Pearl Early Childhood Academy

8VAC20-780-330-F

“Based on the physical plant review the playground does not have a shady spot. Evidence: During the inspection the playground was in full sun.”

8VAC20-780-330-F

“Based on the physical plant review the playground does not have a shady spot. Evidence: During the inspection the playground was in full sun.”

8VAC20-780-550-C

“Based on record review and review of maps, it was determined Shelter In Place and Lockdown Procedures are not posted in a location where staff can review.”

8VAC20-780-70

“Based on record review of staff files, it was determined the center did not document how some staff qualify for job position listed in their files. Evidence: 1. Staff #1 is listed as a teacher but there is no documentation to verify previous programmatic experience. Based on application the staff was not qualified but has been present at this center for over 6 months. The Center did not obtain additional 16 hours in training in the last 6 months to allow staff member to be a lead. 2. Staff #2 was listed a lead but there is no documentation to verify staff has past experience to meet qualifications of a lead. 3. Staff #1 is listed as a lead but past experience documentation is missing verification on how long staff was employed at a previous center.”

8VAC20-780-550-E

“Based on record review, there have not been two shelter in place drills practiced in the last year. Evidence: 1. There are no shelter in place drills documented in the emergency log book since 2021.”

8VAC20-780-240-C

“Based on record review of staff files, the center has not trained staff on all required items for Orientation. Evidence: 1. Staff handbook was reviewed and does not include Prevention of head trauma including procedures to cope with distraught children. 2. Staff handbook also does not include prevention of and response due to food and allergic reactions including recognizing symptoms, responding to emergencies and preventing cross-contamination. 3. Interview with the director also verified that training of above items are not listed on the Orientation checklist.”

8VAC20-780-550-P

“Based on record review of children's injury reports, it was determined the staff are not recording actions taken to prevent recurrence of the injury/accident. Evidence: 1. Center has a blank accident report that includes prevention but is logging injuries on a sheet that does not include actions to prevent recurrence. 2. Review of 8 injury reports demonstrated the staff are not recording prevention plan because they do not have that item on the injury report.”

8VAC20-780-550-F

“Based on record review, there has not been an annual Lockdown drill practiced since late 2021.”

8VAC20-780-60-A

“Based on record review of children's files, it was determined one child's file was not complete. Evidence: 1. Child #2's file was reviewed for information related to a food allergy. The file did not contain written agreements between the parent and the center.”

8VAC20-780-160-A

“Based on record review of staff files, it was determined center is accepting TB Screenings that are completed longer than 30 days prior of employment date. Evidence: 1. Staff 3 started in March, 2023 and TB Screening was conducted April, 2022.”

8VAC20-780-550-C

“Based on record review and review of maps, it was determined Shelter In Place and Lockdown Procedures are not posted in a location where staff can review.”

8VAC20-780-70

“Based on record review of staff files, it was determined the center did not document how some staff qualify for job position listed in their files. Evidence: 1. Staff #1 is listed as a teacher but there is no documentation to verify previous programmatic experience. Based on application the staff was not qualified but has been present at this center for over 6 months. The Center did not obtain additional 16 hours in training in the last 6 months to allow staff member to be a lead. 2. Staff #2 was listed a lead but there is no documentation to verify staff has past experience to meet qualifications of a lead. 3. Staff #1 is listed as a lead but past experience documentation is missing verification on how long staff was employed at a previous center.”

8VAC20-780-550-E

“Based on record review, there have not been two shelter in place drills practiced in the last year. Evidence: 1. There are no shelter in place drills documented in the emergency log book since 2021.”

8VAC20-780-240-C

“Based on record review of staff files, the center has not trained staff on all required items for Orientation. Evidence: 1. Staff handbook was reviewed and does not include Prevention of head trauma including procedures to cope with distraught children. 2. Staff handbook also does not include prevention of and response due to food and allergic reactions including recognizing symptoms, responding to emergencies and preventing cross-contamination. 3. Interview with the director also verified that training of above items are not listed on the Orientation checklist.”

8VAC20-780-550-P

“Based on record review of children's injury reports, it was determined the staff are not recording actions taken to prevent recurrence of the injury/accident. Evidence: 1. Center has a blank accident report that includes prevention but is logging injuries on a sheet that does not include actions to prevent recurrence. 2. Review of 8 injury reports demonstrated the staff are not recording prevention plan because they do not have that item on the injury report.”

8VAC20-780-550-F

“Based on record review, there has not been an annual Lockdown drill practiced since late 2021.”

8VAC20-780-60-A

“Based on record review of children's files, it was determined one child's file was not complete. Evidence: 1. Child #2's file was reviewed for information related to a food allergy. The file did not contain written agreements between the parent and the center.”

8VAC20-780-160-A

“Based on record review of staff files, it was determined center is accepting TB Screenings that are completed longer than 30 days prior of employment date. Evidence: 1. Staff 3 started in March, 2023 and TB Screening was conducted April, 2022.”

8VAC20-780-510-E

“Based on record review, the center is not adhering to their procedures/policies of administrating because three children with medication issues do not included parent's authorization for staff to administer. Evidence: 1. Center has 3 children with emergency medication and stated they had written permission to administer. 2. The forms do record when a child should be administered medication but it does not signify the center staff have the parent's written authorization to administer.”

8VAC20-780-245-J-3

“Based on interview and record review, it was determined there is not always a child with emergency meds in the care of a staff member who meets the MAT requirements. Evidence: 1. There are three children identified as having medication on site for emergency only. One child is present up to 515 and one arrives early. 2. There is only one staff employed with MAT certification and hours present are 8-4.”

22.1-289.035-B-4

“Based on record review, it was determined the center did not obtain background check for staff hired in June and resided out of state to verify eligibility status within 30 days. Evidence: 1. Staff #1 has Commonwealth searches but resided out of state in the last 5 years and center did not obtain those clearances for all three locations. Program obtained 2 but does not have clearance for 1.”

8VAC20-780-40-E

“Based on review of permits, it was determined the center has not ensured the annual fire permit is current. Evidence: 1The Centers Annual Fire Permit expire in February, 2022. 2. The Center did not have a fire inspection within the last 17 months.”

8VAC20-780-510-E

“Based on record review, the center is not adhering to their procedures/policies of administrating because three children with medication issues do not included parent's authorization for staff to administer. Evidence: 1. Center has 3 children with emergency medication and stated they had written permission to administer. 2. The forms do record when a child should be administered medication but it does not signify the center staff have the parent's written authorization to administer.”

8VAC20-780-245-J-3

“Based on interview and record review, it was determined there is not always a child with emergency meds in the care of a staff member who meets the MAT requirements. Evidence: 1. There are three children identified as having medication on site for emergency only. One child is present up to 515 and one arrives early. 2. There is only one staff employed with MAT certification and hours present are 8-4.”

22.1-289.035-B-4

“Based on record review, it was determined the center did not obtain background check for staff hired in June and resided out of state to verify eligibility status within 30 days. Evidence: 1. Staff #1 has Commonwealth searches but resided out of state in the last 5 years and center did not obtain those clearances for all three locations. Program obtained 2 but does not have clearance for 1.”

8VAC20-780-40-E

“Based on review of permits, it was determined the center has not ensured the annual fire permit is current. Evidence: 1The Centers Annual Fire Permit expire in February, 2022. 2. The Center did not have a fire inspection within the last 17 months.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center not have a central registry finding within 30 days of employment for 2 staff and obtained one after 90 days of employment. Evidence: 1. Staff 1 and 2 have been employed for over 6 and half weeks and do not have a Central registry check. 2. Staff 3 was employed November 10, 2021 and the Central Registry check is dated February 25, 2022. 3. Administration stated they had to send back because not completely filled out but did not have documentation to demonstrate the clearances were filled out.”

8VAC20-780-160-A

“Based on record review, it was determined the center did not obtain a negative TB result for a staff member who started in March, 2022.”

8VAC20-780-40-K

“based on interview and record review, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1. Staff and Director were asked about policies for staff to follow that helps address risk with head trauma, shaken baby syndrome, and plans to help prevent these issues in a classroom and they stated they didn't have policies. 2. Review of staff handbook confirmed these items are not included.”

8VAC20-780-40-M

“Based on record review and observation, it was determined the center did not keep children's food allergies confidential when posting serious health issue and allergies in classrooms or in hallway. Evidence: 1. Center has posted current food allergies and children's health sensitivities for staff to review but these items were posted in areas parent and public could also view.”

8VAC20-780-60-A-7

“Based on review of child #1's file, it was determined the center did not obtain from the parent actions to take in an emergency situation for a listed food allergy. Evidence: 1. The Center does not have a physical but the parent listed a food allergy and only states to avoid the food. 2. The Center did not obtain a written plan from the parent what to do for the child in the event child is exposed to the allergen.”

8VAC20-780-60-A-8

“Based on record review of child's file and interviews with staff, it was determined the center did not obtain a written allergy action plan for a diagnosed food allergy, to include instructions from a 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. Evidence: 1. Child has a physical report that indicates food allergies for a child but there is no written plan from the child's physician.”

8VAC20-780-70

“Based on record review of 4 staff files, it was determined the center does not maintain complete records for staff. Evidence: 1. All 4 of 4 did not specify start date; 2. 2 of 4 did not specify job position; 3. 4 of 4 did not contain the required 2 references[; 4. All 4 did not contain documentation to verify staff received Orientation training; 5. 2 files did not included education and experience documentation to verify these staff were qualified to be lead teachers in a group; 6. and 1 staff has not received the Department's education-sponsored orientation course within 90 days of employment. 7. Interviews with staff helped to determine start dates and position.”

8VAC20-780-240-C

“Based on interview and record review, the staff have not received training on preventing cross contamination of food allergens, prevention of shaken baby and abusive head trauma.”

8VAC20-780-280-B

“Based on observation of each classroom it was determined the center has not kept hazardous material in a locked place using a safe locking method that prevents access by children. Evidence: 1. Each classroom had a gallon sized container of hand sanitizer kept on a shelf for children and staff to pump on their hands. The container states the warning to keep out of reach of children and that it if swallowed to get immediate medical help.”

8VAC20-780-550-G

“Based on record review of emergency drills, it was revealed the center did not maintain documentation of a practice emergency evacuation drill in April.”

8VAC20-780-500-B

“Based on observation of a changing area it was determined the program was not ensuring that a nonabsorbent surface for diapering or changing would be used. Evidence: 1. The changing pad was covered with a blanket that they use for diaper changing.”

8VAC20-770-60-C-2

“Based on record review and interview it was determined the center not have a central registry finding within 30 days of employment for 2 staff and obtained one after 90 days of employment. Evidence: 1. Staff 1 and 2 have been employed for over 6 and half weeks and do not have a Central registry check. 2. Staff 3 was employed November 10, 2021 and the Central Registry check is dated February 25, 2022. 3. Administration stated they had to send back because not completely filled out but did not have documentation to demonstrate the clearances were filled out.”

8VAC20-780-160-A

“Based on record review, it was determined the center did not obtain a negative TB result for a staff member who started in March, 2022.”

8VAC20-780-40-K

“based on interview and record review, the center has not developed written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness. Evidence: 1. Staff and Director were asked about policies for staff to follow that helps address risk with head trauma, shaken baby syndrome, and plans to help prevent these issues in a classroom and they stated they didn't have policies. 2. Review of staff handbook confirmed these items are not included.”

8VAC20-780-40-M

“Based on record review and observation, it was determined the center did not keep children's food allergies confidential when posting serious health issue and allergies in classrooms or in hallway. Evidence: 1. Center has posted current food allergies and children's health sensitivities for staff to review but these items were posted in areas parent and public could also view.”

8VAC20-780-60-A-7

“Based on review of child #1's file, it was determined the center did not obtain from the parent actions to take in an emergency situation for a listed food allergy. Evidence: 1. The Center does not have a physical but the parent listed a food allergy and only states to avoid the food. 2. The Center did not obtain a written plan from the parent what to do for the child in the event child is exposed to the allergen.”

8VAC20-780-60-A-8

“Based on record review of child's file and interviews with staff, it was determined the center did not obtain a written allergy action plan for a diagnosed food allergy, to include instructions from a 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. Evidence: 1. Child has a physical report that indicates food allergies for a child but there is no written plan from the child's physician.”

8VAC20-780-70

“Based on record review of 4 staff files, it was determined the center does not maintain complete records for staff. Evidence: 1. All 4 of 4 did not specify start date; 2. 2 of 4 did not specify job position; 3. 4 of 4 did not contain the required 2 references[; 4. All 4 did not contain documentation to verify staff received Orientation training; 5. 2 files did not included education and experience documentation to verify these staff were qualified to be lead teachers in a group; 6. and 1 staff has not received the Department's education-sponsored orientation course within 90 days of employment. 7. Interviews with staff helped to determine start dates and position.”

8VAC20-780-240-C

“Based on interview and record review, the staff have not received training on preventing cross contamination of food allergens, prevention of shaken baby and abusive head trauma.”

8VAC20-780-280-B

“Based on observation of each classroom it was determined the center has not kept hazardous material in a locked place using a safe locking method that prevents access by children. Evidence: 1. Each classroom had a gallon sized container of hand sanitizer kept on a shelf for children and staff to pump on their hands. The container states the warning to keep out of reach of children and that it if swallowed to get immediate medical help.”

8VAC20-780-550-G

“Based on record review of emergency drills, it was revealed the center did not maintain documentation of a practice emergency evacuation drill in April.”

8VAC20-780-500-B

“Based on observation of a changing area it was determined the program was not ensuring that a nonabsorbent surface for diapering or changing would be used. Evidence: 1. The changing pad was covered with a blanket that they use for diaper changing.”

22VAC40-185-270-A

“Based on observation, it was determined that areas and equipment of the center, inside, have not been maintained in a safe condition. Evidence: 1. Inspector observed two rooms that have been partially renovated. In one room, the Inspector found the frame around one exit door does not have floor molding which exposes splintered/cracked cement pieces. 2. In the second room which was occupied with children, the Inspector observed all the window blind's cords were looped and not secured up on a hook. The loops pose a hazard to a child if any of the loops becomes wrapped around a child.”