Skipwith Academy At Pebble Creek (#24)

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula be refrigerated, dated and labeled with the child’s name. Evidence: 1. In infant classroom 1, two bottles were observed in the fridge without dates labeled on the bottle. 2. In infant classroom 2, three bottles were observed in the fridge without dates labeled on the bottle. 3. Staff acknowledged that the bottles were not dated.”

8VAC20-770-60-C-2

“Based on reviews of staff records, the center did not ensure that each staff record had documentation of a central registry check within 30 days of employment. Evidence: 1. The record of staff #2, employed 02/29/2024, contained a central registry result dated 05/13/2024, exceeding 30 days from employment. 2. The record of staff #4, employed 04/22/2024, contained a central registry result dated 06/18/2024, exceeding 30 days from employment. 3. The director stated they did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

8VAC20-780-130-E

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #5 did not contain an updated immunization. The last immunization record received was dated for October 2023. 2. Director acknowledged that a request was made and were awaiting the updated immunizations.”

8VAC20-780-150-B

“Based on a review of children’s records, the center did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department Evidence: 1. The record for child #3 contained an immunization record that was not signed by the physician, his designee, or an official of a local health department.”

8VAC20-780-60-A

“Based on a review of child records, the center did not ensure each child’s record contained documentation of name, address and phone number of two designated peopled to call in an emergency if a parent cannot be reached. Evidence: 1. The records for Child #3 and Child #6 did not contain an address for 1 emergency contact listed.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of liquid dish soap was observed in an unlocked drawer in the Baby Steps III classroom where children were present. 2. The label on the soap stated keep out of reach of children.”

8VAC20-780-570-E

“Based on observation and interview, the center did not ensure prepared infant formula be refrigerated, dated and labeled with the child’s name. Evidence: 1. In infant classroom 1, two bottles were observed in the fridge without dates labeled on the bottle. 2. In infant classroom 2, three bottles were observed in the fridge without dates labeled on the bottle. 3. Staff acknowledged that the bottles were not dated.”

8VAC20-770-60-C-2

“Based on reviews of staff records, the center did not ensure that each staff record had documentation of a central registry check within 30 days of employment. Evidence: 1. The record of staff #2, employed 02/29/2024, contained a central registry result dated 05/13/2024, exceeding 30 days from employment. 2. The record of staff #4, employed 04/22/2024, contained a central registry result dated 06/18/2024, exceeding 30 days from employment. 3. The director stated they did not have documentation of a follow up as to the status of the request after 30 days from employment when the results had not been received.”

8VAC20-780-130-E

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for Child #5 did not contain an updated immunization. The last immunization record received was dated for October 2023. 2. Director acknowledged that a request was made and were awaiting the updated immunizations.”

8VAC20-780-150-B

“Based on a review of children’s records, the center did not ensure that each report shall include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department Evidence: 1. The record for child #3 contained an immunization record that was not signed by the physician, his designee, or an official of a local health department.”

8VAC20-780-60-A

“Based on a review of child records, the center did not ensure each child’s record contained documentation of name, address and phone number of two designated peopled to call in an emergency if a parent cannot be reached. Evidence: 1. The records for Child #3 and Child #6 did not contain an address for 1 emergency contact listed.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that hazardous substances such as cleaning materials, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A bottle of liquid dish soap was observed in an unlocked drawer in the Baby Steps III classroom where children were present. 2. The label on the soap stated keep out of reach of children.”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #2 (enrolled 5/08/23), did not have a physical examination.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The pool area has a gap (approximately 6 inches at the widest point) The gap between the cement floor and the fence poses a tripping hazard. 2. In room #7, the children's sofa and chair material is ripping and peeling on the top and bottom edges of the sofa and chair.”

8VAC20-780-240-A

“Based on the review of staff records, the center did not ensure staff completed all of the required orientation trainings. Evidence: The record for staff # 2 (employed: 5/15/23), staff 4 (employed: 10/11/22) and staff #8 (employed: 6/12/23) did not have documentation of orientation training.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The records for child #3 (enrolled 5/08/23) did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-160-A

“Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #6 (employed 1/10/23) did not have documentation of the TB screening or test.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #3 (enrolled 5/14/23), did not have documentation of immunizations.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings for one staff member. Evidence: 1. The record for staff #2 (employed 5/15/23) did not contain documentation of central registry findings.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of CPR certification. CPR certifications were not obtained within 90 days of their date of employment.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in first aid within 90 days of the date of employment Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of First Aid certification. First Aid certification was not obtained within 90 days of their date of employment”

8VAC20-780-140-A

“Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance. Evidence: The record for child #2 (enrolled 5/08/23), did not have a physical examination.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. The pool area has a gap (approximately 6 inches at the widest point) The gap between the cement floor and the fence poses a tripping hazard. 2. In room #7, the children's sofa and chair material is ripping and peeling on the top and bottom edges of the sofa and chair.”

8VAC20-780-240-A

“Based on the review of staff records, the center did not ensure staff completed all of the required orientation trainings. Evidence: The record for staff # 2 (employed: 5/15/23), staff 4 (employed: 10/11/22) and staff #8 (employed: 6/12/23) did not have documentation of orientation training.”

8VAC20-780-60-C

“Based on a review of children's records, the center did not ensure that each record contains all required information. Evidence: The records for child #3 (enrolled 5/08/23) did not contain documentation of viewing proof of the child's identity and age.”

8VAC20-780-160-A

“Based on review of records and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: The record for staff #6 (employed 1/10/23) did not have documentation of the TB screening or test.”

8VAC20-780-130-A

“Based on a review of children's records, the center did not ensure that each child's record contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: The record for child #3 (enrolled 5/14/23), did not have documentation of immunizations.”

8VAC20-770-60-C-2

“Based on record review and interview, the center did not have documentation of central registry findings for one staff member. Evidence: 1. The record for staff #2 (employed 5/15/23) did not contain documentation of central registry findings.”

8VAC20-790-600-D-1

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care within 90 days of the date of employment. Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of CPR certification. CPR certifications were not obtained within 90 days of their date of employment.”

8VAC20-790-600-D-2

“Based on a review of five staff records and interview, the vendor did not ensure three staff had documentation of current certification in first aid within 90 days of the date of employment Evidence: 1) The record for staff #4 (hired on 10/11/22) did not have documentation of First Aid certification. First Aid certification was not obtained within 90 days of their date of employment”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: The records for staff #3 (start date: 3/03/22), staff #4 (start date: 1/05/22), and staff #4 (start date: 2/07/22), did not contain the results of a central registry finding. During an interview, a member of management confirmed the central registry findings were not received within 30 days of employment for staff #3 and staff #4.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that one out of ten staff obtained fingerprint-print criminal background check results prior to hire. Evidence: 1. The record for staff # 4 (hire date 2/07/22) did not contain a fingerprint-based criminal background check determination letter from the Office of Background Investigation prior to employment. 2) During an interview, a member of management confirmed the fingerprint-based criminal background check results for staff #4 have not been received.”

8VAC20-780-245-A

“Based on record review, two staff members did not complete the required 16 hours of annual training appropriate to the age of children in care. Evidence: 1. The record of staff #5, contained documentation of seven hours of annual training. 2. The record for staff #6, contained 14 hours of annual training”

8VAC20-780-130-E

“Based on a review of children's records, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #6 (birth date 4/07/21), had one immunization record documented on 9/08/21.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On bus #1 and bus #2, there were used face masks, paper, gloves, band aids, sandwich bags and empty candy wrappers, food wrappers and water bottles on the floor of the buses. 2. On bus #1, there was a hole exposing foam in the second seat on both sides of the bus. 3. On bus #2, there were holes exposing foam on the first seat (right side), both second seats, both third seats, and two holes in the last seat to the right. 4. In the Montessori room, one brown sofa cushion had tears at the seam, exposing foam. 5. On the school-age playground border, there are 6 metal spikes connecting the playground boarder, the spikes are protruding above the horizontal level of the plastic boarder.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #4 (hire date 2/07/22) did not contain documentation of two or more references checked before employment.”

8VAC20-770-60-C-2

“Based on a review of staff records and interviews, the center did not ensure staff members had a central registry finding within 30 days of employment. Evidence: The records for staff #3 (start date: 3/03/22), staff #4 (start date: 1/05/22), and staff #4 (start date: 2/07/22), did not contain the results of a central registry finding. During an interview, a member of management confirmed the central registry findings were not received within 30 days of employment for staff #3 and staff #4.”

22.1-289.035-B-2

“Based on record review and interview, the center did not ensure that one out of ten staff obtained fingerprint-print criminal background check results prior to hire. Evidence: 1. The record for staff # 4 (hire date 2/07/22) did not contain a fingerprint-based criminal background check determination letter from the Office of Background Investigation prior to employment. 2) During an interview, a member of management confirmed the fingerprint-based criminal background check results for staff #4 have not been received.”

8VAC20-780-245-A

“Based on record review, two staff members did not complete the required 16 hours of annual training appropriate to the age of children in care. Evidence: 1. The record of staff #5, contained documentation of seven hours of annual training. 2. The record for staff #6, contained 14 hours of annual training”

8VAC20-780-130-E

“Based on a review of children's records, the center did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: The record for child #6 (birth date 4/07/21), had one immunization record documented on 9/08/21.”

8VAC20-780-270-A

“Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: 1. On bus #1 and bus #2, there were used face masks, paper, gloves, band aids, sandwich bags and empty candy wrappers, food wrappers and water bottles on the floor of the buses. 2. On bus #1, there was a hole exposing foam in the second seat on both sides of the bus. 3. On bus #2, there were holes exposing foam on the first seat (right side), both second seats, both third seats, and two holes in the last seat to the right. 4. In the Montessori room, one brown sofa cushion had tears at the seam, exposing foam. 5. On the school-age playground border, there are 6 metal spikes connecting the playground boarder, the spikes are protruding above the horizontal level of the plastic boarder.”

8VAC20-780-70

“Based on a review of staff records, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff #4 (hire date 2/07/22) did not contain documentation of two or more references checked before employment.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #1 (start date: 4/18/22) and staff #3 (start date: 3/03/22) did not have documentation of the TB screening or test at time of employment.”

8VAC20-780-280-B

“Based on observation and an interview, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #3, a container of Glade fragrance spray labeled "Harmful" and "Keep Out of Reach of Children" and a container of disinfectant spray labeled "Harmful" and "Hazards to Humans? in a unlocked cabinet. 2. In classroom #5, a container of multi-surface cleaner labeled "Hazards to Humans" and "Keep Out of Reach of Children" and one container of Peroxide labeled "Harmful? and "Keep Out of Reach of Children" was in an unlocked cabinet. 3. In classroom #7: a container of Fabuloso labeled ?Caution? and "Keep Out of Reach of Children,? Lysol disinfectant wipes labeled ?Caution? and "Keep Out of Reach of Children,? Glade fragrance spray labeled "Harmful" and "Keep Out of Reach of Children,? a container of Resolve labeled "Keep Out of Reach of Children" and ?Caution,? and a container of glass cleaner labeled ?Caution? and "Keep Out of Reach of Children" in an unlocked closet located in the children’s bathroom.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 2. The record for staff #5 (date of last TB screening 12/02/19) did not have an updated TB screening/test.”

8VAC20-780-510-E

“Based on observation and staff interview, the licensee did not ensure medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: One medication, Albuterol was observed without the prescription label, child’s name, the dosage amount, and the time or times to be given. Center Director confirmed that the medication did not have a label with the required information.”

8VAC20-780-160-A

“Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) at the time of employment and prior to coming in contact with children. Evidence: 1. The record for staff #1 (start date: 4/18/22) and staff #3 (start date: 3/03/22) did not have documentation of the TB screening or test at time of employment.”

8VAC20-780-280-B

“Based on observation and an interview, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In classroom #3, a container of Glade fragrance spray labeled "Harmful" and "Keep Out of Reach of Children" and a container of disinfectant spray labeled "Harmful" and "Hazards to Humans? in a unlocked cabinet. 2. In classroom #5, a container of multi-surface cleaner labeled "Hazards to Humans" and "Keep Out of Reach of Children" and one container of Peroxide labeled "Harmful? and "Keep Out of Reach of Children" was in an unlocked cabinet. 3. In classroom #7: a container of Fabuloso labeled ?Caution? and "Keep Out of Reach of Children,? Lysol disinfectant wipes labeled ?Caution? and "Keep Out of Reach of Children,? Glade fragrance spray labeled "Harmful" and "Keep Out of Reach of Children,? a container of Resolve labeled "Keep Out of Reach of Children" and ?Caution,? and a container of glass cleaner labeled ?Caution? and "Keep Out of Reach of Children" in an unlocked closet located in the children’s bathroom.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that subsequent communicable tuberculosis (TB) screenings were conducted at least every two years from the date of the initial screening. Evidence: 2. The record for staff #5 (date of last TB screening 12/02/19) did not have an updated TB screening/test.”

8VAC20-780-510-E

“Based on observation and staff interview, the licensee did not ensure medication shall be labeled with the child’s name, the name of the medication, the dosage amount, and the time or times to be given. Evidence: One medication, Albuterol was observed without the prescription label, child’s name, the dosage amount, and the time or times to be given. Center Director confirmed that the medication did not have a label with the required information.”