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Lightbridge Academy

Inspection · 2025-06-26

Date
2025-06-26
Complaint Related
No
Licensing Inspector
Heather Dapper
(804) 625-2304
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 Early Childhood Care and Education.
63.2 Child Abuse & Neglect.

During the inspection, the inspector reviewed the areas listed above. 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 June 26, 2025 and completed on June 26, 2025, as a part of the conditional licensure period. The on-site inspection began at 11:15 AM and ended at 2:20 PM. The inspector reviewed compliance in the areas listed above. There were 26 children present and eight staff. The inspector reviewed five children?s records and six staff records on-site. This inspection included document review, tour of the facility, interviews, 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 July 8, 2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 8VAC20-780-140-A
Physical examinations completed by a physician shall be obtained prior to the first day of attendance or within 30 days after the first day of attendance.

1. The record for child #2, did not contain documentation of a physical examination which was overdue by 35 days.
2. The record for child #3, did not contain documentation of a physical examination which was overdue by 19 days.
Plan of Correction: The owners will obtain physical examination records from the parents of child #2 and #3. We will ensure either a signature or a stamp is placed by the doctor.
Further, we will examine all current child files to ensure we have this documentation in place and will not onboard future enrollees without this information.
Standard 8VAC20-780-150-B
Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department.

1.The immunization record for child #2, enrolled for 65 days, was not signed or dated.
2. The immunization record for child #3, enrolled 49 days, was not signed or dated.
Plan of Correction: The owners will obtain immunization records for child #2 and child #3. Further, all immunization records will be reviewed prior to enrolling the child to ensure they are on file. Current immunization records of all families currently enrolled will be reviewed as well.
Standard 8VAC20-780-160-A
Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with the children.

The screening for staff #4 was completed two days after hire.
Plan of Correction: All staff submits a TB testing, but we will not onboard an employee until the results
of this are cleared in our records.
Standard 8VAC20-780-510-B
Prescription and nonprescription medication shall be given to a child: Only with written authorization from the parent.

1. Child D was administered nonprescription medication on June 12, 2025.
2. The center did not have medication consent to administer the nonprescription medication until June 16, 2025.
Plan of Correction: Mandy who is the owner and is MAT certified will ensure no child will be administered non-prescription medication going forward without a medication consent form. As noted, Child D's medication consent form is on file.
Standard 8VAC20-780-560-G
When food is brought from home the food container shall be sealed and clearly dated and labeled in a way that identifies the owner.

1. In room #1, four food containers and two bottles were not dated.
2. In room #2, two food containers were not dated.
3. In room #4, two food containers were not dated, and one food container was not labeled in a way to identify the owner.
Plan of Correction: The directors and the owners will provide training to all staff to ensure parents are
marking the food container. In the absence of parents marking them, staff will use
painters tape to mark them on a daily go forward basis.
Additionally, a message was sent to all families in the infant classroom reminding them of the labeling requirements on 06/27/2025.
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 65 days, did not contain the name and phone number of the child's physician.
The record for child #3, enrolled for 49 days, did not contain the name and phone number of the child?s physician.
Plan of Correction: The owners will review all records and files to ensure the name and phone number of all enrolled families contain a name and phone number of the child's physican. We will reach out to the families where that is missing and obtain the documentation.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment.

1.The record for staff 1, employed for 20 days, did not have documentation of completed reference checks.
2. The record for staff #4, employed for 55 days, did not have documentation of completed reference checks.
Plan of Correction: The owners will request reference letters and/or call references from staff #1 and staff # 4 as a condition for continued employment. Further, the owners will review all current staff files for reference letters/call information on file and ensure all current staff is accounted for. Going forward, employees will not be able to
onboard until these items are in place.
View original record on Virginia Department of Social Services