Live Laugh Grow Academy LLC

8VAC20-780-160-C · A tuberculosis (TB) screening is required every two years from the last screening. Staff #3 and Staff #5 updated screening were due 2 months ago.

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8VAC20-780-70 · The center must have staff records with required documentation. The record for Staff #5 did not have documentation of qualifications for the job position.

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8VAC20-790-600-F · Staff who work directly with children shall annually attend the department's health and safety update course. Staff #2 did not attend the update training in the past 12 months.

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8VAC20-780-280-B · Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Three cleaning products with a label "keep out of reach of children" were in an unlocked cabinet, accessible to children, in the room with 4 three year old children at nap time.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care and shall be retrained at three-year intervals. Staff #1, who is currently working with children in the center, does not have documentation of current CPR certifications on record.

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8VAC20-780-270-A · (Repeat Violation) Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition to include rusting or breakage of any equipment and chipped or peeling paint. The floor vent in the restroom used by children in care was rusted and had areas of peeling paint.

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8VAC20-780-140-B · Based on record review, the licensee did not ensure child has had physical examination prior to attendance or with in 30days from start date.

Evidence: Child #3 did not have a physical available during the inspection. Confirmed by the center director.

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22.1-289.035-B-4 · Based on record review and interview, the licensee did not obtain the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which any individual staff has resided in the preceding five years.

Evidence: Six staff records were reviewed. The record for staff #1, whose date of hire is 3/33/2023, contained a sworn disclosure statement indicating that staff #1 resided in Massachusetts within the preceding 5 years. The record for staff #1 did not contain the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from Massachusetts. The program director confirmed that these background check results had not been obtained. The record for staff #5, whose date of hire is 5/16/2022, contained a sworn disclosure statement indicating that staff #5 resided in Missouri within the preceding 5 years. The record for staff #5 did not contain the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from Missouri. The program director confirmed that these background check results had not been obtained

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22.1-289.011-F · Based on observation, the licensee did not ensure the most recent violation notice was posted in a conspicuous place on the licensed premises.

Evidence: The violation notice posted was from October of 2021. The most recent inspection was conducted October 25, 2022.

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8VAC20-780-40-K · Based on staff interview and document reviewed, the licensee did not ensure the center had written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

Evidence: During the inspection the staff were unable to locate the written procedures for prevention of shaken baby syndrome or abusive head trauma, including coping with crying babies, safe sleeping practices, and sudden infant death syndrome awareness.

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8VAC20-780-340-A · Based on staff interview and video footage, the facility did not ensure the staff are ensuring care protection and guidance.

Evidence: 1- On October 13, 2022, Staff #1 walks over to a child and kicks the basket. Child #1 is on the floor and the basket hits child #1. Child#1 moves his hand to his face. Staff#2 goes to child #1 approximately10- 15 seconds after the incident to comfort child #1. 2- Staff #1 stated she kicked the toy bucket when playing with another child and the bucket hit child #1 in face. Staff #2 stated Staff #1 kicked the bucket to move it and the bucket hit child #1 in the face. Staff #1 and staff #2 confirmed they did not contact the person in charge to inform them of the incident. Staff #2 stated there was no mark on the face initially and no first aid was provided. 3- Staff #3 stated after nap child #1 woke up with mark on his face. Staff #3 saw a mark and felt a bump on his face. Staff #3 stated ice pack was provided to the child#1. 4- Staff #3 contacted staff #2 to find out what happened to child # 1 and she stated child#1 was hit by the basket kicked by staff #1. Staff #3 stated the inital report provided in the system was edited after it was sent to the parent.

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8VAC20-780-340-F · Based on video footage, the licensee did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff.

Evidence: On September 26, 2022 the classroom was divide by shelving. The video camera on young 3?s classroom, showed children playing with no sight supervision. The video camera on the older 3?s classroom, Staff #3, Staff #4 and Staff #1 are sitting with children in the older 3's classroom. Staff #2 reviewed video footage and confirmed that there was no staff within sight of the children.

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8VAC20-780-270-A · Based on observation and staff interview, the licensee did not ensure the center was clean , safe and operable.

Evidence: On August 12, 2022, staff confirmed they did not have hot water. On August 17, 2022 , the owner confirmed the hot water heater was turned off and there was no hot water. The bathrooms on the right side of the building, one bathroom had gloves on the floor a potty training seat on the floor and trash. The second bathroom, had a diaper hanging out of the trash can. In the school age, pre-k and infant hallway, there was a bathroom with a trash can overflowing of used parper towels. In the kitchen, there was two boxes of trash and trash bags over flowing of trash. In between the toddlers and two?s classroom, there is an AC unit cord that is hanging and is a tripping hazard. In the three year old classroom, there is an AC unit cord hanging that is a tripping hazard. In between the toddlers and two?s classroom, there was a vent cover that was broken that is sharp and can entangle shoe laces.

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8VAC20-780-280-B · Based on observation and staff interview, the licensee did not ensure that all hazardous materials were kept in a locked location.

Evidence: In the 2 year old classroom, the cabinet was unlocked there were bleach solution and disinfectant sprays.

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