Learning Tree of Lynchburg

8VAC20-780-130-A

“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.”

8VAC20-780-140-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.”

8VAC20-780-70

“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.”

8VAC20-780-240-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.”

8VAC20-780-560-G

“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.”

8VAC20-780-560-J

“Tables shall be sanitized before and after each use for feeding. Tables were not sanitized before eating morning snack.”

8VAC20-780-330-B

“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.”

8VAC20-780-550-F

“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.”

8VAC20-790-600-D-1

“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.”

8VAC20-780-160-A

“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.”

8VAC20-780-40-M

“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.”

8VAC20-780-80-A

“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.”

8VAC20-780-350-F

“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.”

8VAC20-790-600-D-2

“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.”

8VAC20-780-500-A

“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.”

8VAC20-780-550-E

“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.”

8VAC20-780-560-M

“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.”

8VAC20-780-70

“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.”

8VAC20-780-540-C

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

8VAC20-780-240-A

“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.”

8VAC20-780-70

“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.”

8VAC20-780-540-C

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

8VAC20-780-240-A

“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.”

8VAC20-780-60-A

“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.”

8VAC20-780-190-A

“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.”

8VAC20-780-550-G

“The center shall implement a monthly practice evacuation drill. An evacuation drill for May 2025 was not practiced.”

8VAC20-780-280-B

“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.”

8VAC20-780-60-A

“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.”

8VAC20-780-190-A

“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.”

8VAC20-780-550-G

“The center shall implement a monthly practice evacuation drill. An evacuation drill for May 2025 was not practiced.”

8VAC20-780-280-B

“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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”

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.”