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Willow Tree Academy, LLC

Inspection · 2025-02-28

Date
2025-02-28
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

The inspection findings have been updated based on a first-step review completed on March 31, 2025.
Two licensing inspectors conducted an unannounced, on-site focused inspection initiated on February 28,2025, and completed on February 28, 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 began at 10:05 a.m. and ended at 12:55 p.m. The inspector reviewed compliance in the areas listed above. There were 78 children present and 13 staff. The inspector reviewed three children?s, two staff, and one child?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 March 24, 2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 8VAC20-780-210-A-4-a
Within six months before being promoted or beginning work or one month after being promoted or beginning work, a minimum of 24 hours of training shall be received related to the care of children, including but not limited to: Preventing and reporting child abuse and neglect.
Staff #2, promoted to program leader October 9, 2024 and observed as program leader of classroom #1 during the inspection, had not received this training.
Plan of Correction: All staff files have been reviewed to ensure all trainings are within the correct date that ensures compliance.
Standard 8VAC20-780-510-F
REPEAT VIOLATION/ SYSTEMIC DEFICIENCY The medication authorization shall be available to staff during the entire time it is effective.
The center did not have parent or physician authorization for the medication for Child #1. The medication was at the center for four months.
Plan of Correction: Admin team has reviewed all medication standards to ensure all correct paperwork is in the facility.
Standard 8VAC20-780-80-A
REPEAT VIOLATION 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.
During the week of February 24, 2025, four classrooms did not maintain daily documentation of the departure of children and one classroom had documented arrival of a child who was not in attendance on that date.
Plan of Correction: Our facility has created new attendance forms that show clarification of information regarding the child being marked in, out, moved, to where.
View original record on Virginia Department of Social Services