VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Prince William Academy
3480 Commission Court
Woodbridge, VA 22192
(703) 491-1444

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Aug. 14, 2019 and Aug. 21, 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. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:

Provided consultation: diapering procedures must include cleaning and sanitizing the changing table after each use. Keep an eye out for tripping hazards on the playground.

Comments:

An unannounced monitoring inspection was conducted from 10:30 am - 2:30 pm with the owner. There were 98 children in care, ranging from two months to 12 years of age, supervised by 14 staff. The children were observed playing outside on the playground, listening to a story, preparing for and eating lunch. Lunch served today was chicken nuggets, mashed potatoes, carrots and pineapple with milk for the children who didn't bring in lunch from home. Ten children's records and five staff records were reviewed. Two playgrounds were observed. Four medications were reviewed. The emergency escape drill log was observed and in compliance. The last health inspection was: 2/27/2019 and the last fire inspection was: 3/20/2019. If you have questions regarding this inspection, contact Donna Liberman at 540-359-5244 or email Donna.Liberman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on a review of five children's files, the center did not obtain documentation that each child has received required immunizations prior to the child's first attendance. Evidence: The file for child #1 (date of first attendance: 8/1/19) did not have documentation of immunizations.
Plan of Correction:	Child #3 has not been in attendance since the visit. Efforts have been made to contact the parents regarding paperwork, which will be obtained before child is allowed to return.
Standard #:	22VAC40-185-130-B
Description:	Based on a review of five children's files, it was determined that the center failed to obtain documentation of additional immunizations once every six months for children under the age of two. Evidence: the file for child #3 (date of birth: 5/31/18) did not have documentation of immunizations after 7/5/18.
Plan of Correction:	We have reached out to parents of our infant and toddler center to ensure that they provide updated immunizations every six months rather than every year.
Standard #:	22VAC40-185-140-A
Description:	Based on a review of five children's files, the center did not obtain documentation that each child has received a physical examination before the child's first attendance or within one month after attendance. Evidence: The file for Child #6 (date of first attendance: 6/17/19) did not have documentation of a physical examination.
Plan of Correction:	The child?s physical has been requested from the parents.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of five staff files, it was determined that repeat tuberculosis (TB) test/screenings were not completed every two years. Evidence: The TB test for staff #5 is dated: 11/18/16.
Plan of Correction:	Staff #5 is no longer employed at the school. We have gone back through files to ensure all other staff members are in compliance.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of ten children's files, it was determined that not all files were complete. Evidence: child #1, 3, 5, and 8 were missing the work phone numbers for mom and dad. Child #1, 3 and 8 were missing the doctor's name and phone number. Child #1 and 5 were missing the address for the second emergency contact.
Plan of Correction:	Parents of children #1,3,5,8 were contacted and all told us that they did not fill out a work number because they cannot be or did not wish to be contacted at work. We wrote in n/a for those parents. We updated Dr. information for child #1; however, doctor?s name and phone number were in fact present in the files for children #3 and #8. They were clearly found on the health form in their files. Addresses for second emergency contacts for Child #1 and Child #5 have been provided.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of five staff files, it was determined that not all files were complete. Evidence: staff #2, staff #3, staff #4 and staff #5 did not have written documentation that they possesses the education, certification and experience for the position. Staff # 3 did not have documentation that two references as to character and reputation as well as competency were checked before employment.
Plan of Correction:	Evidence of staff #2,3,4,5 and their qualifications could be found in our training binder and in their job applications, which were in our emails and not in their files. Staff member #3 was a student teacher last year, and so we are her reference. She taught with us and has moved on to her first position. We have recommendations from her mentors in her education program in our emails.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, not all hazardous substances were kept in a locked place inaccessible to children. Evidence: in the school age classrooms, there were bottles of hand sanitizer that said "keep out of reach of children" and bottles of Green Works sanitizing solution sitting on tables; there were several cans of Lysol spray disinfectant observed on low shelves in classrooms; bleach water solution, Green Works and Lysol were observed in an unlocked cabinet above the changing table in the "wobblers" classroom.
Plan of Correction:	On the day of the visit, our teachers had just returned to school and were working with the custodian to clean their classrooms for the start of school on Monday. Dr. Nykwest removed all of the cleaning supplies from the rooms, and instructed teachers not to have them out while students were present. Students were not present in several of the rooms observed to have cleaning supplies in them. Hand sanitizer has been taken off the desk and placed inside a draw.
Standard #:	22VAC40-185-330-B
Description:	Based on an inspection of two playgrounds, it was determined that the mulch under and around play equipment was not resilient. Evidence: The depth of the wood chips was measured in three spots around the center composite play structure on the preschool playground. All spots measured about one to two inches in depth. The depth of the wood chips was measured in three spots around the composite structure, and two separate climbing structures on the school age playground. All spots measured about one to two inches in depth, and dirt and decomposed mulch was observed under the climbing structures. Resilient surfacing (mulch) is required to be at least 6 inches in depth.
Plan of Correction:	Our school purchases mulch twice per year, and will add new mulch to bring it back up to required depth. We will also purchase rakes and make regular raking of mulch to shore up spots that are frequently used a part of our daily routine.
Standard #:	22VAC40-185-340-F
Description:	Based on observation, and staff interviews, the center failed to have children under the age of 10 within actual sight and sound supervision of staff. Evidence: the LI observed three girls (age 8, age 10 and age 10) walk alone from their classroom to the front desk; the LI observed a child (aged 7) returning from the bathroom down the hall unaccompanied by staff; staff stated that school age children are sent down the hall by themselves to use the bathroom; the LI observed approximately 20 school age children, returning from the playground, enter the building and walk down the hall to their classrooms in front of staff, who remained behind holding the door open.
Plan of Correction:	We wish to contest this violation. Students using our restrooms are never out of sound range from any of our staff, as we have four classrooms surrounding the bathroom that leave their doors open so as to be able to hear students in the bathroom. We do check on students who have been in the bathroom longer than a few minutes. And we certainly have a system in place to ensure that people who are not affiliated with our program are not allowed to go back to the elementary wing. Anyone who enters the building (through the infant and toddler center or the front door) is someone allowed to pick up a child in care, and anyone else must come through the front door of the building; we don?t allow anyone not authorized to pick up a child to walk past the lobby, and would never admit them into our infant rooms. ?Children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom provided that: 1. There is a system to assure that individuals who are not staff members or persons allowed to pick up a child in care do not enter the restroom area while in use by children; and 2. Staff check on a child who has not returned from the restroom after five minutes. Depending on the location and layout of the restroom, staff may need to provide intermittent sight supervision of the children in the restroom area during this five-minute period to assure the safety of children and to provide assistance to children as needed.? Also, students who walked down the hall as the teacher held the door were never out of sight and sound; I as the principal observed them the entire way down the hall, and when they got down the hall one of the teachers was close behind, as well as numerous teachers along the hall. All of our staff members are looking out for the students in our care. We feel this is an unjust citation.
Standard #:	22VAC40-185-510-F
Description:	Based on review of four medications, not all medication was in the original container as required. Evidence: an unlabeled epinephrine auto injector was in a ziploc bag with the child's name, but without the original direction label attached.
Plan of Correction:	Parents have been contacted and told to provide another epi-pen that has doctor?s label. The child?s paperwork was in order.
Standard #:	22VAC40-185-510-G
Description:	Based on review of four medications, the center did not have written authorization to administer medication to a child in care. Evidence: The center did not have a medication authorization form signed by a physician and parent for Child A and child C's medication or signed by a parent for child C's second medication.
Plan of Correction:	We do in fact have a form signed by a parent and physician for child A. Child C is no longer a student at our school. She was only here until last week. Child ?B? is no longer a student here, either.