Skipwith Academy at Westchester (#65)

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The allergy list did not contain child #4, enrolled for 2 years, who has a diagnosed food allergy.”

8VAC20-780-60-A-8

“Repeat Violation The center is required to obtain a written care plan for each child with 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. 1. Child #4, enrolled for 2 years, has a diagnosed food allergy. The record for child #4 did not contain a written care plan with 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. 2. Child #9, enrolled for 17 months, has a diagnosed food allergy. The record for child #9 did not contain a written care plan with 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.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in First Aid and CPR. Staff #5 and staff #6 were in classroom #9 with a group of children. Staff #5 and staff #6 do not have current certification in first and and CPR.”

8VAC20-780-40-M

“The center shall maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions. The allergy list did not contain child #4, enrolled for 2 years, who has a diagnosed food allergy.”

8VAC20-780-60-A-8

“Repeat Violation The center is required to obtain a written care plan for each child with 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. 1. Child #4, enrolled for 2 years, has a diagnosed food allergy. The record for child #4 did not contain a written care plan with 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. 2. Child #9, enrolled for 17 months, has a diagnosed food allergy. The record for child #9 did not contain a written care plan with 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.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in First Aid and CPR. Staff #5 and staff #6 were in classroom #9 with a group of children. Staff #5 and staff #6 do not have current certification in first and and CPR.”

8VAC20-780-60-A-8 Complaint related: No

“The center is required to obtain a written care plan for each child with 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. The record for child #1, enrolled for 3 days, did not contain a written care plan that included 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.”

8VAC20-780-240-E

“Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 1. Staff #1, employed for 75 days, did not complete orientation training in first aid and CPR. 2. Staff #4, employed for 83 days, did not complete orientation training in first aid and CPR. 3. Staff #7, employed for 78 days, did not complete orientation training in first aid and CPR.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR and first aid as appropriate to the age of the children in care. Staff #1 does not have current certification in CPR and first aid, and was alone in classroom #2, with infant children.”

8VAC20-780-240-E

“Within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. 1. Staff #1, employed for 75 days, did not complete orientation training in first aid and CPR. 2. Staff #4, employed for 83 days, did not complete orientation training in first aid and CPR. 3. Staff #7, employed for 78 days, did not complete orientation training in first aid and CPR.”

8VAC20-780-530-A

“At least one staff in each classroom or area where children are present shall have current certification in CPR and first aid as appropriate to the age of the children in care. Staff #1 does not have current certification in CPR and first aid, and was alone in classroom #2, with infant children.”

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 #8 (enrolled 6/1/2021) did not contain a physical examination signed by a physician, his designee, or an official of local health department. 2. Administration acknowledged the record did not contain a physical and a request would be made to the child’s parent for an up-to-date physical.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that each staff’s record contained documentation of a tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #7 did not contain an up-to-date tuberculosis screening. The most recent tuberculosis screening was dated for 6/6/2022.”

8VAC20-780-510-L

“Based on the observation, the center did not ensure that medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Upon inspecting the center’s first aid kit, two packets of Tylenol were found in the container. 2. The first aid kit was not kept in a locked place.”

8VAC20-780-130-A

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #7 (enrolled 4/8/2024) contained immunizations that were received and signed by a physician on 4/19/2024. 2. Administration acknowledged they thought the immunizations could be received within 30 days of enrollment.”

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 #6 did not contain an updated immunization. The last immunization record received was dated 7/7/2023.”

8VAC20-780-60-A

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of viewing proof of the child’s identity and age. Evidence: 1. The record for child #4 and child #8 did not contain documentation of viewing proof of the child’s identity. 2. Administration acknowledged the documentation missing from the records.”

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 #8 (enrolled 6/1/2021) did not contain a physical examination signed by a physician, his designee, or an official of local health department. 2. Administration acknowledged the record did not contain a physical and a request would be made to the child’s parent for an up-to-date physical.”

8VAC20-780-160-C

“Based on a review of staff records, the center did not ensure that each staff’s record contained documentation of a tuberculosis screening at least every two years from the date of the initial screening or testing. Evidence: 1. The record for staff #7 did not contain an up-to-date tuberculosis screening. The most recent tuberculosis screening was dated for 6/6/2022.”

8VAC20-780-510-L

“Based on the observation, the center did not ensure that medication, except for those prescriptions designated otherwise by written physician’s order, including refrigerated medication and staff’s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. Upon inspecting the center’s first aid kit, two packets of Tylenol were found in the container. 2. The first aid kit was not kept in a locked place.”

8VAC20-780-130-A

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #7 (enrolled 4/8/2024) contained immunizations that were received and signed by a physician on 4/19/2024. 2. Administration acknowledged they thought the immunizations could be received within 30 days of enrollment.”

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 #6 did not contain an updated immunization. The last immunization record received was dated 7/7/2023.”

8VAC20-780-60-A

“Based on a review of children’s records, the center did not ensure that each child’s record contained documentation of viewing proof of the child’s identity and age. Evidence: 1. The record for child #4 and child #8 did not contain documentation of viewing proof of the child’s identity. 2. Administration acknowledged the documentation missing from the records.”

8VAC20-780-500-B Complaint related: No

“Based on interviews, the center failed to ensure that children younger than three years shall have their diapers changed on a changing table or countertop designated for changing. Evidence: Interviews with staff revealed that children under the age of three have their diapers changed while they are standing in the bathroom.”

8VAC20-780-340-F Complaint related: No

“Based on interviews, the center failed to ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff. Evidence: Interviews revealed that on July 18th at approximately 4:00 pm, child #1 (18 months) walked through an unlatched gate on the Toddler playground and towards the front of the building. Staff #3 saw the child walk past the front of the building and went out to get the child and brought the child back to the class. Staff #1, and staff #2, did not realize the child was missing until staff #3 brought the child back.”

8VAC20-780-340-A Complaint related: No

“Based on interviews, the center failed to ensure that when staff are supervising children, they shall always ensure their care, protection, and guidance. Evidence: On July 18th, at approximately 4 pm, child #1 (18 months) walked through an unlatched gate on the toddler playground which is located on the front of the building next to a parking lot and busy streets. Staff #3 saw child #1 walk past the front door of the center and immediately went outside to get the child. Staff #1, and staff #2 did not notice that child #1 had gone through the gate until staff #3 brought the child back.”

8VAC20-780-40-E Complaint related: No

“Based on interviews, and documentation review, the center failed to follow it's own policies. Evidence: 1. The center's playground safety policy states that the playground safety checklist should be conducted each time the class re-enters the playground. One step of the playground safety checklist asks if the gates are secured and in good repair. Interviews with staff #1 and staff #2 revealed that they did not check the gates to confirm if they were secured. 2. The center's name to face accountability policy states that name to face should take place as the class crosses a threshold and on a regular basis. Interviews with staff #1 and staff #2 revealed that they did not perform the name to face check on a regular basis and did not perform it at all on July 18th when the class transitioned outside or while on the playground.”

22.1-289.035-B-4 Complaint related: No

“Based on record review, and interview, the center failed to obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: The record for staff 1, date of employment 05/15/23, indicated that staff #1 has lived in three other states outside of Virginia in the last 5 years. Interview with the Director confirmed that the out of state background checks have not been completed.”

8VAC20-780-350-B-2 Complaint related: No

“Based on documentation review, and interview, the center failed to ensure that the staff to children ratios are followed whenever children are in care. Evidence: The Daily sign in-out report dated July 18th indicates that there were 12 children signed in to classroom #1 with children ages 16 months to 24 months with 2 staff at approximately 4:00 pm. Interview with the Director confirmed that there were two staff in the classroom at approximately 4:00 pm. The ratio for this age group is 1 staff for every 5 children.”

8VAC20-780-140-A

“Based on a review of children’s records the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance. Evidence: The record for child #5, date of enrollment 06/20/22, contained a physical dated 08/22/22.”

8VAC20-780-70

“Based on a review of staff records, the center failed to obtain documentation that the individual possesses the education, certification, and experience required by the job position. Evidence: The record for staff #4, date of employment 12/13/22, did not contain documentation of education or certification required by the job position. Staff #4 was observed working alone in a classroom with a group of children.”

8VAC20-780-350-Q

“Based on records review, observation, and interview, the center failed to ensure a parent’s written permission and a written assessment by the program director and program leader, prior to assigning a child to a different age group. Evidence: 1) Classroom #3 had 10 children ages 16-24 months with 2 staff supervising. The record for child #1, 15 months, determined that the child be placed in a 1:4 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #1 to be placed in a different age group. 2) Classroom #4 had 7 children, ages 24-36 months, with 1 staff supervising. The record for child #5, 17 months, determined that the child be placed in a 1:5 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #4 to be placed in a different age group. 3) Classroom #8 had 10 children, ages 3 to 5 years, with 1 staff supervising. The record for child #2, 35 months old, determined that the child be placed in a 1:8 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #2 to be placed in a different age group.”

8VAC20-780-140-A

“Based on a review of children’s records the center failed to ensure that each child shall have a physical examination within 30 days after the first day of attendance. Evidence: The record for child #5, date of enrollment 06/20/22, contained a physical dated 08/22/22.”

8VAC20-780-70

“Based on a review of staff records, the center failed to obtain documentation that the individual possesses the education, certification, and experience required by the job position. Evidence: The record for staff #4, date of employment 12/13/22, did not contain documentation of education or certification required by the job position. Staff #4 was observed working alone in a classroom with a group of children.”

8VAC20-780-350-Q

“Based on records review, observation, and interview, the center failed to ensure a parent’s written permission and a written assessment by the program director and program leader, prior to assigning a child to a different age group. Evidence: 1) Classroom #3 had 10 children ages 16-24 months with 2 staff supervising. The record for child #1, 15 months, determined that the child be placed in a 1:4 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #1 to be placed in a different age group. 2) Classroom #4 had 7 children, ages 24-36 months, with 1 staff supervising. The record for child #5, 17 months, determined that the child be placed in a 1:5 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #4 to be placed in a different age group. 3) Classroom #8 had 10 children, ages 3 to 5 years, with 1 staff supervising. The record for child #2, 35 months old, determined that the child be placed in a 1:8 staff-to-children ratio. When interviewed, the Director stated that the child’s parent wanted them assigned to this age group. There was no written permission in the record for child #2 to be placed in a different age group.”

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff who work with children have current certification in CPR, including an in-person competency demonstration. Evidence: 1) The record for staff #4, date of employment 6/7/22, contained the online portion of CPR but did not contain the in person competency. 2) The record for staff #5, date of employment 5/23/22, contained the online portion of CPR training but did not contain the in person competency. The record for staff #8, date of employment, 6/22/21, did not contain evidence of CPR certification.”

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff who work with children have current certification in First Aid. Evidence: 1) The record for staff #4, date of employment 6/7/22, did not contain evidence of First Aid training. 2) The record for staff #5, date of employment 5/23/22, did not contain evidence of First Aid Training. 3) The record for staff #8, date of employment, 6/22/21, did not contain evidence of First Aid certification.”

8VAC20-780-140-A

“Based on a review of records, the center failed to obtain a physical for each child no later than 30 days after the first day of attendance. Evidence: The record for child #4, date of enrollment 08/08/2022, did not contain evidence of a physical exam.”

8VAC20-780-530-A-1

“Based on review of staff records, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in CPR. Evidence: Classroom #2 had 8 infants and 2 staff. The record for staff #9, date of employment 05/24/21, did not have evidence of CPR certification. The record for staff #10, date of employment 8/2/17, had CPR certification that expired on 5/6/21.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas of the center were maintained in a safe condition. Evidence: The sand table on the preschool playground has a wire that is missing the outer protective covering and is sharp and frayed.”

8VAC20-780-530-A-2

“Based on review of staff records, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in First Aid. Evidence: Classroom #2 had 8 infants and 2 staff. The record for staff #9, date of employment 05/24/21, did not have evidence of First Aid certification. The record for staff #10, date of employment 8/2/17, had First Aid certification that expired on 5/6/21.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that each staff member submits documentation of tuberculosis screening no later than the first day of employment. Evidence: The record for staff #6, date of employment 10/15/21, contained documentation of tuberculosis screening dated 10/22/21.”

8VAC20-790-600-D-1

“Based on review of staff records, the center failed to ensure that all staff who work with children have current certification in CPR, including an in-person competency demonstration. Evidence: 1) The record for staff #4, date of employment 6/7/22, contained the online portion of CPR but did not contain the in person competency. 2) The record for staff #5, date of employment 5/23/22, contained the online portion of CPR training but did not contain the in person competency. The record for staff #8, date of employment, 6/22/21, did not contain evidence of CPR certification.”

8VAC20-790-600-D-2

“Based on review of staff records, the center failed to ensure that all staff who work with children have current certification in First Aid. Evidence: 1) The record for staff #4, date of employment 6/7/22, did not contain evidence of First Aid training. 2) The record for staff #5, date of employment 5/23/22, did not contain evidence of First Aid Training. 3) The record for staff #8, date of employment, 6/22/21, did not contain evidence of First Aid certification.”

8VAC20-780-140-A

“Based on a review of records, the center failed to obtain a physical for each child no later than 30 days after the first day of attendance. Evidence: The record for child #4, date of enrollment 08/08/2022, did not contain evidence of a physical exam.”

8VAC20-780-530-A-1

“Based on review of staff records, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in CPR. Evidence: Classroom #2 had 8 infants and 2 staff. The record for staff #9, date of employment 05/24/21, did not have evidence of CPR certification. The record for staff #10, date of employment 8/2/17, had CPR certification that expired on 5/6/21.”

8VAC20-780-270-A

“Based on observation, the center failed to ensure that areas of the center were maintained in a safe condition. Evidence: The sand table on the preschool playground has a wire that is missing the outer protective covering and is sharp and frayed.”

8VAC20-780-530-A-2

“Based on review of staff records, the center failed to ensure that at least one staff in each classroom or area where children are present have current certification in First Aid. Evidence: Classroom #2 had 8 infants and 2 staff. The record for staff #9, date of employment 05/24/21, did not have evidence of First Aid certification. The record for staff #10, date of employment 8/2/17, had First Aid certification that expired on 5/6/21.”

8VAC20-780-160-A

“Based on review of staff records, the center failed to ensure that each staff member submits documentation of tuberculosis screening no later than the first day of employment. Evidence: The record for staff #6, date of employment 10/15/21, contained documentation of tuberculosis screening dated 10/22/21.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff #1 in classroom #4 sprayed the table with sanitizer spray in between diaper changes and did not first spray with soapy water. This was observed in 3 out of 3 diaper changes.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that cleaning and sanitizing materials were stored in areas physically separate from food. Evidence: 1) There were several gallon jugs of bleach stored on the same shelf with containers of rice and sugar in the kitchen.”

8VAC20-780-270-A

“Based on observation, 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) Two window screens on the outside of the building with direct access to children on the Toddler playground and the School age playground were ripped and frayed/hanging off of the trim 2) There was a broken soap dispenser in classroom #2. 3) There was a wire attached to the sand table on the preschool playground that was frayed and sharp and missing the outer protective covering. 4) There was a grate on the outside of the building on the school age playground that was bent out at the bottom that was sharp. 5) The area between the resilient surface and the mulch on the School age playground has eroded/pulled away causing an approximately 2-3 inch ledge.”

8VAC20-780-70

“Based on a review of documentation and interviews, the center did not ensure that one of seven staff records contained all required information. Evidence: The center did not have the following required information at the center for Staff #7: the name, address and phone number of a person to be notified in an emergency; or information about any health problems that may interfere with fulfilling job responsibilities. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet?.”

8VAC20-770-60-B

“Based on a review of documentation and interview, the center did not ensure that one of seven staff records contained all required background checks. Evidence: The center did not have a Sworn Statement for Staff #7. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet.?”

22.1-289.035-B-2

“Based on a review of records and interview, the center did not ensure that one of seven staff records contained all required background checks. Evidence: The center did not have fingerprints for Staff #7. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet.?”

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance. Evidence: Child #5?s record, date of enrollment 04/11/22, did not contain evidence of a physical exam.”

8VAC20-780-500-B

“Based on observation, the center did not ensure that the diapering surface shall be cleaned with soap and water and sanitized after each use. Evidence: Staff #1 in classroom #4 sprayed the table with sanitizer spray in between diaper changes and did not first spray with soapy water. This was observed in 3 out of 3 diaper changes.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that cleaning and sanitizing materials were stored in areas physically separate from food. Evidence: 1) There were several gallon jugs of bleach stored on the same shelf with containers of rice and sugar in the kitchen.”

8VAC20-780-270-A

“Based on observation, 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) Two window screens on the outside of the building with direct access to children on the Toddler playground and the School age playground were ripped and frayed/hanging off of the trim 2) There was a broken soap dispenser in classroom #2. 3) There was a wire attached to the sand table on the preschool playground that was frayed and sharp and missing the outer protective covering. 4) There was a grate on the outside of the building on the school age playground that was bent out at the bottom that was sharp. 5) The area between the resilient surface and the mulch on the School age playground has eroded/pulled away causing an approximately 2-3 inch ledge.”

8VAC20-780-70

“Based on a review of documentation and interviews, the center did not ensure that one of seven staff records contained all required information. Evidence: The center did not have the following required information at the center for Staff #7: the name, address and phone number of a person to be notified in an emergency; or information about any health problems that may interfere with fulfilling job responsibilities. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet?.”

8VAC20-770-60-B

“Based on a review of documentation and interview, the center did not ensure that one of seven staff records contained all required background checks. Evidence: The center did not have a Sworn Statement for Staff #7. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet.?”

22.1-289.035-B-2

“Based on a review of records and interview, the center did not ensure that one of seven staff records contained all required background checks. Evidence: The center did not have fingerprints for Staff #7. When interviewed, the director stated that she ?had requested that it be sent over but had not received it yet.?”

8VAC20-780-140-A

“Based on a review of documentation, the center did not ensure to obtain a physical for each child within 30 days after the first day of attendance. Evidence: Child #5?s record, date of enrollment 04/11/22, did not contain evidence of a physical exam.”