VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Spring Hill Academy
6309 Grovedale Drive
Alexandria, VA 22310
(703) 848-5105

Current Inspector: Mahrukh Aziz (571) 835-4718

Inspection Date: Aug. 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. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Discussion was held on the topics of current enrollment, current staffing, tummy time, and the placement of cribs near blind cords in those applicable rooms. Further discussion with regards to original stipulations on playground space for the school-age and preschool playgrounds. Original square footage totals were incorrect. These stipulations will be adjusted to reflect accurate information.

Comments:

The following inspection took place between the hours of 10 am through 2:30 pm. Today, I met with the Staff of Spring Hill Academy located in Alexandria, Virginia. At the start of this unannounced renewal inspection there were a total of 42 children with 13 staff; good ratios in all 7 rooms. A total of 5 children?s files and 8 staff files were reviewed. The children were engaged in the following: center activities within each room, story time, diapering, hand washing, infant feeding, infant sleeping, tummy time, large motor skilled activities outside on the center playground, art, games, interactive floor game within school-age room, lunch, nap time, and other organized activities. If you should have any future questions, please call or send an e-mail. Thank you. Charlie Perkins, Licensing Inspector (703) 309-3963

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on review, 1 of 8 staff files indicated that written information to demonstrate that each individual possesses the education experience required by the job position was not available. Evidence - 1. On the date of inspection (08/13/2019), education documentation was not available for Staff #5. 2. While documentation was provided for Staff #5's course work taken in her later later years at school, it are the records from her earlier years that are needed to be reviewed in order to help establish her qualification as a Lead Teacher.
Plan of Correction:	Staff #5 shall bring copies of these transcripts to the center and placed on file.
Standard #:	22VAC40-185-210-A
Description:	Based on review, 2 of 8 staff files indicated that these staff did not have one of the program director qualifications in 22 VAC 40-185-190. Evidence - 1. On the date of inspection (08/13/2019), Staff #2 and Staff #4 had documentation of degrees obtained that were not in a child related field. 2. While both staff had at least forty-eight semester hours of college credit from a college or university, they did not have 12 semester hours of which were in child-related subjects.
Plan of Correction:	Both staff shall obtain 24 hours of additional training to fulfil the promotion requirement. Until the promotion is enacted, these staff shall be considered and used as an assistant teacher.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, a hazardous substance was not kept in a locked place. Evidence - 1. On the date of inspection (08/13/2019), an air deodorizer was observed stored on an upper shelf located in a bathroom located in the Pre-K 3 room. 2. The item was not in use and while it was out of reach of the children in care, it was not in a locked place as required.
Plan of Correction:	Corrected on the date of inspection. The item was relocated to a locked place.
Standard #:	22VAC40-185-370-1
Description:	Based on observation and interview, 3 of 6 infants were not placed on their back (supine position) when placed in their crib to sleep. Evidence - 1. On the date of inspection (08/13/2019), 6 infants were observed sleeping on their stomachs. 2. When Staff #3 was asked how many of these infants were placed on their backs to begin sleeping, Staff #3 stated that only three. Staff #3 also stated that the parents of Child #1, Child #2, and Child #3 requested that their child be placed on their stomachs. 3. Documentation in writing was not available authorizing this action by each infant's physician.
Plan of Correction:	All staff shall be directed to place infants on their backs when placed in their cribs to sleep unless written authorization is obtained by the child's physician.
Standard #:	22VAC40-185-500-B
Description:	Based on observation, a staff member's hand touched the exterior surface of the storage system during the disposal of a diaper. Evidence - 1. On the date of inspection (08/13/2019), during a diaper change within the Toddler room, Staff #5 was observed lifting the lid of the trash can in order to dispose a soiled diaper. 2. While the trash can had a working foot pedal that lifts its lid, Staff #5 chose not to use it.
Plan of Correction:	Staff will be instructed to use the foot operated trash can supplied by the center.
Standard #:	22VAC40-185-570-E
Description:	Based on observation, 2 of 3 bottles were not labeled correctly. Evidence - 1. On the date of inspection (08/13/2019), two of the three bottles observed stored in the refrigerator located in the Infant C room. 2. Those bottles for Child #4, had the child's name listed, but did not list the current date.
Plan of Correction:	Staff shall work as a fail-safe in order to ensure that all bottles labeled by the child's parent are in compliance.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on review, 1 of 8 staff files indicated that a request to search the central registry (CPS check) was not conducted within 30 days of a new person who would be involved in the day-to-day operations of the facility. Evidence - 1. On the date of inspection (08/13/2019), it was determined that the start date for Staff #3 was listed as - 05/18/2019. 2. A CPS check for Staff #3 was not conducted until 07/15/2019. 3. There was no further documentation indicating that the central registry was contacted or was running behind on the issuing of findings.
Plan of Correction:	All searches of the central requests shall be sent within 7 days of the employee's start date.
Standard #:	22VAC40-191-40-D-6
Description:	Based on review and interview, 1 of 8 staff files indicated that the facility accepted a criminal history record (CRC) that was more than 90 days prior to the date of employment. Evidence - 1. On the date of inspection (08/13/2019), the results of a CRC (finger print check) for Staff #6 was conducted on 03/08/2019. 2. Based on the information on file, the start date for Staff #6 was listed as - 07/08/2019. 3. The Center Director stated (during an interview conducted on the date of inspection) that after the CRC was obtained, Staff #6 had then postponed their start date for a much later time.
Plan of Correction:	A new CRC shall be obtained for Staff #6 and placed on file.