Skipwith Academy @ Hanover (#38)

8VAC20-780-70

“Two references (not related by blood or marriage), as to character, reputation, and competence, shall be checked prior to employment. Staff 3 had one reference related by marriage.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 6's test/screening was dated 10/05/2021.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff 1 (date of employment 8/29/2023) had a TB test/screening dated 9/18/2023.”

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 3, (date of employment 4/24/2024) indicated on their sworn disclosure statement that they had lived outside the state of Virginia within the past five years. There was no documentation to support that that the out of state search of the child abuse and neglect registry were submitted within 30 days of employment as required.”

8VAC20-780-70

“Two references (not related by blood or marriage), as to character, reputation, and competence, shall be checked prior to employment. Staff 3 had one reference related by marriage.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 6's test/screening was dated 10/05/2021.”

8VAC20-780-160-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff 1 (date of employment 8/29/2023) had a TB test/screening dated 9/18/2023.”

22.1-289.035-B-4

“Out of state background checks shall be conducted as required. Staff 3, (date of employment 4/24/2024) indicated on their sworn disclosure statement that they had lived outside the state of Virginia within the past five years. There was no documentation to support that that the out of state search of the child abuse and neglect registry were submitted within 30 days of employment as required.”

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 2 and Staff 3 had CPR certification that expired.”

8VAC20-790-600-D-2

“Based on review of eight staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 2 and Staff 3 had first aid certification that expired.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 1/10/2023.”

8VAC20-780-160-C

“Based on review of eight staff records, the facility failed to ensure staff members obtained and submitted documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB test dated 10/05/2021 and Staff 3 had a TB test dated 7/06/2021.”

8VAC20-780-500-B

“Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after changing two diapers. After the third diaper, staff sprayed the diaper changing table and wiped it dry. They did not allow the cleaning solution to dry for a period of at least 2 minutes.”

8VAC20-780-70

“Based on review of eight staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 5 (date of employment 1/24/2024) and Staff 6 (date of employment 3/11/2024) did not have documentation of two references on file.”

8VAC20-780-500-A

“Based on observation, the facility failed to have staff wash hands and wash children’s hands with soap and running water after toileting or diapering. Evidence: Staff changed three children’s diapers in the twos room. Staff did not take the children to the sink to wash hands with soap and water. Staff used hand sanitizer on their own hands, not soap and water.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current CPR certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have current CPR certification on file.”

8VAC20-780-280-D

“Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the twos room had cleaners such as Lysol and Pine sol in a cabinet with silverware, plates, and trays used for eating.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current first aid certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have first aid certification on file.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 4 (date of employment 12/04/2023), Staff 5 (date of employment 1/24/2024), and Staff 7 (date of employment 9/11/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 2 and Staff 3 had CPR certification that expired.”

8VAC20-790-600-D-2

“Based on review of eight staff records, the facility failed to have each staff current in first aid certification. Evidence: Staff 2 and Staff 3 had first aid certification that expired.”

8VAC20-780-260-A

“Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 1/10/2023.”

8VAC20-780-160-C

“Based on review of eight staff records, the facility failed to ensure staff members obtained and submitted documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB test dated 10/05/2021 and Staff 3 had a TB test dated 7/06/2021.”

8VAC20-780-500-B

“Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after changing two diapers. After the third diaper, staff sprayed the diaper changing table and wiped it dry. They did not allow the cleaning solution to dry for a period of at least 2 minutes.”

8VAC20-780-70

“Based on review of eight staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 5 (date of employment 1/24/2024) and Staff 6 (date of employment 3/11/2024) did not have documentation of two references on file.”

8VAC20-780-500-A

“Based on observation, the facility failed to have staff wash hands and wash children’s hands with soap and running water after toileting or diapering. Evidence: Staff changed three children’s diapers in the twos room. Staff did not take the children to the sink to wash hands with soap and water. Staff used hand sanitizer on their own hands, not soap and water.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current CPR certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have current CPR certification on file.”

8VAC20-780-280-D

“Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the twos room had cleaners such as Lysol and Pine sol in a cabinet with silverware, plates, and trays used for eating.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current first aid certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have first aid certification on file.”

8VAC20-770-60-C-2

“Based on review of eight staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 4 (date of employment 12/04/2023), Staff 5 (date of employment 1/24/2024), and Staff 7 (date of employment 9/11/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required.”

8VAC20-790-600-D-1

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have CPR certification. Staff 3 (date of employment 12/19/2022) did not have documentation of an in-person competency demonstration. Management confirmed that staff did not have certification.”

8VAC20-790-600-D-2

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid certification within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have first aid certification. Management confirmed that staff did not have certification.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 does not have documentation of current CPR on file. Management stated that Staff 1 has been alone on the bus transporting children.”

8VAC20-780-60-A

“Based on review of seven children's files, the facility failed to have 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. Evidence: Child 6 has diagnosed food allergies, but did not have a written allergy action plan on file.”

8VAC20-780-150-B

“Based on review of 7 children's records, the facility failed to ensure that each child's immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 10/06/2022) was not signed by a physician or his designee.”

8VAC20-770-60-C-2

“Based on review of seven staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 5/1/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. The CPS check was submitted 6/06/2023.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 6 (date of employment 10/11/2022) did not have the signature of the person making the call.”

8VAC20-780-510-E

“Based on review of the medication being stored at the facility, it was determined that the facility did not follow their medication procedures to prevent the use of outdated medication. Evidence: One emergency medication expired 1/2023 and had not been returned to the parent.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 does not have documentation of current first aid certification on file. Management stated that Staff 1 has been on the bus alone transporting children.”

8VAC20-790-600-D-1

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have CPR certification. Staff 3 (date of employment 12/19/2022) did not have documentation of an in-person competency demonstration. Management confirmed that staff did not have certification.”

8VAC20-790-600-D-2

“Based on staff interview and review of seven staff records, the facility failed to have each staff current in first aid certification within 90 days of employment. Evidence: Staff 4 (date of employment 9/19/2022), Staff 5 (date of employment 9/19/2022), Staff 6 (date of employment 10/11/2022), and Staff 7 (date of employment 12/05/2022) did not have first aid certification. Management confirmed that staff did not have certification.”

8VAC20-780-530-A-1

“Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 does not have documentation of current CPR on file. Management stated that Staff 1 has been alone on the bus transporting children.”

8VAC20-780-60-A

“Based on review of seven children's files, the facility failed to have 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. Evidence: Child 6 has diagnosed food allergies, but did not have a written allergy action plan on file.”

8VAC20-780-150-B

“Based on review of 7 children's records, the facility failed to ensure that each child's immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 10/06/2022) was not signed by a physician or his designee.”

8VAC20-770-60-C-2

“Based on review of seven staff records, the facility failed to have documentation of a completed search of the central registry ( CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 5/1/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. The CPS check was submitted 6/06/2023.”

8VAC20-780-70

“Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 6 (date of employment 10/11/2022) did not have the signature of the person making the call.”

8VAC20-780-510-E

“Based on review of the medication being stored at the facility, it was determined that the facility did not follow their medication procedures to prevent the use of outdated medication. Evidence: One emergency medication expired 1/2023 and had not been returned to the parent.”

8VAC20-780-530-A-2

“Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 does not have documentation of current first aid certification on file. Management stated that Staff 1 has been on the bus alone transporting children.”

8VAC20-780-410-1

“Based on staff interviews, the facility failed to ensure forbidden actions such as rough handling or striking a child were not used. Evidence: On 10/28/2022, Staff A observed Staff B rough handle and strike Child A (Age 2). Staff B was observed taking Child A by the arm, forcing the child to sit on the floor against the wall, pushing his head forward, and smacking him on the back of the neck at least three times.”

8VAC20-790-600-D-1

“Based on review of seven staff files, the facility failed to ensure each staff obtain cardiopulmonary resuscitation (CPR) training within the first 90 days of employment. Evidence: Staff 1 (date of employment (3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of CPR training.”

8VAC20-790-600-D-2

“Based on review of seven staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff 1 (date of employment 3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of first aid training.”

8VAC20-780-270-A

“Based on observation and staff interview, the facility failed to maintain all areas in a safe and operable condition. Evidence: On 8/2/2022, the grass on the areas in and surrounding the playground was 8 to 9 inches tall. This made it difficult for the children to easily run and play and could harbor ticks. The center director stated the grass is typically cut every other week.”

8VAC20-780-530-A

“Based on a observation and review of staff files, the center failed to ensure that there was one staff member present in each grouping of children who is certified in cardiopulmonary resuscitation (CPR) and first aid. Evidence: In the Montessori classroom, Staff 1 was observed alone in a grouping of children. There was no documentation to support that Staff 1 is certified in CPR or first aid. The center director confirmed Staff 1 did not have certification in CPR or first aid. .”

8VAC20-780-500-B

“Based on observation, the facility failed to utilize a leakproof, foot operated diaper disposal system (or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal). Evidence: the pull up diapers in the twos bathroom were observed in an open trash can, without a lid.”

22.1-289.035-A

“Based on a review of seven staff records and staff interview, the center did not obtain a repeat search of the central registry ( CPS check) for one staff member within five years, as required. Evidence: The record for Staff 6, (date of employment 3/6/2017) contains documentation of a central registry finding dated 4/07/2017. The central registry search should have been updated within 5 years (by 4/07/2022). The center director confirmed the repeat central registry check had not been submitted as of 8/2/2022.”

8VAC20-790-600-D-1

“Based on review of seven staff files, the facility failed to ensure each staff obtain cardiopulmonary resuscitation (CPR) training within the first 90 days of employment. Evidence: Staff 1 (date of employment (3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of CPR training.”

8VAC20-790-600-D-2

“Based on review of seven staff files, the facility failed to ensure each staff obtain first aid training within the first 90 days of employment. Evidence: Staff 1 (date of employment 3/3/2022) and Staff 3 (date of employment 11/1/2021) did not have documentation of first aid training.”

8VAC20-780-270-A

“Based on observation and staff interview, the facility failed to maintain all areas in a safe and operable condition. Evidence: On 8/2/2022, the grass on the areas in and surrounding the playground was 8 to 9 inches tall. This made it difficult for the children to easily run and play and could harbor ticks. The center director stated the grass is typically cut every other week.”

8VAC20-780-530-A

“Based on a observation and review of staff files, the center failed to ensure that there was one staff member present in each grouping of children who is certified in cardiopulmonary resuscitation (CPR) and first aid. Evidence: In the Montessori classroom, Staff 1 was observed alone in a grouping of children. There was no documentation to support that Staff 1 is certified in CPR or first aid. The center director confirmed Staff 1 did not have certification in CPR or first aid. .”

8VAC20-780-500-B

“Based on observation, the facility failed to utilize a leakproof, foot operated diaper disposal system (or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal). Evidence: the pull up diapers in the twos bathroom were observed in an open trash can, without a lid.”

22.1-289.035-A

“Based on a review of seven staff records and staff interview, the center did not obtain a repeat search of the central registry ( CPS check) for one staff member within five years, as required. Evidence: The record for Staff 6, (date of employment 3/6/2017) contains documentation of a central registry finding dated 4/07/2017. The central registry search should have been updated within 5 years (by 4/07/2022). The center director confirmed the repeat central registry check had not been submitted as of 8/2/2022.”