La Petite Academy - Leesburg

8VAC20-780-130-E · The center shall obtain documentation of additional immunizations once every six months for children under two years of age.

Child 4 and 5 did not have documentation of additional immunizations.

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8VAC20-780-270-A · Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

1. Room 1 had crumbs around the eating area and the floor where the children crawled around. Children were eating after-nap snacks, but there was also pieces of green vegetables, from lunch around the cabinets near the linoleum. There were also stains and caked in food particles on the carpet. 2. Room 2 had food and dirt debris along the edges of the classroom floor, and staff stated that the crumbs had been waxed into the floor, and that they could not remove the debris. There were also food crumbs on the carpet, away from where the children were eating.

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8VAC20-780-270-A · Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition.

1. The lower school-age playground had approximately 8 broken hula hoops strewn around the playground. 2. Room 5 had peeling paint accessible to children. 3. Noticed food crumbs all over the floor in the lower level multipurpose area and the school-age area.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain the following information: name, address and phone number for emergency contacts.

Child 1 did not have documentation of an address for one of their emergency contacts.

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22.1-289.035-B-4 · Authorize the child day center, family day home, or family day system described in subsection A to obtain a copy of 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 the individual has resided in the preceding five years.

Staff 1, 4, and 5 did not have complete out of state background checks.

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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. 1. Room two has a screw sticking half way out of the wall, accessible to children. 2. Room two has blood smeared on the wall of the bathroom stall door. 3. Room three has oatmeal strewn all over the floor from a sensory activity earlier that day. 4. Room four has food crumbs all over the floor, hallway, and under the tables.

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8VAC20-780-270-A · Based on observation, the facility did not ensure that the areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

Evidence: 1) observed that the hallways, classroom floors, stairwells were littered with food debris and crumbs, grime, small bits of rocks, dust and other debris; a layer of dried "dirt" and various types of dried liquid substances that caused the floor to stick to the inspectors shoes as they walked around the facility. 2) observed peeling paint in the Twos classroom and the School-Age classroom and hallway.

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8VAC20-780-160-A · Based on record review, the center did not have documentation of a negative tuberculosis screening for all staff.

Evidence: Staff #2's Date of Hire (11/6/2023) record did not have documentation of a negative tuberculosis screening.

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8VAC20-780-60-A · REPEAT

Based on record review, the center did not maintain and keep at the center a record that contained for an enrolled child, the name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. Evidence: Child#1?s record did not have a second emergency contact person listed.

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8VAC20-770-40-D-1-a · Based on review of staff information, a central registry search was not completed for staff supervising children.

Evidence: There was no record of a central registry search for Staff #2.

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8VAC20-780-400-A · Based on interview and review of the center's video recording, it was determined that a staff member did not provide needed help, comfort and support to promote the child's physical, intellectual, emotional, and social well-being and growth.

Evidence: Video recordings for 10/3/2023 and 10/4/2023 were reviewed by La Petite Academy Administration and the Licensing Inspector and the following was confirmed: 1. In the Toddler's classroom, on 10/3/2023 at approximately 2:53pm, Staff #1 was observed standing on one side of a table, while Child #1 (2 years old) was standing close to the table on the opposite side. The center's video recording showed Staff #1 picking up a chair, lifting it over the table and trying to place it between Child #1 and the table. Staff #1 inserted the chair between Child #1 and the table in a manner that caused the child to lose their balance and fall backwards. 2. On 10/4/2023 at approximately 10:35am Staff #1 was observed walking over to Child #2 (14 months old), lifting them from the floor, flipping the child once to place them on their shoulder while walking around the classroom.

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8VAC20-780-410-5 · Based on interviews, a staff member used a method that is forbidden when disciplining children for behavior.

Evidence: On July 24, 2023, an ice cream truck stopped at the facility at around snack time. According to staff interviews, after the children from the Preschool classroom had picked the ice cream of their choice, Staff #1 instructed three children in the classroom to give their ice cream back to them because they needed to earn their ice cream. Staff #2 was instructed to not give the ice cream back to them until the end of the day. Staff #2 indicated that ice cream was withheld from Child #1, #2 and #3, while the other children were allowed to eat it because they had not been following directions during the day.

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8VAC20-780-340-F · Based on interview and review of the center?s video recording, a child was not within actual sight and sound supervision of staff for approximately 1 to 2 minutes.

Evidence: 1. On June 21, 2023, at approximately 10:43am, the center's video recording shows Staff #1 in the multipurpose room with 11 school-age children. At approximately 10:44am Child #1 (5 years old) is observed walking over to Staff #1 and talking briefly with them. Staff #1 stated that the child asked them to help them put a charm on their shoe, to which Staff #1 replied "no". Staff #1 stated that when they replied no to Child #1's request, the child started kicking and scratching Staff #1. 2. At approximately 10:46am, Staff #1 is observed walking over to the classroom's phone to call administration for assistance with the child. Staff #1 stated that when they called the office they said to them: "Please come get Child #1 before I hurt them" 3. Staff #1 stated that after calling administration they went back to the area where Child #1 was, then Child #1 hit Staff #1 in the stomach. 4. At approximately 10:47am, the center's video recording shows Staff #1 holding Child #1 by their arm and walking them towards a door that leads to a hallway. Staff #1 opened the door, Child #1 walked into the hallway, then Staff #1 proceeded to close the door, leaving the child outside the multipurpose room and out of sight and sound supervision. 5. After Staff #1 called administration, Staff #2 was asked to go to the multipurpose room to assist with the situation. When Staff #2 arrived to the multipurpose room, the door to the hallway was closed. Staff #2 found Child #1 in the hallway, out of sight and sound supervision of Staff #1. Based on the time of the phone call to administration, it's estimated that Child #1 was out of sight supervision for 1 to 2 minutes.

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8VAC20-780-350-B-1 · Based on review of attendance documentation and interview, the center did not maintain a 1 :4 ratio in the Infant classroom.

Evidence: On 2/7/2023 from approximately 8:23am to 8:30am, one staff was alone with 6 infants in the Infant classroom.

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22.1-289.035-B-2 · Based on record review and interview, the center did not obtain fingerprint based background checks for each staff member prior to the first day of employment.

Evidence: 1. Staff #2's record (DOH: 02/13/2023) does not contain the fingerprint based background check result required prior to the first day of employment. 2. Staff #3's record (DOH: 2/8/2023) does not contain the fingerprint based background check result required prior to the first day of employment. 3. Staff #5's record (DOH: 2/9/2023) does not contain the fingerprint based background checks result required prior to the first day of employment.

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8VAC20-780-40-E · Based on review of the center's video recording, staff interviews and review of the center's written policies and procedures, it was determined that the center failed to comply with its own policies and procedures as it relates to behavior guidance.

1. The Center's "Prevention and Response" guidelines, under "Positive Behavior Support" states: "We embrace a Positive Behavior Support model that works to prevent challenging behavior in young children." "Children are more likely to develop self-control when they are treated with dignity and given clear, consistent, and fair limits for classroom behavior." " When children struggle with making appropriate behavior choices, our approach is to embrace these teachable moments by helping children learn social-emotional skills, through teaching, modeling, and coaching in the moment." "The following types of discipline are prohibited: Restricting a child's movement by binding, tying, or any other type of physical restraint or time-out, including lifting or carrying a child." 2. The center staff did not follow its own policies and procedures on 12/12/2022 at approximately 3:53pm when: A) Staff #1 directed Child #1 (4 years old) to sit on a chair, without offering an alternative activity or redirection. B) Staff #1 chased Child #1 around the classroom then grabbed Child #1 under their left arm, placed the child over their shoulder and proceeded to carry the child with their feet dangling off the ground to another classroom. C) Staff #1 pulled Child #1's sleeve to direct them to pick up the chairs the child had kicked to the floor.

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8VAC20-780-160-A · Based on record review, the tuberculosis (TB) screening/test documentation that the center obtained for a staff member was not completed within the last 30 calendar days of the date of employment.

Evidence: Staff #3's record contains a TB screening/test that was completed on 11/26/2021. The staff member's first day of employment was documented as 11/28/2022.

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