Willow Tree Academy, LLC

8VAC20-780-340-A · Based on interview, the center failed to ensure care, protection, and guidance when supervising children.

Evidence: 1. Per interview with adult 1: On 12/27/23 at about 9:45 AM, staff 3 was alone with four infants, one of which was crying while face down on a Boppy pillow on the floor; when asked if she was going to move child 2, staff 3 replied ?Not now."; Adult 1 walked to the office and then walked back to the classroom with staff 4 and staff 5 to find Child 2 was still face down in the Boppy pillow, now asleep. Adult 1 reported about 15 minutes passed between the time child 2 was first observed face down on the Boppy pillow to when they returned to the classroom to find child 2 sleeping face down on the Boppy pillow. 2. Interview with staff 4 confirmed that upon arrival to the classroom, staff 4 witnessed child 2, 5 months old, sleeping on the Boppy pillow face down. 3. The warning label on the Boppy pillow states the following: -Never allow baby to sleep on the Boppy pillow. -Do not allow baby to lie face down on a Boppy pillow.

22.1-289.035-A · The center is required to have employees undergo a background check every five years. The most recent central registry check for staff #4 was overdue by a year and nine months.

22.1-289.035-B-1 · The center is required to obtain a completed sworn statement prior to the employee's first day of employment. The center did not have a sworn statement for Staff #2, who is currently working.

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.

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.

8VAC20-790-530-C · Records, reports, and information required may be kept as hard copy or electronically, except attendance records must be maintained as a written hard copy that records arrival and departure of each child in care as it occurs.

The written attendance records for three rooms were not current and one classroom did not have a written attendance record.

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.

8VAC20-780-40-M · REPEAT VIOLATION, SYSTEMIC VIOLATION The center is required to keep a current list of all known allergies, sensitivities, and dietary restrictions in each room or area where children are present. The list must be dated and kept confidential. The posted list in the toddler room did not include one child's dietary restriction.