Skipwith Academy Learning Center at Rutland (#44)

8VAC20-790-600-D-1

“Staff shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of employment. Staff 2, employed for six months, did not have documentation of in person cardiopulmonary resuscitation (CPR).”

8VAC20-780-510-E

“Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. The parent did not renew the written authorization for the medications for Child 4 every ten working days and physician authorization was not obtained.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which contains required information. Child 1 (date of enrollment 6/10/2024) did not have documentation of the child's physician, any known allergies, and signed agreement to obtain emergency medical treatment. Child 3 did not have documentation of a second emergency contact.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 5's screening was dated 1/24/2022.”

8VAC20-780-140-A

“Documentation of a physical examination must be submitted for each child within 30 days after the first day of attendance. Child 4 (date of enrollment 12/12/2022) did not have documentation of a physical until 11/28/2023.”

8VAC20-770-60-C-2

“Documentation of a completed search of the central registry ( CPS check) shall be on file for each staff within the first 30 days of employment. Staff 8 (date of employment 4/02/2024) did not have a completed search of the central registry on file. There was no documentation of having checked for the status of the CPS check by the 30th day of employment.”

8VAC20-780-510-E

“Long-term prescription drug use and over-the- counter medication may be allowed with written authorization from the child's physician and parent. The parent did not renew the written authorization for the medications for Child 4 every ten working days and physician authorization was not obtained.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled which contains required information. Child 1 (date of enrollment 6/10/2024) did not have documentation of the child's physician, any known allergies, and signed agreement to obtain emergency medical treatment. Child 3 did not have documentation of a second emergency contact.”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 5's screening was dated 1/24/2022.”

8VAC20-780-140-A

“Documentation of a physical examination must be submitted for each child within 30 days after the first day of attendance. Child 4 (date of enrollment 12/12/2022) did not have documentation of a physical until 11/28/2023.”

8VAC20-770-60-C-2

“Documentation of a completed search of the central registry ( CPS check) shall be on file for each staff within the first 30 days of employment. Staff 8 (date of employment 4/02/2024) did not have a completed search of the central registry on file. There was no documentation of having checked for the status of the CPS check by the 30th day of employment.”

8VAC20-780-40-N

“The center shall develop written playground safety procedures which shall include a policy on active supervision on the playground. Evidence: On 4/24/2024, there were 23 children on the playground. Interviews revealed that staff on the playground were grouped together, checking attendance, and did not position themselves in strategic locations to ensure active supervision. Child 1 sustained a serious injury to their arm which resulted in emergency surgery.”

8VAC20-780-340-A

“When staff are supervising children, they shall always ensure their care, protection, and guidance. On 4/26/2024, there were approximately 23 preschool aged children on the playground with three staff supervising. According to interviews and written statements, three staff were reportedly grouped together, checking the attendance logs on the ipads, under the shade covering. Child 1 sustained a significant injury to their arm, which resulted in emergency surgery. None of the three staff present saw or knew the cause of the injury.”

22.1-289.035-A

“The center is required to have employees undergo a background check and a search of the central registry ( CPS check) every five years. The most recent central registry check for Staff #9 was overdue 7 months and the national fingerprint check was overdue by 8 months.”

8VAC20-780-260-A

“The center shall provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. The last documented fire inspection was conducted 7/26/2023. A fire inspection was conducted following the licensing inspection on 1/16/2025”

8VAC20-780-160-C

“A tuberculosis (TB) screening is required every two years from the last screening. Staff 7's updated screening was due 1 month ago and Staff 9's updated screening was due 8 months ago. The updated screenings have not yet been completed.”

8VAC20-790-600-D-1

“Based on staff interview and review of ten staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current CPR on file. The center director stated that the CPR training had not been scheduled.”

8VAC20-790-600-D-2

“Based on staff interview and review of ten staff records, the facility failed to have each staff Current in first aid certification. Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current first aid certification on file. The center director stated that the first aid training had not been scheduled.”

8VAC20-780-510-I

“Based on review of 13 medications, the facility failed to have written authorization from the parent to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer 3 medications to 2 children. Child A and Child G had emergency medications on site, but did not have a completed medication authorization.”

22.1-289.035-A

“Based on review of ten staff records, the facility failed to ensure that every employee repeat a background check in accordance with the Code of Virginia every five years. Evidence: The most recent search of the central registry ( CPS check) for Staff 1 was dated 09/27/2018; there was not a repeat CPS check obtained within 5 years. The most recent search of the central registry for Staff 7 was dated 9/11/2018; there was not a repeat CPS check obtained within 5 years.”

22.1-289.035-B-4

“Based on review of ten staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: Staff 3 (date of employment 7/11/2023) indicated on the sworn disclosure statement dated 7/14/2023 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry ( CPS check) had been submitted within 30 days of employment as required. (Connecticut). The director verified that an out of state search of the central registry was not completed for Staff 3. Staff 4 (date of employment 4/10/2023) indicated on the sworn disclosure statement dated 4/10/2023 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry ( CPS check) had been submitted within 30 days of employment as required. (Texas). The director verified that an out of state search of the central registry was not completed for Staff 4.”

8VAC20-790-600-D-1

“Based on staff interview and review of ten staff records, the facility failed to have each staff current in cardiopulmonary resuscitation (CPR). Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current CPR on file. The center director stated that the CPR training had not been scheduled.”

8VAC20-790-600-D-2

“Based on staff interview and review of ten staff records, the facility failed to have each staff Current in first aid certification. Evidence: Staff 1, Staff 3, Staff 4, Staff 5, Staff 8, and Staff 9 did not have documentation of current first aid certification on file. The center director stated that the first aid training had not been scheduled.”

8VAC20-780-510-I

“Based on review of 13 medications, the facility failed to have written authorization from the parent to administer medication. Evidence: There was no written parent/guardian or physician authorization to administer 3 medications to 2 children. Child A and Child G had emergency medications on site, but did not have a completed medication authorization.”

22.1-289.035-A

“Based on review of ten staff records, the facility failed to ensure that every employee repeat a background check in accordance with the Code of Virginia every five years. Evidence: The most recent search of the central registry ( CPS check) for Staff 1 was dated 09/27/2018; there was not a repeat CPS check obtained within 5 years. The most recent search of the central registry for Staff 7 was dated 9/11/2018; there was not a repeat CPS check obtained within 5 years.”

22.1-289.035-B-4

“Based on review of ten staff records, the center failed to ensure that out of state background checks were conducted as required. Evidence: Staff 3 (date of employment 7/11/2023) indicated on the sworn disclosure statement dated 7/14/2023 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry ( CPS check) had been submitted within 30 days of employment as required. (Connecticut). The director verified that an out of state search of the central registry was not completed for Staff 3. Staff 4 (date of employment 4/10/2023) indicated on the sworn disclosure statement dated 4/10/2023 that they had lived outside the state of Virginia within the past five years. There was no documentation to support that the required out of state search of the child abuse and neglect registry ( CPS check) had been submitted within 30 days of employment as required. (Texas). The director verified that an out of state search of the central registry was not completed for Staff 4.”

8VAC20-790-600-D-2

“Based on review of eight staff records, the facility failed to have each staff certified in first aid within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in first aid.”

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff certified in CPR within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in CPR.”

8VAC20-790-600-D-2

“Based on review of eight staff records, the facility failed to have each staff certified in first aid within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in first aid.”

8VAC20-790-600-D-1

“Based on review of eight staff records, the facility failed to have each staff certified in CPR within 90 days of employment. Evidence: Staff 1 (date of hire 2/2022), Staff 3 (expired 1/2022), and Staff 6 (date of hire 4/18/2022) did not have current certification in CPR.”