Hanover Academy

8VAC20-780-510-F

“The medication authorization shall be available to staff during the entire time it is effective. Child #4 had prescribed medication on site and did not have written medication authorization at the time of the inspection.”

8VAC20-780-60-A-8

“Repeat 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. Child #3 had a diagnosed food allergy and did not have a written care plan at the time of the inspection.”

8VAC20-780-245-A

“Repeat, Systemic Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 1. The record of staff #2 contained documentation of 6.5 hours for the period of 8/30/2024 through 8/29/2025. 2. The record of staff #3 contained documentation of 4 hours for the period of 7/5/2024 through 7/4/2025. 3. The record of staff #4 contained documentation of 9 hours for the period of 10/26/2024 through 10/25/2025.”

8VAC20-780-270-A

“Repeat Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The steps of the climbing equipment have a hard plastic coating that has separated from the metal structure posing a tripping hazard. The plastic coating on the steps has broken areas creating jagged edges.”

8VAC20-780-240-A

“Repeat, Systemic The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. 1. The record of staff #1, employed for three months and 17 days, did not have documentation of completing the Department of Education-sponsored orientation course. 2. The record of staff #6, employed for seven months, did not have documentation of completing the Department of Education-sponsored orientation course. 3. The record of staff #7, employed for one year and eight months, did not have documentation of completing the Department of Education-sponsored orientation course. 4. The record of staff #8, employed for one year and six months, did not have documentation of completing the Department of Education-sponsored orientation course.”

8VAC20-780-70

“Staff records shall be kept for each person and contain all required documentation. The record of staff #5, employed for two days, did not contain the following required documentation; two references as to character and reputation as well as competency that were checked before employment, documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position, and orientation and training as required.”

8VAC20-780-130-A

“Systemic 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 record of child #4 contained documentation of immunizations dated one month and five days after the first day of attendance.”

8VAC20-780-60-A-8

“Repeat, Systemic 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 #6, with a diagnosed food allergy, did not contain an allergy care plan.”

8VAC20-790-600-D-1

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. The training shall include an in-person competency demonstration; and current certification in first aid appropriate to the ages of children in care. 1. The record of staff #1, employed for three months and 17 days, did not have current CPR certification. 2. The record of staff #2, contained documentation of CPR certification that had expired seven months ago. 3. The record of staff #3, contained documentation of CPR certification that had expired seven months ago.”

22.1-289.035-B-1

“Repeat The center shall obtain a complete sworn statement prior to the employee's first day of employment. The record of staff #5, employed for two days, did not contain documentation of a signed sworn statement.”

22.1-289.035-B-3

“Repeat The center must request a search of the central registry prior to the employee's first day of employment. 1. Staff #5, employed for two days, did not have documentation that a central registry was requested prior to employment. Staff #6 was observed working alone with a group of children.”

8VAC20-790-600-D-2

“All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval, have current certification in first aid appropriate to the ages of children in care. 1. The record of staff #1, employed for three months and 17 days, did not have current first aid certification. 2. The record of staff #2, contained documentation of first aid certification that had expired seven months ago. 3. The record of staff #3, contained documentation of first aid certification that had expired seven months ago.”

8VAC20-790-600-F

“Repeat Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. 1. The record of staff #3, employed for three years, did not have documentation of completing the health & safety update course. 2. The record of staff #7, employed for one year and eight months, did not have documentation of completing the health & safety update course. 3. The record of staff #8, employed for one year and six months, did not have documentation of completing the health & safety update course.”

8VAC20-780-160-A

“Repeat, Systemic Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. 1. The record of staff # 1, contained documentation of a tuberculosis screening dated one month and 26 days prior to employment. 2. The record of staff #5, employed for two days and working with children, did not have documentation of a tuberculosis screening.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. 1. The record of staff #3, employed for one year and three months, did not have documentation of completing the annual health and safety update training course. 2. The record of staff #5, employed for one year and one month, did not have documentation of completing the annual health and safety update training course.”

8VAC20-780-60-A-8

“Repeat The center shall obtain 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 #6, with a diagnosed food allergy, did not contain an allergy care plan.”

22.1-289.035-B-2

“Repeat Centers shall obtain a completed national criminal fingerprint background check prior to the employee's first day of employment. 1. The record of staff #1, employed for one month, contained results of a national criminal fingerprint background check dated four days after employment. 2. The record of staff #2, employed for three weeks, contained results of a national criminal fingerprint background check dated one day after employment.”

8VAC20-780-160-A

“Repeat Each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. The record of staff #2, employed for 24 days, contained a tuberculosis screening dated 20 months prior to employment.”

8VAC20-780-160-C

“Staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. The record of staff #4 contained documentation of a tuberculosis screening that expired five months ago.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 1. The record of staff #3 contained documentation of seven hours of annual training for the period of 07/29/2024 through 07/28/2025 when 16 hours was required. 2. The record of staff #4 contained documentation of seven hours of annual training for the period of 10/26/2024 through 10/25/2025 when 16 hours was required. 3. The record of staff #5 contained documentation of three hours of annual training for the period of 09/23/2024 through 09/22/2025 when 16 hours was required.”

8VAC20-780-240-A

“Repeat The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. 1. Staff #3, employed for one years and three months, did not complete the Virginia Department of Education- sponsored orientation. 2. Staff # 5, employed for one year and one month, did not complete the Virginia Department of Education- sponsored orientation.”

8VAC20-790-600-F

“Staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. 1. The record of staff #3, employed for one year and three months, did not have documentation of completing the annual health and safety update training course. 2. The record of staff #5, employed for one year and one month, did not have documentation of completing the annual health and safety update training course.”

8VAC20-780-60-A-8

“Repeat The center shall obtain 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 #6, with a diagnosed food allergy, did not contain an allergy care plan.”

22.1-289.035-B-2

“Repeat Centers shall obtain a completed national criminal fingerprint background check prior to the employee's first day of employment. 1. The record of staff #1, employed for one month, contained results of a national criminal fingerprint background check dated four days after employment. 2. The record of staff #2, employed for three weeks, contained results of a national criminal fingerprint background check dated one day after employment.”

8VAC20-780-160-A

“Repeat Each staff member shall submit documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. The record of staff #2, employed for 24 days, contained a tuberculosis screening dated 20 months prior to employment.”

8VAC20-780-160-C

“Staff shall obtain and submit the results of a follow-up tuberculosis screening at least every two years from the date of the initial screening or testing. The record of staff #4 contained documentation of a tuberculosis screening that expired five months ago.”

8VAC20-780-245-A

“Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. 1. The record of staff #3 contained documentation of seven hours of annual training for the period of 07/29/2024 through 07/28/2025 when 16 hours was required. 2. The record of staff #4 contained documentation of seven hours of annual training for the period of 10/26/2024 through 10/25/2025 when 16 hours was required. 3. The record of staff #5 contained documentation of three hours of annual training for the period of 09/23/2024 through 09/22/2025 when 16 hours was required.”

8VAC20-780-240-A

“Repeat The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. 1. Staff #3, employed for one years and three months, did not complete the Virginia Department of Education- sponsored orientation. 2. Staff # 5, employed for one year and one month, did not complete the Virginia Department of Education- sponsored orientation.”

22.1-289.035-B-1

“Repeat Violation: The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #5, employed for two weeks, did not have a completed sworn statement. Staff was working at the time of inspection.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3, employed for seven months, did not have the Virginia Department of Education-sponsored orientation course complete. Staff #4, employed for nine months, did not have the Virginia Department of Education-sponsored orientation course complete.”

8VAC20-780-160-A

“Repeat Violation: Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff #5 had no documentation of a tuberculosis screening and had been employed for two weeks.”

8VAC20-780-140-A

“Repeat Violation: Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. The record of child #4, enrolled for 15 months, did not have documentation of a physical examination.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for three months, did not have documentation of requesting a central registry check from one state.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who has been employed for three months, did not have a completed national criminal background check. Staff #5, who has been employed for two weeks, did not have a completed national criminal background check. Staff #1 and staff #5 were working at the time of inspection.”

8VAC20-780-510-P

“Repeat Violation: 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. The medication authorization for child #6 expired over two months ago. The medication was still on site.”

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. There was no documentation of viewing proof of the identity and age of Child #4, enrolled for 15 months, at the time of the inspection.”

22.1-289.035-B-1

“Repeat Violation: The center is required to obtain a completed sworn statement prior to the employee's first day of employment. Staff #5, employed for two weeks, did not have a completed sworn statement. Staff was working at the time of inspection.”

8VAC20-780-240-A

“The Virginia Department of Education-sponsored orientation course shall be completed within 90 calendar days of employment. Staff #3, employed for seven months, did not have the Virginia Department of Education-sponsored orientation course complete. Staff #4, employed for nine months, did not have the Virginia Department of Education-sponsored orientation course complete.”

8VAC20-780-160-A

“Repeat Violation: Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff #5 had no documentation of a tuberculosis screening and had been employed for two weeks.”

8VAC20-780-140-A

“Repeat Violation: Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. The record of child #4, enrolled for 15 months, did not have documentation of a physical examination.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #1, employed for three months, did not have documentation of requesting a central registry check from one state.”

22.1-289.035-B-2

“Providers must obtain a completed national criminal background check prior to the employee's first day of employment. Staff #1, who has been employed for three months, did not have a completed national criminal background check. Staff #5, who has been employed for two weeks, did not have a completed national criminal background check. Staff #1 and staff #5 were working at the time of inspection.”

8VAC20-780-510-P

“Repeat Violation: 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. The medication authorization for child #6 expired over two months ago. The medication was still on site.”

8VAC20-780-40-G

“The center shall meet the proof of child identity and age requirements as stated in ? 22.1-289.049 of the Code of Virginia. There was no documentation of viewing proof of the identity and age of Child #4, enrolled for 15 months, at the time of the inspection.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The steps of the climbing equipment have a hard plastic coating that has separated from the metal structure posing a tripping hazard. The plastic coating on the steps has broken off in areas creating jagged edges.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #2, child #3, and child #4, did not contain the address for one designated contact.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. 1. The medication for child #6, was not labeled with the dosage amount and the time or times to be given. 2. The medication for child #7, was not labeled with the dosage amount and the time or times to be given.”

8VAC20-780-510-L

“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. 1. Medication for child # 6, was kept unlocked in a cabinet in the classroom. 2. Medication for child #7, was kept unlocked in a plastic container on a classroom shelf.”

8VAC20-780-510-P

“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. The medication authorization for child #7 expired one month ago. The medication was still on site.”

8VAC20-780-540-E

“One working, battery-operated radio in each building used by children and any camp location without a building. A battery-operated radio could not be located.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. 1. Staff #1, employed for three weeks, did not have a completed sworn statement. 2. The sworn statement for Staff #3, was dated three weeks after their first day of employment.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. The record of child #2, enrolled for six months, did not have documentation of a physical examination.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff #1 had no documentation of a tuberculosis screening and had been employed for three weeks.”

8VAC20-780-60-A-8

“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 #7, with a diagnosed food allergy, did not have an allergy care plan.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. The steps of the climbing equipment have a hard plastic coating that has separated from the metal structure posing a tripping hazard. The plastic coating on the steps has broken off in areas creating jagged edges.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the Name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. The record of child #2, child #3, and child #4, did not contain the address for one designated contact.”

8VAC20-780-510-G

“Medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given. 1. The medication for child #6, was not labeled with the dosage amount and the time or times to be given. 2. The medication for child #7, was not labeled with the dosage amount and the time or times to be given.”

8VAC20-780-510-L

“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. 1. Medication for child # 6, was kept unlocked in a cabinet in the classroom. 2. Medication for child #7, was kept unlocked in a plastic container on a classroom shelf.”

8VAC20-780-510-P

“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. The medication authorization for child #7 expired one month ago. The medication was still on site.”

8VAC20-780-540-E

“One working, battery-operated radio in each building used by children and any camp location without a building. A battery-operated radio could not be located.”

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee's first day of employment. 1. Staff #1, employed for three weeks, did not have a completed sworn statement. 2. The sworn statement for Staff #3, was dated three weeks after their first day of employment.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. The record of child #2, enrolled for six months, did not have documentation of a physical examination.”

8VAC20-780-160-A

“Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Staff #1 had no documentation of a tuberculosis screening and had been employed for three weeks.”

8VAC20-780-60-A-8

“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 #7, with a diagnosed food allergy, did not have an allergy care plan.”

8VAC20-780-70

“(Repeat Violation) Based on the review of two staff records (Staff #1 and Staff #3), and an interview with a center representative (CR #1), the agency failed to keep staff records as required. Evidence: Staff #1 -- The tuberculosis screening for Staff #1 was dated 7/7/23. Documentation of the tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment. Staff #1 began employment on 11/27/23. Staff #3 ? Staff #3 began employment on 4/28/23. Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was documentation in the record that Staff #3 completed 6 hours of training between 4/28/23 and 4/29/24. In an exit interview on 4/29/24, CR #1 acknowledged that Staff #3 did not complete 16 hours of training as required.”

8VAC20-780-550-E

“Based on the review of emergency procedure drills, and an interview with a center representative (CR #1), the agency failed to practice shelter in place drills a minimum of twice per year. Evidence: The most recent shelter in place drill was documented on 4/12/23. In an exit interview on 4/29/24, CR #1 acknowledged that they had not completed shelter in place drills twice a year as required.”

8VAC20-780-380-A

“Based on observations and an interview with a Center Representative (CR #1), the center failed to post a daily schedule for the children. Evidence: There was no daily schedule observed posted at the center. In an exit interview on 4/29/24, CR #1 acknowledged that they were not posting daily schedules as required.”

8VAC20-780-40-J

“Based on an interview with a Center Representative (CR #1), the center failed to update their injury prevention procedures at least annually based on documentation of injuries and a review of activities and services. Evidence: In an interview on 4/29/24, CR #1 was unaware if any injury prevention procedures had been developed. CR #1 acknowledged as a result, that they have not been updating the procedures annually.”

8VAC20-780-60-A

“Based on the review of 1 child’s record (Child #1), and an interview with a center representative (CR #1), the agency failed to maintain information in the child’s record as required. Evidence: The immunizations received for Child #1 were dated 9/15/23. The first day of attendance for Child #1 was 9/05/23. In an exit interview on 4/29/24, CR #1 acknowledged that they did not obtain documentation of the child’s immunizations before the child began attending the center.”

8VAC20-780-70

“(Repeat Violation) Based on the review of two staff records (Staff #1 and Staff #3), and an interview with a center representative (CR #1), the agency failed to keep staff records as required. Evidence: Staff #1 -- The tuberculosis screening for Staff #1 was dated 7/7/23. Documentation of the tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment. Staff #1 began employment on 11/27/23. Staff #3 ? Staff #3 began employment on 4/28/23. Staff shall complete annually a minimum of 16 hours of training appropriate to the age of children in care. There was documentation in the record that Staff #3 completed 6 hours of training between 4/28/23 and 4/29/24. In an exit interview on 4/29/24, CR #1 acknowledged that Staff #3 did not complete 16 hours of training as required.”

8VAC20-780-550-E

“Based on the review of emergency procedure drills, and an interview with a center representative (CR #1), the agency failed to practice shelter in place drills a minimum of twice per year. Evidence: The most recent shelter in place drill was documented on 4/12/23. In an exit interview on 4/29/24, CR #1 acknowledged that they had not completed shelter in place drills twice a year as required.”

8VAC20-780-380-A

“Based on observations and an interview with a Center Representative (CR #1), the center failed to post a daily schedule for the children. Evidence: There was no daily schedule observed posted at the center. In an exit interview on 4/29/24, CR #1 acknowledged that they were not posting daily schedules as required.”

8VAC20-780-40-J

“Based on an interview with a Center Representative (CR #1), the center failed to update their injury prevention procedures at least annually based on documentation of injuries and a review of activities and services. Evidence: In an interview on 4/29/24, CR #1 was unaware if any injury prevention procedures had been developed. CR #1 acknowledged as a result, that they have not been updating the procedures annually.”

8VAC20-780-60-A

“Based on the review of 1 child’s record (Child #1), and an interview with a center representative (CR #1), the agency failed to maintain information in the child’s record as required. Evidence: The immunizations received for Child #1 were dated 9/15/23. The first day of attendance for Child #1 was 9/05/23. In an exit interview on 4/29/24, CR #1 acknowledged that they did not obtain documentation of the child’s immunizations before the child began attending the center.”