Apple Seed Academy

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

“1. The record for child #1, enrolled for 6 months, did not contain documentation of additional immunizations. 2. The record for child #5, enrolled for over 3 years, did not contain documentation of additional immunizations.”

Rule 8VAC20-780-130-E.

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

“The updated screening for staff #3 was due 1 month ago and has not yet been completed.”

Rule 8VAC20-780-160-C.

Any child for whom emergency medications (such as albuterol, glucagon, and epinephrine auto injector) have been prescribed shall always be in the care of a staff member or independent contractor who meets the requirements of Medication Administration Training (MAT).

“Child #6 has an emergency medication on site. There are no staff at the center who meet the requirements of Medication Administration Training (MAT).”

Rule 8VAC20-780-245-J-3.

The medication authorization shall be available to staff during the entire time it is effective.

“Medication for child #6 was onsite, but the medication authorization was not available.”

Rule 8VAC20-780-510-F.

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

“Staff #2 was alone with a group of 5, four-year-old children and was not certified in CPR or first aid.”

Rule 8VAC20-780-530-A.

Shelter in place procedures shall be practiced a minimum of twice per year.

“Shelter in place procedures were practiced once during 2025.”

Rule 8VAC20-780-550-E.

Repeat Violation The center is required to maintain and keep at the center a separate record for each child enrolled which shall contain documentation of child updates and confirmation of up-to-date information in the child’s record.

“1. The record for child #3, enrolled for 1 year and 7 months, did not contain documentation of child updates and confirmation of up-to-date information. 2. The record for child #4, enrolled for 2 years and 3 months, did not contain documentation of child updates and confirmation of up-to-date information. 3. The record for child #5, enrolled for over 3 years, did not contain documentation of child updates and confirmation of up-to-date information.”

Rule 8VAC20-780-60-A.

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

“The most recent central registry check for staff #4 was overdue by 10 days.”

Rule 22.1-289.035-A.

A tuberculosis (TB) screening is required every 2 years from the last screening.

“The updated screening for staff #4 was due 5 months ago.”

Rule 8VAC20-780-160-C.

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.

“Child #1, enrolled for 2 years, has a food sensitivity. Child #1 was not listed on the classroom allergy list.”

Rule 8VAC20-780-40-M.

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

“Medication for child #5 was onsite, but the medication authorization had expired over 30 days ago. The medication had not been administered past the expiration of the authorization. The authorization had not been renewed and the medication was not returned or disposed of as required.”

Rule 8VAC20-780-510-P.

Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the required information.

“Three out of five records reviewed did not contain the first date of attendance.”

Rule 8VAC20-780-60-A.

The center is required to submit results of potable water testing to VDH.

“The center did not have evidence of submitting test results to VDH.”

Rule 22.1-289.057-B.

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

“Staff #1 and staff #4 did not have any training hours for 2024.”

Rule 8VAC20-780-245-A.

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

“Staff #4 updated screening was due 3 months ago. The updated screening has not yet been completed.”

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 # 2 completed 15 of the 16 required hours in 2023. Staff #3 completed 8 of the 16 required hours in 2023.”

Rule 8VAC20-780-245-A.

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 shall be dated and kept confidential.

“The list in the preschool room was posted on the board in plain sight.”

Rule 8VAC20-780-40-M.

The center is required to implement a monthly practice evacuation drill.

“An evacuation drill was not conducted in the month of September 2024.”

Rule 8VAC20-780-550-D.

Repeat Violation A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.

“Child #3, who has been enrolled for 2 years, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-510-F

“Based on a review of one medication and interview, the center did not ensure one medication authorization was available to staff during the entire time the medication was effective for one child. Evidence: 1. A prescription medication was observed at the center for Child #1. 2. The medication authorization could not be located during the inspection.”

Rule 8VAC20-780-510-F.

Based on review of five children’s records and interview, the center did not have a written allergy action care plan for one child diagnosed with a food allergy, to include instructions from a physician regarding the steps to take in the event of an allergic reaction.

“Evidence: The record for Child #1 (first date of attendance 09/06/2022) indicated the child has a food allergy. During the inspection, a member of management and staff could not located the allergy action care plan.”

Rule 8VAC20-780-60-A-8.

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

“Evidence: 1. In the Toddler / Twos? Classroom, multiple cleaning products were in a gray steel cabinet in the corner of the classroom. The cabinet was not locked. Staff in the classroom stated the lock on the cabinet was broken. 2. The cabinet in the Three’s classroom contained multiple cleaning products. The cabinet was unlocked.”

Rule 8VAC20-780-280-B.

8VAC20-780-330-B

Rule 8VAC20-780-330-B.

8VAC20-780-340-A

“Based on observation, the center did not ensure children under 10 years of age were always within actual sigh and sound supervision of staff. Evidence: During the inspection, the children in the fours classroom left the room on several occasions and went to another room or the hallway. The children were not within sight supervision of staff when leaving the room.”

Rule 8VAC20-780-340-A.

8VAC20-780-40-K

“Based on record review, the center did not ensure to develop written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: The center did not have documentation of written procedures for prevention of shaken baby syndrome or abusive head trauma.”

Rule 8VAC20-780-40-K.

8VAC20-780-550-B

“Based on record review, the center did not ensure the emergency preparedness plan contained all of the required procedural components. Evidence: The center’s emergency preparedness plan did not contain all if the required procedural components.”

Rule 8VAC20-780-550-B.