.”

Rule 8VAC20-780-370-5.

8VAC20-780-440-N

“Based on observation, toys or objects hung on a crib was used for an infant over five months of age. Evidence: A “hush” sound machine (white noise) was tied to the crib of a seven moth old child.”

Rule 8VAC20-780-440-N.

8VAC20-780-60-A

“Based on a review of records, one child record did not contain documentation of an annual update. Evidence: Child #3’s record was dated 5/3/22.”

Rule 8VAC20-780-60-A.

22.1-289.035-B-2

“Based on a review of records, one staff record did not contain documentation of a completed nationwide fingerprint search prior to employment. Evidence: Staff A (Date of Hire: DOH) is documented in the record at 7/10/23. Fingerprint results on file are dated 7/12/23.”

Rule 22.1-289.035-B-2.

8VAC20-780-280-B

“Based on observation, hazardous materials were not stored locked when not in use. Evidence: Hazardous materials in spray bottles were stored on the counter and sink areas in the Toddler and Preschool 1 room.”

Rule 8VAC20-780-280-B.

8VAC20-780-80-A

“Based on a review of records, a written record of attendance did not accurately document the arrival and departure of children. Evidence: The Pre-K classroom attendance sheet documented 13 children present. There were only 12 present. One child had been marked present all day that was not there.”

Rule 8VAC20-780-80-A.

8VAC20-780-210-A

“Based on a review of records, one staff record does not contain documentation of lead teacher qualifications. Evidence: Documentation submitted for review does not total 24 hours of training within the allowable 30-day period (the requirement at that time, 2017). Documents provided total 16.08 hours. (Staff A)”

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

8VAC20-780-340-A

“Based on a review of video footage the facility did not ensure care and protection for a 4-year-old child in care. Evidence: On 1/3/2023 a 4-year-old child arrived at a program at another facility with 3 marbles in his mouth. It was determined through reviewing video footage that the child had placed the marbles in their mouth at the daycare at 8:18AM and had them in the mouth for approximately 17 minutes at the time they left the center at 8:35AM. (Child 1: DOB 12:14/18)”

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-340-F

“Based on a review of footage, a child under the age of 10 was not kept within actual sight and sound supervision. Evidence: On 1/3/23 a 4- year-old child was not in sight and sound supervision. Video shows the staff member seated at a table while a child is across the room with his back to the teacher, playing with marbles, behind a shelf unit.”

Rule 8VAC20-780-340-F. From a complaint.

8VAC20-780-530-A-1

“Based on a review of records, one staff record does not contain documentation of current CPR certification. Evidence: Available documentation shows that CPR certification is dated 10/01/2016 with an expiration in 2 years. (2018) (Staff A)”

Rule 8VAC20-780-530-A-1. From a complaint.

8VAC20-780-530-A-2

“Based on a review of records, one staff record does not contain documentation of current first aid certification. Evidence: Available documentation shows that first aid certification is dated 10/01/2016 with an expiration in 2 years. (2018) Staff A”

Rule 8VAC20-780-530-A-2. From a complaint.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

22VAC40-185-130-A

“Based on a review of records, one child record did not include documentation of immunizations before the child attended. Evidence: There is no record of immunizations available for review for Child #3. (Start date: 4/4/22)”

Rule 22VAC40-185-130-A.

8VAC20-780-140-A

“Based on a review of records, one child record does not include documentation of a completed physical within 30 days of attendance. Evidence: There is no documentation of a physical available for review for Child #3. (Start date: 4/4/22)”

Rule 8VAC20-780-140-A.

8VAC20-780-160-A-1

“Based on a review of records, one staff record did not include documentation of a completed Tuberculosis (TB) screening submitted prior to employment. Evidence: The TB screening documentation is dated 4/29/22. The date of hire is documented as 4/25/22. (Staff #3)”

Rule 8VAC20-780-160-A-1.

8VAC20-780-240-B

“Based on a review of records, one staff person did not have documentation of completion of first aid and CPR training prior to working alone with children and later than 7 days from assuming job responsibilities. Evidence: 1 of 4 staff records reviewed had no documentation of First aid and CPR training. (Staff #3)”

Rule 8VAC20-780-240-B.

8VAC20-780-280-B

“Based on direct observation, hazardous materials were not stored locked when not in use. Evidence: Spray bottles of cleaners were in the sink in the Infant 1 and Infant 2 rooms.”

Rule 8VAC20-780-280-B.

8VAC20-780-560-G

“Based on a review of bottes in the Infant 1 room, all bottles were not labeled and dated. Evidence: 1 of 4 infants with bottles did not have the bottles dated with today’s date.”

Rule 8VAC20-780-560-G.

8VAC20-780-60-A

“Based on a review of records, one child record does not include all required information. Evidence: 5 records were reviewed. 1 of 5 did not include: *Mother’s work information (Child 1) *Allergy action plan for a food allergy (Child 1) *Start date (Child 4) *Proof of Birth documentation (Child 4)”

Rule 8VAC20-780-60-A.

8VAC20-780-80-A

“Based on a review of documentation, a written attendance sheet was not maintained in one classroom. Evidence: The Toddler/Preschool II attendance sheet did not accurately reflect the children in the room. There were 9 children present in the classroom. The attendance sheet showed 7 children present. 1 name had been whited out; however, the child was present. 1 child was not listed on the sheet.”

Rule 8VAC20-780-80-A.

8VAC20-780-340-F

Rule 8VAC20-780-340-F. From a complaint.

8VAC20-780-380-B

“Based on a review of video documentation, a staff person does not engage in interactions with the preschool children in the classroom. Evidence: Staff B is observed on the video recording (17:16:16) sweeping the classroom and spraying the tables and diaper changing pad with sanitizing solution. The only interactions with children are instructions to “clean up” for 8 minutes until another staff person arrives (17:24:20)”

Rule 8VAC20-780-380-B. From a complaint.

8VAC20-780-500-A

“Based on a review of a video recording, a staff person and a child did not wash their hands after contact with body fluids. Evidence: Staff B was observed wiping a child nose on the video recording. Neither the child nor the staff person washed their hands after the contact with body fluids.”

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