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Willowcreek Academy

Inspection · 2025-05-27

Date
2025-05-27
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

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated and completed on May 27, 2025, as a part of the licensure period. The on-site inspection began at 9:15 a.m. and ended at 11:00 a.m. The inspector reviewed compliance in the areas listed above. There were 44 children present and 10 staff. The inspector reviewed 6 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility, and observations. Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on June 3, 2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 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.

Staff #4, employed for more than 1 year and 2 months, did not have documentation of requesting a criminal history check, central registry check, and sex offender check from one state.
Plan of Correction: The background checks will be obtained and placed in the staff file.
Standard 8VAC20-780-160-C
A tuberculosis (TB) screening is required every two years from the last screening.

The updated screening for Staff #2 (employed for over 2 years) was due over 3 months ago and the updated screening has not yet been completed.
Plan of Correction: A new TB test will be obtained and placed in the staff file.
Standard 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.

Child step stools being used in the bathroom of Classroom #3 and #6 were broken with chipping wood.
Plan of Correction: The step stools were removed and replaced with new ones.
Standard 8VAC20-780-280-B
Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.

An open bag of potting soil with warning labels, ?Keep out of reach of children,? were unlocked in Classroom #4, within reach of children.
Plan of Correction: The bag of potting soil was removed and will be kept out of reach of children.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed.

Medication for Child #7 was onsite, but the medication authorization had expired over 4 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.
Plan of Correction: New authorization forms will be obtained.
Standard 8VAC20-780-520-A
The center shall ensure over-the-counter skin products shall not be kept or used beyond the expiration date of the product.

Two sunscreens in Classroom #7 had been kept and used beyond the expiration date of the product.
Plan of Correction: New sunscreens will be obtained from the parents.
Standard 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 record for Child #2, enrolled for over seven months, was missing the address of two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction: The parent was contacted and the addresses obtained and put in the child's file.
View original record on Virginia Department of Social Services