La Petite Academy - Old Hundred

8VAC20-780-570-E · Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Three prepared infant formula bottles for Child #4 were located in the infant refrigerator. The bottles were not dated. Child #4 was present at the center during the inspection.

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8VAC20-780-60-A · Each center shall maintain and keep at the center a separate record for each child enrolled containing the required information.

The record for Child #3 did not contain annual parent confirmation that the required information in the child's record is up to date. The last documented update to the child?s record was dated January 2023. Child #3 has been attending the center for two years and nine months. The records for Child #4 and Child #5 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. Child #4 has been attending the center for one month. Child #5 has been attending the center for one week.

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8VAC20-780-270-A · Complaint:

Areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Staff #1 observed that the fire extinguisher attached to the wall near the child-size sofa in Classroom #1 was ?very loose and hanging?. Staff #1 heard Child A (two years old) cry out. The fire extinguisher had fallen off the wall and struck Child A on the side of the face and mouth. Child A had a red mark on the cheek and was bleeding from the mouth. The parent was called to pick up Child A.

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8VAC20-780-40-E · Complaint:

The operational responsibilities of the licensee shall include ensuring that the center's activities, services, and facilities are maintained in compliance with these standards, the center's own policies and procedures that are required by these standards, and the terms of the current license issued by the department. The center did not follow the center?s Child Allergy and Child Medication Procedures. The Child Allergy Procedure stated, ?All staff members working in the kitchen must ensure they are reading the ingredient labels to minimize the risk of allergen exposure.? The Child Medication Procedures stated, ?All staff in the school should know where emergency medications are kept in each classroom.? On 08/05/2025, staff served center provided food that contained an ingredient to which Child A (21 months old) was allergic. Child A experienced an allergic reaction. Staff #1 stated they were unaware medication was present at the center and it took several minutes to locate the medication for Child A.

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8VAC20-790-600-D-1 · All staff who work directly with children shall have within 90 days of the date of employment or 90 days from subsidy vendor approval current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Staff #2 did not have current certification in CPR. Staff #2 has been employed for more than eight months.

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8VAC20-780-130-A · The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Child #2, attended the center for three days prior to having documentation of an immunization record on file.

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8VAC20-780-130-E · REPEAT VIOLATION

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #1 (20 months old) contained documentation of immunizations from 2023. Child #1 has been enrolled in the center for 17 months.

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8VAC20-780-140-A · Based on a review of children's records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance.

Evidence: The record for child A (enrolled: 03/06/23) did not have a physical examination. Administrator #1 stated that the physical was not in the record.

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8VAC20-790-600-F · Based on staff record review, staff have not completed the annual department's health and safety update training as required.

Evidence: 1. The record for staff #1 did not contain the health and safety update course, last training dated 10/20/22. 2. The record for staff #2 did not contain the health and safety update course, last training dated 10/11/22. 3. The record for staff #3 did not contain the health and safety update course, last training dated 8/28/22. 4.The record for staff #4 did not contain the health and safety update course, last training dated 10/13/22. 5.The record for staff #5 did not contain the health and safety update course, last training dated 10/13/22. 6.The record for staff #6 did not contain the health and safety update course, last training dated 9/18/22.

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22.1-289.035-A · Based on a review of staff records and interview, the center did not ensure that staff had the required repeat background checks every 5 years.

Evidence: 1, The record of staff #6 contained a fingerprint-based national criminal background check dated 04/16/18. The repeat check was required to be completed before 04/16/23. 2. A member of management acknowledged that the fingerprint-based national criminal background check had not been updated.

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8VAC20-770-60-C-2 · Based on record review and interview, the center did not have documentation of central registry findings for two staff members.

Evidence: 1. The record for staff #7 (employed:4/10/23) and staff # 8 (employed: 4/17/23) did not contain documentation of central registry findings.

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8VAC20-770-60-B · Based on record review and interview, the center did not ensure one of 10 staff records had documentation of a completed sworn statement or affirmation prior to the first day of employment.

Evidence: 1. The record of staff #7 (employed: 10/17/22) did not have documentation of a completed sworn statement or affirmation. 2. A member of management stated that staff #7 did not complete a sworn statement prior to hire.

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8VAC20-780-350-B-1 · Based on interview, the facility did not ensure compliance with staff-to-children ratio requirements for children ages birth up to 16 months.

Evidence: 1. The director stated, "we are out of ratio different times of the day".

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22VAC40-185-160-A · Description: Based on a review of staff records, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening (TB) no later than 21 days after employment or volunteering and shall have been completed within 12 months prior to or 21 days after employing or volunteering.

Evidence: 1. Staff #2 (date of hire 11/08/21) did not have documentation of the TB screening or test.

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