Mae’s Learning Academy

8VAC20-780-350-B-1

“The required ratio for children ages birth up to 16 months is one staff per four children. Staff #1 was observed supervising eight children with the youngest child being seven months old. An additional staff, staff #3, arrived approximately 10 minutes later.”

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

8VAC20-780-60-A-8

“The center shall maintain a written care plan 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. The record of child #1, with a diagnosed food allergy, did not contain an allergy care plan.”

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

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. Child #8, 15 months in age, was observed holding a bead from a hair tie that had broken. A second bead was observed on the floor where multiple children under the age of 16 months were playing posing a choking hazard.”

Rule 8VAC20-780-340-A.

8VAC20-780-370-5

“There shall be a flexible daily schedule for infants based on their individual needs. Infants, who cannot turn themselves over and are awake, shall be placed on their stomachs a total of 30 minutes each day to facilitate upper body strength and to address misshapen head concerns. Child #4, three months in age and not able to turn over, did not have documentation of tummy time for the previous week.”

Rule 8VAC20-780-370-5.

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children’s allergies, sensitivities, and dietary restrictions documented in the allergy plan. This list shall be dated and kept confidential in each room or area where children are present. The allergies, sensitivities, and dietary restriction list was not dated. Child #6 and child #7, both with allergy care plans, were not included on the list.”

Rule 8VAC20-780-40-M.

8VAC20-780-560-F-4

“When centers choose to provide meals or snacks, children three years of age or younger may not be offered foods that are considered to be potential choking hazards. Staff #3 was observed handing out gobstopper candy to the nine children in the classroom as a treat. The nine children in the class were three years and four years in age.”

Rule 8VAC20-780-560-F-4.

All staff who work directly with children are required to have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. The training shall include an in-person competency demonstration.

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

Staff who work directly with children shall, in addition to preservice and orientation training required in subsections A through D of this section, annually attend at least 16 hours of training and staff development activities, to include the departments health and safety update course.

“1. The record of staff #1 did not contain the departments health and update training for 2024. 2. The record of staff #3 did not contain the departments health and update training for 2024.”

Rule 8VAC20-790-600-F.

The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

“The center did not have documentation of having requested a search of the child abuse and neglect registry from one state for Staff #5, who has been employed for more than three months and was working with children at the time of the inspection.”

Rule 22.1-289.035-B-4.

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

“Staff #1 obtained three of the16 required hours of annual training in 2023.”

Rule 8VAC20-780-245-A.

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

“1. There were three small vinyl seats in the hallway being used by school age children while waiting for the bus. The seats were torn at the seams and the vinyl was peels from the seat. 2. A heating vent in the hallway had a thick layer of dust covering the grate. 3. The mat on the floor in the toddler room was torn at the seams from wear.”

Rule 8VAC20-780-270-A.

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

“Staff #5, who did not meet lead teacher qualifications, was alone with a group of preschool children. Staff #5 was identified as the lead teacher for the preschool classroom. No additional staff were assigned to the classroom.”

Rule 8VAC20-780-340-D.

Children’s hands shall be washed with soap and running water after toileting, or any contact with blood, feces or urine.

“1. Staff # 8 changed a child’s diaper in the toddler room and did not wash the child’s hands with soap and water afterwards. 2. In the toddler room, three children didn’t have their hands washed before eating and two children didn’t have their hands washed after eating.”

Rule 8VAC20-780-500-A.

At least one staff in each classroom or area where children are present shall have current certification in CPR. The training shall include an in-person competency demonstration.

“1. Staff #5 oversaw a group of nine preschoolers and was not certified in CPR. 2.Staff #7 and Staff #8 oversaw a group of six toddlers, 18 to 24 months in age and were not certified in CPR”

Rule 8VAC20-780-530-A-1.

At least one staff in each classroom or area where children are present shall have current certification in First aid.

“1. Staff #5 oversaw a group of nine preschoolers and was not certified in First aid. 2.Staff #7 and Staff #8 oversaw a group of six toddlers, 18 to 24 months in age and were not certified in First aid.”

Rule 8VAC20-780-530-A-2.

The required ratio for children ages birth to 16 months is one staff per four children.

“Staff #3 was observed supervising eight children (youngest child 6 months old) at 7:56 am. A ninth child arrived and at 8 am along with the second staff, staff #2. Staff #2 and staff #3 supervised nine children from approximately 8:00 am until 8:20 am.”

Rule 8VAC20-780-350-B-1. From a complaint.

Based on review of eight staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training.

Rule 8VAC20-790-600-F.

Based on review of seven staff records, the center did not ensure two staff members completed the department’s health & safety update course annually in addition to preservice, orientation and at least 16 hours of training.

“Evidence: The record of staff #7 contained documentation of the completion of the department’s annual health & safety update training dated 08/05/2021. The record did not contain documentation of the annual update for the 2023 year.”

Rule 8VAC20-790-600-F.

Based on review of seven staff records and interview, the center did not ensure one staff completed a minimum of 16 hours of training annually.

“Evidence: 1. The record of staff #7 contained documentation of 5.5 training hours completed during the period of June 15, 2022 through June 14, 2023 when 16 hours was required. 2. The director stated the additional 10.5 hours had not been completed.”

Rule 8VAC20-780-245-A.

Based on observation, the center did not ensure a nonabsorbent surface for diapering was used.

“Evidence: The diaper changing mat in the infant room contain a tear approximately one inch in the plastic covering creating an absorbent surface.”

Rule 8VAC20-780-500-B.

Based on review of seven staff records and interview, the center did not obtain all required information for one staff record.

“Evidence: 1. The record of staff #3, employed 01/09/2023 and identified as a program leader, did not have documentation to demonstrate that the individual possesses the education as required by the job position. 2. The record of staff #3 did not contain documentation of a high school program completion or the equivalent as required for a program leader.”

Rule 8VAC20-780-70.

Based on review of documentation and interview, the facility did not ensure that the center’s activities, services, and facilities were maintained in compliance with these standards, the center’s own policies and procedures that are required by the standards, and the terms of the current license issued by the department.

Rule 8VAC20-780-40-E. From a complaint.

Based on review of four staff records and interview, the center did not obtain the results of the central registry background report within 30 days of employment for one staff member.

“Evidence: The record of staff #4, employed 09/26/2022, did not contained the results of a central registry background report. Documentation showed the central registry check had been requested on 10/31/2022, exceeding seven days past employment. The request of the central registry check was returned to the center for missing information on 01/06/2023. The director stated she had followed up on the status however it exceeded 30 days from employment.”

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

Based on review of children’s records, the center did not obtain documentation of immunizations for each child before the child attended the center.

Rule 8VAC20-780-130-A.

Based on review of children’s records, the center did not obtain documentation of a physical examination before the child’s attendance or within 30 days after the first day of attendance.

Rule 8VAC20-780-140-A.

Based on observation, the center did not follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA).

“Evidence: On 01/13/2023 children were severed cheese pizza and milk for lunch. Children were not served a second vegetable or a fruit component to meet USDA requirements.”

Rule 8VAC20-780-560-F.

Based on review of four staff records and interview, the center did not obtain all required documentation for one staff record.

“Evidence: The record of staff #4, designated as a program leader and working along with a group of children, did not contain documentation to demonstrate that the individual possesses the education required by the job title.”

Rule 8VAC20-780-70.

Based on review of staff records, observation and interview, the center did not ensure in each grouping of children at least one staff member met the qualifications of a program leader or director that is regularly present.

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision.

Rule 8VAC20-780-340-F.

Based on observation, the center did not ensure the diapering area contained a nonabsorbent surface for diapering or changing.

“Evidence: The diaper changing pad in the infant room contained multiple tears, exposing the interior foam and creating an absorbent surface.”

Rule 8VAC20-780-500-B.

Based on observation, the center did not ensure children were not allowed to drink or eat while walking around.

“Evidence: Child #1, in the toddler room was observed eating crackers and drinking from a sippy cup while walking around the room.”

Rule 8VAC20-780-560-M.

Based on review of staff records, the center did not obtain all required documentation for each staff record.

Rule 8VAC20-780-70.

Based on review of six staff records and interview, the center did not obtain the results of the central registry report within 30 days of employment.

“Evidence: 1) The record of staff #5, employed 07/13/2022, did not contain documentation of the results of the central registry report. 2) The director had documented where she had called the agency to check the status of the central registry check on August 15, 2022. The director stated she did not follow up after that date.”

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

Based on review of six staff records, the center did not obtain documentation of a negative tuberculosis screening at the time of employment and that had been completed within the last 30 calendar days of the date of employment.

“Evidence: 1. The record of staff #1, employed 11/22/2021, contained documentation of a tuberculosis screening dated 02/18/2022, exceeding the date of employment. 2. The record of staff #3, employed 05/24/2022, contained documentation of a tuberculosis screening dated 08/16/2021, exceeding 30 calendar days prior to employment. 3. The record of staff #4, employed 04/27/2022, contained documentation of a tuberculosis screening dated 10/03/2021, exceeding 30 calendar days prior to employment. 4. The record of staff #5, employed 07/13/2022, contained documentation of a tuberculosis screening dated 07/14/2022, exceeding the date of employment.”

Rule 8VAC20-780-160-A.

Based on observation, the center did not ensure areas and equipment, inside and outside, were maintained in a safe, clean and operable condition.

“Evidence: 1. The wood paneling on the wall in the Infant room was splintered and cracked from where an adjoining half wall had been removed. The splintered area created jagged edges that could snag the skin of a child. The area also had three screws that protruded from the wall within reach of the children in care. 2. The wood railing along the platform of the clubhouse climber/slide, approximately two feet from the ground, was not securely attached to the frame causing it to fall on one end.”

Rule 8VAC20-780-270-A.

Based on review of staff records, observation and interview, the center did not in each grouping of children at least one staff member who meets the qualifications of a program leader or director that is regularly present.

Rule 8VAC20-780-340-D.

Based on observation and interview, the center did not ensure children under 10 years of age were always within actual sight and sound supervision.

Rule 8VAC20-780-340-F.

Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months.

“Evidence: Staff #6 was observed alone in the infant classroom with seven infants.”

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

Based on review of six staff records and interview, the center did not obtain documentation that two or more references as to character and reputation as well as competency were checked before employment.

“Evidence: 1. The record of staff #1 (employed 11/22/2021), staff #2 (employed 12/07/2021), staff #3 (employed 05/24/2022), staff #4 (employed 04/27/2022), staff #5 (employed 7/13/2022 and staff #6 (employed 12/09/2021) did not contain documentation of two references for each staff. 2. The director stated she had called the references however she did not document the calls.”

Rule 8VAC20-780-70.

Based on observation, the center did not ensure the staff to children ratios for children birth up to 16 months was maintained at a one staff to four infants ratio.

“Evidence: On April 21, 2022, there were ten children, ranging from four months to 17 months in age, being supervised by two staff exceeding the requirement for one staff to every four infants.”

Rule 8VAC20-780-350-B-1. From a complaint.

Based on observation, the center did not ensure the staff to children ratios for children 16 months up to 24 months was maintained at a one staff to five children ratio.

“Evidence: On April 21, 2022, there were nine children, ranging from 16 to 24 months in age, being supervised by one staff member exceeding the requirement for one staff to every five children.”

Rule 8VAC20-780-350-B-2. From a complaint.

Based on observation, the center did not ensure the staff to children ratios for children two years in age was maintained at a one staff to eight children ratio.

“Evidence: On April 21, 2022, there were ten children, two years in age, being supervised by one staff member exceeding the requirement for one staff to every eight children.”

Rule 8VAC20-780-350-B-3. From a complaint.

Based on review of eight staff records and interview, the center did not obtain results of the national fingerprint background check prior to hire for two staff.

“Evidence: 1. The record of staff #2, hired 11/22/2021, contained a completed national fingerprint background check dated 11/24/2021 exceeding the date of hire. 2. The record of staff #5, hired 12/12/2021, contained a completed national fingerprint background check dated 01/20/2022 exceeding the date of hire.”

Rule 22.1-289.035-B-2.

Based on a review of eight staff records, the center did not obtain the results of a criminal history record information check, 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 two staff member had resided in the preceding five years within the required time frame.

Rule 22.1-289.035-B-4.

Based on review of eight staff records, the center did not obtain a completed sworn statement prior to the first day of employment and completed no more than 90 days prior to employment for two staff.

“Evidence: 1. The record of staff #1, hired 12/09/2021, had a sworn statement dated 08/03/2021 exceeding 90 days prior to employment. 2. The record of staff #6, hired 12/07/2021, had a sworn statement dated 07/12/2021 exceeding 90 days prior to employment.”

Rule 8VAC20-770-40-D-6.

Based on review of eight staff records and interview, the center did not obtain a central registry report within 30 days of employment.

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

Based on 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: The center director stated no staff had completed the daily health observation training.”

Rule 8VAC20-780-245-L.

Based on observations, the center did not ensure all areas of the center, inside and outside, were maintained in a safe, clean and operable condition.

Rule 8VAC20-780-270-A.

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

Rule 8VAC20-780-280-B.

Based on observations made on February 2, 2022, the center did not ensure where playground equipment is provided, resilient surfacing complied with minimum safety standards.

“Evidence: 1. The clubhouse climber, approximately two feet from the ground was observed on foam puzzle mats less than an inch thick. The puzzle mats were on top of a paved asphalt area. 2. The climbing wall/slide, approximately 3-4 feet from the ground was observed on foam puzzle mats less than an inch thick. The puzzle mats were on top of a paved asphalt area.”

Rule 8VAC20-780-330-B.

8VAC20-780-340-F

Rule 8VAC20-780-340-F.

Based on observation and interview, the center failed to follow the terms of the current license issued by the department.

“Evidence: 1. On April 21, 2022, 45 children were present during the inspection. 2. The capacity issued on the license is for 39 children. 3. The director confirmed there were 45 children present exceeding the issued capacity of 39.”

Rule 8VAC20-780-40-E.

Based on interview and observation, the center did not ensure play yards were not used for the designated sleeping area.

“Evidence: 1. A staff member stated that children in the toddler room slept in the play yards on a regular basis for nap time. The staff member stated the play yards were kept in the hall closet. 2. Six pack and plays were observed in the closet alongside 23 cots.”

Rule 8VAC20-780-430-M.

Based on observation and interview, the center did not ensure cribs, cots, rest mats or beds were provided for children during the designated rest period.

“Evidence: Child #5 (17 months in age) was observed sleeping in a bouncy chair in the infant room. Staff #7 stated child #5 slept in the bouncy chair on a regular basis.”

Rule 8VAC20-780-440-A.

Based on observation and interview, the center did not ensure cribs were used for children under 12 months of age and for children over 12 months of age who are not developmentally ready to sleep on a cot or mat.

“Evidence: On April 21, 2022, One child was observed sleeping in bouncy chairs. Staff #7 stated the child, child #6 (5 months) usually slept in the bouncy chair as there were not enough cribs. Ten children were present in the infant room with six cribs.”

Rule 8VAC20-780-440-G.

Based on observation and interview, the center did not post a menu listing foods to be served for meals and snacks during the current one-week period.

“Evidence: 1. There was no menu posted. 2. . The director stated the menu had not been complete for the week of 04/18/2022.”

Rule 8VAC20-780-560-F.

Based on observation, the center did not ensure children were not permitted to drink or eat while walking around.

“Evidence: On April 21, 2022, a child was observed walking around the infant room with a bottle.”

Rule 8VAC20-780-560-M.

Based on observation on February 2, 2022, the center did not ensure when a child is placed in an infant seat or high chair, the protective belt was fastened securely.

“Evidence: Four infants were observed sitting in bucket seats at the feeding table. The four infants were not fastened with the protective belts.”

Rule 8VAC20-780-570-A.

Based on interview, the center did not maintain a record of each child on formula that contained the brand of formula and the child’s feeding schedule.

“Evidence: Staff #7 stated they did not have a record of the brand of formula or the feeding schedule for the children on formula. In care.”

Rule 8VAC20-780-570-C.

Based on observation, the center did not ensure prepared infant formula was dated and labeled with the child’s name.

“Evidence: 1. Two prepared bottles in the infant room refrigerator did not have a date. 2. Two bottles on the counter were not labeled with a name or date. Staff stated they had run out of labels.”

Rule 8VAC20-780-570-E.

Based on review of eight staff records, the center did not obtain all required documentation for each staff record.

“Evidence: The records of staff #1(hired 12/09/2021), staff #2 (hired 11/22/2021), staff #3 (hired 12/09/2021), staff #6 (hired 12/07/2021) and staff #7 (hired 12/12/2021) did not contain two references.”

Rule 8VAC20-780-70.

Based on review of three children’s records, the center did not obtain the parents signed acknowledgement of the written agreement between the parent and the center by the first day of the child’s attendance.

“Evidence: The record of child #1, enrolled 07/09/2021, did not contain a signed copy of the parent agreement. The child’s record was a licensed family day home enrollment record and did not contain 1. A statement that the center will notify the parent when the child becomes ill and 2. A statement the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease.”

Rule 8VAC20-780-90-A.