The Playhouse Academy, LLC

Staff shall complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.

“Staff #2 had no documentation of completed training and had been employed for 5 months.”

Rule 8VAC20-780-240-B.

8VAC20-790-600-F

“Staff who work directly with children shall annually complete the department’s health and safety update course. Staff #1’s annual health and safety update was overdue by over 23 months.”

Rule 8VAC20-790-600-F.

The center is required to have employees undergo a background check every five years.

“The most recent central registry check for staff #5 was overdue by one month.”

Rule 22.1-289.035-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 #2 TB was dated one year and six months prior to date of employment and has been employed for four days.”

Rule 8VAC20-780-160-A.

22.1-289.057-B

“The program is required to submit results of potable water testing to VDH. The program did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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 and/or the program did not have evidence of the implementation of the required testing plan.”

Rule 22.1-289.057-A.

Staff who work directly with children shall, annually attend the department’s health and safety update course.

“Staff #1, staff #2, staff #3, and staff #5 did not complete the department’s health and safety update course for 2024.”

Rule 8VAC20-790-600-F.

The center must request a search of the central registry prior to the employee’s first day of employment.

“Staff #4, who had been employed for 2 days, did not have a central registry search requested.”

Rule 22.1-289.035-B-3.

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

“Staff #1 updated screening was due 4 months ago. The screenings have not yet been completed.”

Rule 8VAC20-780-160-C.

8VAC20-780-240-A

“Based on record review, the Virginia Department of Education-sponsored orientation course was not completed within 90 calendar days of employment for new staff. Evidence: Staff #1 has not completed the Virginia Department of Education-sponsored orientation course.”

Rule 8VAC20-780-240-A.

8VAC20-780-240-B

“Based on a review of staff records, the center did not ensure that all staff completed orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: 1. Staff #1, hired 4/10/2023 has not completed orientation training.”

Rule 8VAC20-780-240-B.

8VAC20-780-245-L

“Based on record review and staff interview, the center did not ensure there was always at least one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children. Evidence: 1. There was no documentation that staff had obtained the daily health observation within the last three years.”

Rule 8VAC20-780-245-L.

8VAC20-820-120-E-6

“Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility is posted on the premises of each facility. Evidence: 1. The most recent inspection dated 4/4/2023 was not posted at the center. The inspection posted was dated for 6/2/2022.”

Rule 8VAC20-820-120-E-6.

8VAC20-790-600-D-1

“Based on review of five staff records, one record did not contain documentation of current First Aid CPR certification. Evidence: 1. The record for Staff #2 (hire date 3/26/18), did not contain current First Aid CPR certifications.”

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

22.1-289.036-A

“Based on review of documentation and interview with an administrator, the center failed to obtain updated national fingerprint background check every 5 years. Evidence: 1. Staff 1?s record contained a documented criminal background check on 3/14/2018. 2. Staff 1?s criminal background was not updated every 5 years. 3. An administrator stated that an updated criminal background had not been completed for staff 1.”

Rule 22.1-289.036-A.

8VAC20-780-260-B

“Based on a review of documentation and interview, it was determined that the center did not ensure that the annual approval from the health department is provided. Evidence: 1. The most recent annual health inspection available for viewing during the inspection was dated 5/10/2021. 2. An administrator confirmed that the annual health inspection for the facility had not been completed.”

Rule 8VAC20-780-260-B.

8VAC20-780-570-E

“Based on observation, the center failed to ensure that prepared infant formula was labeled with the date. Evidence: Three (3) infant bottles of formula were not labeled with the date.”

Rule 8VAC20-780-570-E.

8VAC20-780-180-A

Rule 8VAC20-780-180-A.

8VAC20-780-280-B

“Based on observation on April 19, 2022, the center did not ensure that hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the infant room a container of Clorox wipes were kept on top of the diaper changing table. The label on the container of wipes states “keep out of reach of children” and “caution.””

Rule 8VAC20-780-280-B.

8VAC20-780-350-B-1

“Based on observation and interview on April 19, 2022, the center did not ensure to maintain the required staff-to-children ratio of 1 staff to 4 children in the infant room (ages birth to 16 months). Evidence: The infant room had 5 infants present with 1 staff supervising. The youngest infant in the room was child #4 (age 2 months old). Administration acknowledged they were out of ratio.”

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

8VAC20-780-350-B-2

Rule 8VAC20-780-350-B-2.

8VAC20-780-350-B-4

“Based on observation and interview on April 19, 2022, the center did not ensure to maintain the required staff-to-children ratio of 1 staff to 10 children in the preschool room. Evidence: There were 13 children present with 1 staff supervising in the preschool room. Administration acknowledged the classroom”

Rule 8VAC20-780-350-B-4.

8VAC20-780-500-A

Rule 8VAC20-780-500-A.

8VAC20-780-560-F

“Based on observation and interview on April 19, 2022, the center did not ensure to follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: Children were not served fluid milk at breakfast. Administration stated they were short staffed and no one could go get it and acknowledged the children didn’t receive it.”

Rule 8VAC20-780-560-F.

8VAC20-780-560-J

Rule 8VAC20-780-560-J.

8VAC20-780-570-A

Rule 8VAC20-780-570-A.