Everbrook Academy of Lakeridge

When a child is placed in an infant seat or high-chair, the protective belt shall be fastened securely.

“In the Infant 1 and Infant 2 classroom there were highchairs equipped with designated strap slots but the straps were not present or attached. The back of the highchairs stated ?Always use restraints?.”

Rule 8VAC20-780-570-A.

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. This list shall be dated and kept confidential in each room or area where children are present.

“In the Two’s classroom, Child A’s allergy was not documented on the written allergy list dated 3/2/2026.”

Rule 8VAC20-780-40-M.

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs.

“In the Toddlers Classroom, Child B who was in attendance was not marked present on the daily attendance.”

Rule 8VAC20-780-80-A.

Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department.

“The immunizations that were on file for Child #3 were not signed by a physician.”

Rule 8VAC20-780-150-B.

(Repeat Violation) Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“Staff #5 employed for 1 year 7 months did not have results of a TB screening in their record.”

Rule 8VAC20-780-160-A.

(Repeat Violation) 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.

“1. Staff #1 employed for over 2 months, did not have documentation of a completed orientation training. 2. Staff #3 employed for over 7 months, did not have documentation of a completed orientation training. 3. Staff #4 employed for over 1 year 10 months, did not have documentation of a completed orientation training. 4. Staff #5 employed for over 1 year 7 months, did not have completed documentation of orientation training.”

Rule 8VAC20-780-240-B.

Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“1. In the Two’s Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf. 2. In the Toddlers Classroom, there was a spray bottle of disinfectant and sanitizer in a high unlocked shelf. 3. In the Infant 1 Classroom, there was a spray bottle of sanitizer in a high unlocked shelf.”

Rule 8VAC20-780-280-B.

(Repeat Violation) 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.

“The allergy list in the school-age classroom was not current. Child #1, with a diagnosed food allergy was not listed on the current allergy list in the classroom.”

Rule 8VAC20-780-40-M.

Staff shall request at least annually parent confirmation that the required information in the child’s record is up to date.

“1. Child 1 was overdue by 3 years 4 months for an annual parent confirmation that the required information in the child’s record was up to date. 2. Child 2 was overdue by 3 years 11 months for an annual parent confirmation that the required information in the child’s record was up to date.”

Rule 8VAC20-780-420-E-3.

The diapering area shall have the following: Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal. A leakproof covered receptacle for soiled linens.

Rule 8VAC20-780-500-B.

The Center is required to ensure they have written authorization from the parent to administer prescription and nonprescription medications.

“The written authorization forms on file for Child 3 and Child 5 did not give authorization for the center to administer medication.”

Rule 8VAC20-780-510-B.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“1. The parent signature on the written authorization for a long-term prescription medication for Child #4 expired over 2 months ago. The medication remained on-site as of this date. 2. The medication for Child #6 expired 3 months ago, the medication was still on-site and not disposed of or given back to the parent.”

Rule 8VAC20-780-510-P.

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

“There was only 1 Shelter-in-Place drill conducted for the year 2025.”

Rule 8VAC20-780-550-E.

(Repeat Violation) For staff files, there shall be documentation that two or more references as to character and reputation as well as competency were checked before employment.

“1. Staff #2 employed for over 1 year 9 months at the center had no reference checks on file. 2. Staff #4 employed for over 1 year 10 months at the center had no reference checks on file. 3. Staff #5 employed for over 1 year 7 months at the center had no reference checks on file.”

Rule 8VAC20-780-70.

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

“Staff #3, employed for one month, did not have documentation of requesting a central registry check , criminal history and sex offender for one state.”

Rule 22.1-289.035-B-4.

Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

“Staff #3 employed for 1 month did not have results of a TB screening in their record.”

Rule 8VAC20-780-160-A.

At least every two years from the date of the initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

“The tuberculosis screening on file for Staff #5 was not conducted two years from the previous testing. It was overdue by 11 months.”

Rule 8VAC20-780-160-C.

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.

“1. Staff #1 employed for over 3 months, did not have documentation of a completed orientation training. 2. Staff #2 employed for over 2 months, did not have documentation of a completed orientation training. 3. Staff #3 employed for 1 month, did not have documentation of a completed orientation training.”

Rule 8VAC20-780-240-B.

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. The allergy list in the school-age classroom was not current. Child #2, Child #3 and Child #4 all have either dietary restrictions and or allergies but they were not listed on the current allergy list in the classroom.”

Rule 8VAC20-780-40-M.

Medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

“The emergency bookbag in the school-age room, accessible to children, had several children’s medications in Ziplock bags not kept in a locked place using a safe locking method.”

Rule 8VAC20-780-510-L.

When an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

“1. The parent signature on the written authorization for a long-term prescription medication for Child #1 expired on 6/27/2025. The medication remained on-site as of this date.”

Rule 8VAC20-780-510-P.

8VAC20-780-70

“For staff files, there shall be documentation that two or more references as to character and reputation as well as competency were checked before employment. 1. Staff #4 and employed for over 4 months at the center had no reference checks on file. 2. Staff #1 and employed for over 3 months at the center had no reference checks on file. 3. Staff #2 and employed for over 2 months at the center had no reference checks on file.”

Rule 8VAC20-780-70.

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

“1. Since 3/19/2025 through 4/11/2025, Child A (4 years old) had over 35 documented behavioral incidents involving other children in the room to include: Spitting on other children, hitting and punching the children, using profanity, exposing their private area to the children, making gun hand gestures toward other children, pulling other children’s hair and calling them names. 2. The center failed to provide the protection needed to the children in the classroom as a result of child A’s behaviors.”

Rule 8VAC20-780-340-A. From a complaint.

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

“Staff A, who was seen supervising children, did not have national criminal background check results on file during inspection.”

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.

“There was no documentation that a central registry check had been requested prior to Staff A supervising children.”

Rule 22.1-289.035-B-3.

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

“The record for Staff D who indicated that they have lived in two other states outside of Virginia in the past 5 years, did not have results for out-of-state child abuse and neglect registry search, out-of-state sex offender registry check and out of state criminal history check for one state and no results for another states criminal history check. Staff D has been employed for 17 months.”

Rule 22.1-289.035-B-4.

Each staff member shall submit documentation of a negative tuberculosis screening at time of employment and prior to coming into contact with children.

“Staff A and Staff B both supervising children during the inspection, did not have documentation of a negative tuberculosis screening.”

Rule 8VAC20-780-160-A.

Whenever the center has agreed to administer prescribed medications, the administration shall be performed by a staff member or independent contractor who has satisfactorily completed a training program for this purpose.

“Staff C’s name was documented on the medication log for administering medication to Child F. Staff C did not have documentation showing Medication Administration training was completed.”

Rule 8VAC20-780-245-J-1.

Child Day Centers are required to view the child’s proof of identity and age within seven business days of the child’s initial attendance.

“Child F’s who has been in enrolled for 5 months, had no proof of identity in their record.”

Rule 8VAC20-780-40-G.

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.

Rule 8VAC20-780-40-M.

The diapering area shall have a nonabsorbent surface for diapering or changing.

“The diaper changing pad in the Two’s Classroom was ripped, causing it to no longer be nonabsorbent.”

Rule 8VAC20-780-500-B.

The center shall implement a monthly practice evacuation drill.

“Emergency drills were not conducted for August, October, November and December 2024.”

Rule 8VAC20-780-550-D.

Center must have required information in staff record.

“1. Staff A and Staff B did not have files available during inspection. 2. Staff E was missing two or more references as to character and reputation checked before employment or volunteering.”

Rule 8VAC20-780-70.

Based on review of five staff records, the center did not obtain the results of an out-of-state central registry check within 30 days of employment and an out-of-state sex offender registry search prior to employment from all states in which staff members have resided within the last five years prior to employment.

“Evidence: The record for Staff #2 (Date of hire: 3/13/2023) disclosed that they had resided in outside of Virginia within the past 5 years. The record did not contain documentation of a completed out-of-state central registry check within 30 days of employment nor a out-of-state sex offender registry search prior to employment from all states where they resided within the last five years prior to employment.”

Rule 22.1-289.035-B-4.

8VAC20-780-245-A

Rule 8VAC20-780-245-A.

Based on review of documentation, the center did not ensure they have an annual fire inspection report from the appropriate fire official.

“Evidence: The last fire inspection report on file at the center was completed on 6/1/2022.”

Rule 8VAC20-780-260-A.

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

“Evidence: The potty seat that was in the Two’s classroom bathroom had a handle that was broken off exposing sharp edges on the side.”

Rule 8VAC20-780-270-A.

Based on interviews and documentation review, the center failed to ensure that each grouping of children had at least one staff member that met the qualifications of program leader or program director regularly present.

“Evidence: The records for staff #1 and staff #2 did not have documentation to demonstrate how staff #1 and staff #2 meet program leader qualifications. Both staff were confirmed as lead teachers for their classrooms.”

Rule 8VAC20-780-340-D.

Based on observation, the center did not maintain the required supervision ratio of staff to children whenever children are in care.

“Evidence: During the inspection, the center did not maintain the required supervision ratio of 1 staff for every 5 children in the Toddler’s classroom where the youngest child was age 22 months. There were 2 staff observed with 12 children on the playground.”

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

Based on review of 5 child records, the center did not ensure annually that parent confirmation of the required information in the child record is up to date.

“Evidence: 1. Child 1 did not have documentation that their parent had confirmed the updated record annually. The last signature was dated 8/7/2023. 2. Child 2 did not have documentation that their parent had confirmed the updated record annually. The last signature was dated 3/6/2023. 3. Child 3 did not have documentation that their parent had confirmed the updated record annually. The last signature was dated 7/6/2021. 4. Child 4 did not have documentation that their parent had confirmed the updated record annually. The last signature was dated 6/8/2022.”

Rule 8VAC20-780-420-E-3.

Based on observation, the center did not ensure that the surface for diapering was non-absorbent.

“Evidence: In the Two’s classroom, the diapering pad was ripped in the center causing the surface to not be non-absorbent as required.”

Rule 8VAC20-780-500-B.

Based on review of 6 medications and medication authorizations, the center did not ensure they notify parents of expired medication authorization and dispose of any medication that parents do not pick up after 14 days of notification.

“Evidence: The documentation that was on file for Child 2?s medication had parent and physician authorization that expired on 3/13/2024.”

Rule 8VAC20-780-510-P.

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

“Evidence:The center did not have documentation for Staff #2 (Date of hire:3/13/2023) Staff #3 (Date of hire: 7/1/2024) and Staff 4 (Date of hire: 7/8/2024), that two or more references as to character and reputation as well as competency were checked before employment.”

Rule 8VAC20-780-70.

8VAC20-770-60-B

“Based on a review of documentation, the facility failed to obtain a sworn statement or affirmation for staff before they were employed. Evidence: Staff A’s record was missing documentation of a signed sworn statement.”

Rule 8VAC20-770-60-B.

8VAC20-780-160-A

“Based on a review of documentation, the facility failed to obtain documentation of a negative tuberculosis screening from staff at the time of employment and prior to coming into contact with children. Evidence: Staff A and B’s records were missing documentation of a tuberculosis screening.”

Rule 8VAC20-780-160-A.

8VAC20-780-260-A

“Based on a review of documentation, the center failed to provide an annual fire inspection report to the licensing representative. Evidence: The most recent fire inspection was dated 1/19/2023.”

Rule 8VAC20-780-260-A.

8VAC20-780-550-E

“Based on a review of documentation, the facility failed to conduct two practice shelter-in-place drills per year. Evidence: There was no documentation of a shelter-in-place drill being conducted in 2023.”

Rule 8VAC20-780-550-E.

8VAC20-780-550-F

“Based on a review of documentation, the facility failed to conduct one practice lockdown drill per year. Evidence: There was no documentation of a lockdown drill being conducted in 2023.”

Rule 8VAC20-780-550-F.

8VAC20-780-60-A

“Based on a review of documentation, the facility failed to ensure that all of the children’s records contained the required information. Evidence: Child A’s record was missing one emergency contact.”

Rule 8VAC20-780-60-A.

8VAC20-780-270-A

“Based on observation, not all of the areas and equipment inside of the center were maintained in a safe and operable condition. Evidence: In the early preschool classroom, one of the under-sink cabinet door was broken.”

Rule 8VAC20-780-270-A.

8VAC20-780-160-C

“Based on a review of staff files, the center did not obtain documentation of a tuberculosis screening at least every two years from the date of the first initial screening. Evidence: Staff A did not have documentation of a sub-sequential tb screening in their record. The most recent tb screening was dated 3/18/2020.”

Rule 8VAC20-780-160-C.

8VAC20-780-570-E

“Based on observation, the center did not ensure that all of the bottles of formula were dated. Evidence: There were two bottles of formula in the refrigerator of the infant classroom that did not have the date on them.”

Rule 8VAC20-780-570-E.

8VAC20-770-60-C-2

“Based on a review of 26 staff records, it was determined that not all staff records contained a central registry finding. Evidence: Staff A (hired 9/29/21), staff B (hired 8/20/20), staff C (hired 8/2/17), staff D (hired 11/8/21), and staff E (hired 2/2/21) did not have central registry findings in their records.”

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