Skipwith Academy @ Hanover (#38)

22.1-289.035-B-3

“The center must request a search of the central registry prior to the employee’s first day of employment. 1. Staff #5, employed for one day, did not have documentation that a central registry was requested prior to employment.”

Rule 22.1-289.035-B-3.

8VAC20-780-280-B

“Repeat 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. The gate to the pool pump area was unlocked. There were pool chemicals being stored on the ground near the pool pump, the gate leading to this area was not locked.”

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #7 was observed supervising five children with the youngest child being two months old. One child was removed and placed in another classroom to meet the required ratio.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-470-A

“Outdoor swimming pools shall be enclosed by safety fences and gates which are in compliance with the applicable edition of the Virginia USBC and shall be kept locked when the pool is not in use. The pool gate was not locked during the inspection on June 9, 2026. There were no children outside at the time of the observation.”

Rule 8VAC20-780-470-A.

8VAC20-780-510-L

“Medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Packets of aspirin were in the unlocked first aid kit on the bus.”

Rule 8VAC20-780-510-L.

8VAC20-780-540-C

“The center shall ensure the required first aid kits include at a minimum all required items. The first aid kit on the bus did not include the required two triangular bandages.”

Rule 8VAC20-780-540-C.

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The record of staff #8, contained documentation of on-line CPR only, there was no in-person portion.”

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

8VAC20-780-160-C

“Each staff member and individual from an independent contractor shall submit documentation of a negative follow-up tuberculosis screening at least every two years from the date of the initial screening or testing, or more frequently if recommended by a licensed physician or the local health department. The record of staff #6 contained documentation of a tuberculosis screening that expired nine months ago. A follow-up tuberculosis screening had not been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-280-B

“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. A canister of disinfectant was observed unlocked in the preschool classroom.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

“Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles. On the school age playground, the resilient surfacing measured approximately four inches in multiple spots around the slide. On the preschool playground, the resilient surfacing around the dinosaur rocking equipment measured approximately three inches when at least six inches is required.”

Rule 8VAC20-780-330-B.

8VAC20-780-500-A

“Children’s hands shall be washed with soap and running water or disposable wipes before and after eating meals or snacks and after toileting and any contact with blood, feces, or urine. Two children were observed going to the table to eat snack after being diapered. Neither child’s hands were washed after being diapered or before eating snack.”

Rule 8VAC20-780-500-A.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The record of child #8, enrolled for nine days, did not contain documentation of immunizations. 2. The record of child #9, enrolled for 5 months, contained documentation of immunizations dated 23 days after enrollment.”

Rule 8VAC20-780-130-A.

8VAC20-780-280-B

“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. Pool cleaning chemicals were being stored in the pool pump area. The gate lead leading to the area was unlocked and open. Children were observed in the pool adjacent to the pump area.”

Rule 8VAC20-780-280-B.

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. Staff #9 did not have documentation of completing the department’s health and safety update course for the 2024 year.”

Rule 8VAC20-790-600-F.

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. Staff #4, employed for 14 months, did not have documentation of requesting a central registry check or a criminal history record check from a state they resided in the preceding five years.”

Rule 22.1-289.035-B-4.

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #10 was observed supervising five children with the youngest child being 12 months old. A second staff arrived at approximately 11:05 am.”

Rule 8VAC20-780-350-B-1.

8VAC20-780-350-B-3

“The required ratio for children aged two years is one staff per eight children. Staff #11 was observed supervising nine children with the youngest child being two years old.”

Rule 8VAC20-780-350-B-3.

8VAC20-780-40-M

“The center shall maintain 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. 1. The list in each of the nine classrooms was not dated. 2. The record of child #6 documented a food sensitivity. The list did not contain documentation of the sensitivity for child #6.”

Rule 8VAC20-780-40-M.

8VAC20-780-510-P

Rule 8VAC20-780-510-P.

8VAC20-780-550-K

Rule 8VAC20-780-550-K.

8VAC20-780-60-A-8

“The center shall obtain 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 #3, enrolled for eight months, has a diagnosed food allergy and did not have a written care plan in on file.”

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

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 nine months, did not have documentation of requesting a central registry check from another state.”

Rule 22.1-289.035-B-4. From a complaint.

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 3, (date of employment 4/24/2024) indicated on their sworn disclosure statement that they had lived outside the state of Virginia within the past five years. There was no documentation to support that that the out of state search of the child abuse and neglect registry were submitted within 30 days of employment as required.”

Rule 22.1-289.035-B-4.

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 1 (date of employment 8/29/2023) had a TB test/screening dated 9/18/2023.”

Rule 8VAC20-780-160-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 6’s test/screening was dated 10/05/2021.”

Rule 8VAC20-780-160-C.

8VAC20-780-70

“Two references (not related by blood or marriage), as to character, reputation, and competence, shall be checked prior to employment. Staff 3 had one reference related by marriage.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 2 and Staff 3 had CPR certification that expired.”

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

8VAC20-790-600-D-2

“Based on review of eight staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 2 and Staff 3 had first aid certification that expired.”

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

8VAC20-770-60-C-2

“Based on review of eight staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 4 (date of employment 12/04/2023), Staff 5 (date of employment 1/24/2024), and Staff 7 (date of employment 9/11/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

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

8VAC20-780-160-C

“Based on review of eight staff records, the facility failed to ensure staff members obtained and submitted documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB test dated 10/05/2021 and Staff 3 had a TB test dated 7/06/2021.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 1/10/2023.”

Rule 8VAC20-780-260-A.

8VAC20-780-280-D

“Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the twos room had cleaners such as Lysol and Pine sol in a cabinet with silverware, plates, and trays used for eating.”

Rule 8VAC20-780-280-D.

8VAC20-780-500-A

“Based on observation, the facility failed to have staff wash hands and wash children’s hands with soap and running water after toileting or diapering. Evidence: Staff changed three children’s diapers in the twos room. Staff did not take the children to the sink to wash hands with soap and water. Staff used hand sanitizer on their own hands, not soap and water.”

Rule 8VAC20-780-500-A.

8VAC20-780-500-B

“Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after changing two diapers. After the third diaper, staff sprayed the diaper changing table and wiped it dry. They did not allow the cleaning solution to dry for a period of at least 2 minutes.”

Rule 8VAC20-780-500-B.

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current CPR certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have current CPR certification on file.”

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

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current first aid certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have first aid certification on file.”

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

8VAC20-780-70

“Based on review of eight staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 5 (date of employment 1/24/2024) and Staff 6 (date of employment 3/11/2024) did not have documentation of two references on file.”

Rule 8VAC20-780-70.

8VAC20-790-600-D-1

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have CPR certification. Staff 3 (date of employment 12/19/2022) did not have documentation of an in-person competency demonstration. Management confirmed that staff did not have certification.”

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

8VAC20-790-600-D-2

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid certification within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have first aid certification. Management confirmed that staff did not have certification.”

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

8VAC20-770-60-C-2

“Based on review of seven staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 5/1/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. The CPS check was submitted 6/06/2023.”

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

8VAC20-780-150-B

“Based on review of 7 children’s records, the facility failed to ensure that each child’s immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 10/06/2022) was not signed by a physician or his designee.”

Rule 8VAC20-780-150-B.

8VAC20-780-510-E

“Based on review of the medication being stored at the facility, it was determined that the facility did not follow their medication procedures to prevent the use of outdated medication. Evidence: One emergency medication expired 1/2023 and had not been returned to the parent.”

Rule 8VAC20-780-510-E.

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 does not have documentation of current CPR on file. Management stated that Staff 1 has been alone on the bus transporting children.”

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

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 does not have documentation of current first aid certification on file. Management stated that Staff 1 has been on the bus alone transporting children.”

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

8VAC20-780-60-A

“Based on review of seven children’s files, the facility failed to have 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. Evidence: Child 6 has diagnosed food allergies, but did not have a written allergy action plan on file.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 6 (date of employment 10/11/2022) did not have the signature of the person making the call.”

Rule 8VAC20-780-70.

8VAC20-780-410-1

“Based on staff interviews, the facility failed to ensure forbidden actions such as rough handling or striking a child were not used. Evidence: On 10/28/2022, Staff A observed Staff B rough handle and strike Child A (Age 2). Staff B was observed taking Child A by the arm, forcing the child to sit on the floor against the wall, pushing his head forward, and smacking him on the back of the neck at least three times.”

Rule 8VAC20-780-410-1.

8VAC20-790-600-D-1

“Based on review of seven staff files, the facility failed to ensure each staff obtain cardiopulmonary resuscitation (CPR) training within the first 90 days of employment. Evidence: Staff 1 (date of employment (3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of CPR training.”

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

8VAC20-790-600-D-2

“Based on review of seven staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff 1 (date of employment 3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of first aid training.”

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

22.1-289.035-A

“Based on a review of seven staff records and staff interview, the center did not obtain a repeat search of the central registry ( CPS check) for one staff member within five years, as required. Evidence: The record for Staff 6, (date of employment 3/6/2017) contains documentation of a central registry finding dated 4/07/2017. The central registry search should have been updated within 5 years (by 4/07/2022). The center director confirmed the repeat central registry check had not been submitted as of 8/2/2022.”

Rule 22.1-289.035-A.

8VAC20-780-270-A

“Based on observation and staff interview, the facility failed to maintain all areas in a safe and operable condition. Evidence: On 8/2/2022, the grass on the areas in and surrounding the playground was 8 to 9 inches tall. This made it difficult for the children to easily run and play and could harbor ticks. The center director stated the grass is typically cut every other week.”

Rule 8VAC20-780-270-A.

8VAC20-780-500-B

“Based on observation, the facility failed to utilize a leakproof, foot operated diaper disposal system (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). Evidence: the pull up diapers in the twos bathroom were observed in an open trash can, without a lid.”

Rule 8VAC20-780-500-B.

8VAC20-780-530-A

“Based on a observation and review of staff files, the center failed to ensure that there was one staff member present in each grouping of children who is certified in cardiopulmonary resuscitation (CPR) and first aid. Evidence: In the Montessori classroom, Staff 1 was observed alone in a grouping of children. There was no documentation to support that Staff 1 is certified in CPR or first aid. The center director confirmed Staff 1 did not have certification in CPR or first aid. .”

Rule 8VAC20-780-530-A.