Skipwith Academy At Pebble Creek (#24)

22.1-289.035-B-4

“Repeat The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The record of staff #6, employed for two months, did not have documentation of a requesting a central registry check for one state prior to employment.”

Rule 22.1-289.035-B-4.

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually, attend at least 16 hours of training and staff development activities, to include the department’s health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. The record of staff #5 did not contain documentation of completing the 2025 annual health & safety update training.”

Rule 8VAC20-790-600-F.

8VAC20-780-350-B-4

Rule 8VAC20-780-350-B-4. From a complaint.

8VAC20-780-400-B

“Behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Child #1 was observed crying on the playground when staff #4 grabbed the arm of child #1 and dragging the child back to the classroom.”

Rule 8VAC20-780-400-B.

8VAC20-780-410-1

“The center shall ensure rough handling is forbidden. Staff #4 was observed by two staff members, roughly grabbing the arm of child #1 and dragging her across the playground to the classroom door.”

Rule 8VAC20-780-410-1.

Complaint Violation:

“The Center is required to maintain the required supervision ratio of 1 staff to 4 infants age birth to 16 months old whenever children are in care. The center did not maintain the required supervision ratio in the infant room at the time of the inspection. There were five infants with one staff member present in the room.”

Rule 8VAC20-780-350-B-1. From a complaint.

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

“Staff #5, employed for seven months, had a sworn statement documenting that the staff person lived in another state. The center did not have documentation of a follow up for a central registry check from one state. The results have not yet been obtained.”

Rule 22.1-289.035-B-4.

Based on reviews of staff records, the center did not ensure that each staff record had documentation of a central registry check within 30 days of employment.

“Evidence: 1. The record of staff #2, employed 02/29/2024, contained a central registry result dated 05/13/2024, exceeding 30 days from employment. 2. The record of staff #4, employed 04/22/2024, contained a central registry result dated 06/18/2024, exceeding 30 days from employment. 3. The director stated they did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-130-E

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #5 did not contain an updated immunization. The last immunization record received was dated for October 2023. 2. Director acknowledged that a request was made and were awaiting the updated immunizations.”

Rule 8VAC20-780-130-E.

8VAC20-780-150-B

“Based on a review of children’s records, the center did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department Evidence: 1. The record for child #3 contained an immunization record that was not signed by the physician, his designee, or an official of a local health department.”

Rule 8VAC20-780-150-B.

Based on observation, the center did not ensure that hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. A bottle of liquid dish soap was observed in an unlocked drawer in the Baby Steps III classroom where children were present. 2. The label on the soap stated keep out of reach of children.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the center did not ensure prepared infant formula be refrigerated, dated and labeled with the child’s name.

“Evidence: 1. In infant classroom 1, two bottles were observed in the fridge without dates labeled on the bottle. 2. In infant classroom 2, three bottles were observed in the fridge without dates labeled on the bottle. 3. Staff acknowledged that the bottles were not dated.”

Rule 8VAC20-780-570-E.

Based on a review of child records, the center did not ensure each child’s record contained documentation of name, address and phone number of two designated peopled to call in an emergency if a parent cannot be reached.

“Evidence: 1. The records for Child #3 and Child #6 did not contain an address for 1 emergency contact listed.”

Rule 8VAC20-780-60-A.

Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment.

“Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of CPR certification. CPR certifications were not obtained within 90 days of their date of employment.”

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

Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in first aid within 90 days of the date of employment

“Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of First Aid certification. First Aid certification was not obtained within 90 days of their date of employment”

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

Based on record review and interview, the center did not have documentation of central registry findings for one staff member.

“Evidence: 1. The record for staff #2 (employed 5/15/23) did not contain documentation of central registry findings.”

Rule 8VAC20-770-60-C-2.

Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of immunizations required by the State Board of Health before the child can attend the center.

“Evidence: The record for child #3 (enrolled 5/14/23), did not have documentation of immunizations.”

Rule 8VAC20-780-130-A.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The record for child #2 (enrolled 5/08/23), did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: The record for staff #6 (employed 1/10/23) did not have documentation of the TB screening or test.”

Rule 8VAC20-780-160-A.

Based on the review of staff records, the center did not ensure staff completed all of the required orientation trainings.

“Evidence: The record for staff # 2 (employed: 5/15/23), staff 4 (employed: 10/11/22) and staff #8 (employed: 6/12/23) did not have documentation of orientation training.”

Rule 8VAC20-780-240-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. The pool area has a gap (approximately 6 inches at the widest point) The gap between the cement floor and the fence poses a tripping hazard. 2. In room #7, the children’s sofa and chair material is ripping and peeling on the top and bottom edges of the sofa and chair.”

Rule 8VAC20-780-270-A.

Based on a review of children’s records, the center did not ensure that each record contains all required information.

“Evidence: The records for child #3 (enrolled 5/08/23) did not contain documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-C.

Based on record review and interview, the center did not ensure that one out of ten staff obtained fingerprint-print criminal background check results prior to hire.

“Evidence: 1. The record for staff # 4 (hire date 2/07/22) did not contain a fingerprint-based criminal background check determination letter from the Office of Background Investigation prior to employment. 2) During an interview, a member of management confirmed the fingerprint-based criminal background check results for staff #4 have not been received.”

Rule 22.1-289.035-B-2.

Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment.

“Evidence: The records for staff #3 (start date: 3/03/22), staff #4 (start date: 1/05/22), and staff #4 (start date: 2/07/22), did not contain the results of a central registry finding. During an interview, a member of management confirmed the central registry findings were not received within 30 days of employment for staff #3 and staff #4.”

Rule 8VAC20-770-60-C-2.

8VAC20-780-130-E

“Based on a review of children’s records, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #6 (birth date 4/07/21), had one immunization record documented on 9/08/21.”

Rule 8VAC20-780-130-E.

Based on record review, two staff members did not complete the required 16 hours of annual training appropriate to the age of children in care.

“Evidence: 1. The record of staff #5, contained documentation of seven hours of annual training. 2. The record for staff #6, contained 14 hours of annual training”

Rule 8VAC20-780-245-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Rule 8VAC20-780-270-A.

Based on a review of staff records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: The record for staff #4 (hire date 2/07/22) did not contain documentation of two or more references checked before employment.”

Rule 8VAC20-780-70.

Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children.

“Evidence: 1. The record for staff #1 (start date: 4/18/22) and staff #3 (start date: 3/03/22) did not have documentation of the TB screening or test at time of employment.”

Rule 8VAC20-780-160-A.

Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening.

“Evidence: 2. The record for staff #5 (date of last TB screening 12/02/19) did not have an updated TB screening/test.”

Rule 8VAC20-780-160-C.

Based on observation and an interview, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children.

Rule 8VAC20-780-280-B.

Based on observation and staff interview, the licensee did not ensure medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given.

“Evidence: One medication, Albuterol was observed without the prescription label, child’s name, the dosage amount, and the time or times to be given. Center Director confirmed that the medication did not have a label with the required information.”

Rule 8VAC20-780-510-E.