Scholars Academy Child Development Center

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 #4 TB was dated 57 days prior to their date of employment.”

Rule 8VAC20-780-160-A.

**Repeat Violation** 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 spray and disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the infant classroom, out of reach of children.”

Rule 8VAC20-780-280-B.

Each grouping of children shall have at least one staff regularly present who meets lead teacher qualifications.

“Staff #4, who did not meet lead teacher qualifications, was alone with a group of preschool children for the duration of the inspection.”

Rule 8VAC20-780-340-D.

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

“During the inspection, eight preschool aged children were observed in a classroom unsupervised at rest time for approximately 3-4 minutes prior to staff #2 reportedly returning from break. During the inspection, child #1 (7 months old) was left unsupervised in the infant classroom for approximately 2-3 minutes while staff #3 walked another child to the front of the center for dismissal. After, staff #3 walked into another classroom before returning to the infant room.”

Rule 8VAC20-780-340-F.

**Repeat Violation** 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 #1, enrolled for over three months, was missing the following required components: the name, address and phone number of one designated person to call in an emergency if a parent cannot be reached. The record for Child #3, enrolled for over five months, was missing the following required components: the name, address and phone number of one designated person to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

All staff who work directly with children shall have a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #4 did not have documentation of a current CPR certification.”

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

All staff who work directly with children shall have a current certification in first aid appropriate to the ages of children in care.

“Staff #4 did not have documentation of a current first aid certification.”

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

**REPEAT VIOLATION** Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #5, who had been enrolled for four months.”

Rule 8VAC20-780-140-A.

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

“Staff #4 updated screening was due 6 weeks ago. The updated screening has not yet been completed.”

Rule 8VAC20-780-160-C.

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 and disinfectant wipes with warning labels, ?Keep out of reach of children,? were unlocked in the infant classroom, out of reach of children. A can of disinfectant with warning labels, ?Keep out of reach of children,? were unlocked in the child bathroom, within reach of children.”

Rule 8VAC20-780-280-B.

At least one staff in each classroom or area where children are present shall have current certification in both CPR and first aid.

“Staff #4 was alone with a group of 4 infants and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

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

Rule 8VAC20-780-60-A.

The program is required to submit to VDH and implement a plan to test potable water for lead.

“The program did not have evidence of a testing plan submitted to VDH.”

Rule 22.1-289.057-A.

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

“The record for child #3 (age 18 months) contained an immunization record dated 1 year ago.”

Rule 8VAC20-780-130-E.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“The immunization records for child #1 were not signed.”

Rule 8VAC20-780-150-B.

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 #3, enrolled for over eight months, was missing the following required components: documentation of viewing proof of the child’s identity and age. The record for Child #4, enrolled for over six months, was missing the following required components: work phone number and place of employment of each parent.”

Rule 8VAC20-780-60-A.

Staff shall complete the departments health and safety update course annually.

“Staff #4 did not have documentation of completing the annual health and safety update course for 2023 or 2024.”

Rule 8VAC20-790-600-F.

**Repeat Violation** 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 for child #1 had documentation of immunizations dated 10 days after their enrollment date.”

Rule 8VAC20-780-130-A.

Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

“There was no physical examination in the record of child #3, who had been enrolled for over 1 month.”

Rule 8VAC20-780-140-A.

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

“Staff #4 updated screening was completed 5 months after the required due date.”

Rule 8VAC20-780-160-C.

Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

“Staff #1 obtained 5.5 hours of the 16 required hours in 2023. Staff #4 obtained 1 hour of the 16 required hours in 2023. Staff #5 obtained 7 hours of the 16 required hours in 2023.”

Rule 8VAC20-780-245-A.

Hazardous substances must be in a locked place that prevents access by children.

“In the infant classroom, the cleaning solution, sanitizing solution and disinfecting wipes were on an unlocked shelf, out of reach of children. Cleaning solution with a warning label, ?Keep out of reach of children,? was unlocked in the children’s bathroom, within reach of children.”

Rule 8VAC20-780-280-B.

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

“One infant bottle with formula was observed not labeled or dated in the refrigerator.”

Rule 8VAC20-780-570-E.

22.1-289.035-A

“Repeat violation Based on record review, the provider failed to ensure that staff underwent criminal background checks every 5 years. Evidence: The record for S5, contained national criminal background checks dated 04/19/2018.”

Rule 22.1-289.035-A.

8VAC20-780-130-A

“Based on child record review, the provider failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for C2, enrolled 04/01/2024 documented immunizations on 04/08/2024.”

Rule 8VAC20-780-130-A.

8VAC20-780-130-E

“Based on child record review, the provider failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: The record for C3 did not contain additional immunizations due within six months of immunizations in the record dated 11/21/2022.”

Rule 8VAC20-780-130-E.

8VAC20-780-210-A

“Based on record review and interview, the center failed to ensure that program leaders shall meet all the required qualifications. Evidence: Staff records for S1, employed 09/11/2023 and S2 employed 05/09/2024 did not have documentation to demonstrate how the staff meets program leader qualifications.”

Rule 8VAC20-780-210-A.

8VAC20-780-40-J

“Based on interview, the provider failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: S5 reported the review of the injury prevention procedures for 2023 has not been completed.”

Rule 8VAC20-780-40-J.

8VAC20-780-420-E-3

“Based on child record review, the provider failed to document at least annually parent confirmation that the required information in the child’s record is up to date. Evidence: The record for child, C1 enrolled 05/03/2021 did not document annual confirmation of required information in the record. The record for C3, enrolled 11/29/2021 did not document the annual confirmation of information due 12/27/2023.”

Rule 8VAC20-780-420-E-3.

8VAC20-780-60-A

“Repeat Violation Based on child record review, the provider failed to ensure that three of five records contained the required information for each child enrolled. Evidence: The records for: C1, enrolled 05/03/2021; C4, enrolled 11/29/2021; and C5, enrolled 03/22/2021 did not contain documentation of parents being provided at least semiannually in writing information on their child’s development, behavior, adjustment, and needs as required by 8VAC20-780-420.3.”

Rule 8VAC20-780-60-A.

Based on a review of five staff records and interview, the center did not ensure two staff completed a required background check every five years.

Rule 22.1-289.035-A.

Based on a review of five children’s records and interview, the center did not obtain documentation of additional immunizations once every six months for one child under the age of two years.

“Evidence: 1) The most recent immunization documentation in the record of Child #2 (23-months-old), enrolled on 11/21/21, was dated 02/02/22. 2) During interview, a member of management confirmed the center obtained immunizations on 11/21/21 and on 02/02/22. No additional immunization updates have been received to date.”

Rule 8VAC20-780-130-E.

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

Rule 8VAC20-780-280-B.

Based on a review of five children’s records, the center did not ensure two children’s records contained the required information.

“Evidence: 1) The record of Child #4, enrolled on 06/12/23, did not contain the address of the second emergency contact listed. Each child record shall contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2) The record of Child #5, enrolled on 10/17/22, did not contain the center’s documentation of viewing proof of the child’s identity and age.”

Rule 8VAC20-780-60-A.

22.1-289.035-A

“Based on staff record review, the provider failed to ensure that 2 of 6 employees underwent background checks every five years. Evidence: 1. The record for S1, contains searches of the central registry dated 09/09/2016 and 10/27/2022. 2. The record for S2, contains searches of the central registry dated 04/22/2016 and 10/27/2022.”

Rule 22.1-289.035-A.

8VAC20-780-130-A

Rule 8VAC20-780-130-A.

8VAC20-780-210-A

“8VAC20-780-210.A Based on staff record review, the provider failed to ensure program leader qualifications for 2 staff designated as program leaders. Evidence: Records for S3 and S4 did not contain documentation showing possession of Program Leader qualifications by either: meeting endorsement or bachelor’s degree requirement; educational requirements and programmatic experience; or supervised programmatic experience.”

Rule 8VAC20-780-210-A.

8VAC20-780-245-I

“Based on record review, the provider failed to ensure that the emergency preparedness plan was reviewed annually. Evidence: Provider records did not document an annual review of the center’s emergency preparedness plan.”

Rule 8VAC20-780-245-I.

8VAC20-780-260-B

“Based on observation, the provider failed to provide annual approval from the health department. Evidence: At the renewal inspection on 11/01/2022 the health inspection available for inspection was dated 10/13/2021. The annual inspection should have been completed by 10/13/2022.”

Rule 8VAC20-780-260-B.

8VAC20-780-270-A

“Based on observation, agency failed to assure that all areas and equipment inside the center was maintained in a clean, safe, and operable condition. Evidence: 1. There was a large patch of peeling paint within reach of children in the preschool classroom.”

Rule 8VAC20-780-270-A.

8VAC20-780-320-B

“Based on observation, the provider failed to ensure that sinks are supplied with running warm water that does not exceed 120 degrees Fahrenheit (?F). Evidence: The water temperature in the bathroom sink used by the toddlers check by a thermometer registered 120.4?F.”

Rule 8VAC20-780-320-B.

8VAC20-780-340-D

“Based on observation, the provider failed to assure that in each grouping at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Evidence: S6, hired as an aide was observed supervising 5 children in the pre-school classroom without a program leader or program director being regularly present while staff left the program to transport school age children to the center.”

Rule 8VAC20-780-340-D.

8VAC20-780-510-B

“Based on review of child injury reports and interview, the provider administered nonprescription medication without written permission from parents. Evidence: Child injury reports dated 09/02/2022, 07/14/2022, and 02/21/22 documented staff administering Neosporin and antibacterial cream for minor injuries sustained by children in care without written permission of parents. Program Director acknowledged the center did not have parental permission to administer the ointments.”

Rule 8VAC20-780-510-B.

8VAC20-780-550-G

“Based on review of emergency evacuation drills documentation, the provider failed to ensure the documentation contained all of the required information. Evidence: The emergency drill documentation dated January 2022 ? October 2022 did not document any special conditions simulated and weather conditions.”

Rule 8VAC20-780-550-G.

8VAC20-780-560-G

“Based on observation, provider failed to ensure all food and bottles brought from home and stored in the refrigerator were clearly dated and labeled in a way that identifies the owner. Evidence: 1. One Apple and Berry squeeze container was not dated or labeled. 2. Multiple bottes in the refrigerator were not labeled with a date or labeled in a way that identified the owner.”

Rule 8VAC20-780-560-G.

8VAC20-780-570-A

“Based on observation, provider failed to assure when children are placed in an infant seat, the protective belts shall be fastened securely. Evidence: Four children seated in infant seats at the feeding table did not have protective belts fastened securely.”

Rule 8VAC20-780-570-A.

8VAC20-780-60-A

“Based on child record review, the provider failed to ensure that two of five records contained all the required information. Evidence: The record for C2, enrolled 09/28/20 failed to contain documentation of annual parent confirmation of up-to-date information in the record as required by 8VAC20-780-420.E.3 since enrollment. The record for C5, enrolled 01/13/2020 failed to contain documentation of annual parent confirmation of up-to-date information in the record as required by 8VAC20-780-420.E.3 since 08/04/2021.”

Rule 8VAC20-780-60-A.

Based on staff record review, the provider failed to ensure that health information was kept for one of six staff. Evidence: Record for S6 employed 10/31/2022 did not contain health information required by 8VAC20-780-160.C within the required time frame.

“Based on staff record review, the provider failed to keep documentation to demonstrate that the individual possesses training as required in 8VAC20-780.240 1of 6 staff Evidence: Record for S6 did not contain documentation of orientation required by 8VAC20-780-240 regarding sudden infant death syndrome and use of safe sleep practices, prevention of shaken baby syndrome and abusive head trauma, prevention and response to emergencies due to food or other allergic restrictions, and the prevention and control of disease.”

Rule 8VAC20-780-70.

8VAC20-780-550-P

“Based on record review, the provider failed to ensure that two of two written records of children’s serious and minor injuries included the date and time when parents were notified. Evidence: The written record for C1 dated 02/21/2022 documented an injury. The written record did not document the time and date the parents were notified. The element on the form was blank. The written record for C2 dated 06/24/2022 documented that the injury was reported to an individual approved to pick the child up from daycare not the child’s parents.”

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

Based on a review of three staff records and interview, the vendor did not ensure two staff were evaluated by a health professional and were issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required time frame.

“Evidence: 1) The TB screening in the record for Staff #1, hired on 09/20/21, was dated 10/16/21. 2) The TB screening in the record for Staff #2, hired on 09/20/21, was dated 10/06/21. 3) During interview, a member of management acknowledged the TB screenings for Staff #1 and Staff #2 were not obtained prior to hire. For staff hired prior to 10/13/21, documentation of the screening was to be submitted at the time of employment and prior to coming into contact with children.”

Rule 22VAC40-665-540-A.

Based on a review of three staff records and interview, the center did not obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years within the required time frames.

Rule 22.1-289.035-B-4.

Based on facility video review and interviews, the center utilized the forbidden action of forcing rest when disciplining children for behavior.

Rule 22VAC40-185-410-5.