Spring Hill Academy

8VAC20-780-70

“Staff records shall include written documentation of reference checks, prior to the first day of employment. Staff #1's reference checks were not completed prior to employment and there was no documentation on file.”

8VAC20-780-270-A

“Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. 1. A storage box by the toddler playground was broken, posing an injury hazard. 2. The pour in place bike trail on the school age playground was separated from the turf and broken in multiple spots.”

8VAC20-780-40-E

“The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. 1. The terms of the license for the center state that there shall be no more than 29 children on the Preschool Playground at any one time. 2. On 2/25/26, a four year old child sustained an injury on the Preschool Playground, that required outside medical attention. 3. The injury report submitted to the department by the center stated, and Staff # 1 confirmed during a phone conversation that there 34 children on the playground with 4 staff members.”

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. Child # 1's record did not have updated immunization records. The most recent immunizations were from August 2024.”

8VAC20-780-570-I

“A one-day's emergency supply of disposable bottles, nipples, and commercial formulas appropriate for the children in care shall be maintained at the center. The center did not maintain a one-day emergency supply of formula, bottle and nipples for a each infant in care.”

8VAC20-780-350-A Complaint related: Yes

“The center did not maintain the group size limitations for the 16 month to 24 month age group. 1. On 6/6/25, from 7:20 am to 7:25am, Staff # 1 had a group of 16 children that included two toddlers (16-24 months). 2. From 8:11 am to 8:15 am, Staff # 1 and Staff # 3 had a group of 17 children that included 3 toddlers.”

8VAC20-780-350-B-2 Complaint related: Yes

“REPEAT VIOLATION The center did not maintain the staff to child ratio of 1:5 for the age group of 16 months to 24 months. 1. On 6/6/25, the ratio of 1 staff to 5 children was not maintained in the Toddler classroom from 7:11 am to 8:15 am. 2. A review of video footage from 6/6/25 showed the following: At 7:11 am, Staff # 1 was alone with 9 children. Two of these children were toddlers (16-24 months) and had just arrived to the classroom. The number of children kept increasing as the morning progressed, and Staff # 1 continued to be out of ratio. The following is the breakdown and during all these times there were at least two toddlers present. 7:12am-11 children, 7:13 am 13 children, 7:15 am-14 children, 7:19 am-15 children, 7:20am-16 children. 3. This continued until 7:25 am when Staff # 2 arrived to the classroom. 4. At 7:26 am, Staff # 2 took the children that belonged to her room and left, leaving Staff # 1 with a total of 10 children that included two toddlers, two -2 year old and six-three year old children. By 7:28 am, Staff # 1 had 13 children by herself. 5. At 7:31 am, Staff # 1 took 8 three year old children from the group of 13 to their classroom across the hall. While Staff # 1 was doing that, she left the other 5 children alone and unsupervised in the classroom for 6 seconds. 6. At 7:32 am, another child arrived and Staff # 1 was again out of ratio with 6 children. By 7:36 am Staff # 1 had 7 children. Between 7:42am and 7:56am, three more children arrived and from 7: 56 am to 8:00am Staff # 1 had 10 children by herself, that included 3 toddlers. 7. At 8:00am, Staff # 3 arrived. At 8:01 am Staff # 1 left the room, leaving Staff # 3 with 10 children. Staff # 1 returned to the room at 8:02am. 8. The following is a breakdown of how the number of children increased with only Staff # 1 and Staff # 3 present in the room: 8:06am-11 children, 8:07am-12 children, 8:08am-13 children, 8:10am-15 children, 8:11am-16 children, 8:12am-17 children total. 9. Staff # 4 arrived to the classroom at 8:15 am. That is when the group of children was split between the toddler and 2's classroom.”

8VAC20-780-70 Complaint related: No

“Staff records must include two written reference checks as part of the staff record. 1. Staff # 1's first reference check was obtained 3 days after the first date of employment. 2. A second written reference check was not obtained for Staff # 1 to this date.”

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

“In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. During the week of 4/14/25 through 4/18/25, the center's school age program was operational 5 full days. During this time, three staff members were responsible for the supervision and care of children. None of the three staff members met the qualifications of a program leader.”

8VAC20-780-80-A Complaint related: No

“For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. On 1/30/25, Child # 2's attendance was neither recorded in the electronic system used by the center or on the written attendance log.”

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

“The center did not follow it's own policies and procedures that are required by the licensing standards. 1. The center's active and positive supervision policy states that, "Adults who are involved, aware and appreciative of young children's behaviors are in the best position to safeguard their well-being. They know each child's abilities and establish clear and simple safety rules. Be aware of potential hazards. Position yourself strategically -standing nearby and being in the play area will encourage kids to remember the play time rules and discourage kids from throwing toys in frustration. Your presence not serves as reminder but also enables you to intervene quickly when needed". 2. On 1/30/25 at 10:45 am there were three staff members with 16 children present in the 2's classroom. 3. Staff # 3 stated that Staff # 1 had three children in the bathroom, Staff # 2 had 1 child in the diapering area, and Staff # 3 had majority of the rest of the children at another table completing an art activity. Child # 1 and Child # 2 were not in Staff # 3's group. 4. Staff # 3 stated that Child # 1 was sitting on a chair at a different table and left to go to the bathroom. Child # 2 came and sat down on the chair that Child # 1 was sitting on. When Child # 1 returned from the bathroom and wanted to sit on the same chair, Child # 2 did not move and Child # 2 bit Child # 1 on the hand. 5. Staff # 4 stated that video footage was reviewed due to some discrepancy in the report. Child # 2 was sitting on a chair and when Child # 2 went to use the bathroom, Child # 1 sat on his chair. When Child # 2 returned from the bathroom and wanted to sit back on the same chair, Child # 1 did not move which resulted in Child # 1 slightly shoving Child # 2. Child # 1 put out their right hand and was then bit by Child # 2 on the hand. 5. Staff # 2 stated that she was aware that Child # 2 has bit children before and usually they try to separate the children and shadow them. Staff # 2 did not see this incident when it occurred. Staff # 2 stated that Child # 1 was halfway across the room when the incident occurred. 6. Staff # 1 and Staff # 3 were not in close proximity to be able to prevent the biting incident, as they were each doing other activities in different areas of the room.”

8VAC20-780-550-P Complaint related: Yes

“The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. 1. Child # 1 was bit on his finger in the right hand by another child on 1/30/25 in the 2's classroom at 10:45 am. 2. The parents were provided with an accident report by the center that did not have an accurate description of what led to the biting incident, and was missing the date and time when parents were notified.”

8VAC20-780-245-J-3

“Any child for whom emergency medications have been prescribed shall always be in the care of a staff member who meets the requirements in subdivision 1 of 8VAC20-780-245 J. Child #1 has an emergency medication on supply that the center has agreed to administer if needed, but none of the staff on site have completed the training required to administer the emergency medication.”

8VAC20-780-350-B-1

“The center must apply the staff to children ratio of 1:4 for children from birth up to 16 months. At approximately 9:44 am there was only one staff present with 5 infants in the Infant A classroom. Another staff member came to the classroom in approximately 30-40 seconds.”

8VAC20-780-80-A Complaint related: No

“Repeat Violation Based on records review, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. 2's classroom: At 8:11 am there were 16 children in care with 2 staff members. Only 15 children were checked in on the attendance record. 2. 4's classroom: At 8:20 am, there were 19 children in care with 2 staff members. Only 12 children were checked in on the attendance record.”

8VAC20-780-560-M Complaint related: No

“Based on observation, children were observed drinking while walking in the classroom. Evidence: 1. At approximately 8:14 am in the Toddler room, a child was observed walking around the classroom drinking milk out of a sippy cup. 2. Another child was observed walking in the classroom with a bottle of milk.”

8VAC20-780-240-E Complaint related: No

“Based on records review, staff did not complete orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of the children in care. Evidence: Staff # 1 first day of employment was 1/2/24. Staff # 1's orientation did not include training in first aid and CPR.”

8VAC20-780-350-B-2 Complaint related: Yes

“Based on observation, the center did not maintain the 1 staff to 5 children ratio in the Toddler's classroom, ages 16 months to 24 months. Evidence: 1. On 4/16/24, the Toddler room was over ratio from 8:00 - 8:30 am. The following timeline shows how the room was over ratio as children continued to arrive to the center: a. 8:00-8:04am 7 children with Staff # 1; b. 8:05am -8:14 am there 9 children with Staff # 1; c. 8:14am to 8:22 am 10 children with Staff # 1; d. 8:22 am to 8:29 am 11 children with 2 staff members until the third staff member arrived at 8:30 am.”

8VAC20-780-350-B-3 Complaint related: Yes

“Repeat Violation Based on observation, the center did not maintain the 1 staff to 8 children ratio in the 2's classroom. Evidence: 1. On 4/16/24, at approximately 8:15 am, the children from the 2's and Preschool 2's (3 yrs. old) class were combined together in the 2's room with 1 staff member. 2. The classroom was out of ratio over time as children arrived to the classroom: a. At 8:15 am, there were 19 children in the classroom with 2 staff members. b. At 8:17 am, there were 20 children (eleven-2 yr olds and nine -3 yr. olds) in the room with 2 staff members. c. At 8:27 am, after the Preschool children were taken to their room, there were 18 two year old children left with one staff member. d. At 8:29 am, there were 19 children with one staff member. e. At 8:31 am, another staff member arrived to be with the staff member present and 19 children. f. A third staff member arrived at 8:34 am, bringing the classroom within the proper ratio.”

8VAC20-780-350-B-4 Complaint related: Yes

“Based on observation, the center did not maintain ratio of 1 staff to 10 staff in a group of children from 3 years to school age. Evidence: At 8:24 am there were 21 children ( 4years old and school agers) with two staff members only until the school age children left for the day.”

8VAC20-780-240-B Complaint related: No

“Based on records review, staff did not complete orientation training prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities. Evidence: Staff # 2's first day of employment was 4/2/24. Staff # 2's record did not have documentation of orientation.”