Lightbridge Academy Virginia Beach

8VAC20-780-440-L Complaint related: Yes

“Based upon observation and staff interview, the facility has not ensured that pillows are not used by children under two years of age. Evidence: 1. There were two 24? x 24? shredded foam filled pillows observed on the floor in the corner of the mobile infant classroom where staff 1 stated that the children in the classroom are 12 to 18 months of age. 2. Staff 3 and 4 stated that infants are placed on these pillows if they show signs of being sleepy or need to be soothed.”

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

“Based upon observation and staff interview, the facility has not ensured that when staff are supervising children, they always ensure their care and protection. Evidence: 1. Both staff 3 and staff 4 stated during interview that if a child in their mobile infant classroom is upset or crying and it is not during the rest period of 11:30 AM and 1:30 PM, the infant is placed on their stomach on the large shredded foam pillows and staff pat their backs. The pillows are soft, allowing for an infant’s head to sink into the pillow, a potential suffocation hazard. Staff stated the pillows are not sanitized between use, nor are they individually assigned with pillow covers, thus presenting a possible cross contamination issue. 2. Staff 3 stated and staff 4 witnessed that on 5/8/2023, staff 1 placed child 1, 13 months old, on the child’s stomach on the large shredded foam pillow so that staff 3 could pat the child’s back.”

8VAC20-780-40-E

“Based upon review of procedures and staff interview, the facility has not ensured that all activities and services are in compliance with their own policies and procedures. Evidence: 1. The facility's policy for the outdoor learning environment states that "Before returning inside, conduct a Name to Face of all the children" 2. Staff 1 stated that on 4/12/2023 she failed to conduct a Name to Face of the children prior to coming inside the building as the app on the tablets on which this was to be conducted was down (not working)..”

8VAC20-780-340-A

“Based upon staff interview, the facility has not ensured that when staff are supervising children, they always ensure their care and protection. Evidence: 1. On 4/12/2023, staff 1 did not ensure the care and protection of child 1 when child 1, two years old, was left alone on the outdoor playground when staff 1 brought the rest of the children in her care back into the building. 2. Child 1 was on the playground for approximately 1 minute before staff 1 discovered that child 1 had not come in from the playground with the rest of the class. 3. Staff 1 stated that child 1 was crying at the door from the playground to the building when staff 1 went to retrieve her. 4. Staff 1 stated that she did not know how many children for which she was responsible because the application on the staff tablets was not working.”

8VAC20-780-340-F

“Based upon staff interview, the facility has not ensured that children under 10 years age are within actual sight and sound supervision of staff. Evidence: 1. Child 1, two year old, was not in sight and sound supervision by staff on 4/12/2023, when she was left alone on the playground when both toddler classes were brought inside from the playground. 2. Staff 1 stated that child 1 was alone on the playground (out of sight and sound supervision of staff) for approximately one minute before staff 1 discovered that she had not come inside with her class.”

8VAC20-780-260-B

“Based upon review of records and staff interview, the facility has not ensure that an annual health department inspection report is provided. Evidence: 1. The most recent health department inspection report is dated 1/7/2022. 2. Staff 1 verified that a more recent health department inspection has not been obtained.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment of the center are maintained in a safe and operable condition. Evidence: The long telephone cord in the older infant room was hanging within reach of the children sitting at the table. The telephone cord in the Green Frogs classroom was hanging within reach of the children.”

8VAC20-780-260-A

“Based upon review of records and staff interview, the facility has not ensure that an annual fire inspection report is provided. Evidence: 1. The most recent fire official inspection report is dated 2/16/2022. 2. Staff 1 verified that a more recent fire official inspection has not been obtained.”

8VAC20-780-500-B

“Based upon observation and staff interview, the facility has not ensured that diaper changing stations are equipped with diaper disposal systems that are operated in such a way that the staff person's hands nor the soiled diaper touch the outside of the disposal system. Evidence: 1. The lid on the diaper disposal system in the Khaki Kangaroo classroom is broken and no longer lifts the lid high enough to drop the soiled diaper inside. 2. Classroom staff confirmed that the lid on the disposal can is no longer working.”

8VAC20-780-510-E

“Based upon review of medication stored for administration to children and the facility's procedure for parent authorization for the administration of medication, the facility has not ensured that their procedures are followed. Evidence: The facility's procedure for parent authorization to administer over the counter medication requires new authorization every ten days. There was a container of ibuprofen to be administered to child 9. The parent authorization was from 4/17/2023 - 6/15/2023.”

8VAC20-780-40-E

“Based upon review of procedures and staff interview, the facility has not ensured that all activities and services are in compliance with their own policies and procedures. Evidence: 1. The facility's policy for the outdoor learning environment states that "Before returning inside, conduct a Name to Face of all the children" 2. Staff 1 stated that on 4/12/2023 she failed to conduct a Name to Face of the children prior to coming inside the building as the app on the tablets on which this was to be conducted was down (not working)..”

8VAC20-780-340-A

“Based upon staff interview, the facility has not ensured that when staff are supervising children, they always ensure their care and protection. Evidence: 1. On 4/12/2023, staff 1 did not ensure the care and protection of child 1 when child 1, two years old, was left alone on the outdoor playground when staff 1 brought the rest of the children in her care back into the building. 2. Child 1 was on the playground for approximately 1 minute before staff 1 discovered that child 1 had not come in from the playground with the rest of the class. 3. Staff 1 stated that child 1 was crying at the door from the playground to the building when staff 1 went to retrieve her. 4. Staff 1 stated that she did not know how many children for which she was responsible because the application on the staff tablets was not working.”

8VAC20-780-340-F

“Based upon staff interview, the facility has not ensured that children under 10 years age are within actual sight and sound supervision of staff. Evidence: 1. Child 1, two year old, was not in sight and sound supervision by staff on 4/12/2023, when she was left alone on the playground when both toddler classes were brought inside from the playground. 2. Staff 1 stated that child 1 was alone on the playground (out of sight and sound supervision of staff) for approximately one minute before staff 1 discovered that she had not come inside with her class.”

8VAC20-780-260-B

“Based upon review of records and staff interview, the facility has not ensure that an annual health department inspection report is provided. Evidence: 1. The most recent health department inspection report is dated 1/7/2022. 2. Staff 1 verified that a more recent health department inspection has not been obtained.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment of the center are maintained in a safe and operable condition. Evidence: The long telephone cord in the older infant room was hanging within reach of the children sitting at the table. The telephone cord in the Green Frogs classroom was hanging within reach of the children.”

8VAC20-780-260-A

“Based upon review of records and staff interview, the facility has not ensure that an annual fire inspection report is provided. Evidence: 1. The most recent fire official inspection report is dated 2/16/2022. 2. Staff 1 verified that a more recent fire official inspection has not been obtained.”

8VAC20-780-500-B

“Based upon observation and staff interview, the facility has not ensured that diaper changing stations are equipped with diaper disposal systems that are operated in such a way that the staff person's hands nor the soiled diaper touch the outside of the disposal system. Evidence: 1. The lid on the diaper disposal system in the Khaki Kangaroo classroom is broken and no longer lifts the lid high enough to drop the soiled diaper inside. 2. Classroom staff confirmed that the lid on the disposal can is no longer working.”

8VAC20-780-510-E

“Based upon review of medication stored for administration to children and the facility's procedure for parent authorization for the administration of medication, the facility has not ensured that their procedures are followed. Evidence: The facility's procedure for parent authorization to administer over the counter medication requires new authorization every ten days. There was a container of ibuprofen to be administered to child 9. The parent authorization was from 4/17/2023 - 6/15/2023.”

8VAC20-780-550-P

“Based upon review of children's injury records, the facility has not ensured that all required documentation is included. Evidence: The injury record for child 8, dated 10/19/2022, did not include the date the parent was notified of the child's injury.”

8VAC20-780-550-P

“Based upon review of children's injury records, the facility has not ensured that all required documentation is included. Evidence: The injury record for child 8, dated 10/19/2022, did not include the date the parent was notified of the child's injury.”

8VAC20-780-340-A

“Based upon staff interview, the facility has not ensured that when staff are supervising children, they ensure their care and protection. Evidence: Interviews with staff 2,3 and 4, on duty in the young infant room on 8/5/2022, confirmed that on 8/5/2022, staff 2 mistakenly fed child 1a bottle of breast milk that was labeled and intended for child 2.”

8VAC20-780-450-D

“Based upon observation, the facility has not ensured that pillows are in use, they are individually assigned and covered with removable cases. Evidence: 1.There was one child with a pillow at nap time in the Green Frogs classroom. The pillow was not identified for use by the child and did not have a removable cover. 2. There was one child with a pillow at nap time in the Yellow Ducks classroom. The pillow was not identified for use by the child and did not have a removable cover. .”

8VAC20-780-40-M

“The facility has not maintained a current written list of all children's allergies, sensitivities, and dietary restrictions that is kept confidential in each room or area where children are present. Evidence: The allergy chart posted in the Purple Cats classroom is covered by a sheet of copy paper that has curled around the edges, revealing the names/pictures of children with allergies.”

8VAC20-780-70

“Based upon review of staff records, the facility has not ensured that each staff record includes the name, address and telephone number of an emergency contact person. Evidence: The record provided for staff 1 did not include the address of the emergency contact.”

8VAC20-780-270-A

“Based upon observation, the facility has not ensured that areas and equipment are maintained to be safe. Evidence: The caulking around the hand washing sink by the children's bathroom in the Orange Giraffes classroom has come loose between the sink and the wall.”