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: Nov. 9, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-70 Staff records shall contain all components 8VAC20-780-40-K Reviewed safe sleep practices 8VAC20-780-430 Equipment available shall be of an appropriate size for the child using them. 8VAC20-780-(8)-560-G When food is brought from home it is labeled in a way that identifies the owner. 8VAC20-780-290-3 Electrical outlets shall have protective covers

Comments:

An unannounced monitoring inspection was conducted on 11/09/23 from 9:10 a.m. to 12:35 p.m. with the Vice President. There were 67 children in care, ranging in age from five months to five-years-old, supervised by 11 staff. The children were observed having morning snack and in circle. Five child records and six staff records were reviewed. Six medications and authorization forms were reviewed and the center has six staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The most recent Fire Inspection on file was dated 01/13/2023 and the most recent Health Inspection on file was dated 07/01/2023. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 11/28/23.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Based on review five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #5 with a start date of 01/06/23, the results of the Central registry search background check was dated 02/24/23.
Plan of Correction:	Submitted evidence that we had been in contact with central registry regarding staff #4 - we experienced a delay in receiving results for several employees this year. Start date for Staff #5 was actually 1/30/23. Orientation was 1/6/23 but staff member was not with children until 1/30/23.
Standard #:	8VAC20-780-140-A
Description:	Repeat Violation Based on review of five child records, the center did not obtain documentation of a physical in each child record within 30 days after the first day of attendance. Evidence: The record for Child # 1, with a start date of 07/05/23, had a physical dated 09/11/23.
Plan of Correction:	This child does have physical and we have protocols in place to ensure they are turned in within 30 days or the child will be excluded from attendance.
Standard #:	8VAC20-780-160-A
Description:	Repeat Violation Based on a review of six staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children. Evidence: 1. The record for Staff #2, with a start date of 08/09/22, contained documentation of a tuberculosis screening dated 10/06/22. 2. The record for Staff #5, with a start date of 01/06/23, contained documentation of a tuberculosis screening dated 01/29/23. 3. The record for Staff #6, with a start date of 10/02/23, contained documentation of a tuberculosis screening dated 10/24/23.
Plan of Correction:	All staff members have TB screening
Standard #:	8VAC20-780-160-C
Description:	Repeat Violation Based on review of six staff records, the center did not obtain subsequent tuberculosis (TB) screening or testing at least every two years from the date of the initial screening or testing for staff members. Evidence: The tuberculosis test on file for Staff #1 was dated 06/18/21.
Plan of Correction:	Staff member has received her updated TB information.
Standard #:	8VAC20-780-80-A
Description:	Repeat Violation Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: In classroom #1, two years old, there were ten children present in the classroom, the written record reflected there were eight.
Plan of Correction:	Corrected during inspection. Staff member was running late and students from a different classroom had been brought in just before inspection began.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, it was determined that not all areas of the center inside and outside were maintained in a clean, safe, and operable condition. Evidence: 1. Classroom #10, 2-years-old, peeling paint was observed in the circle time area. 2. Classroom #6, three-years-old, tape covering a torn window screen was observed. 3. Classroom #3, two and three-years-old, peeling paint was observed on the window sill, on the wall of the circle time area and near the light switch at the entrance of the classroom. 4. On the toddler playground, Licensing Inspector (LI) observed, three classroom chairs and one foldable chair laying in a pile against the fence when exiting the building to enter the playground. On the left side of the playground, a classroom chair, a sensory table, a piece of wood and sensory toys were piled against that fence. All items were accessible to children. 5. On the toddler playground, a plastic play kitchen was observed, the oven door was broken off and a sharp piece of plastic in the shape of a point was sticking out of the structure creating an impalement and scratch hazard. 6. On the toddler playground, the artificial grass mat was curling at the corners creating a trip hazard. 7. In the infant and toddler classrooms the freezers to the mini-fridge were frozen up, approximately one-half to three-quarters of an inch of ice surrounded the freezer areas.
Plan of Correction:	Peeling paint has been covered with tape (corrected during inspection) and painting has been scheduled. Screen has been repaired Chairs were removed and storage items were moved. We have limited storage at the school. The sensory table was not truly accessible to children, it was turned backwards and tucked into a corner along with other items. Broken door removed from toddler kitchen. Grass mats turned so curling corners tucked under fence. Freezer defrosted.
Standard #:	8VAC20-780-350-B-3
Description:	Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: At the time of inspection, classroom #10, two-years-old, had one staff member present with nine children. The required ratio with two-year-olds present is 1 staff to 8 children.
Plan of Correction:	Child arrived during inspection and one staff member was running late. It took us a moment to get coverage, but we were able to get assistance from the office.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, hand washing procedures after toileting were not always followed. Evidence: In the infant classroom, LI observed a teacher returning a child to the group after changing a soiled diaper without washing the child?s hand or their own hands with soap and running water.
Plan of Correction:	Same as above; teacher was flustered and did not follow protocol. She was corrected immediately.
Standard #:	8VAC20-780-500-B
Description:	Repeat Violation Based on observation of the infant room it was determined that not all procedures for diapering were followed Evidence: 1. In the infant class, after diapering a child, staff #5 did not sanitize the surface after cleaning it with soap and water. 2. In classroom #1, two-years-old, a bucket containing toys was observed on top of the diapering surface.
Plan of Correction:	Staff #5 was flustered by being observed and did not follow protocol; other staff member was not allowed to correct her in the moment, which flustered her further. She acknowledges this mistake with putting the toddler down after diaper changing The staff member did not know the bucket had been placed there and removed it.