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Lightbridge Academy Virginia Beach
2121 Salem Road
Virginia beach, VA 23456
(757) 301-9900

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: Oct. 9, 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:
The following topics were discussed with the program director:
- menu documentation regarding specific fruit/vegetables served
- the standard requiring the serving of second helpings of food served
- ensuring that specific reasons for needing medications and/or indications that a child may need medication are clearly understood and documented
- ensuring that all supplies and equipment stored in each classroom are specific to the children's ages/development

Comments:
An unannounced, mandated monitoring inspection was conducted today. The inspector arrived at 10:30 AM and departed at 3:24 PM. Ninety-six children were in care at the start of the inspection. Morning activities, snack service and lunch service were observed. Medication administration and injuries records were reviewed. A sample size of eleven staff records and nine children's records were reviewed.
An exit meeting was conducted with the program director and administrators prior to closure of the inspection.

Violations:
Standard #: 22VAC40-185-40-E
Description: Based upon review of documentation and staff interview, the facility has not ensured that the center's activities comply with their own policies and procedures that are required by the standards.
Evidence:
1. The facility's written Medication Administration in Child Care policy states on page 4 that
"10. For safety reasons, medications or procedures that are considered invasive will not be administered or carried out. Examples of invasive medications and procedures include: eye drops".
a. The written record of medication administration indicated that Visine eye drops were administered to a child at least four times.
b. Staff 2 acknowledged that the Visine was administered to the child.

Plan of Correction: The facility responded with the following:
Our Medication Administration Policy is determined by Lightbridge Academy corporate, founded in New Jersey. Some of the policies, including eye drops, are not allowed in the state of New Jersey, but due to Virginia Standards we have MAT certified staff that are able to administer eye drops. We have permission from Lightbridge Academy corporate to operate according to our MAT certification and will change the medication policy to reflect that. We had all the required paperwork and permission to administer the eye drops.

Standard #: 22VAC40-185-70-A
Description: Based upon review of eleven staff records, the facility has not ensured that each staff record includes all required information and documentation.
Evidence:
1. The record provided for staff 5 did not include documentation that two references as to character and reputation as well as competency were checked prior to employment. Staff 5 was employed on 7/1/2019.
2. The record provided for staff 5, employed on 7/1/2019, indicated that staff 5 was hired as a teacher (program leader). The record did not include written information to demonstrate that staff 5 possesses the education, staff development, certification and experience required by the position.
3. The record provided for staff 6, employed on 6/21/2019, indicated that staff 6 was employed as a teacher (program leader). The record did not include written information to demonstrate that staff 6 possesses the education, staff development, certification and experience required by the position.
4. Staff 2 verified that the required references for staff 5 were not obtained and written information regarding staff qualifications for staff 5 and 6 was not in the records.

Plan of Correction: The facility responded with the following:
We are correcting the records and ensuring they demonstrate the training and qualifications needed.

Standard #: 22VAC40-185-280-B
Description: Based upon observation and staff interview, the facility has not ensured that hazardous substances are kept in locked placed.
Evidence:
1. There were two cans of shaving cream, labeled "caution, keep out of reach of children", in an unlocked wall hung cabinet above the cubbies in the orange giraffes (two year old) classroom.
2. Staff 2 acknowledged the presence of the shaving cream in the unlocked cabinet.

Plan of Correction: The facility responded with the following:
The shaving cream was removed immediately. We also put child safety locks on all overhead cabinets as an extra safety precaution.

Standard #: 22VAC40-185-510-E
Description: Based upon observation and staff interview, the facility has not ensured that medication is labeled with the child's name, medication, dosage amount and time (s) to be given.
Evidence:
1. There was an epi-pen stored for child 11. The epi-pen was not in a prescription box, thus did not have the required labeling.
2. Staff 1 verified that the epi-pen for child 11 was not in the prescription box with the required labeling.

Plan of Correction: The facility responded with the following:
We contacted the parent to get a new prescription label.

Standard #: 22VAC40-185-510-J
Description: Based upon observation and staff interview, the facility has not ensured that all medication is kept in a locked place.
Evidence:
1. There was albuterol prescribed for child 3 in the unlocked emergency backpack on a hook
in the yellow ducks (young three year old) classroom.
2. There was an Auvi-Q pack for child 10 in the unlocked backpack on a hook in the orange giraffes (two year old) classroom.
3. Staff 1 acknowledged that the two above medications were not in locked places.

Plan of Correction: The facility responded with the following:
We have installed combination locks on all emergency bags

Standard #: 22VAC40-185-550-L
Description: Based upon review of injury records and staff interview, the facility has not ensured that parents are notified by the end of the day of children's minor injuries.
Evidence:
1. An injury record dated 10/1/2019 for child 14 was not signed by the parent until 10/2/2019.
2. An injury record dated 10/2/2019 for child 15 was not signed by the parent until 10/4/2019.
3. An injury record dated 10/2/2019 for child 13 was not signed by the parent until 10/4/2019.
4. An injury record dated 10/3/2019 for child 12 was not signed by the parent until 10/8/2019.
5. An injury record dated 10/4/2019 for child 16 was not signed by the parent until 10/7/2019.
6. The records for the above did not have any other area on which was documented the dates the parents were notified.
7. Staff 1 acknowledged that the forms above did not include documentation that the parents were informed of the injuries on the same dates the injuries occurred.
4. An injury record dated

Plan of Correction: The facility responded with the following:
Our injury forms record the date of the injury, the date the form is completed, the method of notification of the parent and a parent signature. It was assumed that those dates would also apply to the notification of the parent. We have now added a separate area to record the date of the notification.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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