VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Skipwith Academy At Pebble Creek (#24)
7386 Creighton Parkway
Mechanicsville, VA 23111
(804) 569-1717

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: May 13, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Facilities & Programs.

Technical Assistance:

N/A

Comments:

An unannounced monitoring inspection was conducted on Monday, May 13, 2019 to determine the center's compliance with licensing standards. The inspector arrived at 12:30 PM and concluded the inspection at 3:45 PM. The census for today?s inspection consisted of 62 children. During the inspection, children and staff were observed engaging in activities to include diapering and hand washing, snack time, singing, building with blocks and napping. The classrooms are decorated with the children's artwork and are equipped with age and stage appropriate materials. The center had the following posted: license, daily schedule, emergency numbers, evacuation maps, menu and various parent information. The center?s first aid kit and non-medical emergency supplies were inspected. Medications and authorizations were inspected. Six children's records, six staff records, fire drill and shelter in place logs, injury reports and daily attendance were reviewed. Violations were cited and are documented on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation listed on the violation notice and return it to me within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only. If you have any questions regarding this inspection, please contact the licensing inspector, Heather Dapper at (804) 662-7014.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on a review of staff records, the center did not ensure that documentation of two or more references as to character and reputation as well as competency were checked before employment. Evidence: The record for staff # 5 (date of hire 02/27/19) did not contain documentation of two or more references before employment.
Plan of Correction:	"Staff files will be checked monthly by the management team to ensure all paperwork is accounted for. Staff will not be hired without the completion of 2 references."
Standard #:	22VAC40-185-350-E-3
Description:	Based on observation, the facility did not ensure compliance with ratios of staff to children as required. Evidence: 1. Based on observation the center did not maintain the ratio of one staff for every eight children for two year old children. 2. In classroom #1, there was one staff to 12 two year old children.
Plan of Correction:	"Ratio will always be maintained. We will make sure the staff request assistance from the management team if they need assistance. We will also retrain the staff that the children will be left of their cots during the full nap time until the second teacher returns; should the second teacher run late staff will reach out to the management team for assistance."
Standard #:	22VAC40-185-350-E-4
Description:	Based on observation, the facility did not ensure compliance with ratios of staff to children as required. Evidence: 1. Based on observation the center did not maintain the ratio of one staff for every 10 children for three year olds to age of eligibility to attend public school, five years by September 30. 2. In classroom #2, there was one staff to 12 three to four year old children.
Plan of Correction:	"Ratio will always be maintained. We will make sure the staff request assistance from the management team if they need assistance. We will also retrain the staff that the children will be left of their cots during the full nap time until the second teacher returns; should the second teacher run late staff will reach out to the management team for assistance."
Standard #:	22VAC40-185-520-A
Description:	Based on an interview with the director and documentation review, the center did not follow procedures for preventing the use of outdated nonprescription drugs and over-the-counter skin products. Evidence: Over the counter medication for child B, expired 01/2019 and child D, expired 04/2019. The expired medications was not returned to parents.
Plan of Correction:	"All expired medications have been sent home and parented have been notified. In order to avoid this in the future, medications and corresponding paperwork will be checked at the beginning of each month in order to give ample time for any medication and paperwork to be changed or updated. It will be checked by management."
Standard #:	22VAC40-185-550-M
Description:	Based on a review of the facility's injury reports, all required information was not documented. Evidence: Five injury reports did not have time of parent notification and four injury reports did not have date of notification.
Plan of Correction:	"We reviewed the procedures on documenting accident and injury reports and all the staff was retrained. Management will review the accident reports for completion."