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Willowcreek Academy

Inspection · 2024-05-09

Date
2024-05-09
Complaint Related
No
Licensing Inspector
Sarah Zirzow
(703) 479-4675
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced renewal inspection was conducted today. All rooms were in ratio during the inspection.
Children were observed: eating morning snack, washing hands, being bottle fed, playing on the playground, playing dress-up and during circle time.
Medications, emergency evacuation drills, Fire Inspection, Health Inspection, Liability Insurance, injury reports, playground equipment and mulch were all in compliance today.
5 child and 5 staff records were reviewed.
Violations were reviewed at the exit interview with the Director. See Violation notice for non-compliances cited today.
Due to caseload adjustments, your next inspection will be with a different inspector.
If you have any questions regarding this inspection, you may contact me at (703) 479-4678 or at Sarah.Marbert@doe.virginia.gov.
Licensing Inspectors S. Marbert and A. Deas were present from 9:00AM - 12:15PM.
Amended inspection report was issued on June 18, 2024 due to a background search for a Board Officer.

Violations

7
Standard 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)
Plan of Correction: Agent B has had fingerprinting redone. We are waiting on the results.
Standard 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)
Plan of Correction: Staff will have a new TB test done and provide the results to the center,
Standard 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.
Plan of Correction: The window sill will be repainted.
Standard 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).
Plan of Correction: Bottles were removed during the inspection. Staff were reminded to lock the cleaners up once diapering is completed.
Standard 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.
Plan of Correction: Staff were having the infants do 30 minutes a day, they were not documenting it.
Staff were reminded to document all tummy time on the daily sheet.
Standard 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.
Plan of Correction: The machine was removed from the crib during the inspection. A different location will be found for the machine.
Standard 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.
Plan of Correction: We will have the parent update the child's record at pick up today.
View original record on Virginia Department of Social Services