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Treetop Academy

Inspection · 2024-07-30

Date
2024-07-30
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on July 30, 2024 and completed on August 1, 2024. The on-site inspection began at 2:50pm and ended at 5:00pm. The inspector reviewed compliance in the areas listed above. There were 35 children present and 7 staff.
The inspector reviewed 5 children?s records and 5 staff records on-site and electronically on August 1, 2024. This inspection included document review, tour of the facility, interviews, observations and measurements.

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 deficient practice will be or has been corrected. Submit your POC within five business days from today, which will be the close of business on August 9, 2024. A POC submitted after this date will not appear on the public website.

Violations

8
Standard 8VAC20-780-160-C
Based on record review and staff interviews, the licensee did not ensure that each staff member had obtained at least every two years from the date of the initial screening or testing, the results of a follow- up tuberculosis screening.

Evidence: Staff #5's record did not include updated TB screening;most recent screening dated 7-9-2022.
Plan of Correction: Staff #5 received an updated TB test on 8-1-2024
Standard 8VAC20-780-270-A
Based on observation and staff interviews, the licensee did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence:
The following equipment on the outdoor playground poses a safety risk to children on the playground.
1.The tan colored painted metal microphone on the composite piece has areas of peeling paint and rust.
2.There is a screen window frame that is no attached to the screen window frame and has a sharp edge and is accessible to children on the playground.
Plan of Correction: The compromised area on the metal microphone have been covered. A repair request for the screen window frame has been submitted to maintenance.
Standard 8VAC20-780-500-A
Based on observation and staff interviews, the licensee did not ensure to follow all handwashing procedures.

Evidence:
1.The children in the 2?s and 3?s room were observed during snack time and they do not wash their hands or use wipes after eating.
2. In the 2?s and 3?s room were observed during toilet training / restroom time and Staff #2 was observed emptying a toilet chair and did not wash their hands after.
Plan of Correction: Staff will ensure children wash their hands before &after eating each meal, staff will also wash their hands after emptying a toilet chair.
Standard 8VAC20-780-500-C
Based on observation and staff interviews, the licensee did not ensure that toilet chairs shall be emptied promptly and cleaned and sanitized after each use

Evidence: Staff #2 was observed during toileting training time and did not clean or sanitize the toilet chair after it had been emptied.
Plan of Correction: Staff will ensure during training time toilet chairs will be cleaned & sanitized after each use.
Standard 8VAC20-780-510-P
Based on review of documentation and staff interviews, the licensee did not ensure when an authorization for medication expires, the parent shall be notified the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet.

Evidence: Child #3 had a medication (Epi-pen) and the medication authorization signed by the parent expired on 5-30-24. The medication had not been sent home to the parents or disposed of as required.
Plan of Correction: Medication was returned to parent. New form will be completed &submitted so the medication can be on site.
Standard 8VAC20-780-550-P
Based on center documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence that includes all required information.

Evidence: Five injury reports reviewed and three were missing some information to include the future action to prevent injury and how the parent was notified of the injury.
Plan of Correction: The incident /accident reports were completed & the missing information was corrected.
Standard 8VAC20-780-560-J
Based on observation and staff interviews, the licensee did not ensure the tables used for feeding shall be sanitized after each use for feeding.

Evidence: The feeding table in the 2's and 3's room was not sanitized after snack, as Staff #2 was observed spraying it was disinfectant then immediately wiping it dry. The definition of "Sanitized" means treated in such a way to remove bacteria and viruses from inanimate surfaces through using a disinfectant solution and the surface of the item is sprayed or dipped into the disinfectant solution and allowed to air dry on the surface for a minimum of two minutes or according to the disinfectant solution instructions.
Plan of Correction: Staff will sanitize tables before & after each meal. Staff will wait a minimum of 2 minutes to allow the solution to air dry before wiping the table.
Standard 8VAC20-780-70
Based on record review and staff interviews, the licensee did not ensure that all required items were in a staff record.

Evidence: Center Director verified the record Staff #4 (date of hire 6-27-2024) was missing the second required references and the first reference did not include the signature pf the person conducting the reference check prior to hire.
Plan of Correction: 2nd reference was located &placed in file. The missing signature was added to the reference.
View original record on Virginia Department of Social Services