Treetop Academy

8VAC20-780-70

“The following staff records shall be kept for each staff person, documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff #1 was missing the second reference.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. 1.In the toddler room containers of disinfectant and sanitizers were in an unlocked cabinet. . 2.In the two's room containers of deodorizer, cleaner, disinfectant and sanitizers were in a unlocked cabinet. 3.In the school age room containers of disinfectant and sanitizers were in a unlocked closet. All items were labeled Keep out of reach of children and at least one other statement hazardous, harmful and flammable.”

8VAC20-780-350-M

“One staff member shall not supervise more than one room or area during rest time. Staff #6 was observed supervising 2 rooms(infant and preschool) during rest period.”

8VAC20-780-540-E

“The following nonmedical emergency supplies shall be required one working, battery-operated flashlight on each floor of each building that is used by children. There was not a flashlight at the center.”

8VAC20-780-150-B

“Each immunization and physical examination reports for children 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. The immunization record for Child #2 did not include the required signature.”

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. Child #6 does not have emergency formula.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.On the large composite playground piece there was a plastic substance that was peeling off the stairs and bridge walkway. 2. On the younger playground there was riding toy that had a broken top with sharp edges.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child #2 did not have a copy of a physical and was overdue by 4 months.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.There were areas of rust, chipping and peeling paint on the on the music board on the younger children playground. 2.There were 10 bolts protruding from the top of the older childrens playground. 3. In Classroom B, there was a metal ladder above 5 feet that was unstable and moved easily when touched. There were 9 children and in classroom B the ladder was accessible.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. 1.In Classroom C there was a container of disinfectant wipes in an unlocked cabinet. 2. In Classroom A, there was a container of hand sanitizer on the counter All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.”

8VAC20-780-350-B-1

“The center did not maintain required staff to child ratios, 1 staff for every 5 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on June 25, 2024. In the multipurpose room there were 2 staff with 15 children and the youngest was Child #1 age 5 months. The staff-to-child ratio for children birth to 16 months is 1:4 but the center had an approved variance for 1:5.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. In Classroom A diapering was observed for Child #1 and Staff #6 did not wash their hands or the children’s hands after diapering.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in 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. Staff #6 was observed throwing away a soiled diaper into a trashcan that did not have a lid and was accessible to children.”

8VAC20-780-540-A

“A first aid kit shall be wherever children are in care. The centers vehicle used for transportation does not have a first aid kit.”

8VAC20-780-160-C

“Repeat Violation Each staff member shall obtain at least every two years, from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Staff #1's record did not include an updated TB screening as the most recent was overdue by 14 months.”

8VAC20-780-140-A

“Each child shall have a physical examination by or under the direction of a physician: before the child's attendance; or within 30 days after the first day of attendance. Child #2 did not have a copy of a physical and was overdue by 4 months.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.There were areas of rust, chipping and peeling paint on the on the music board on the younger children playground. 2.There were 10 bolts protruding from the top of the older childrens playground. 3. In Classroom B, there was a metal ladder above 5 feet that was unstable and moved easily when touched. There were 9 children and in classroom B the ladder was accessible.”

8VAC20-780-280-B

“Repeat Violation Hazardous substances must be in a locked place that prevents access by children. 1.In Classroom C there was a container of disinfectant wipes in an unlocked cabinet. 2. In Classroom A, there was a container of hand sanitizer on the counter All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.”

8VAC20-780-350-B-1

“The center did not maintain required staff to child ratios, 1 staff for every 5 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on June 25, 2024. In the multipurpose room there were 2 staff with 15 children and the youngest was Child #1 age 5 months. The staff-to-child ratio for children birth to 16 months is 1:4 but the center had an approved variance for 1:5.”

8VAC20-780-500-A

“Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. In Classroom A diapering was observed for Child #1 and Staff #6 did not wash their hands or the children’s hands after diapering.”

8VAC20-780-500-B

“Disposable diapers shall be disposed of in 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. Staff #6 was observed throwing away a soiled diaper into a trashcan that did not have a lid and was accessible to children.”

8VAC20-780-540-A

“A first aid kit shall be wherever children are in care. The centers vehicle used for transportation does not have a first aid kit.”

8VAC20-780-160-C

“Repeat Violation Each staff member shall obtain at least every two years, from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Staff #1's record did not include an updated TB screening as the most recent was overdue by 14 months.”

8VAC20-780-150-B

“Physicals and Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. Both records for Child #2 were not signed and they have been attending for over 3 months.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.The stairs for the composite piece on the older children’s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children’s playground. 3. There are areas of rust, chipping and peeling paint on the pretend speakers near the composite piece for the older children’s playground and on the music board on the younger children’s playground. 4. In Classrooms A, B,C, D and E there were areas of chipping and peeling paint and throughout the classrooms and areas of dirt that easily comes off when touched with paper towel. 5. In Classrooms C by an exit door there were 2 small pieces of broken tile that easily moved and were not attached to the floor. 6. In Classroom C, D and on the playground, there were plastic chairs with broken seats, causing pinch points.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. I 1.In Classroom D, two spray containers of Bug Defense/ Killer and one spray container of cleaning solution were in an unlocked cabinet. 2. In Classroom E, two spray containers of disinfectant were in an unlocked cabinet. 3. In Classroom C there was one container of hand sanitizer on a shelf. All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.”

8VAC20-780-320-B

“Repeat Violation Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. There are two restrooms in the hallway and one did not have soap for two of the sinks and one restroom did not have toilet paper for three of the toilets.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly labeled to identify the owner and date. Four lunch boxes were observed, and they did not have both names and dates.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The most recent health and sanitation report from the health department was dated 3-15-2024.”

8VAC20-780-150-B

“Physicals and Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. Both records for Child #2 were not signed and they have been attending for over 3 months.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.The stairs for the composite piece on the older children’s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children’s playground. 3. There are areas of rust, chipping and peeling paint on the pretend speakers near the composite piece for the older children’s playground and on the music board on the younger children’s playground. 4. In Classrooms A, B,C, D and E there were areas of chipping and peeling paint and throughout the classrooms and areas of dirt that easily comes off when touched with paper towel. 5. In Classrooms C by an exit door there were 2 small pieces of broken tile that easily moved and were not attached to the floor. 6. In Classroom C, D and on the playground, there were plastic chairs with broken seats, causing pinch points.”

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. I 1.In Classroom D, two spray containers of Bug Defense/ Killer and one spray container of cleaning solution were in an unlocked cabinet. 2. In Classroom E, two spray containers of disinfectant were in an unlocked cabinet. 3. In Classroom C there was one container of hand sanitizer on a shelf. All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.”

8VAC20-780-320-B

“Repeat Violation Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. There are two restrooms in the hallway and one did not have soap for two of the sinks and one restroom did not have toilet paper for three of the toilets.”

8VAC20-780-560-G

“When food is brought from home the food container must be clearly labeled to identify the owner and date. Four lunch boxes were observed, and they did not have both names and dates.”

8VAC20-780-260-B

“After the first license, annual approval from the health department shall be provided. The most recent health and sanitation report from the health department was dated 3-15-2024.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The following was missing from 2 of 5 records reviewed. 1.The record for Child #2, did not include employment location and phone number for one parent listed. 2. The record for Child #4, did not include home phone number for one parent listed, employment location and phone number for one parent listed and a second emergency contact name, address and phone number.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. The boys restroom did not have toilet paper within reach for 3 of the toilets available and the girls restroom did not have toilet paper available for one toilet available.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas on the playground. 1.The stairs for the composite piece on the older children’s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children’s playground. 3. There are areas of rust , chipping and peeling paint on the music board on the younger children’s playground. 4. There are approximately 14 bolts protruding from the plastic landscape boarders around the younger children’s playground. 5. The outdoor shed frame has broken sharp edges and there is protruding nail round the door handle.”

8VAC20-780-150-B

“Immunization records shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record Child #5 did not include a signature from a physician, his designee, or an official of a local health department”

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering or changing. The diaper pad in 3 classrooms had small tears/ rips and therefore the pad was no longer nonabsorbent.”

8VAC20-780-60-A

“Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The following was missing from 2 of 5 records reviewed. 1.The record for Child #2, did not include employment location and phone number for one parent listed. 2. The record for Child #4, did not include home phone number for one parent listed, employment location and phone number for one parent listed and a second emergency contact name, address and phone number.”

8VAC20-780-320-B

“Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. The boys restroom did not have toilet paper within reach for 3 of the toilets available and the girls restroom did not have toilet paper available for one toilet available.”

8VAC20-780-270-A

“Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas on the playground. 1.The stairs for the composite piece on the older children’s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children’s playground. 3. There are areas of rust , chipping and peeling paint on the music board on the younger children’s playground. 4. There are approximately 14 bolts protruding from the plastic landscape boarders around the younger children’s playground. 5. The outdoor shed frame has broken sharp edges and there is protruding nail round the door handle.”

8VAC20-780-150-B

“Immunization records shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record Child #5 did not include a signature from a physician, his designee, or an official of a local health department”

8VAC20-780-500-B

“The diapering area shall have a nonabsorbent surface for diapering or changing. The diaper pad in 3 classrooms had small tears/ rips and therefore the pad was no longer nonabsorbent.”

8VAC20-780-550-P

“Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information. Evidence: Five injury reports reviewed and three were missing some information to include the future action to prevent injury and how the parent was notified of the injury.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: Center Director verified the record Staff #4 (date of hire 6-27-2024) was missing the second required references and the first reference did not include the signature pf the person conducting the reference check prior to hire.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure to follow all handwashing procedures. Evidence: 1.The children in the 2?s and 3?s room were observed during snack time and they do not wash their hands or use wipes after eating. 2. In the 2?s and 3?s room were observed during toilet training / restroom time and Staff #2 was observed emptying a toilet chair and did not wash their hands after.”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #5's record did not include updated TB screening;most recent screening dated 7-9-2022.”

8VAC20-780-510-P

“Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: Child #3 had a medication (Epi-pen) and the medication authorization signed by the parent expired on 5-30-24. The medication had not been sent home to the parents or disposed of as required.”

8VAC20-780-500-C

“Based on observation and staff interviews, the licensee did not ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use Evidence: Staff #2 was observed during toileting training time and did not clean or sanitize the toilet chair after it had been emptied.”

8VAC20-780-560-J

“Based on observation and staff interviews, the licensee did not ensure the tables used for feeding shall be sanitized after each use for feeding. Evidence: The feeding table in the 2's and 3's room was not sanitized after snack, as Staff #2 was observed spraying it was disinfectant then immediately wiping it dry. The definition of "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution and the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The following equipment on the outdoor playground poses a safety risk to children on the playground. 1.The tan colored painted metal microphone on the composite piece has areas of peeling paint and rust. 2.There is a screen window frame that is no attached to the screen window frame and has a sharp edge and is accessible to children on the playground.”

8VAC20-780-550-P

“Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information. Evidence: Five injury reports reviewed and three were missing some information to include the future action to prevent injury and how the parent was notified of the injury.”

8VAC20-780-70

“Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record. Evidence: Center Director verified the record Staff #4 (date of hire 6-27-2024) was missing the second required references and the first reference did not include the signature pf the person conducting the reference check prior to hire.”

8VAC20-780-500-A

“Based on observation and staff interviews, the licensee did not ensure to follow all handwashing procedures. Evidence: 1.The children in the 2?s and 3?s room were observed during snack time and they do not wash their hands or use wipes after eating. 2. In the 2?s and 3?s room were observed during toilet training / restroom time and Staff #2 was observed emptying a toilet chair and did not wash their hands after.”

8VAC20-780-160-C

“Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Evidence: Staff #5's record did not include updated TB screening;most recent screening dated 7-9-2022.”

8VAC20-780-510-P

“Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: Child #3 had a medication (Epi-pen) and the medication authorization signed by the parent expired on 5-30-24. The medication had not been sent home to the parents or disposed of as required.”

8VAC20-780-500-C

“Based on observation and staff interviews, the licensee did not ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use Evidence: Staff #2 was observed during toileting training time and did not clean or sanitize the toilet chair after it had been emptied.”

8VAC20-780-560-J

“Based on observation and staff interviews, the licensee did not ensure the tables used for feeding shall be sanitized after each use for feeding. Evidence: The feeding table in the 2's and 3's room was not sanitized after snack, as Staff #2 was observed spraying it was disinfectant then immediately wiping it dry. The definition of "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution and the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.”

8VAC20-780-270-A

“Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The following equipment on the outdoor playground poses a safety risk to children on the playground. 1.The tan colored painted metal microphone on the composite piece has areas of peeling paint and rust. 2.There is a screen window frame that is no attached to the screen window frame and has a sharp edge and is accessible to children on the playground.”

8VAC20-780-530-A

“REPEAT Based on record review, staff interview and observation , the licensee did not ensure at least one staff in each classroom or area where children are present have CPR and First Aid. Evidence: Staff #5 was alone with children and did not have CPR and First Aid. Confirmed by center director.”

8VAC20-780-280-B

“REPEAT Based on observation, the licensee did not ensure hazordous substances was kept in a locked place iusing a safe locking method that prevents access. Evidence: 1-In the infant room, there was aersol spray labeled with keep out of reach of children and warining. It was not in a locked area. 2-In the 4 year old room, there was soap that was labeled with keep out of reach of children and warning. 3- The substances should be kept in locked place.”

8VAC20-780-270-A

“REPEAT Based on record review and staff interview, the licensee did not ensure areas adn equipment ot the center inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: Outside there was a bucket with outdoor toys was cracked that could cause snag skin and entangle clothing. There was also a crack on a kids ride on car. Center staff was removing of the equipment while the inspection was conducted.”

8VAC20-780-560-F

“Based on observation, the licensee did not ensure that the current menu was dated. Evidence: The menu posted was not dated.”