Skipwith Academy @ Colonial Heights (#49)

8VAC20-780-500-B

“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 system during disposal. A staff member in Classroom A used their hands to lift the trashcan lid to dispose of a soiled diaper.”

Rule 8VAC20-780-500-B.

8VAC20-780-550-P

“The center shall maintain a written record of children’s serious and minor injuries in which the entries are made the day of the occurrence. Staff #1 applied a bandage to the knee of Child #1 on 4/21/2025. An incident report was not provided to the parents.”

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

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration. The CPR certification for Staff #1 has been expired for eight months.”

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

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment a current certification in first aid appropriate to the ages of children in care. The first aid certification for Staff #1 has been expired for eight months.”

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

8VAC20-780-280-B

“Hazardous substances such as cleaning materials shall be kept in a locked place using a safe locking method that prevents access by children. A can of disinfectant was unlocked in the Classroom #1, out of the reach of children.”

Rule 8VAC20-780-280-B.

8VAC20-780-40-M

“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 documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. The written allergy list was dated over 12 months ago. The initial registration record for Child #5 indicated the child has a food allergy. Child #5 has been attending the center for over six months.”

Rule 8VAC20-780-40-M.

Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician’s designee, or an official of the local health department.

“The record for staff #6 did not have a TB screening within the last 30 calendar days of date of employment.”

Rule 8VAC20-780-160-A.

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

“On the playground, one fence board was not attached to the fence on all sides. One fence board was not attached to the top of the fence, the board was lifting away from the fence. A water table had one broken leg and a tricycle had no seat attached.”

Rule 8VAC20-780-270-A.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“Child A had medication at the center, medication #1 expired April 2024 and medication #2 expired August 2024.”

Rule 8VAC20-780-510-P.

Based on a review of staff records and interview, the vendor did not ensure that staff who worked directly with children annually completed the department’s health and safety update course.

“Evidence: 1. The record of staff #4 (employed 2/08/21) contained a health and training certificate dated 5/30/22. The record of staff #5 (employed 2/05/19) contained a health and training certificate dated 5/30/22, The records did not contain a 2023 annual health and safety training certificate. 2. The vendor acknowledged that the 2023 training had not been completed.”

Rule 8VAC20-790-600-F.

Based on 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 #2 (enrolled 10/02/23) did not include documentation of immunizations.”

Rule 8VAC20-780-130-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: 1. The records for staff #4 (last TB screening 5/20/22) and staff #5 (last TB screening 5/20/22)did not contain updated TB screening results.”

Rule 8VAC20-780-160-C.

Based on review of staff records, the center did not ensure orientation training had been completed prior to the staff working alone with children and no later than seven days of assuming job responsibilities.

“Evidence: The records for staff #1 (employed 7/03/23), staff #2 (employed 9/11/23), and staff #3 (employed 9/18/23) did not contain documentation of orientation training.”

Rule 8VAC20-780-240-D.

Based on record review, the center did not ensure that staff shall complete a minimum of 16 hours of training appropriate to the age of the children in care.

“Evidence: 1. The record of staff #4 (employed 2/08/21) and staff #5 (employed 2/05/19) did not contain documentation of 16 hours of training.”

Rule 8VAC20-780-245-A.

REPEAT VIOLATION Based on observation and interview, the center did not ensure to maintain a current written list of all children’s allergies, sensitivities, and dietary restrictions which is dated and kept confidential in each room or area where children are present.

“Evidence: Room #1, room #2, room #3, room #4, and room #5 did not have a current dated list of all children’s allergies, sensitivities, and dietary restrictions. The list that was present in each room had child A who terminated enrollment on 3/25/2023 and child B who terminated enrollment on 9/01/23.”

Rule 8VAC20-780-40-M.

Based on record review, the center did not ensure that each staff record contains all required information.

“Evidence: The record for staff #1 (employed 7/03/23) did not contain documentation of two or more references before employment.”

Rule 8VAC20-780-70.

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. On the playground, multiple nails were protruding from the playground fence. The playground black boarder had bolts that were protruding. One piece of the playground boarder was broken exposing sharp edges. 2. In room #3, the infant high chair seat protector was torn.”

Rule 8VAC20-780-270-A.

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: 1. In room #2 and room #4, the allergy list was not maintained and kept confidential. 2. Staff acknowledged that the allergy was not kept confidential.”

Rule 8VAC20-780-40-M.

Based on record review and interview, the center did not ensure that all required background checks are completed every 5 years.

“Evidence: 1. The record for staff #5 (last CPS 9/29/17), did not have documentation of an updated central registry. An updated central registry finding was required by 9/29/22. 2. The records did not contain documentation of any further contact with central registry office.”

Rule 22.1-289.035-A.

Based on record review, the center did not ensure that staff obtained a results fingerprint based criminal history record information check prior to employment.

“Evidence: The records for staff #9 (employed: 8/15/22) and staff #10 (employed: 8/17/22), did not have documentation of a fingerprint based criminal history record.”

Rule 22.1-289.035-B-2.

Based on record review and interview, the center did not ensure two staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment.

“Evidence: 1. The records of staff #9 (employed: 8/15/22) and staff #10 (employed: 8/17/22), did not have documentation of a completed sworn statement or affirmation. 2. A member of management stated the Sworn Statement s were not at the center for staff #9 and staff #10.”

Rule 8VAC20-770-60-B.

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

“Evidence: 1. The record for staff #4 (employed: 9/06/22) and staff #10(employed: 8/17/22), did not contain documentation of central registry findings. 2. Administrative staff confirmed that the central registry findings were not documented in the staff record.”

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

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: 1. The records for staff #2 (employed:7/18/22); staff #6 (employed: 3/21/22); staff 8 (employed: 9/20/22); staff #9 (employed: 8/15/22); and staff #10 (employed: 8/17/22), did not have documentation of the TB screening or test. 2. A member of management confirmed that the screening was not in the record for staff #2, staff #6, staff #8, staff #9, and staff #10. .”

Rule 8VAC20-780-160-A.

Based on a review of staff records, the center did not ensure that orientation was completed no later than seven days of the date assuming job responsibilities.

“Evidence: 1. The record for staff #9 (employed: 8/15/22) did not have documentation of orientation no later then seven days of the date of assuming job responsibilities. 2. The record for staff #10 (employed: 8/17/22) did not have documentation of orientation no later then seven days of the date of assuming job responsibilities.”

Rule 8VAC20-780-240-B.

Based on record review, the center did not ensure that all staff members obtain the required hours of annual training.

“Evidence: 1. The record for staff #1 had documentation of 8 hours of the 16 hours required annually. 2. The record for staff #5 had documentation of 5.5 hours of the 16 hours required annually. 3. The record for staff #7 did not have documentation of annual training. Staff are required to obtain at least 16 hours of training appropriate to the age of children in care”

Rule 8VAC20-780-245-A.

Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current cardiopulmonary resuscitation (CPR) certification.

“Evidence: 1. In room #1, staff #8 and staff #10 were observed working in the classroom. Staff #8 (employed 9/20/22) and staff #10 (employed: 8/17/22) did not have current certification in CPR. 2. In room #5, staff #1 and staff #10 were observed working in the classroom. Staff #1 (employed: 9/08/20) and staff #2 (employed: 7/18/22) did not have current certification in CPR 2. Administration acknowledged that there was not a staff member with a current CPR certification in room #1 or room #5.”

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

Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current first aid certification.

“Evidence: 1. In room #1, staff #8 and staff #10 were observed working in the classroom. Staff #8 (employed 9/20/22) and staff #10 (employed: 8/17/22) did not have current certification in first aid. 2. In room #5, staff #1 and staff #10 were observed working in the classroom. Staff #1 (employed: 9/08/20) and staff #2 (employed: 7/18/22) did not have current certification in first aid. 3. Administration acknowledged that there was not a staff member with a current first aid certification in room #1 or room #5.”

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

Based on a review of the facility’s injury reports, all required information was not documented.

“Evidence: Five injury reports did not have any future action to prevent recurrence of the injury, two injury reports did not have documentation of how the parent was notified, and two injury reports did not have the date and time when parents were notified.”

Rule 8VAC20-780-550-P.

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: 1. The records for staff # 2 (start date: 1/10/22), staff #3 (start date: 1/05/22), and staff #4 (start date: 1/07/22), did not contain the results of a central registry finding. 2. During interview, a member of management confirmed the central registry findings were not received within 30 days of employment for Staff #2, Staff #3, and Staff #4. The records did not contain documentation of any further contact, and the staff members had been continuously employed.”

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

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. Staff #2 (start date: 1/10/22) did not have documentation of the TB screening or test. 2. Administration confirmed that the documentation was not in the file.”

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

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. On the playground, a metal brace used to hold the bottom fence picket had a protruding screw and sharp edges and fence panels around the playground had deteriorating, splintered wood. 2. On bus #1 that transports children, three rows of seats had multiple holes exposing foam.”

Rule 8VAC20-780-270-A.

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

“Evidence: There was one bottle of infant formula that was not dated or labeled with the child’s name. Staff confirmed the bottle was not labeled.”

Rule 8VAC20-780-570-E.

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

“Evidence: The records for staff #2 (start date 01/10/22) did not contain documentation of two or more references before employment.”

Rule 8VAC20-780-70.