La Petite Academy, Inc- #7138

8VAC20-780-350-B-4

“Based on staff interview and attendance documentation , the licensee did not ensure the ratio in the 3 year olds up to schoolage ratio is 1 staff to 10 children. Evidence: 1- Licensees observed at approximatley 9:40am 1 staff with 11 children in the Preschool classroom during the tour. 2- The face to name attendace record confirmed there was 1 staff to 11 children 9:37am - 9:43am. 3- The ratio for children 3 year old up to school age the ratio is 1 staff to 10 children.”

8VAC20-780-270-A

“REPEAT Based on observation and staff interview, the licensee did not ensure all areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1-In the building, there was moveable dust , in the preschool room on the vent and pole , in the 2 year room on the window frame, and on the vent in the school age room. 2-In the preschool, the closets door with green kick plate is cracked causing sharp edges and and pinching points. 3- In the 2 year old bathroom, the outside part of the door, has a red kick plate corner that is detached from the door which causes a unsafe condution entaglement , pinch points and snag skin. 4- Outside on the toddler playground, there was two stakes that holds equipment down protruding could cause entanglement and tripping hazard. 5- A cieling title is buckleing between classrooms with wires exposed. 6- In the school age room, there was peeling paint on the door to go outside.”

8VAC20-780-550-P

“Based on record review the licensee did not ensure all serious and minor injury written documentation contained all required information. Evidence: Child #8's written record for injury from December 14, 2023 did not containt type of first aid administered/treatment provided. Child #8's written record for injury from December 8, 2023 did not contain how parent was notified.”

8VAC20-780-550-D

“Based on record review and staff interview, the licensee did not ensure evacuation drills were conducted monthly. Evidence: The center confirmed there was not a evacuation drilled conducted in the December.”

8VAC20-820-120-E-6

“Based on observation and staff interview, the licensee did not ensure a copy of special order issued by the department be posted in a prominent place at each public entrance of the licensed premises to advise consumers of serious or persistent violations. Evidence: On November 21, 2023 the special order issued was not posted . Confirmed by staff.”

8VAC20-820-120-E-3

“Based on observation and staff interview, the licensee did not ensure Notice of the superintendent's intent shall be posted in a prominent place at each public entrance of the facility to advise consumers of serious or persistent violations. Evidence: The Notice of Intent was not posted in the center on November 21, 2023. Confirmed with staff.”

8VAC20-780-560-F

“Based on record review, the licensee did not ensure the menu was posted for the week. Evidence: The menu posted was for the week of November 13-November 17. The menu for the week of November 20 was not posted.”

8VAC20-780-500-B

“Based on observation, the licensee did not ensure the diapering surface shall be used only for diapering or cleaning children. Evidence: In the 2 year old classroom, there was coloring pages, tablet and supplies on the diapering surface.”

8VAC20-780-60-A

“Based on record review, 1 of 5 children's records did not contain documentation of all required information. Evidence: Child #2's (start date: 09/07/2022) record did not contain documentation of proof of identity. Staff in charge was unable to locate documentation of proof identity was reviewed.”

8VAC20-780-270-A

“Repeat Violation Based on observation and staff interview, the licensee did not ensure areas and euipment of the center, inside and outside, be maintained in a clean, safe and opearable condition. Evidence: 1. In the infant room, there was multiple fitted sheets in the cribs with holes. 2. In the infant room, a storage closet 1/2 door could not close properly. 3. The infant door, enterance paint is peeling. 4. In the 2 year old classroom, the large cabinet the bottom is deteriorating . 5. In the toddler classroom, the cabinet under the sink the bottom deteriorating under the sink. 6. Outside on the playground, the red and blue playground composite steps are peeling. 7. Outside on the playground, there were multiple wooden fence slats that are splintered, cracked, and deteriorating. 8. In the preschool bathroom, the bathroom partition is rusting , their is a drain that is approximaly 1 inch depth causing a tripping hazard and the vinyl floor peeling up.”

8VAC20-780-560-F

“Repeat violation: Based on observation, the licensee did not ensure there was a menu listing foods to be served for meals and snacks during the current one-week period dated. Evidence: The menu posted was not dated during the inspection on July 26, 2023.”

8VAC20-780-130-A

“Based on record review and staff interview, the licensee did not ensure the center obtain documentation that each child has recieved immunization before the child can attend the center. Evidence: Child #2 start date 09/27/2022 record did not have a immunization before child attend. There was no documentation of immunization during the inspection confirmed by the staff in charge.”

8VAC20-780-60-A

“Based on record review, 1 of 5 children's records did not contain documentation of all required information. Evidence: Child #2's (start date: 09/07/2022) record did not contain documentation of proof of identity. Staff in charge was unable to locate documentation of proof identity was reviewed.”

8VAC20-780-270-A

“Repeat Violation Based on observation and staff interview, the licensee did not ensure areas and euipment of the center, inside and outside, be maintained in a clean, safe and opearable condition. Evidence: 1. In the infant room, there was multiple fitted sheets in the cribs with holes. 2. In the infant room, a storage closet 1/2 door could not close properly. 3. The infant door, enterance paint is peeling. 4. In the 2 year old classroom, the large cabinet the bottom is deteriorating . 5. In the toddler classroom, the cabinet under the sink the bottom deteriorating under the sink. 6. Outside on the playground, the red and blue playground composite steps are peeling. 7. Outside on the playground, there were multiple wooden fence slats that are splintered, cracked, and deteriorating. 8. In the preschool bathroom, the bathroom partition is rusting , their is a drain that is approximaly 1 inch depth causing a tripping hazard and the vinyl floor peeling up.”

8VAC20-780-560-F

“Repeat violation: Based on observation, the licensee did not ensure there was a menu listing foods to be served for meals and snacks during the current one-week period dated. Evidence: The menu posted was not dated during the inspection on July 26, 2023.”

8VAC20-780-130-A

“Based on record review and staff interview, the licensee did not ensure the center obtain documentation that each child has recieved immunization before the child can attend the center. Evidence: Child #2 start date 09/27/2022 record did not have a immunization before child attend. There was no documentation of immunization during the inspection confirmed by the staff in charge.”

8VAC20-780-340-A

“Based on interviews, written statements, documentation and video footage, the licensee did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. On March 7, 2023, Staff # 4reported that Child #1 (4 years old) was left on the center's fenced-in playground for approximately 1 hour 15 minutes. Confirmed by video footage, documentation, staff statements and interviews conducted with center staff. 2. Staff #3 arrived in the classroom or to the center at approximately 12:32pm. She transitioned into the classroom conducting a name to face transition sheet. Staff #3 noticed that the name to face transition sheet showed that there were 15 children signed in and only 14 children in the physical room which did not match the number of children in the classroom which caused staff to realize that a child was missing. 3. As confirmed by interviews, statements documentation and video footage, Staff #1 went to the playground and found child #1 under the covered red component of the overhead portion of the roof of the slide. Staff stated child #1 was cold. 4. The incident report stated "Child #1 became separated from the group during a transition from the playground to the classroom. Teacher realized the child was missing after lunch the child was outside for approximately 1 hour. " 5. The temperature on the date of the incident ranged between 44 degrees and 58 degrees Fahrenheit. The wind speed was approximately 28 .”

8VAC20-780-340-F

“Based on interviews and video footage, the licensee did not ensure that children under 10 years of age are in sight and sound supervision of staff. Evidence: 1. On March 7, 2023, child #1 ( 4 years old) was left alone without sight and sound supervision for approximately 1 hour and 15 minutes in the center's fenced in playground area. Confirmed by the video footage that was reviewed on March 14, 2023. 2. After viewing video footage, it was determined that Staff #1 went out to playground and Child #1 was at the top of the slide under the covered red component of the overhead portion of the roof of the slide.”

8VAC20-780-40-E

“Based on interview and review, the center did not ensure that the center's activities were maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. Child Supervision Guidelines states: "Children must be supervised, in the direct line of sight and within ear shot of a staff member, at all times. All state mandated adult to child ratios must be followed at all times. " 2. Center policy also states: "Face-to-Name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day. Face to names must be used to document staff to child ratios throughout the day: hourly, children arriving or leaving the classroom, transitioning children from one location to another (playground, fieldtrips, electives etc), combining and or blending classrooms. Face to Name sheets is kept current at all times." 3. The Face to Name transition sheet had Child #1 checked off returning from the playground at 11:25 am. Staff #3 confirmed she looked at the face to name transition sheet and noticed the count was incorrect and matched it with tablet. The Staff in the class went to look for child #1 at approximately 12:40pm.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure a health insepction was completed annually. Evidence: The most recent health inspection was May 24, 2021 which is more than a year old.”

8VAC20-780-270-A

“Based on record reveiw the licensee did not ensure areas and equipment of the center , inside and outside , shall be maintained in a clean safe and operable condition. Evidence: In all rooms in the center , there was dust on the ceiling vents. The infant classroom, there is white peeling paint on the bottom of the 1/2 door.”

8VAC20-780-340-A

“Based on interviews, written statements, documentation and video footage, the licensee did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. On March 7, 2023, Staff # 4reported that Child #1 (4 years old) was left on the center's fenced-in playground for approximately 1 hour 15 minutes. Confirmed by video footage, documentation, staff statements and interviews conducted with center staff. 2. Staff #3 arrived in the classroom or to the center at approximately 12:32pm. She transitioned into the classroom conducting a name to face transition sheet. Staff #3 noticed that the name to face transition sheet showed that there were 15 children signed in and only 14 children in the physical room which did not match the number of children in the classroom which caused staff to realize that a child was missing. 3. As confirmed by interviews, statements documentation and video footage, Staff #1 went to the playground and found child #1 under the covered red component of the overhead portion of the roof of the slide. Staff stated child #1 was cold. 4. The incident report stated "Child #1 became separated from the group during a transition from the playground to the classroom. Teacher realized the child was missing after lunch the child was outside for approximately 1 hour. " 5. The temperature on the date of the incident ranged between 44 degrees and 58 degrees Fahrenheit. The wind speed was approximately 28 .”

8VAC20-780-340-F

“Based on interviews and video footage, the licensee did not ensure that children under 10 years of age are in sight and sound supervision of staff. Evidence: 1. On March 7, 2023, child #1 ( 4 years old) was left alone without sight and sound supervision for approximately 1 hour and 15 minutes in the center's fenced in playground area. Confirmed by the video footage that was reviewed on March 14, 2023. 2. After viewing video footage, it was determined that Staff #1 went out to playground and Child #1 was at the top of the slide under the covered red component of the overhead portion of the roof of the slide.”

8VAC20-780-40-E

“Based on interview and review, the center did not ensure that the center's activities were maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. Child Supervision Guidelines states: "Children must be supervised, in the direct line of sight and within ear shot of a staff member, at all times. All state mandated adult to child ratios must be followed at all times. " 2. Center policy also states: "Face-to-Name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day. Face to names must be used to document staff to child ratios throughout the day: hourly, children arriving or leaving the classroom, transitioning children from one location to another (playground, fieldtrips, electives etc), combining and or blending classrooms. Face to Name sheets is kept current at all times." 3. The Face to Name transition sheet had Child #1 checked off returning from the playground at 11:25 am. Staff #3 confirmed she looked at the face to name transition sheet and noticed the count was incorrect and matched it with tablet. The Staff in the class went to look for child #1 at approximately 12:40pm.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure a health insepction was completed annually. Evidence: The most recent health inspection was May 24, 2021 which is more than a year old.”

8VAC20-780-270-A

“Based on record reveiw the licensee did not ensure areas and equipment of the center , inside and outside , shall be maintained in a clean safe and operable condition. Evidence: In all rooms in the center , there was dust on the ceiling vents. The infant classroom, there is white peeling paint on the bottom of the 1/2 door.”

8VAC20-780-340-A

“Based on interviews, written statements, documentation and video footage, the licensee did not ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: 1. On March 7, 2023, Staff # 4reported that Child #1 (4 years old) was left on the center's fenced-in playground for approximately 1 hour 15 minutes. Confirmed by video footage, documentation, staff statements and interviews conducted with center staff. 2. Staff #3 arrived in the classroom or to the center at approximately 12:32pm. She transitioned into the classroom conducting a name to face transition sheet. Staff #3 noticed that the name to face transition sheet showed that there were 15 children signed in and only 14 children in the physical room which did not match the number of children in the classroom which caused staff to realize that a child was missing. 3. As confirmed by interviews, statements documentation and video footage, Staff #1 went to the playground and found child #1 under the covered red component of the overhead portion of the roof of the slide. Staff stated child #1 was cold. 4. The incident report stated "Child #1 became separated from the group during a transition from the playground to the classroom. Teacher realized the child was missing after lunch the child was outside for approximately 1 hour. " 5. The temperature on the date of the incident ranged between 44 degrees and 58 degrees Fahrenheit. The wind speed was approximately 28 .”

8VAC20-780-340-F

“Based on interviews and video footage, the licensee did not ensure that children under 10 years of age are in sight and sound supervision of staff. Evidence: 1. On March 7, 2023, child #1 ( 4 years old) was left alone without sight and sound supervision for approximately 1 hour and 15 minutes in the center's fenced in playground area. Confirmed by the video footage that was reviewed on March 14, 2023. 2. After viewing video footage, it was determined that Staff #1 went out to playground and Child #1 was at the top of the slide under the covered red component of the overhead portion of the roof of the slide.”

8VAC20-780-40-E

“Based on interview and review, the center did not ensure that the center's activities were maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. Evidence: 1. Child Supervision Guidelines states: "Children must be supervised, in the direct line of sight and within ear shot of a staff member, at all times. All state mandated adult to child ratios must be followed at all times. " 2. Center policy also states: "Face-to-Name means staff must see the child's face and say the child's name when confirming all children are accounted for throughout the day. Face to names must be used to document staff to child ratios throughout the day: hourly, children arriving or leaving the classroom, transitioning children from one location to another (playground, fieldtrips, electives etc), combining and or blending classrooms. Face to Name sheets is kept current at all times." 3. The Face to Name transition sheet had Child #1 checked off returning from the playground at 11:25 am. Staff #3 confirmed she looked at the face to name transition sheet and noticed the count was incorrect and matched it with tablet. The Staff in the class went to look for child #1 at approximately 12:40pm.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure a health insepction was completed annually. Evidence: The most recent health inspection was May 24, 2021 which is more than a year old.”

8VAC20-780-270-A

“Based on record reveiw the licensee did not ensure areas and equipment of the center , inside and outside , shall be maintained in a clean safe and operable condition. Evidence: In all rooms in the center , there was dust on the ceiling vents. The infant classroom, there is white peeling paint on the bottom of the 1/2 door.”

22.1-289.058

“Based on staff interview, the licensee did not ensure that child day program has a carbon monoxide detector . Evidence: Director confirmed they are still working on getting a carbon monoxide detector.”

8VAC20-820-120-E-2

“Based on record review, the licensee did not ensure th emost recent inspection finding were posted. Evidence : The inspection finding posted was from August 2021. The most recent inspection was in July 2022. Director confirmed she did not have most recent inspeciton posted.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure health inspection are completed annually. Evidence: The most reccent health inspection was 05/24/2021, which more tha a year old.”

8VAC20-780-260-A

“Based on record review and staff interview, the licensee did not ensure there was annual fire inspection completed. Evidence: The most recent fire inspection was 08/09/2021, which is more than a year old.”

22.1-289.058

“Based on staff interview, the licensee did not ensure that child day program has a carbon monoxide detector . Evidence: Director confirmed they are still working on getting a carbon monoxide detector.”

8VAC20-820-120-E-2

“Based on record review, the licensee did not ensure th emost recent inspection finding were posted. Evidence : The inspection finding posted was from August 2021. The most recent inspection was in July 2022. Director confirmed she did not have most recent inspeciton posted.”

8VAC20-780-260-B

“Based on record review, the licensee did not ensure health inspection are completed annually. Evidence: The most reccent health inspection was 05/24/2021, which more tha a year old.”

8VAC20-780-260-A

“Based on record review and staff interview, the licensee did not ensure there was annual fire inspection completed. Evidence: The most recent fire inspection was 08/09/2021, which is more than a year old.”

8VAC20-780-550-P Complaint related: No

“Based on record review,observations and staff interviews, the licensee did not ensure the written record of children's serious and minor injuries in which entries are made of the day of occurence contained all required documentation. Evidence: On August 17, 2022, the written record for injury provided did not have a type of circumstance of the injury . The report from August 16, 2022 stated " During clean up Child #1 went to sit on carpet " the report did not provide details of the incident. Staff #1 confirmed the report did not provide the details of the incident. Staff #1 did complete the documentation when the licensing inspector was present.”

8VAC20-780-400-B Complaint related: Yes

“Based on video footage , staff interview and documentaiton, the licensee did not ensure behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior and resolve conflicts. Evidence: Video footage was reviewed with Staff #2. The video footage observed shows, in the toddler room, Staff #1 is sitting between occupied cots. Child #1 is on a cot while laying on her back moving her legs and arms around. Staff #1 adjusted child#1 on the cot by pulling the child's right forearm and putting it across her body and moving her shoulder . This movement caused child #1 to turn over on her stomach with her knees tucked. Staff #1 adjusted the child's legs and feet and tossed the blanket completely over the child covering her whole body. Staff #1 moved to sit next to another child's cot and pulled child #1 entire cot, with child #1 still on it, to move her closer. Approximately two minutes later Child #1 is on her back while moving around on her cot and legs and arms moving . Staff #1 pulls child #1 up by her bicep to turn child #1 on her side and then tosses the blanket on top of child#1 which covers the child from head to toe. Staff #3 provided written statement that indicated that Staff #1 was observed on video improperly moving a child on their cot during nap time.”

8VAC20-780-560-F Complaint related: Yes

“Based on staff interview and review of menu, the licensee did not ensure center follow the most age approriate nutritional requirements of the Child and Ault food Program for USDA. Evidence: On July 28, 2022 the menu posted in the facility shows for breakfast there are only 2 food components provided for breakfast. USDA guidelines state the center must provide 3 components for breakfast. Staff #1 confirmed the menu does state breakfast but it is actually a snack provided in the morning.”

22VAC40-185-560-F

“Based on observation and staff interview, a menu listing foods to be served for meals and snacks during the current one-week period shall be dated, Evidence: The menu posted was not dated. Confirmed by person in charge.”

8VAC20-780-70

“Based on record review and staff interview, the licensee did not ensure the records for staff contained all required documents. Evidence: During the inspection the records for Staff #1, Staff #2, Staff #4 and Staff #5 did not have 2 references. Staff #3 was missing one reference.”

22.1-289.058

“Based on observation and staff interview, the licensee did not ensure a carbon monoxide detector was in a building that serves preschool-age children. Evidence: During the inspection the person in charge was unable to locate the carbon monoxide detector.”

8VAC20-780-510-G

“Based on observation and staff interview, the licensee did not ensure medicaiton labeled with the child's name , the name of the medication , the dosage amount and the time or times to be given. Evidence: Child #2 epipen and benadryl did not have child's name . The epipen did not have the perscription label. Confirmed by staff.”

8VAC20-780-320-B

“Based on observation and staff interview, the licensse did not enure the bathrooms are equipped with toilet paper within reach of children. Evidence: The front bathrooms, there was not toilet paper between the last two toilets. Staff confirmed the toilet paper was not in reach for children.”

8VAC20-780-270-A

“Based on observation, the licensee did not ensure inside and outside is maintained in a clean, safe and operable condition. Evidence : Inside the building entering the classrooms, there was a broken storage container with library books. In the Preschool classroom, there was one broken plastic container, which was cracked that could snag skin or pinch. In the School Age room, there was two plastic storage containers broken, which was cracked that could snag skin or pinch. In the both bathrooms , the bottoms of partions are rusting and a red residue is coming off the partition.”

22VAC40-185-540-E

“Based on record review and staff interview, the licensee did not ensure there was one working, battery-operated radio in building . Evidence: There was not a battery operated radio available during the inspection. Confirmed by the person in charge.”

22VAC40-185-560-F

“Based on observation and staff interview, a menu listing foods to be served for meals and snacks during the current one-week period shall be dated, Evidence: The menu posted was not dated. Confirmed by person in charge.”

8VAC20-780-70

“Based on record review and staff interview, the licensee did not ensure the records for staff contained all required documents. Evidence: During the inspection the records for Staff #1, Staff #2, Staff #4 and Staff #5 did not have 2 references. Staff #3 was missing one reference.”

22.1-289.058

“Based on observation and staff interview, the licensee did not ensure a carbon monoxide detector was in a building that serves preschool-age children. Evidence: During the inspection the person in charge was unable to locate the carbon monoxide detector.”

8VAC20-780-510-G

“Based on observation and staff interview, the licensee did not ensure medicaiton labeled with the child's name , the name of the medication , the dosage amount and the time or times to be given. Evidence: Child #2 epipen and benadryl did not have child's name . The epipen did not have the perscription label. Confirmed by staff.”

8VAC20-780-320-B

“Based on observation and staff interview, the licensse did not enure the bathrooms are equipped with toilet paper within reach of children. Evidence: The front bathrooms, there was not toilet paper between the last two toilets. Staff confirmed the toilet paper was not in reach for children.”

8VAC20-780-270-A

“Based on observation, the licensee did not ensure inside and outside is maintained in a clean, safe and operable condition. Evidence : Inside the building entering the classrooms, there was a broken storage container with library books. In the Preschool classroom, there was one broken plastic container, which was cracked that could snag skin or pinch. In the School Age room, there was two plastic storage containers broken, which was cracked that could snag skin or pinch. In the both bathrooms , the bottoms of partions are rusting and a red residue is coming off the partition.”

22VAC40-185-540-E

“Based on record review and staff interview, the licensee did not ensure there was one working, battery-operated radio in building . Evidence: There was not a battery operated radio available during the inspection. Confirmed by the person in charge.”