Skipwith Academy Learning Center - Woodlake (#41)

8VAC20-780-510-I

“Based on review of medications and medication documentation, the center did not ensure that prescription medication was administered as required. Evidence: Medication authorizations were reviewed for child B. The center did not obtain written authorization from parent or guardian to administer prescription medication. Child B was administered medication on 2/07/24, 2/08/24, 2/08/24, and 2/09/24.”

8VAC20-780-500-B

“Based on observation, the center did ensure that a leakproof or plastic-lined storage system that is either foot-operated 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: In room #11, one disposable diaper / pull up was sitting on top of the trash in a trash can in the classroom.”

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. In room #11, one toilet paper holder was broken and off the wall. 2. The administrator acknowledged that the toilet paper holder was broken.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering area contained a leakproof or plastic-lined storage system that is either foot operated 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: In between room #3 and room #4, diapers were disposed in a swing top trash can.”

8VAC20-780-510-P

“Based on observation and interview, the provider failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then dialed to dispose of medications that were not picked up. Evidence: A prescription emergency medication (AuviQ) was observed for a child with allergies. The AuviQ expired February 2023. A member of management acknowledged that the prescription medication had expired and the parent was not notified.”

8VAC20-780-140-A

“REPEAT VIOLATION 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 #9 (enrolled 08/22/22) did not have a physical examination.”

8VAC20-780-350-B-1

“REPEAT VIOLATION Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 9:40 AM on August 8, 2023, one staff was observed with six infants. Staff stated that the room had been over ratio for "about 30 minutes". At 9:45 AM another staff member arrived to assist.”

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. In room #3 a hole in the wall with a box inside of it, had a screw protruding out of the box that could entangle clothing or snag skin. The area on the wall was in reach of children. 2. n rooms #4, #5, #6, #7, #9, and #10 had chipped and peeling paint on the walls within reach of children.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering area contained a leakproof or plastic-lined storage system that is either foot operated 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: In between room #3 and room #4, diapers were disposed in a swing top trash can.”

8VAC20-780-510-P

“Based on observation and interview, the provider failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then dialed to dispose of medications that were not picked up. Evidence: A prescription emergency medication (AuviQ) was observed for a child with allergies. The AuviQ expired February 2023. A member of management acknowledged that the prescription medication had expired and the parent was not notified.”

8VAC20-780-140-A

“REPEAT VIOLATION 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 #9 (enrolled 08/22/22) did not have a physical examination.”

8VAC20-780-350-B-1

“REPEAT VIOLATION Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 9:40 AM on August 8, 2023, one staff was observed with six infants. Staff stated that the room had been over ratio for "about 30 minutes". At 9:45 AM another staff member arrived to assist.”

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. In room #3 a hole in the wall with a box inside of it, had a screw protruding out of the box that could entangle clothing or snag skin. The area on the wall was in reach of children. 2. n rooms #4, #5, #6, #7, #9, and #10 had chipped and peeling paint on the walls within reach of children.”

8VAC20-780-500-B

“Based on observation, the center did not ensure the diapering area contained a leakproof or plastic-lined storage system that is either foot operated 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: In between room #3 and room #4, diapers were disposed in a swing top trash can.”

8VAC20-780-510-P

“Based on observation and interview, the provider failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then dialed to dispose of medications that were not picked up. Evidence: A prescription emergency medication (AuviQ) was observed for a child with allergies. The AuviQ expired February 2023. A member of management acknowledged that the prescription medication had expired and the parent was not notified.”

8VAC20-780-140-A

“REPEAT VIOLATION 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 #9 (enrolled 08/22/22) did not have a physical examination.”

8VAC20-780-350-B-1

“REPEAT VIOLATION Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 9:40 AM on August 8, 2023, one staff was observed with six infants. Staff stated that the room had been over ratio for "about 30 minutes". At 9:45 AM another staff member arrived to assist.”

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. In room #3 a hole in the wall with a box inside of it, had a screw protruding out of the box that could entangle clothing or snag skin. The area on the wall was in reach of children. 2. n rooms #4, #5, #6, #7, #9, and #10 had chipped and peeling paint on the walls within reach of children.”

8VAC20-780-340-A Complaint related: Yes

“Based on a review of documentation and interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection and guidance. Evidence: 1. On June 16, 2023, staff #7 transitioned the children from Stepping Stones B (two year old class) to Stepping Stones A (two year old class) for nap time. A significant event summary from the center reported that staff #7 did not complete ?Name to Face Checks? when entering Stepping Stones A class. Child #1 (2 years old) was found alone and crying by staff #6. 2. On June 28, 2023, staff #5 transitioned the children from the playground to the toddler classroom. At approximately 5:30 PM, staff #7 was alerted by a child in her class that child #2 (17 months old) was outside at the class window. Staff #7 confirmed that child #2 was outside alone. Staff #5 brought child #2 back into the toddler classroom.”

8VAC20-780-40-E Complaint related: Yes

“Based on review of documentation and interviews, the licensee failed to ensure operational responsibilities that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures required by the standards. Evidence: 1. The center's supervision policy states "All staff assigned responsibility for the supervision of children will ensure their care, protection and guidance at all times". On June 16, 2023, at approximately 12:30 PM, child #1 (two years old) was unsupervised and crying in the Stepping Stones B class for approximately five minutes. On June 28, 2023, at approximately 5:30 PM child #2 (17 months old) was left unsupervised on the toddler playground. 2. The center's supervision policy states that "Children must be within sight and sound of the teacher at all times". Child #1 (two years old) and child #2 (17 months old) were not in sight or sound supervision of staff. On June 16, 2023, child #1 was left in the classroom at approximately 12:30 PM until another teacher saw child #1 alone and crying in the class. On June 28, 2023, at approximately 5:30 PM, child #2 (17 months old) was left on the toddler playground and another student saw the child alone on the playground and alerted their teacher.”

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

“Based on interviews, the center did not ensure children under 10 years of age shall be within sight and sound supervision of staff. Evidence: 1. On June 16, 2023, child #1 (two years old) was left unsupervised in the Stepping Stones B class for approximately 5 minutes. Staff #6 was leaving a classroom at approximately 12:30 PM and saw child #1 alone and crying in the Stepping Stones B class. 2. On June 29, 2023, staff #5 transitioned the children from the playground to the toddler classroom. At approximately 5:30 PM another student in a different classroom saw child #2 (17 months old) unsupervised on the toddler playground and told his teacher. A significant event summary from the center stated that staff #5 did not complete ?Name to Face Checks?.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 1:00 PM on 11/16/22, one staff was observed with 5 infants. 2. In room #2, staff #10 was observed with 9 infants. Staff #10 and staff #11, reported that room #2 had been out of ratio during a teachers lunch break.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In room #3, one container of multi surface cleaner was sitting on a child size chair in the classroom accessible to children. 2. In room #5, one container of Febreze labeled, "Warning" and "Keep Out of Reach of Children" and one container of Clorox wipes, labeled "Caution" and Keep Out of Reach of Children" were located in an unlocked container next to the diaper changing table. The inspector did not observe diapering at the time the hazardous substances were observed.”

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 records for child #5 (start date: 9/07/21) and child #7 (start date: 8/22/22), did not have a physical examination within the required timeframe.”

8VAC20-780-130-E

“Based on a review of children's records, the provider did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #5, (start date: 9/07/21) had one immunization record documented on 7/30/21. Upon enrollment child #5, was under two years of age and no additional immunizations were obtained. 2. The record for child #6, (start date: 10/11/21) had two immunization records documented on 9/28/21 and 8/22/22. Child #6, is under two years of age and documentation of additional immunizations shall be once every six months for children under the age of two years.”

22.1-289.035-A

“Based on record review, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding. Evidence: 1. The record for staff #5, (prior central registry finding 2/17/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 2/17/22. 2. The record for staff #6, (prior central registry finding 3/06/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 3/06/22.”

8VAC20-780-510-L

“Based on observation and an interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A shared closet in-between room #3 and room #4, had one bottle of Tylenol Extra Strength on a shelf. The closet door from room #3 and room #4 were unlocked.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 1:00 PM on 11/16/22, one staff was observed with 5 infants. 2. In room #2, staff #10 was observed with 9 infants. Staff #10 and staff #11, reported that room #2 had been out of ratio during a teachers lunch break.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In room #3, one container of multi surface cleaner was sitting on a child size chair in the classroom accessible to children. 2. In room #5, one container of Febreze labeled, "Warning" and "Keep Out of Reach of Children" and one container of Clorox wipes, labeled "Caution" and Keep Out of Reach of Children" were located in an unlocked container next to the diaper changing table. The inspector did not observe diapering at the time the hazardous substances were observed.”

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 records for child #5 (start date: 9/07/21) and child #7 (start date: 8/22/22), did not have a physical examination within the required timeframe.”

8VAC20-780-130-E

“Based on a review of children's records, the provider did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #5, (start date: 9/07/21) had one immunization record documented on 7/30/21. Upon enrollment child #5, was under two years of age and no additional immunizations were obtained. 2. The record for child #6, (start date: 10/11/21) had two immunization records documented on 9/28/21 and 8/22/22. Child #6, is under two years of age and documentation of additional immunizations shall be once every six months for children under the age of two years.”

22.1-289.035-A

“Based on record review, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding. Evidence: 1. The record for staff #5, (prior central registry finding 2/17/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 2/17/22. 2. The record for staff #6, (prior central registry finding 3/06/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 3/06/22.”

8VAC20-780-510-L

“Based on observation and an interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A shared closet in-between room #3 and room #4, had one bottle of Tylenol Extra Strength on a shelf. The closet door from room #3 and room #4 were unlocked.”

8VAC20-780-350-B-1

“Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months. Evidence: 1. In room #1, at approximately 1:00 PM on 11/16/22, one staff was observed with 5 infants. 2. In room #2, staff #10 was observed with 9 infants. Staff #10 and staff #11, reported that room #2 had been out of ratio during a teachers lunch break.”

8VAC20-780-280-B

“Based on observation, the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In room #3, one container of multi surface cleaner was sitting on a child size chair in the classroom accessible to children. 2. In room #5, one container of Febreze labeled, "Warning" and "Keep Out of Reach of Children" and one container of Clorox wipes, labeled "Caution" and Keep Out of Reach of Children" were located in an unlocked container next to the diaper changing table. The inspector did not observe diapering at the time the hazardous substances were observed.”

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 records for child #5 (start date: 9/07/21) and child #7 (start date: 8/22/22), did not have a physical examination within the required timeframe.”

8VAC20-780-130-E

“Based on a review of children's records, the provider did not ensure each record contained additional immunizations once every six months for children under the age of two years. Evidence: 1. The record for child #5, (start date: 9/07/21) had one immunization record documented on 7/30/21. Upon enrollment child #5, was under two years of age and no additional immunizations were obtained. 2. The record for child #6, (start date: 10/11/21) had two immunization records documented on 9/28/21 and 8/22/22. Child #6, is under two years of age and documentation of additional immunizations shall be once every six months for children under the age of two years.”

22.1-289.035-A

“Based on record review, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding. Evidence: 1. The record for staff #5, (prior central registry finding 2/17/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 2/17/22. 2. The record for staff #6, (prior central registry finding 3/06/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 3/06/22.”

8VAC20-780-510-L

“Based on observation and an interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician's orders, including refrigerated medication and staff's personal medication, were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. A shared closet in-between room #3 and room #4, had one bottle of Tylenol Extra Strength on a shelf. The closet door from room #3 and room #4 were unlocked.”