Learning Paths Academy at Leavells (#8)

8VAC20-780-510-E

“Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the records for child #2 and child #3 did not contain complete written authorization from the child's parent and physician for long term emergency medication that was observed on site.”

8VAC20-780-40-M

“Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: not all classrooms had an allergy list, and the list, which was dated 12/11/23, did not include all children with allergies, sensitivities and dietary restrictions.”

8VAC20-780-60-A-7

“Based on record review, the facility failed to obtain a written care plan for each child with a diagnosed food allergy, as required. Evidence: the records for child #3 and child #4, with diagnosed food allergies, did not contain a written care plan with instructions from the 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.”

8VAC20-780-510-E

“Based on review of documentation, it was determined that the facility failed to follow their own medication procedures as required. Long term prescription drug use and over-the-counter medication may be allowed with written authorization from the child's physician and parent. Evidence: the records for child #2 and child #3 did not contain complete written authorization from the child's parent and physician for long term emergency medication that was observed on site.”

8VAC20-780-40-M

“Based on review of documentation, and staff interview, the facility failed to maintain a current written list of children’s allergies, sensitivities and dietary restrictions in each room or area where children are present. Evidence: not all classrooms had an allergy list, and the list, which was dated 12/11/23, did not include all children with allergies, sensitivities and dietary restrictions.”

8VAC20-780-60-A-7

“Based on record review, the facility failed to obtain a written care plan for each child with a diagnosed food allergy, as required. Evidence: the records for child #3 and child #4, with diagnosed food allergies, did not contain a written care plan with instructions from the 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.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews, photos and documentation review it was determined that the facility failed to ensure the children's care, protection, and guidance. Evidence: 1) in July 2023, there were approximately 22 documented accidents/incidents in the two's classroom including four bites, four scratches, and six bumps/hits. 2) in August 2023 there were approximately 20 documented accidents/incidents in the two's classroom including seven bites and eight scratches/hits. 3) interviews revealed that there were staffing issues and the unusually high number of incidents have been rectified with new/consistent staffing.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews, photos and documentation review it was determined that the facility failed to ensure the children's care, protection, and guidance. Evidence: 1) in July 2023, there were approximately 22 documented accidents/incidents in the two's classroom including four bites, four scratches, and six bumps/hits. 2) in August 2023 there were approximately 20 documented accidents/incidents in the two's classroom including seven bites and eight scratches/hits. 3) interviews revealed that there were staffing issues and the unusually high number of incidents have been rectified with new/consistent staffing.”

8VAC20-780-340-A Complaint related: Yes

“Based on interviews, photos and documentation review it was determined that the facility failed to ensure the children's care, protection, and guidance. Evidence: 1) in July 2023, there were approximately 22 documented accidents/incidents in the two's classroom including four bites, four scratches, and six bumps/hits. 2) in August 2023 there were approximately 20 documented accidents/incidents in the two's classroom including seven bites and eight scratches/hits. 3) interviews revealed that there were staffing issues and the unusually high number of incidents have been rectified with new/consistent staffing.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure that the diaper changing surface was nonabsorbent. Evidence: observed that the diaper changing surface had several small rips and tears exposing the absorbent surface beneath.”

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments were labeled with the child's name. Evidence: observed diaper ointment in a small cubby above the changing table that was not labeled with a name.”

8VAC20-780-500-B

“Based on observation, the facility did not ensure that the diaper changing surface was nonabsorbent. Evidence: observed that the diaper changing surface had several small rips and tears exposing the absorbent surface beneath.”

8VAC20-780-520-C

“Based on observation, the facility did not ensure that diaper ointments were labeled with the child's name. Evidence: observed diaper ointment in a small cubby above the changing table that was not labeled with a name.”

8VAC20-780-60-A

“Based on review, the facility did not ensure that children's records were maintained with the required minimum information. Evidence: Reviewed 5 children's records and found that Child 2 did not have documentation of emergency medical authorization.”

8VAC20-780-550-P

“Based on review, the facility did not ensure that written injury records were maintained with the required minimum information. Evidence: Reviewed 8 injury reports and found that 1 did not have documentation of the time parents were notified.”

8VAC20-780-290-A-3

“Based on observation the facility did not ensure that electrical outlets accessible to children's were covered with a protective cover. Evidence: observed in room 12 a safety outlet that was in the "open" position and accessible to children.”

8VAC20-780-60-A

“Based on review, the facility did not ensure that children's records were maintained with the required minimum information. Evidence: Reviewed 5 children's records and found that Child 2 did not have documentation of emergency medical authorization.”

8VAC20-780-550-P

“Based on review, the facility did not ensure that written injury records were maintained with the required minimum information. Evidence: Reviewed 8 injury reports and found that 1 did not have documentation of the time parents were notified.”

8VAC20-780-290-A-3

“Based on observation the facility did not ensure that electrical outlets accessible to children's were covered with a protective cover. Evidence: observed in room 12 a safety outlet that was in the "open" position and accessible to children.”