Skipwith Academy Learning Center at Rutland (#44)

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

“Child #5 most recent documented immunization was overdue by 3 months.”

Rule 8VAC20-780-130-E.

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.

“The physical examination in the record of child #1, was dated 52 days after their date of enrollment.”

Rule 8VAC20-780-140-A.

The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction.

“The most recent fire inspection was dated over 15 months from the previous inspection.”

Rule 8VAC20-780-260-A.

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 3 months, was missing the following required components: the name, address and phone number of two designated people to call in an emergency if a parent cannot be reached.”

Rule 8VAC20-780-60-A.

When staff are supervising children, they shall always ensure their care, protection, and guidance.

“On February 12, 2026, Staff #1 grabbed child #1 (age 2) by the arm and threw them onto the floor in the front lobby of the center with 6 other children present. Child #1 reported their right elbow hurt and was crying immediately after this incident.”

Rule 8VAC20-780-340-A.

The operational responsibilities of the licensee shall include ensuring that the center’s activities and services are maintained in compliance with the center’s own policies and procedures that are required by the standards.

“The center’s discipline policy states: ?There will be no physical punishment or disciplinary action administered to the body such as, but not limited to: roughly handling a child.? On February 12, 2026, staff #1 roughly handled child #1 (age 2) by grabbing the child by the arm and throwing them onto the floor.”

Rule 8VAC20-780-40-E.

The following acts are forbidden: roughly handling a child.

“On February 12, 2026, staff #1 grabbed child #1 (age 2) by the arm and threw them onto the floor in the front lobby of the center with 6 other children present. Two staff witnessed child #1?s feet off the ground at the time they were thrown to the ground.”

Rule 8VAC20-780-410-1.

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition.

“In room #1 and room #4, child size chairs were torn exposing the inside material.”

Rule 8VAC20-780-270-A.

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

“In room #1, an unlocked cabinet contained cleaning products.”

Rule 8VAC20-780-280-B.

8VAC20-780-140-A

“Documentation of a physical examination must be submitted for each child within 30 days after the first day of attendance. Child 8, enrolled for over 4 months, did not have documentation of a physical.”

Rule 8VAC20-780-140-A.

8VAC20-780-245-J

“Whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member who has satisfactorily completed a training program for this purpose approved by the Board of Nursing Staff (Medication Administration Training training). Neither of the 2 staff with MAT certification were on site today from approximately 9:00 a.m. and 12 p.m. - 5 children on site have emergency medications.”

Rule 8VAC20-780-245-J.

8VAC20-790-600-D-1

“Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Staff 2, employed for six months, did not have documentation of in person cardiopulmonary resuscitation (CPR).”

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

8VAC20-770-60-C-2

“Documentation of a completed search of the central registry ( CPS check) shall be on file for each staff within the first 30 days of employment. Staff 8 (date of employment 4/02/2024) did not have a completed search of the central registry on file. There was no documentation of having checked for the status of the CPS check by the 30th day of employment.”

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

8VAC20-780-140-A

“Documentation of a physical examination must be submitted for each child within 30 days after the first day of attendance. Child 4 (date of enrollment 12/12/2022) did not have documentation of a physical until 11/28/2023.”

Rule 8VAC20-780-140-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 5’s screening was dated 1/24/2022.”

Rule 8VAC20-780-160-C.

8VAC20-780-510-E

“Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child’s physician and parent. The parent did not renew the written authorization for the medications for Child 4 every ten working days and physician authorization was not obtained.”

Rule 8VAC20-780-510-E.

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which contains required information. Child 1 (date of enrollment 6/10/2024) did not have documentation of the child’s physician, any known allergies, and signed agreement to obtain emergency medical treatment. Child 3 did not have documentation of a second emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 4/26/2024, there were approximately 23 preschool aged children on the playground with three staff supervising. According to interviews and written statements, three staff were reportedly grouped together, checking the attendance logs on the ipads, under the shade covering. Child 1 sustained a significant injury to their arm, which resulted in emergency surgery. None of the three staff present saw or knew the cause of the injury.”

Rule 8VAC20-780-340-A.

8VAC20-780-40-N

“The center shall develop written playground safety procedures which shall include a policy on active supervision on the playground. Evidence: On 4/24/2024, there were 23 children on the playground. Interviews revealed that staff on the playground were grouped together, checking attendance, and did not position themselves in strategic locations to ensure active supervision. Child 1 sustained a serious injury to their arm which resulted in emergency surgery.”

Rule 8VAC20-780-40-N.

22.1-289.035-A

“The center is required to have employees undergo a background check and a search of the central registry ( CPS check) every five years. The most recent central registry check for Staff #9 was overdue 7 months and the national fingerprint check was overdue by 8 months.”

Rule 22.1-289.035-A.

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 7’s updated screening was due 1 month ago and Staff 9’s updated screening was due 8 months ago. The updated screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection was conducted 7/26/2023. A fire inspection was conducted following the licensing inspection on 1/16/2025”

Rule 8VAC20-780-260-A.

8VAC20-790-600-D-1

“Based on staff interview and review of ten staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current CPR on file. The center director stated that the CPR training had not been scheduled.”

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

8VAC20-790-600-D-2

“Based on staff interview and review of ten staff records, the facility failed to have each staff Current in first aid certification. Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current first aid certification on file. The center director stated that the first aid training had not been scheduled.”

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

22.1-289.035-A

“Based on review of ten staff records, the facility failed to ensure that every employee repeat a background check in accordance with the Code of Virginia every five years. Evidence: The most recent search of the central registry ( CPS check) for Staff 1 was dated 09/27/2018; there was not a repeat CPS check obtained within 5 years. The most recent search of the central registry for Staff 7 was dated 9/11/2018; there was not a repeat CPS check obtained within 5 years.”

Rule 22.1-289.035-A.

22.1-289.035-B-4

Rule 22.1-289.035-B-4.

8VAC20-780-510-I

“Based on review of 13 medications, the facility failed to have written authorization from the parent to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer 3 medications to 2 children. Child A and Child G had emergency medications on site, but did not have a completed medication authorization.”

Rule 8VAC20-780-510-I.

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff certified in CPR within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in CPR.”

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 certified in first aid within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in first aid.”

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