Learning Paths Academy At Dominion Valley #35

The center shall provider an annual health department inspection report.

“The center’s most recent health inspection report was more than one year overdue.”

Rule 8VAC20-780-260-B.

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“In the School Age classroom, the light switch adjacent to the stage was missing a cover, exposing the wall’s interior and screws. The Preschool and Prekindergarten playground had chipped, peeling paint on top of the fence railings. On the Infant, Toddler, and Two’s playground, there was a small screw sticking out in the back of the hose box on the wall.”

Rule 8VAC20-780-270-A.

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.

“The School Age classroom did not have a written allergy list, while children were present in the classroom.”

Rule 8VAC20-780-40-M.

A 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center shall be posted in a visible place at each telephone.

“Local emergency and poison control numbers were kept inside classroom binders and not posted in visible places at each telephone.”

Rule 8VAC20-780-550-I.

When centers choose to provide meals or snacks, a menu listing foods to be served for meals and snacks during the current one-week period shall meet all requirements.

“The center’s menu was not dated and was posted on the kitchen refrigerator, not in a conspicuous location or given to parents.”

Rule 8VAC20-780-560-F.

The center shall ensure prescription medication is maintained in the original container with the pharmacy label attached containing prescriber’s instructions pertaining to dosage, frequency, and manner of administration.

“Child #6 had emergency prescription medication on site but there was no pharmacy label.”

Rule 8VAC20-780-510-I.

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.

“Child #6 had emergency prescription medication on site and the parental authorization expired over five months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Based on record review, the center did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search for all staff within 30 days of employment.

“Evidence: Staff #4 (Date of Hire: 5/22/2023) had Central Registry results on file dated 8/9/2023. Staff #4’s last day of employment with the center was 8/31/2023.”

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

Based on record review, the center did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

“Evidence: Child #1 (Start Date: 8/28/2022) was present at the time of inspection and did not have immunizations on file.”

Rule 8VAC20-780-130-A.

Based on record review, the center has not practiced lockdown procedures at least annually.

“Evidence: The most recent lockdown drill was conducted on 1/11/2022.”

Rule 8VAC20-780-550-F.

Based on documentation review and staff interview, the center did not maintain documentation of all emergency evacuation drills.

“Evidence: There was no emergency evacuation drill documented for the month of August 2023. The most recent emergency evacuation drill was documented as 7/28/2023.”

Rule 8VAC20-780-550-G.

Based on record review, the center did not have all required information on file for each enrolled child.

“Evidence: Child #1 (Start Date: 8/28/2023) did not have documentation of the center viewing the child’s proof of age and identity on file.”

Rule 8VAC20-780-60-A.

Based on observation, the center did not maintain the staff-to-child ratio of one staff for four children for children aged birth to 16 months.

“Evidence: 1. In the Older Infants room there were five infants with one staff. The youngest child in the room was 10 months old. 2. In the Younger Infants room there were five infants with one staff. The youngest child in the room was 4 months old.”

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

Based on documentation review and staff interview, it was determined staff engaged in a forbidden action of rough handling.

“Evidence: On March 27, 2023 at approximately 10:35am, Child #1 and another child were fighting over a ball on the portico playground. Staff #1 went to intervene and “grabbed and jerked” Child #1 by the hood of their jacket “causing the child to fall backwards and hit their head on the play structure.””

Rule 8VAC20-780-410-1. From a complaint.

Based on record review and staff interview, the center did not ensure that all staff have current certification in cardiopulmonary resuscitation (CPR) within 90 days of the date of employment.

“Evidence: Staff #1 (Date of Hire: 5/24/22) and Staff #3 (Date of Hire: 9/21/22) did not have documentation of current CPR certification on file at the time of inspection.”

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

Based on record review and staff interview, the center did not ensure that all staff have current first aid certification within 90 days of the date of employment.

“Evidence: Staff #1 (Date of Hire: 5/24/22) and Staff #3 (Date of Hire: 9/21/22) did not have documentation of current first aid certification on file at the time of inspection.”

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

Based on record review, the center did not request a search of the child abuse and neglect registry or equivalent registry from any state in which staff have resided in the preceding five years within 30 days of hire.

“Evidence: Staff #3 (Date of Hire: 9/21/2022) has resided in Kentucky and Nebraska within the last 5 years and did not have documentation on file of a request to search the Kentucky and Nebraska child abuse and neglect central registry.”

Rule 22.1-289.035-B-4.

Based on record review and staff interview, the center has not had an annual fire inspection

“Evidence: The most recent fire inspection at the center was conducted 11/9/2021.”

Rule 8VAC20-780-260-A.

Based on observation of the physical plant, review of documentation, and interviews, the center did not ensure that areas and equipment in the center were maintained in a safe condition.

“Evidence: In the Preschool Explorers classroom, a wooden bookshelf, approximately 3 feet tall by 3 feet wide, was not kept in a way that prevented tipping. On 11/4/2022 Child #1 (Age 2.5 years) “was playing with a friend and pulled the bookshelf down on top of Child #1 hitting the child’s head causing a bump and cut on the child’s eye” as stated in the accident report.”

Rule 8VAC20-780-270-A.

Based on record review and staff interview, the center has not obtained an annual health inspection.

“Evidence: The most recent health inspection was conducted on 6/16/2020.”

Rule 8VAC20-780-260-B.