Lightbridge Academy

***Repeat Violation Systemic Deficiency*** When staff are supervising children, they shall always ensure their care, protection, and guidance.

“1. Child #1 (3 years old) has a documented food allergy. Child #1 was served food containing the allergen. Child #1 began choking and spitting up the food. 2. Staff #2 reported that the child #1?s eyes were swollen. Child #1 received care for the allergic reaction at a local emergency room.”

Rule 8VAC20-780-340-A.

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 #1 (3 years old), enrolled for over two months, has documentation by a physician noting a food allergy on their physical examination form and did not have a written care plan.”

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

Staff shall be of good character and reputation.

“1. Staff #1 was asked by child #1’s parent why their child was crying upon pick up. Staff #1 told the parent that nothing had happened. 2. Child #1’s parent called the owner to request information about why child #1 was crying. The owner called staff #1 and staff #1 stated that the child had fallen out of a chair right before the parent picked up.”

Rule 8VAC20-780-180-A. From a complaint.

Pillows shall not be used by children under two years of age.

“In the older infant room, three large pillows were observed on the floor.”

Rule 8VAC20-780-440-L. From a complaint.

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 overdue by 74 days.”

Rule 8VAC20-780-130-A.

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.

“1.The physical examination for Child #2 was overdue by 6 days. 2. The physical examination for Child #3 was overdue by 44 days.”

Rule 8VAC20-780-140-A.

Children’s hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff shall wash their hands with soap and running water before and after a diaper change.

“1. Child C’s hands were not washed after diapering. 2. Staff C did not wash their hands after diapering.”

Rule 8VAC20-780-500-A.

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

“In room #1, four bottles were not dated and two bottles were not labeled with the child’s name. In room #2, one bottle was not dated or labeled with the child’s name. In room #6, one food container was not dated or labeled with the child’s name.”

Rule 8VAC20-780-560-G.

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

Rule 8VAC20-780-60-A.

Staff and children’s records shall be treated confidentially.

“Staff did not keep children’s records confidential.”

Rule 8VAC20-780-50-A.

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

“On October 9, 2025, staff #1 gave child #1 (3 months old) breastmilk that belonged to another child. Child #1 drank 2 ounces of the wrong breastmilk.”

Rule 8VAC20-780-340-A.

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 request a search of the child abuse and neglect registry and sex offender registry from one state for staff #1, who has been employed for 22 days.”

Rule 22.1-289.035-B-4.

Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet one of the following: (listed).

“Staff #1 and staff #5 did not have documentation of program leader qualifications.”

Rule 8VAC20-780-210-A.

Each restroom area provided for children shall be equipped with disposable towels or an air dryer within reach of children.

“Room #1, room #4, and room #6 did not have disposable paper towels or an air dryer within reach of children.”

Rule 8VAC20-780-320-B.

Staff shall wash their hands with soap and running water after diapering.

“Staff #5 did not wash their hands after changing a diaper and prior to touching infant equipment and a toy.”

Rule 8VAC20-780-500-A.

If diaper ointment or cream is used, the following requirements shall be met: these products shall be labeled with the child’s name

“In room #3, one container of diaper ointment was not labeled with the child’s name.”

Rule 8VAC20-780-520-C.

The center shall implement a monthly practice evacuation drill.

“The center did not implement a monthly practice evacuation drill for the month of June 2025.”

Rule 8VAC20-780-550-D.

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.Prescription medication for child D, whose last day of enrollment was 103 days ago, was on site and had not been returned or disposed of as required. 2. Over the counter medication for child F, whose last day of enrollment was 32 days ago, was on site and had not been returned or disposed of as required.”

Rule 8VAC20-780-550-P.

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.

“1. The record for child #2, did not contain documentation of a physical examination which was overdue by 35 days. 2. The record for child #3, did not contain documentation of a physical examination which was overdue by 19 days.”

Rule 8VAC20-780-140-A.

Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

“1.The immunization record for child #2, enrolled for 65 days, was not signed or dated. 2. The immunization record for child #3, enrolled 49 days, was not signed or dated.”

Rule 8VAC20-780-150-B.

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.

“The screening for staff #4 was completed two days after hire.”

Rule 8VAC20-780-160-A.

Prescription and nonprescription medication shall be given to a child: Only with written authorization from the parent.

“1. Child D was administered nonprescription medication on June 12, 2025. 2. The center did not have medication consent to administer the nonprescription medication until June 16, 2025.”

Rule 8VAC20-780-510-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.

“1. In room #1, four food containers and two bottles were not dated. 2. In room #2, two food containers were not dated. 3. In room #4, two food containers were not dated, and one food container was not labeled in a way to identify the owner.”

Rule 8VAC20-780-560-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 #2, enrolled for 65 days, did not contain the name and phone number of the child’s physician. The record for child #3, enrolled for 49 days, did not contain the name and phone number of the child’s physician.”

Rule 8VAC20-780-60-A.

Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

“1.The record for staff 1, employed for 20 days, did not have documentation of completed reference checks. 2. The record for staff #4, employed for 55 days, did not have documentation of completed reference checks.”

Rule 8VAC20-780-70.