Pinnacle Academy

The license and any other documents required shall be posted in a conspicuous place on the licensed premises.

“The findings from the most recent inspection, dated 2/12/2026, were not posted in a conspicuous place on the premises.”

Rule 22.1-289.011-F.

The center shall implement a monthly practice evacuation drill.

“There was no documentation of a monthly evacuation drill practiced in the month of June 2026.”

Rule 8VAC20-780-550-D.

The center must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #4’s national criminal background check was dated four days after first day of employment.”

Rule 22.1-289.035-B-2.

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 #5 contained documentation of immunizations dated three days after first day of attendance.”

Rule 8VAC20-780-130-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 #4’s TB was dated 18 months prior to date of employment and has been employed for over two months.”

Rule 8VAC20-780-160-A.

The center is required to view the child’s proof of identity and age within seven business days of the child’s initial attendance.

“The proof of identity documentation for Child #5 was viewed over one month after the child’s first day of attendance.”

Rule 8VAC20-780-40-G.

The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential.

“The lists posted in the two classrooms were not dated.”

Rule 8VAC20-780-40-M.

Providers must obtain a completed national criminal background check prior to the employee’s first day of employment.

“Staff #5, who had been employed for 25 days, did not have a completed national criminal background check.”

Rule 22.1-289.035-B-2.

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

“Staff #5, who had been employed for two weeks, did not have a central registry search requested. Staff #5 was working alone with children.”

Rule 22.1-289.035-B-3.

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 #5 has been working with children for 25 days and has a TB screening that was dated six months prior to their first day of employment.”

Rule 8VAC20-780-160-A.

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

“Staff #5 who has been employed for 25 days and was alone with a child had not completed orientation training.”

Rule 8VAC20-780-240-B.

When food is brought from home the food container must be clearly dated and labeled in a way that identifies the owner.

“Only 1 of 15 of the children’s food containers in the preschool/preK classrooms dated. 4:11 containers of food brought from home in the preK classrooms and 2:4 were not labeled to identify the owner.”

Rule 8VAC20-780-560-G.

8VAC20-780-160-A

“Documentation of tuberculosis screening for staff was not completed within the last 30 calendar days of the date of employment, prior to coming in contact with children. Evidence: Staff #1 (date of TB screening 8/25/2023) in contact with children 8/19/2024.”

Rule 8VAC20-780-160-A.

8VAC20-780-245-A

“Based on record review, not all staff have completed annually a minimum of 16 hours of training appropriate to the age of children in care. Evidence: Staff #2 only had 7 hours of ongoing training 2023-2024.”

Rule 8VAC20-780-245-A.

8VAC20-780-260-B

“Based on documentation review and interview, the center did not obtain annual approval or a plan of correction, for meeting requirements for water supply and sewage system from the health department Evidence: 1. No current Environmental Health and Sanitation assessment was available. 2. Date of most recent inspection was 1/24/22 .”

Rule 8VAC20-780-260-B.

8VAC20-780-550-E

“Based on documentation and interview, shelter in place procedures were not practiced a minimum of twice per year. Evidence: Between 8/2023 and 8/2024 only one Shelter in place drill was practiced.”

Rule 8VAC20-780-550-E.

8VAC20-780-160-A

“Based on record review, the center did not obtain documentation of a negative tuberculosis screening for staff. Evidence: Staff #1 record did not contain results of TB screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-540-C

“Based on observation, first aid kits did not contain all required items. Evidence: First Aid kits in classroom 1 and 2 did not contain first aid kit manual.”

Rule 8VAC20-780-540-C.

8VAC20-780-60-A

“REPEAT Based on record review children’s records did not contain all required information. Evidence: 1. Children #1, #2, #3, #4 and #5 records did not have address for two emergency contacts. 2. None of the 5 children files had documentation of viewing proof of child’s age and identity.”

Rule 8VAC20-780-60-A.

8VAC20-780-70

“Based on record review and interview, the center did not have documentation that at least two references were checked, prior to employment. Evidence: No documentation of reference checks for Staff #1 in the file.”

Rule 8VAC20-780-70.

Repeat Violation Based on record review, the center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #3’s record contains documentation of immunizations that were last updated when the child was 14 months old.”

Rule 8VAC20-780-130-E.

Repeat Violation Based on record review, a child did not have documentation of a physical examination prior to their first day of attendance.

“Evidence: Child #3’s record did not contain documentation of a physical examination. The child’s first day of attendance was documented as 8/26/2023.”

Rule 8VAC20-780-140-A.

Repeat Violation Based on record review, children’s records did not all contain required information.

“Evidence: 1. Child #3’s record was missing the father’s place of employment. 2. Child #5’s record was missing the father’s place of employment and the address for both emergency contacts.”

Rule 8VAC20-780-60-A.

The center did not obtain documentation of additional immunizations once every six months for children under the age of two years.

“Evidence: Child #4’s record contains immunization records that were last updated on 1/20/2021.”

Rule 8VAC20-780-130-E.

Based on record review, the center did not obtain a physical examination for each attending child.

“Evidence: 1. Child #3’s record was missing the child’s physical examination required within 30 days of attendance. The child’s first day of attendance was documented as 8/18/2022. 2. Child #5’s record was missing the child’s physical examination required within 30 days of attendance. The child’s first day of attendance was documented as 3/1/2022.”

Rule 8VAC20-780-140-A.

Based on review of emergency supplies, the program’s first aid kit was incomplete.

“Evidence: The program was missing 2 triangular bandages.”

Rule 8VAC20-780-540-A.

Based on record review, children’s records did not all contain required information.

“Evidence: The filed for Child #1, #2, #3, #4 and #5 did not contain the parents’ employment information.”

Rule 8VAC20-780-60-A.

Based on record review, the center failed to obtain a copy of the results of a child abuse and neglect search or an equivalent registry from the states in which the staff members have resided in the preceding five years.

“Evidence: 1.Staff#1’s (DOH:9/1/2021) record does not contain an abuse and neglect search for an state in which the staff member has resided in the preceding five years. 2.Staff#2’s (DOH:7/1/2022) record does not contain an abuse and neglect search for an state in which the staff member has resided in the preceding five years.”

Rule 22.1-289.035-B-4.

Based on record review and interview, the center failed to ensure the required background checks were completed for all applicants.

“Evidence: Agent #1 and Agent #2 were designated as board officers in June 2022. On the day of the inspection, the center had already submitted the request, but they had not yet received Central Registry results, which are required before the end of 30 days after the changes.”

Rule 8VAC20-770-40-D-1-a.

Based on record review and interview, the center failed to obtain a central registry check for a staff member within 30 days of employment.

“Evidence: Staff #2’s record did contain central registry results. The staff member was hired on 7/1/2022.”

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

Based on record review, the center did not obtain criminal history record results, abuse and neglect results and a sex offender registry check from a state in which the applicant has resided in the preceding five years before a final determination was made of the individual’s eligibility to have responsibility for the safety and well-being of children.

“Evidence: 1. Staff #1’s (DOD:9/7/2021) record did not contain results of a criminal history result and a sex offender check from a state where the employee has resided within the previous five years. Results were required prior to employment. 2. Staff #1’s record did not include abuse and neglect results from a state where employee has resided within the previous five years, abuse an neglect results are required within 45 days of employment.”

Rule 22.1-289.035-B-4.

Based on record review, the center did not obtain central registry results within 30 days of employment for each staff member.

“Evidence: Staff #1 (DOH : 9/7/2021) and Staff #2’s ( DOH: 9/7/2021) records did not contain Central Registry results.”

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

Based on documentation review and interview, the center did not develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members.

“Evidence: There was no documentation at the center to verify that they have a written policy and procedures that describe how the center will ensure that each group of children receives care by consistent staff or team of staff members.”

Rule 8VAC20-780-350-F.

Based on review of documentation and interview, the center did not develop written procedures for prevention of abusive head trauma.

“Evidence: There was no documentation at center to verify that the center has a written procedures for prevention of abusive head trauma.”

Rule 8VAC20-780-40-K.

Based on observation, the center’s first aid kit was incomplete.

“Evidence: The first aid kit was missing adhesive tape.”

Rule 8VAC20-780-540-C.

Based on review of emergency drills, evacuation drills were not practiced monthly.

“Evidence: There was no documentation to verify that an evacuation drill was practiced in September 2021.”

Rule 8VAC20-780-550-D.

Based on observation and interview, the findings of the most recent inspection of the facility were not posted.

“Evidence: The Violation Notice issued on 9/30/2021 was not posted.”

Rule 8VAC20-820-120-E-2.

Based on record review, each staff member did not submit documentation of a negative tuberculosis (TB) screening/test within 21 days after employment and not all TB screenings/tests were completed within 12 months prior to employment.

“Evidence: 1. Staff #1 (DOH: 9/7/2021) has a TB test/screening on file that was completed on 10/23/2019, the TB test/screening was not completed within 12 months prior to employment. 2. Staff #2 (DOH: 9/7/2021) does not contain a TB test/screening, required no later than 21 days after employment.”

Rule 22VAC40-185-160-A.

Based on review of records, there was not an updated annual fire inspection available for review during the inspection.

“Evidence: The date of the most recent fire inspection conducted by the fire official was 01/10/2020.”

Rule 22VAC40-185-260-A.

Based on record review, staff records did not contain all required information.

“Evidence: Staff #1’s record is missing two references as to their character and reputation, as well as competency required prior to the first day of employment.”

Rule 22VAC40-185-70-A.

Based on record review, the center did not obtain a fingerprint based background check for each staff member prior to their first day of employment.

“Evidence: The records of Staff #1 and Staff #2 (DOH: 09/07/2021) do not contain fingerprint based background check results required prior to the first day of employment.”

Rule 63.2(17)-1720.1-B-4.