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Willow Tree Academy, LLC

Inspection · 2025-01-27

Date
2025-01-27
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.
22.1 Background Checks Code, Carbon Monoxide

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

Two licensing inspectors conducted an unannounced, on-site focused inspection was initiated on January 27,2025, and completed on January 27, 2025. 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 10:15 a.m. and ended at 12:45 p.m. The inspector reviewed compliance in the areas listed above. There were 81 children present and 17 staff. The inspector reviewed two children?s, three staff, and two children?s medication record 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 February 11, 2025. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 8VAC20-780-510-F
REPEAT VIOLATION SYSTEMIC VIOLATION The medication authorization shall be available to staff during the entire time it is effective. A medication prescribed to Child #3 was on site at the center; however, there was no medication authorization form for this medication.
Plan of Correction: Medication removed from facility until all correct documents were obtained.
Standard 8VAC20-780-550-P
REPEAT VIOLATION The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the following: Staff and parent signatures or two staff signatures.
An injury report, found in the Preschool room, dated January 23, 2025 only contained one signature.
Plan of Correction: Notice given to staff on requirements necessary for injury documents.
Standard 8VAC20-780-560-M
No child shall be allowed to drink or eat while walking around. In staff #4's classroom, three toddlers were observed walking around the classroom while drinking.
Plan of Correction: Reminder given to all teachers about choking hazards; all children to be sitting while drinking.
Standard 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. On January 27, 2025 at approximately 10:38 A.M., there were sixteen children present in the Preschool room and there was no written record of attendance to include the arrival of any of those children. The written record of daily attendance for the previous week included only arrivals and did not document any departures for any of the children.
On January 27, 2025 there were six children in the transition room; however, arrivals had only been documented four of the six children.
Plan of Correction: Implemented new department policy, regarding all children being visibly circled (documented) when they leave classroom.
Notice given to staff on required updated attendance sheets.
View original record on Virginia Department of Social Services