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Willow Tree Academy, LLC

Inspection · 2024-12-02

Date
2024-12-02
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks
20 Access to minor?s records
22.1 Background Checks Code
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 focused inspection was initiated on December 2, 2024, and completed on December 2, 2024. The Department issued a Notice of Intent to Deny Renewal Application for Licensure on November 13, 2024, as a result of high-risk violations. The on-site inspection, conducted in conjunction with another Licensing Inspector, began at 10:40 a.m. and ended at 1:00 p.m. The inspector reviewed compliance in the areas listed above. There were 58 children present and 16 staff. The inspector reviewed two staff records on-site. This inspection included document review, observations, interviews, and tour of the facility. 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 December 16, 2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 8VAC20-780-270-A
REPEAT VIOLATION Areas and equipment of the center, inside and outside, shall be 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.
In the infant room, the vinyl on the cushion climbing blocks/slide was peeling.
Plan of Correction: Climbing block removed; replaced with a new one.
Standard 8VAC20-780-280-B
REPEAT VIOLATION Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.
In the 2's room a cabinet was left unlocked with bottle of bleach solution in the cabinet.
Plan of Correction: Employee given a verbal warning. Admin team will ensure all cabinets are locked.
Standard 8VAC20-780-50-A
Staff and children's records shall be treated confidentially.
A child's registration form, which contains confidential information, was posted on the transition classroom door in view of the public.
Plan of Correction: Document was taken down. Teachers reminded of confidential information in covered spaces.
Standard 8VAC20-780-500-B
REPEAT VIOLATION Disposable diapers shall be disposed 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.
The foot-operated trash can staff use to dispose of diapers was not working in the transition room. The trash can had diapers in it.
Plan of Correction: New trash can purchased same day.
Standard 8VAC20-780-520-C
Diaper ointment shall be inaccessible to children.
In the transition room the diaper ointment was stored on an open shelf under the changing table accessible to children.
Plan of Correction: Verbal warning to teacher on safety standards. All materials placed out of reach.
View original record on Virginia Department of Social Services