Willowcreek Academy

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. The center did not request prior to employment, a search of the child abuse and neglect registry, criminal history check, or sex offender check from one state for Staff #3, who has been employed for one week and was working with children at the time of the inspection.”

8VAC20-780-270-A

“The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There are areas of chipping paint on four pillars on the outside playground.”

8VAC20-780-80-A

“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. At approximately 9:30 a.m. on 11/13/2024, there were 6 children present in the Infant room, but only 3 were marked present on the attendance record.”

8VAC20-780-160-C

“Based on a review of records, one staff record did not contain documentation of a repeat tuberculosis (TB) screening result within the allowable two year time frame. Evidence: Staff C's TB screening result on file was dated 2/3/22. (expired)”

8VAC20-780-60-A

“Based on a review of records, one child record did not contain documentation of an annual update. Evidence: Child #3's record was dated 5/3/22.”

8VAC20-780-270-A

“Based on observation, the center was not maintained in a clean, safe an operable condition. Evidence: Peeling paint was observed on a low window sill in the infant room, that was within reach of infants.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous materials were not stored locked using a safe locking method. Evidence: Two spray bottles of sanitizer and :cleaner" were observed in the two sinks in the Infant room. (Both sides of the diaper changing area).”

8VAC20-780-370-5

“Based on a review of documentation, the center did not document 30 minutes of time on their stomachs, for infants that cannot turn themselves over. Evidence: One infant, required to have tummy time, had 10 of the 30 required minutes of time on their stomach documented for 5/7/24 and 5/8/24.”

8VAC20-780-440-N

“Based on observation, toys or objects hung on a crib was used for an infant over five months of age. Evidence: A "hush" sound machine (white noise) was tied to the crib of a seven moth old child.”

22.1-289.036-A

“Based on a review of records, one applicant file did not contain documentation of a repeated criminal record check within the allowable 5 year time frame. Evidence: Agent B's fingerprint results were dated 6/26/18. (expired)”

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff C's certification for CPR expired on 2/19/24.”

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff C's first aid certification expired 2/19/24.”

8VAC20-780-160-C

“Based on a review of records, one staff record did not contain documentation of a repeat tuberculosis (TB) screening result within the allowable two year time frame. Evidence: Staff C's TB screening result on file was dated 2/3/22. (expired)”

8VAC20-780-60-A

“Based on a review of records, one child record did not contain documentation of an annual update. Evidence: Child #3's record was dated 5/3/22.”

8VAC20-780-270-A

“Based on observation, the center was not maintained in a clean, safe an operable condition. Evidence: Peeling paint was observed on a low window sill in the infant room, that was within reach of infants.”

8VAC20-780-280-B

“Repeat Violation Based on observation, hazardous materials were not stored locked using a safe locking method. Evidence: Two spray bottles of sanitizer and :cleaner" were observed in the two sinks in the Infant room. (Both sides of the diaper changing area).”

8VAC20-780-370-5

“Based on a review of documentation, the center did not document 30 minutes of time on their stomachs, for infants that cannot turn themselves over. Evidence: One infant, required to have tummy time, had 10 of the 30 required minutes of time on their stomach documented for 5/7/24 and 5/8/24.”

8VAC20-780-440-N

“Based on observation, toys or objects hung on a crib was used for an infant over five months of age. Evidence: A "hush" sound machine (white noise) was tied to the crib of a seven moth old child.”

22.1-289.036-A

“Based on a review of records, one applicant file did not contain documentation of a repeated criminal record check within the allowable 5 year time frame. Evidence: Agent B's fingerprint results were dated 6/26/18. (expired)”

8VAC20-790-600-D-1

“Based on a review of records, one staff record did not contain documentation of current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff C's certification for CPR expired on 2/19/24.”

8VAC20-790-600-D-2

“Based on a review of records, one staff record did not contain documentation of current first aid certification. Evidence: Staff C's first aid certification expired 2/19/24.”

8VAC20-780-280-B

“Based on observation, hazardous materials were not stored locked when not in use. Evidence: Hazardous materials in spray bottles were stored on the counter and sink areas in the Toddler and Preschool 1 room.”

22.1-289.035-B-2

“Based on a review of records, one staff record did not contain documentation of a completed nationwide fingerprint search prior to employment. Evidence: Staff A (Date of Hire: DOH) is documented in the record at 7/10/23. Fingerprint results on file are dated 7/12/23.”

8VAC20-780-280-B

“Based on observation, hazardous materials were not stored locked when not in use. Evidence: Hazardous materials in spray bottles were stored on the counter and sink areas in the Toddler and Preschool 1 room.”

22.1-289.035-B-2

“Based on a review of records, one staff record did not contain documentation of a completed nationwide fingerprint search prior to employment. Evidence: Staff A (Date of Hire: DOH) is documented in the record at 7/10/23. Fingerprint results on file are dated 7/12/23.”

8VAC20-780-80-A

“Based on a review of records, a written record of attendance did not accurately document the arrival and departure of children. Evidence: The Pre-K classroom attendance sheet documented 13 children present. There were only 12 present. One child had been marked present all day that was not there.”

8VAC20-780-80-A

“Based on a review of records, a written record of attendance did not accurately document the arrival and departure of children. Evidence: The Pre-K classroom attendance sheet documented 13 children present. There were only 12 present. One child had been marked present all day that was not there.”

8VAC20-780-80-A

“Based on a review of records, a written record of attendance did not accurately document the arrival and departure of children. Evidence: The Pre-K classroom attendance sheet documented 13 children present. There were only 12 present. One child had been marked present all day that was not there.”

8VAC20-780-530-A-2 Complaint related: No

“Based on a review of records, one staff record does not contain documentation of current first aid certification. Evidence: Available documentation shows that first aid certification is dated 10/01/2016 with an expiration in 2 years. (2018) Staff A”

8VAC20-780-210-A Complaint related: No

“Based on a review of records, one staff record does not contain documentation of lead teacher qualifications. Evidence: Documentation submitted for review does not total 24 hours of training within the allowable 30-day period (the requirement at that time, 2017). Documents provided total 16.08 hours. (Staff A)”

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

“Based on a review of video footage the facility did not ensure care and protection for a 4-year-old child in care. Evidence: On 1/3/2023 a 4-year-old child arrived at a program at another facility with 3 marbles in his mouth. It was determined through reviewing video footage that the child had placed the marbles in their mouth at the daycare at 8:18AM and had them in the mouth for approximately 17 minutes at the time they left the center at 8:35AM. (Child 1: DOB 12:14/18)”

8VAC20-780-530-A-1 Complaint related: No

“Based on a review of records, one staff record does not contain documentation of current CPR certification. Evidence: Available documentation shows that CPR certification is dated 10/01/2016 with an expiration in 2 years. (2018) (Staff A)”

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

“Based on a review of footage, a child under the age of 10 was not kept within actual sight and sound supervision. Evidence: On 1/3/23 a 4- year-old child was not in sight and sound supervision. Video shows the staff member seated at a table while a child is across the room with his back to the teacher, playing with marbles, behind a shelf unit.”

22.1-289.035-B-4

“Based on a review of records, one staff record does not contain documentation of completed background searches that are required for anyone that has resided outside of Virginia in the past 5 years. Evidence: The Sworn Disclosure Statement (SDS) for 1 staff member reflects a residence in another state within the past 5 years. *There are no results documented of a completed Criminal History Search for that state, prior to employment. *There are no results documented of a completed Child Abuse and Neglect search for that state with in 45 days of employment. (Staff A - Date of Hire (DOH) 9/2/22.”

22.1-289.035-B-4

“Based on a review of records, one staff record does not contain documentation of completed background searches that are required for anyone that has resided outside of Virginia in the past 5 years. Evidence: The Sworn Disclosure Statement (SDS) for 1 staff member reflects a residence in another state within the past 5 years. *There are no results documented of a completed Criminal History Search for that state, prior to employment. *There are no results documented of a completed Child Abuse and Neglect search for that state with in 45 days of employment. (Staff A - Date of Hire (DOH) 9/2/22.”

8VAC20-780-80-A

“Based on a review of documentation, a written attendance sheet was not maintained in one classroom. Evidence: The Toddler/Preschool II attendance sheet did not accurately reflect the children in the room. There were 9 children present in the classroom. The attendance sheet showed 7 children present. 1 name had been whited out; however, the child was present. 1 child was not listed on the sheet.”

8VAC20-780-60-A

“Based on a review of records, one child record does not include all required information. Evidence: 5 records were reviewed. 1 of 5 did not include: *Mother’s work information (Child 1) *Allergy action plan for a food allergy (Child 1) *Start date (Child 4) *Proof of Birth documentation (Child 4)”

8VAC20-780-160-A-1

“Based on a review of records, one staff record did not include documentation of a completed Tuberculosis (TB) screening submitted prior to employment. Evidence: The TB screening documentation is dated 4/29/22. The date of hire is documented as 4/25/22. (Staff #3)”

8VAC20-780-140-A

“Based on a review of records, one child record does not include documentation of a completed physical within 30 days of attendance. Evidence: There is no documentation of a physical available for review for Child #3. (Start date: 4/4/22)”

8VAC20-780-560-G

“Based on a review of bottes in the Infant 1 room, all bottles were not labeled and dated. Evidence: 1 of 4 infants with bottles did not have the bottles dated with today’s date.”

22VAC40-185-130-A

“Based on a review of records, one child record did not include documentation of immunizations before the child attended. Evidence: There is no record of immunizations available for review for Child #3. (Start date: 4/4/22)”

8VAC20-780-280-B

“Based on direct observation, hazardous materials were not stored locked when not in use. Evidence: Spray bottles of cleaners were in the sink in the Infant 1 and Infant 2 rooms.”

8VAC20-780-240-B

“Based on a review of records, one staff person did not have documentation of completion of first aid and CPR training prior to working alone with children and later than 7 days from assuming job responsibilities. Evidence: 1 of 4 staff records reviewed had no documentation of First aid and CPR training. (Staff #3)”

8VAC20-780-80-A

“Based on a review of documentation, a written attendance sheet was not maintained in one classroom. Evidence: The Toddler/Preschool II attendance sheet did not accurately reflect the children in the room. There were 9 children present in the classroom. The attendance sheet showed 7 children present. 1 name had been whited out; however, the child was present. 1 child was not listed on the sheet.”

8VAC20-780-60-A

“Based on a review of records, one child record does not include all required information. Evidence: 5 records were reviewed. 1 of 5 did not include: *Mother’s work information (Child 1) *Allergy action plan for a food allergy (Child 1) *Start date (Child 4) *Proof of Birth documentation (Child 4)”

8VAC20-780-160-A-1

“Based on a review of records, one staff record did not include documentation of a completed Tuberculosis (TB) screening submitted prior to employment. Evidence: The TB screening documentation is dated 4/29/22. The date of hire is documented as 4/25/22. (Staff #3)”

8VAC20-780-140-A

“Based on a review of records, one child record does not include documentation of a completed physical within 30 days of attendance. Evidence: There is no documentation of a physical available for review for Child #3. (Start date: 4/4/22)”

8VAC20-780-560-G

“Based on a review of bottes in the Infant 1 room, all bottles were not labeled and dated. Evidence: 1 of 4 infants with bottles did not have the bottles dated with today’s date.”

22VAC40-185-130-A

“Based on a review of records, one child record did not include documentation of immunizations before the child attended. Evidence: There is no record of immunizations available for review for Child #3. (Start date: 4/4/22)”

8VAC20-780-280-B

“Based on direct observation, hazardous materials were not stored locked when not in use. Evidence: Spray bottles of cleaners were in the sink in the Infant 1 and Infant 2 rooms.”

8VAC20-780-240-B

“Based on a review of records, one staff person did not have documentation of completion of first aid and CPR training prior to working alone with children and later than 7 days from assuming job responsibilities. Evidence: 1 of 4 staff records reviewed had no documentation of First aid and CPR training. (Staff #3)”

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

“Based on a review of video documentation, one child was not kept in sight and sound supervision in the Preschool 2 classroom. Evidence: On the video recording (at 17:32:18) Staff A walks to the classroom door to speak with a pick up person for a child, leaving her back to the classroom. A child at a table on the other side of the room, climbs onto the table, squats down, stands up, jumps, stomps his foot and waives his arms. The child sits down and climbs down off of the table before the staff person turn around to see him (17:32:58).”

8VAC20-780-500-A Complaint related: No

“Based on a review of a video recording, a staff person and a child did not wash their hands after contact with body fluids. Evidence: Staff B was observed wiping a child nose on the video recording. Neither the child nor the staff person washed their hands after the contact with body fluids.”

8VAC20-780-380-B Complaint related: No

“Based on a review of video documentation, a staff person does not engage in interactions with the preschool children in the classroom. Evidence: Staff B is observed on the video recording (17:16:16) sweeping the classroom and spraying the tables and diaper changing pad with sanitizing solution. The only interactions with children are instructions to "clean up" for 8 minutes until another staff person arrives (17:24:20)”

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

“Based on a review of video documentation, one child was not kept in sight and sound supervision in the Preschool 2 classroom. Evidence: On the video recording (at 17:32:18) Staff A walks to the classroom door to speak with a pick up person for a child, leaving her back to the classroom. A child at a table on the other side of the room, climbs onto the table, squats down, stands up, jumps, stomps his foot and waives his arms. The child sits down and climbs down off of the table before the staff person turn around to see him (17:32:58).”

8VAC20-780-500-A Complaint related: No

“Based on a review of a video recording, a staff person and a child did not wash their hands after contact with body fluids. Evidence: Staff B was observed wiping a child nose on the video recording. Neither the child nor the staff person washed their hands after the contact with body fluids.”

8VAC20-780-380-B Complaint related: No

“Based on a review of video documentation, a staff person does not engage in interactions with the preschool children in the classroom. Evidence: Staff B is observed on the video recording (17:16:16) sweeping the classroom and spraying the tables and diaper changing pad with sanitizing solution. The only interactions with children are instructions to "clean up" for 8 minutes until another staff person arrives (17:24:20)”