Learning Tree of Lynchburg

Systemic violation

“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 immunization record for Child #3 was obtained 3 days after the child attended the center.”

Rule 8VAC20-780-130-A.

Systemic violation

“Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance. There was no physical examination in the record of Child #3, who had been enrolled for over 30 days.”

Rule 8VAC20-780-140-A.

Staff are to complete the VDOE sponsored online orientation course within 90 days of hire.

“Staff #1 has not yet completed this course which is overdue by two weeks.”

Rule 8VAC20-780-240-A.

Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus to create a fall zone free of hazardous obstacles.

“The resilient surfacing (mulch) under the playground climbing equipment measured one inch.”

Rule 8VAC20-780-330-B.

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

“Three cups in the Maple Room were not labeled in way that identifies the owner.”

Rule 8VAC20-780-560-G.

Tables shall be sanitized before and after each use for feeding.

“Tables were not sanitized before eating morning snack.”

Rule 8VAC20-780-560-J.

Systemic violation

“For staff hired after March 1, 1996, documentation that two or more references as to character and reputation as well as competency were checked before employment. Staff #1 and Staff #2?s reference checks were completed after employment. Staff #2, Staff #4, and Staff #5 did not have any reference checks completed before employment.”

Rule 8VAC20-780-70.

Systemic violation

“Each staff member is required to submit documentation of a negative tuberculosis screening, which must be completed within the last 30 calendar days prior to the date of employment and signed by a physician. Staff #5 had a TB result dated three months prior to the date of employment.”

Rule 8VAC20-780-160-A.

The center shall 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.

“At the time of inspection, the center did not have a written consistent care policy and procedure.”

Rule 8VAC20-780-350-F.

Systemic 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. This list shall be dated and kept confidential in each room or area where children are present. Classrooms serving children with documented allergies had allergy lists posted; however, the lists were not dated.”

Rule 8VAC20-780-40-M.

Systemic violation

“Children’s hands are required to be washed with soap and running water after toileting and after any contact with blood, feces, or urine, and staff are required to wash their hands with soap and running water before and after each diaper change. Staff in Classroom #2 and Classroom #3 did not wash children’s hands after diaper changes. Staff in Classroom #3 did not wash their hands before changing a child’s diaper.”

Rule 8VAC20-780-500-A.

Systemic violation

“Shelter in place procedures shall be practiced a minimum of twice per year. The center did not have documentation demonstrating that the required two shelter-in-place drills had been conducted in 2025.”

Rule 8VAC20-780-550-E.

Systemic violation

“Lockdown procedures shall be practiced at least annually. The center did not have documentation demonstrating that an annual lockdown drill had been conducted in 2025.”

Rule 8VAC20-780-550-F.

No child shall be allowed to drink or eat while walking around.

“In Classroom #1, a child was observed walking around while drinking from their bottle.”

Rule 8VAC20-780-560-M.

Systemic violation

“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. Classroom #5 had 15 children present, but only 12 were signed in on the attendance. Classroom #6 had 12 children present, but 15 were signed in.”

Rule 8VAC20-780-80-A.

Current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration.

“Staff #1?s CPR certification has been expired for seven months.”

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

Current certification in first aid appropriate to the ages of children in care.

“Staff #1?s first aid certification has been expired for seven months.”

Rule 8VAC20-790-600-D-2.

The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment.

“Staff #1, who is working with children, has not yet completed this course which is overdue by 3 months.”

Rule 8VAC20-780-240-A.

First aid kit shall include triangular bandages.

“The first aid kits on each of the floors at the center did not have triangular bandages.”

Rule 8VAC20-780-540-C.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment and health problems that may interfere with fulfilling the job responsibilities.

“Staff #4 and Staff #5, who has been actively working at the center for the past month, did not have any completed reference verifications on file or health problems answered.”

Rule 8VAC20-780-70.

Program directors shall be at least 21 years of age and shall meet one of the requirements for education and experience.

“The staff # 5 did not have the educational documentation in their record.”

Rule 8VAC20-780-190-A.

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

“A container of sanitizing hand wipes with warning labels, ?Keep out of reach of children,? were unlocked in every classroom and accessible to the children.”

Rule 8VAC20-780-280-B.

The center shall implement a monthly practice evacuation drill.

“An evacuation drill for May 2025 was not practiced.”

Rule 8VAC20-780-550-G.

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information.

“The record for Child #1, enrolled for 16 months, was missing the following required components: Chronic physical problems and pertinent developmental information and any special accommodations needed and annual updated.”

Rule 8VAC20-780-60-A.

8VAC20-780-150-B

“Each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician. Child #1, who had been attending for three months, Child #3, who had been attending for 8 months and Child #5, who had been attending for 1 day did not have a signed physical examination record on file. Child #5, who had been attending for 1 day, did not have a signed immunization record on file.”

Rule 8VAC20-780-150-B.

8VAC20-780-260-A

“The center shall provide an annual fire inspection report from the appropriate fire official having jurisdiction. The most recent inspection during the inspection on 12/9/2024 was dated 6/8/2023.”

Rule 8VAC20-780-260-A.

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The most recent health inspection during the inspection on 12/9/2024 was dated 8/8/2023.”

Rule 8VAC20-780-260-B.

8VAC20-780-70

“The following staff records shall be kept for each staff person. Staff #1, employed for 1 day, did not have documentation that two or more references were checked before employment.”

Rule 8VAC20-780-70.

Repeat Violation

“Based on review of eight children’s records, the center failed to ensure that all records were complete per the standard. Evidence: 1.The record for Child # 1 had documentation of the first day of attendance of 02/26/2024 was missing, allergies and intolerance to mediation or any other substances, and actions to take in an emergency situation. 2. The record for Child # 3 had documentation of the first day of attendance of 02/20/2024 was missing chronic physical problems and pertinent developmental information and any special accommodation needed.”

Rule 8VAC20-780-60-A.

Based on review of children’s records, the center failed to ensure that 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 steps to be taken in the event of a suspected or confirmed allergic reaction.

“Evidence: 1.Child # 1 has a diagnosed food allergy and did not have a written care plan from a physician in the record.”

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

Based on review of five staff’s records, the center failed to ensure that no person shall be hired for compensated employment prior to the enter obtaining an employment eligibility letter upon completion of a fingerprint background check as required by the Code of Virginia.

“Evidence: 1.Staff # 1 had a documented employment date of 10/05/2023. A returned letter of eligibility was dated 10/12/2023. 2.Staff # 2 had a documented employment date of 10/09/2023. A returned letter of eligibility was dated 10/18/2023.”

Rule 22.1-289.035-B-2.

Based on interview and review of staff records, the center failed to ensure that all staff had a negative tuberculosis (TB) screening at the time of employment, no more than 30 days prior to hire, and before coming in contact with children.

“Evidence: 1.Staff # 1 had a documented employment date of 10/05/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. The TB screening was dated 10/09/2023. 2.Staff # 4 had a documented employment date of 09/05/2023 and the TB screen was not completed no more than 30 days prior to hire and before coming into contact with children. and the TB screen was dated 09/17/2023.”

Rule 8VAC20-780-160-A.

Based on review of six staff records, the center failed to ensure that staff orientations were completed within seven days of hire.

“Evidence: Staff # 1, 2, 3 and 6 lacked documentation that orientation had been completed. The model form was missing the last page of the orientation form that has the signature from the staff person that the orientation was completed.”

Rule 8VAC20-780-240-B.

Based on observation, staff record review, and interviews, the center failed to ensure that each grouping of children had a qualified program lead. Evidence:

Rule 8VAC20-780-340-D.

Based on interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Rule 8VAC20-780-340-F.

Based on review of medications and authorizations, the center failed to ensure that all medications were returned to the parent or guardian within 14 days after the authorization expired or disposed of by the center.

“Evidence: Medication authorization for Child # 1 expired 14 days after 10/24/2023. As 12/13/2023, the medication had not been returned to the parent or disposed of by the center.”

Rule 8VAC20-780-510-P.

Based on record review, the center failed to ensure that the separate record for each enrolled child shall contain all the elements as required by the standards.

Rule 8VAC20-780-60-A.

Based on review of six staff records, the center failed to ensure that all records were complete per the standard.

Rule 8VAC20-780-70.

Based on review of the attendance and interviews with staff, the center failed to ensure that for each grouping of children, the center maintained a written record of daily attendance that documented the arrival and departure of each child in care as it occurred.

Rule 8VAC20-780-80-A.

Based on observation, the center failed to ensure that all areas and equipment are safe, clean and operable condition.

“Evidence: 1.In the toddler room, two windowpanes were cracked and would be accessible to the children in care. 2.The flooring in the toddler room was cracked, peeling and started to separate from the floor and would be accessible to the children in care. 3.The floor vents in the preschool room were rusted and were deteriorating in a way that would not allow the vents to lay flat to the floor.”

Rule 8VAC20-780-270-A.