Phases Prep Academy School House

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities and services are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. On 4/22/2026, Child #5 was left on the center's bus for approximately 1-2 minutes. The center's policy for supervision during transportation states that both the driver and aide (if applicable) will perform a complete vehicle check before exiting to ensure no child is left inside. Administration acknowledged that a complete vehicle check was not conducted.”

8VAC20-780-340-F

“Children under 10 years of age always shall be within actual sight and sound supervision of staff. On 4/22/2026, Child #5, age 5, was out of the sight and sound of a staff member for approximately 1-2 minutes on the center's van. Staff #3 exited the van that was parked along the curb by the center's main entrance and walked approximately 10 feet into the building. Staff #4 who was taking attendance by the door observed that Child #5 was missing and called for an administrator. At the same time, Staff #4 saw Child #5 exit the van and walk to the door.”

8VAC20-780-550-P

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the 1. Date and time of injury; 2. Name of injured child; 3. Type and circumstance of the injury; 4. Staff present and treatment; 5. Date and time when parents were notified; 6. Any future action to prevent recurrence of the injury; 7. Staff and parent signatures or two staff signatures; and 8. Documentation on how parent was notified. Child #6 had an injury report that was missing the time the parent was notified of the minor injury and any action to prevent recurrence of the injury.”

8VAC20-780-570-E

“Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Eight bottles of prepared formula belonging to three children were stored in the center's refrigerator. The bottles did not contain a date.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a criminal background check from one state for Staff #1, who has been employed for over 3 months. Staff #1 has supervised children alone.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-780-350-B-3

“The required ratio for children 2 years of age is 1:8. Staff #1 and staff #2 were supervising a two year old classroom with 13 children. Staff #1 left the classroom area three times, leaving staff #2 five children over the required ratio for up to 2 minutes.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request a criminal background check from one state for Staff #1, who has been employed for over 3 months. Staff #1 has supervised children alone.”

22.1-289.057-A

“The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.”

8VAC20-780-350-B-3

“The required ratio for children 2 years of age is 1:8. Staff #1 and staff #2 were supervising a two year old classroom with 13 children. Staff #1 left the classroom area three times, leaving staff #2 five children over the required ratio for up to 2 minutes.”

8VAC20-780-560-J

“Tables and high chair trays shall be: Sanitized before and after each use for feeding. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Staff stated that they were not sanitizing the tables before and after feeding.”

8VAC20-780-560-J

“Tables and high chair trays shall be: Sanitized before and after each use for feeding. "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution (i.e., bleach solution or commercial chemical disinfectant) or physical agent (e.g., heat). The surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions. Staff stated that they were not sanitizing the tables before and after feeding.”

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure that when a child was placed in a high chair, the protective belt was fastened securely. Evidence: 1. A two year old child was observed sitting in a high chair. The chair contained a protective belt was not fastened around the child. 2. Administration acknowledged that the protective belt was not bucked.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Chipped and peeling paint was observed in the yellow multipurpose room and the school age room. On the playground, a loose electrical cord was observed that posed a strangulation hazard. A water pipe that contained rust was observed in the corner of the playground. Torn plastic landscaping material was observed on the ground which posed a tripping hazard. 2. Administration stated that work orders were in place and acknowledged that the areas required maintenance.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure that two staff records were complete. Evidence: 1. Administration identified staff #2 (date of employment: 4/25/24) and staff #3 (date of employment: 4/26/24) as program leaders. The records did not contain documentation to demonstrate that the individuals possessed the education and experience required by the job position. 2. Administration stated that the staff were qualified but the education documentation and resumes were not in the record.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not ensure that monthly practice evacuation drills were documented. Evidence: 1. Administration was not able to locate documentation of the monthly evacuation drills for February, March, and April of 2024. Administration stated that the drills has been completed.”

8VAC20-780-570-A

“Based on observation and interview, the center did not ensure that when a child was placed in a high chair, the protective belt was fastened securely. Evidence: 1. A two year old child was observed sitting in a high chair. The chair contained a protective belt was not fastened around the child. 2. Administration acknowledged that the protective belt was not bucked.”

8VAC20-780-270-A

“Based on observation and interview, the center did not ensure that areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: 1. Chipped and peeling paint was observed in the yellow multipurpose room and the school age room. On the playground, a loose electrical cord was observed that posed a strangulation hazard. A water pipe that contained rust was observed in the corner of the playground. Torn plastic landscaping material was observed on the ground which posed a tripping hazard. 2. Administration stated that work orders were in place and acknowledged that the areas required maintenance.”

8VAC20-780-70

“Based on a review of five staff records and interview, the center did not ensure that two staff records were complete. Evidence: 1. Administration identified staff #2 (date of employment: 4/25/24) and staff #3 (date of employment: 4/26/24) as program leaders. The records did not contain documentation to demonstrate that the individuals possessed the education and experience required by the job position. 2. Administration stated that the staff were qualified but the education documentation and resumes were not in the record.”

8VAC20-780-550-G

“Based on a review of documentation and interview, the center did not ensure that monthly practice evacuation drills were documented. Evidence: 1. Administration was not able to locate documentation of the monthly evacuation drills for February, March, and April of 2024. Administration stated that the drills has been completed.”

8VAC20-780-160-A

“Based on record review and interview, the center did not ensure to obtain documentation of a tuberculosis (TB) screening for one staff at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record of staff #1 (date of employment: 11/9/2023) contained a TB screening dated 10/6/23. 2. Administration acknowledged that the TB screening had not been completed within the last 30 calendar days of the date of employment.”