Oakwood Chapel Academy

8VAC20-780-80-A

“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. The arrival of three children was not documented on the daily attendance. The children were in care during the inspection.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information. The records for Child #1, Child #2, and Child #3 did not contain all the information required to be in children's records.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The lunch served to children included only four of five of the required nutritional requirements. A grain component was not included in the lunch.”

8VAC20-780-150-B

“Immunization reports shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #4 was not signed by a physician, his designee, or an official of a local health department, which is required.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The lunch served to children included only four of five of the required nutritional requirements. Fruit was not included in the lunch.”

8VAC20-780-560-G

“When food is brought from home, the following shall apply: the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. On the day of the inspection two lunchboxes, belonging to children in care, were not dated and labeled to identify the owner.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information. The record for Child #1 did not contain documentation of child updates and confirmation of up-to-date information.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The lunch served to children included only four of five of the required nutritional requirements. Fruit was not included in the lunch.”

8VAC20-780-560-G

“When food is brought from home, the following shall apply: the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. On the day of the inspection two lunchboxes, belonging to children in care, were not dated and labeled to identify the owner.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information. The record for Child #1 did not contain documentation of child updates and confirmation of up-to-date information.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The lunch served to children was four of five of the required nutritional requirements. Fruit was not included in the lunch.”

8VAC20-780-80-A

“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. On the day of the inspection, there were six children present. However, only five children were signed in on the attendance.”

8VAC20-780-290-A-3

“Repeat Violation Electrical outlets shall have protective covers. There were two outlets without protective covers in the multi-purpose room. There was one outlet without a protective cover in a preschool classroom.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. The medication authorization for Child #1 and Child #2 had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-560-F

“Repeat Violation When centers choose to provide meals or snacks, the following shall apply: centers shall follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). The lunch served to children was four of five of the required nutritional requirements. Fruit was not included in the lunch.”

8VAC20-780-80-A

“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. On the day of the inspection, there were six children present. However, only five children were signed in on the attendance.”

8VAC20-780-290-A-3

“Repeat Violation Electrical outlets shall have protective covers. There were two outlets without protective covers in the multi-purpose room. There was one outlet without a protective cover in a preschool classroom.”

8VAC20-780-510-P

“When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. The medication authorization for Child #1 and Child #2 had not been renewed and the medication was not returned or disposed of as required.”

8VAC20-780-550-G

“Repeat Violation Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that include all the required information. The documentation for evacuation drills did not include the method used for notification of the drill, any special conditions simulated, or problems encountered, if any.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information. 1.The record for Child #1 (enrolled for four months) did not contain the work phone number and place of employment of one parent or the address of one required designated person to call in an emergency if a parent cannot be reached. 2.The record for Child #2 (enrolled for four months) did not contain the work phone number of one parent.”

8VAC20-780-40-H

“The sponsor shall maintain public liability insurance for bodily injury for each center site with minimum limits. There was no documentation available to demonstrate that the center has up-to date liability insurance. The liability insurance available at the center had an expiration date of 12/1/24.”

8VAC20-780-150-B

“Each report shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #2 (enrolled for four months) was missing a signature by a physician, his designee, or an official of a local health department.”

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 for Child #3 (enrolled for four months) did not contain documentation of a physical examination.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of disinfectant wipes at the front entrance of the center. The wipes were unlocked and had a warning label that stated, ?Keep Out of Reach of Children.?”

8VAC20-780-550-G

“Repeat Violation Documentation shall be maintained of emergency evacuation, shelter-in-place, and lockdown drills that include all the required information. The documentation for evacuation drills did not include the method used for notification of the drill, any special conditions simulated, or problems encountered, if any.”

8VAC20-780-60-A

“Repeat Violation Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain all the required information. 1.The record for Child #1 (enrolled for four months) did not contain the work phone number and place of employment of one parent or the address of one required designated person to call in an emergency if a parent cannot be reached. 2.The record for Child #2 (enrolled for four months) did not contain the work phone number of one parent.”

8VAC20-780-40-H

“The sponsor shall maintain public liability insurance for bodily injury for each center site with minimum limits. There was no documentation available to demonstrate that the center has up-to date liability insurance. The liability insurance available at the center had an expiration date of 12/1/24.”

8VAC20-780-150-B

“Each report shall be signed by a physician, his designee, or an official of a local health department. The immunization report for Child #2 (enrolled for four months) was missing a signature by a physician, his designee, or an official of a local health department.”

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 for Child #3 (enrolled for four months) did not contain documentation of a physical examination.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. There was a container of disinfectant wipes at the front entrance of the center. The wipes were unlocked and had a warning label that stated, ?Keep Out of Reach of Children.?”

8VAC20-780-550-G

“Based on record review the center did not ensure that documentation of emergency evacuation drills include all necessary information. Evidence: 1.The documentation for 2024 monthly emergency evacuation drills did not include the following components: identity of the person conducting the drill, the method used for notification of the drill, the number of staff participating, the number of children participating, any special conditions simulated, and problems encountered, if any.”

8VAC20-780-580-C

“Based on observation and interview the center did not ensure that during transportation of children, all transportation requirements are followed. Evidence: 1.19 school age children were observed arriving for after school services at the center. a. 16 of the 19 arriving school age children were transported on a 13-seat passenger van, according to Staff #2. 2. Staff #2 (bus driver) confirmed that they transported all 16 school age children on the 13 passenger van, with some children sitting two to a seat belt. 3.There was no list of names of the children being transported to the center on the afternoon of the inspection. 4.Staff #2 confirmed that there was not a list of names to show what children were being transported on the van that afternoon.”

8VAC20-780-580-L

“Based on record review and interview the center did not ensure that parental permission for transportation is secured before the scheduled activity. Evidence: 1.Child #4 did not have documentation of parental permission to transport the child to and from the center and public school. a. Child #4 was transported to the center and arrived during the inspection. 2.The program director confirmed that there is no form to show that parental permission is secured to transport children to and from public school.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interview the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were hazardous substances with ?Keep Out of Reach of Children? on the manufacturers label. These substances were unlocked and accessible to children. a. In the blue classroom, there were cleaning materials such as disinfectant spray, four hand sanitizers, and carpet cleaner in an unlocked cabinet. b. In the red classroom, there were cleaning materials such as air freshener and bathroom cleaner in an unlocked bathroom cabinet. c. Classroom staff confirmed that the air freshener and bathroom cleaner were not kept in a locked place. d. In the kitchen, there was an unlocked cabinet containing bleach, powder cleanser, and a table sanitizer. The kitchen was unlocked, giving children access to the kitchen area and unlocked cabinet. e. There was a full propane tank located outside by the play yard entrance/exit.”

8VAC20-780-290-A-3

“Based on observation and the center did not ensure that all electrical outlets have protective covers. Evidence: 1.There was an electrical outlet cover missing in the multi-purpose room, in the blue classroom, and in a hallway restroom. a. children were seen in the multipurpose room and in the hallway bathroom during the time of the inspection.”

8VAC20-780-560-F

“Based on record review and interview the center did not ensure to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. On the day of the inspection, 5/28/24, the menu displayed that the children were only served four of five of the nutritional requirements. A grain component was missing from the day’s lunch. 2.The program director confirmed that the required grain component was missing from the lunch served for the day.”

8VAC20-780-320-B

“Based on observation the center did not ensure that running water at the center does not exceed 120?F. Evidence: 1.The water in a hallway bathroom used by children in care had a temperature reading of 131?F.”

8VAC20-780-340-F

“Based on observation and interview the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1.During nap time, staff left the room, where seven preschool children were napping. The children were out of sight and sound supervision of the staff. a. Classroom staff confirmed that they were not in the room and had stepped out for a moment.”

8VAC20-780-550-B

“Based on record review the center did not ensure to have a written emergency preparedness plan that addresses all procedural components. Evidence: 1.The center’s emergency preparedness plan for did not include procedures for sounding of alarms or emergency communication. 2.The center’s emergency preparedness plan for evacuations did not include procedures for securing of essential documents, methods to ensure any health care needs, or accommodations/special requirements for children with special needs. 3.The center’s emergency preparedness plan did not include any emergency procedures in case of a shelter-in-place or lockdown.”

8VAC20-770-60-B

“Based on record review and interview the center did not ensure that all staff have a sworn statement or affirmation completed prior to the 1st day of employment. Evidence: 1.The record for Staff #1 (hire date 5/13/24) did not contain a sworn statement or affirmation. a. Staff #1 was present during the inspection. 2.The program director confirmed that there was no sworn statement or affirmation in Staff #1?s record.”

8VAC20-780-160-A

“Repeat Violation Based on record review the center did not ensure that each staff member submit documentation of a negative tuberculosis (TB) screening prior to hire. Evidence: 1. The documented TB screening for Staff #1 (hire date 5/13/24) was dated for 5/17/24, which is after the staff member was hired.”

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all the required information. Evidence: 1.The record for Child #1 did not contain a work phone number for one parent. 2.The record for Child #2 was missing the name and phone number of one parent’s place of employment. 3.The record for Child #3 was missing the name, address, and phone number for one parent, the name of one parent’s place of employment, and the work phone numbers for both parents. 4.The record for Child #4 did not contain the name and address for one parent, the name and phone number for one parent’s place of employment, or an emergency contact’s home address.”

8VAC20-780-270-A

“Based on observation the center did not ensure that areas and equipment of the center are maintained in a safe condition. Evidence: 1.There were two empty plastic bags stored in children’s chairs and rubber gloves stored on a shelf in the orange classroom, posing as suffocation hazards. 2. There were cords hanging from the television and by a table located at the main entrance of the multi-purpose room. In addition, cords were hanging by a television cart in the green classroom. a. Children were observed napping, eating snack, and participating in play in the multi-purpose room during the inspection.”

8VAC20-780-550-G

“Based on record review the center did not ensure that documentation of emergency evacuation drills include all necessary information. Evidence: 1.The documentation for 2024 monthly emergency evacuation drills did not include the following components: identity of the person conducting the drill, the method used for notification of the drill, the number of staff participating, the number of children participating, any special conditions simulated, and problems encountered, if any.”

8VAC20-780-580-C

“Based on observation and interview the center did not ensure that during transportation of children, all transportation requirements are followed. Evidence: 1.19 school age children were observed arriving for after school services at the center. a. 16 of the 19 arriving school age children were transported on a 13-seat passenger van, according to Staff #2. 2. Staff #2 (bus driver) confirmed that they transported all 16 school age children on the 13 passenger van, with some children sitting two to a seat belt. 3.There was no list of names of the children being transported to the center on the afternoon of the inspection. 4.Staff #2 confirmed that there was not a list of names to show what children were being transported on the van that afternoon.”

8VAC20-780-580-L

“Based on record review and interview the center did not ensure that parental permission for transportation is secured before the scheduled activity. Evidence: 1.Child #4 did not have documentation of parental permission to transport the child to and from the center and public school. a. Child #4 was transported to the center and arrived during the inspection. 2.The program director confirmed that there is no form to show that parental permission is secured to transport children to and from public school.”

8VAC20-780-280-B

“Repeat Violation Based on observation and interview the center did not ensure that hazardous substances such as cleaning materials are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were hazardous substances with ?Keep Out of Reach of Children? on the manufacturers label. These substances were unlocked and accessible to children. a. In the blue classroom, there were cleaning materials such as disinfectant spray, four hand sanitizers, and carpet cleaner in an unlocked cabinet. b. In the red classroom, there were cleaning materials such as air freshener and bathroom cleaner in an unlocked bathroom cabinet. c. Classroom staff confirmed that the air freshener and bathroom cleaner were not kept in a locked place. d. In the kitchen, there was an unlocked cabinet containing bleach, powder cleanser, and a table sanitizer. The kitchen was unlocked, giving children access to the kitchen area and unlocked cabinet. e. There was a full propane tank located outside by the play yard entrance/exit.”

8VAC20-780-290-A-3

“Based on observation and the center did not ensure that all electrical outlets have protective covers. Evidence: 1.There was an electrical outlet cover missing in the multi-purpose room, in the blue classroom, and in a hallway restroom. a. children were seen in the multipurpose room and in the hallway bathroom during the time of the inspection.”

8VAC20-780-560-F

“Based on record review and interview the center did not ensure to follow the most recent, age-appropriate nutritional requirements of the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: 1. On the day of the inspection, 5/28/24, the menu displayed that the children were only served four of five of the nutritional requirements. A grain component was missing from the day’s lunch. 2.The program director confirmed that the required grain component was missing from the lunch served for the day.”

8VAC20-780-320-B

“Based on observation the center did not ensure that running water at the center does not exceed 120?F. Evidence: 1.The water in a hallway bathroom used by children in care had a temperature reading of 131?F.”

8VAC20-780-340-F

“Based on observation and interview the center did not ensure that children under 10 years of age are always within actual sight and sound supervision of staff. Evidence: 1.During nap time, staff left the room, where seven preschool children were napping. The children were out of sight and sound supervision of the staff. a. Classroom staff confirmed that they were not in the room and had stepped out for a moment.”

8VAC20-780-550-B

“Based on record review the center did not ensure to have a written emergency preparedness plan that addresses all procedural components. Evidence: 1.The center’s emergency preparedness plan for did not include procedures for sounding of alarms or emergency communication. 2.The center’s emergency preparedness plan for evacuations did not include procedures for securing of essential documents, methods to ensure any health care needs, or accommodations/special requirements for children with special needs. 3.The center’s emergency preparedness plan did not include any emergency procedures in case of a shelter-in-place or lockdown.”

8VAC20-770-60-B

“Based on record review and interview the center did not ensure that all staff have a sworn statement or affirmation completed prior to the 1st day of employment. Evidence: 1.The record for Staff #1 (hire date 5/13/24) did not contain a sworn statement or affirmation. a. Staff #1 was present during the inspection. 2.The program director confirmed that there was no sworn statement or affirmation in Staff #1?s record.”

8VAC20-780-160-A

“Repeat Violation Based on record review the center did not ensure that each staff member submit documentation of a negative tuberculosis (TB) screening prior to hire. Evidence: 1. The documented TB screening for Staff #1 (hire date 5/13/24) was dated for 5/17/24, which is after the staff member was hired.”

8VAC20-780-60-A

“Based on record review the center did not ensure that children’s records contain all the required information. Evidence: 1.The record for Child #1 did not contain a work phone number for one parent. 2.The record for Child #2 was missing the name and phone number of one parent’s place of employment. 3.The record for Child #3 was missing the name, address, and phone number for one parent, the name of one parent’s place of employment, and the work phone numbers for both parents. 4.The record for Child #4 did not contain the name and address for one parent, the name and phone number for one parent’s place of employment, or an emergency contact’s home address.”

8VAC20-780-270-A

“Based on observation the center did not ensure that areas and equipment of the center are maintained in a safe condition. Evidence: 1.There were two empty plastic bags stored in children’s chairs and rubber gloves stored on a shelf in the orange classroom, posing as suffocation hazards. 2. There were cords hanging from the television and by a table located at the main entrance of the multi-purpose room. In addition, cords were hanging by a television cart in the green classroom. a. Children were observed napping, eating snack, and participating in play in the multi-purpose room during the inspection.”

8VAC20-780-510-P

“Based on medication review the center failed to ensure that when an authorization for medication expires the parent is notified that the medication needs to be up within 14 days or the parent must renew the authorization. Nor did the center ensure that medications not picked up within 14 days are disposed of by the center. Evidence: 1 - There is a prescription albuterol inhaler in the medication lock box for Child #1. However, there is not any authorization for the medication. a. The child has not been enrolled in the program since June 2023. 2 - Staff #1 confirmed that there was not an authorization for the medication nor is the child enrolled in the program any longer and the medication remains in the lock box beyond the allotted 14 days.”

8VAC20-780-280-B

“Based on observation the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: Unlocked hazardous substances were observed in multiple location throughout the building in classrooms and bathrooms, including but not limited to hand sanitizer, surface cleaning spray, surface sanitizing spray, each had a label stating keep out reach of children.”

8VAC20-780-510-I

“Based medication review the center failed to ensure that prescription medication normally administered by a parent may be administered provided all requirements are met. Evidence: 1 - Prescription Albuterol inhaler medication was documented as having been administered to Child #2 on November 2 and 27, 2023. However, there is no prescription with the medication. The medication is not labeled in any way with the child's name. There is not a parent authorization to administer the medication. 2 - Staff #1 confirmed that the documentation on the log sheet was correct and the medication did not have the required prescription, name of child or parent authorization.”

8VAC20-780-160-A

“Based on record review and interview the center failed to ensure that each staff submit documentation of a negative tuberculosis screening prior to coming into contact with children and within the last 30 calendar days of the date of employment. Evidence: 1 - Two out of three staff records reviewed contained tuberculosis screenings dated outside the allowable time frame. a. Staff #2 has a documented tuberculosis screening dated January 6, 2022. However, the documented date of hire for Staff #2 is September 20, 2022. b. Staff #23has a documented tuberculosis screening dated September 23,, 2022. However, the documented date of hire for Staff #3 is March 13, 2023. 2 - Staff #1 confirmed the dates of tuberculosis screenings and hire dates for Staff #2 and #3 are documented correctly.”

8VAC20-780-260-A

“Based on documentation review and interview the center failed to provide an annual fire inspection as required. Evidence: 1 - The most recent fire inspection available for review is dated November 23, 2022. Therefore, the inspection is past due for annual update. 2 - Staff #1 confirmed that the most recent fire inspection available was dated November 23, 2022.”