VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Treetop Academy
12707 Jefferson Avenue
Newport news, VA 23602
(757) 872-2671

Current Inspector: Michele Patchett (757) 439-6816

Inspection Date: May 10, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

The licensing representative discussed 8 VAC 20-780-40 M- allergy list should be updated and dated, 8 VAC 20-780-280 G Handsanitizer (hazordous substance); 8 VAC 20-780-270 Outside playground area sharp sticks; 8 VAC 20-780-400. Behavior guidance in the classrooms with mixed ages; Bathroom vents in the bathroom cleaning the dust off to assist in fuctionally properly; and diapering are cleaned after every change.

Comments:

An unannounced monitoring inspection was conducted from 9:17am-11:32am. At the time of entrance, 43 children were in care with 11 staff members present. Additional staff was present to assist. The sample size consisted of 4 children?s records and 4 staff records. Children were observed engaged in singing and outdoor play time. Two medication were and documentation was reviewed. Areas of non-compliance are identified on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction must 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 preventive measure(s).

Violations:

Standard #:	8VAC20-780-140-A
Description:	Based on record review and staff interview, the center did not ensure each child shall have a physical examination by or under the direction of a physician before the child's attendance; or within 30 days after the first day of attendance. Evidence: On May 10, 2023, child #3 (enrollment date 1/11/2022) record was missing physical.
Plan of Correction:	Management will go over child files and send out missing information notices to students without proper docuemntation . Monthly checks on procare to see whi is in need of new physicals.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and staff interview, the licensee did not ensure each staff member and individual from an independent contractorshall submit documentation of a negative tuberculosis screening. Documentation of the screening should be submitted at the time of employment and prior to coming into contact with children. The documentation have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or anofficial of the local health department. Evidence: Staff #1 hire date 04/20/2023 the TB test results recieved 04/21/2023. Staff #4 hire date 02/01/2023 the TB test results recieved 02/01/2023. The documentation was not completed within the last 30 calendar days of the date of employment.
Plan of Correction:	Ensure that dates on medical records match info given to the employer and ensure that only staff with current negative results will be allwed in the center.
Standard #:	8VAC20-780-70
Description:	Based on records review and staff interview, the center did not ensure two references were completed before employment. Evidence: Staff #1 and Staff #2 records were missing two references. Confirmed by staff #5.
Plan of Correction:	Management will have reference checks completed before new staff arrives for first day.
Standard #:	8VAC20-780-240-A
Description:	Based on record review and staff interview, the licensee did not ensure the Virginia Department of Education-sponsored orientation course is completed within 90 calendar days of employment. Evidence: Staff #2 date of employment 01/31/2023 did not have documentation of completing the Virginia Department of Education-sponsored orientation course within 90 calendar.
Plan of Correction:	Mandate that Employees hace training completed with in 90 days by setting up weekly check ins with new staff to check progress.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure the areas and equipment of the center, inside and outside was maintained in a clean, safe and operable. Evidence: 1- On May 10, 2023, the license inspector and staff#5 observed outside on the playground, there was sticks with sharp points on the playground. There was a black material on both playground that causes a tripping hazard. 2- On May 10, 2023 in the inside of the center, there was urine on the bathroom floor. Confirmed by staff #5, The center had staff to clean the bathroom.
Plan of Correction:	1.Put request in to have sticks removed from rubber mulch on 05/10/2023. 2. Require staff to check bathrooms prior to returning to classroom to ensure they are clean and safe.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and staff interview, the licensee did not ensure where playground equipment is provided resilent surfacing comply with minimum standards. Evidence: On May 10, 2023, there was fall zones by the slides and climbing apparatus that did not have adequate shredded rubber (resilent surfacing). In some fallzone areas there was approximatley 1-2 inches of rubber resilent surfacing.
Plan of Correction:	Take excessive surfacing from other parts of the playground and cover fall zones with 6" of surfacing. Request put in 5/10/2023.
Standard #:	8VAC20-780-510-E
Description:	Based on interview with staff and document review, the center did not ensure there were center's procedure for administering medication including methods to prevent use of outdated medication. Evidence: On May 10, 2023, staff #5 was unable to provide written procedures for methods to prevent use of outdated medication.
Plan of Correction:	Submit parent handbook to administration to onclude procedures for administering medication including methods to prevent use of out dated medicaiton on 05/10/2023.
Standard #:	8VAC20-780-510-P
Description:	Based on staff interview and record review, the center did not ensure when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: On May 10 , 2023, Child #4 medication authorization form expired 12/2022 and the emergency medication was still being stored at the center. Staff #5 confirmed the authorization expired.
Plan of Correction:	Management will perform monthly medication checks to ensure there is no expired medication or medical forms.
Standard #:	8VAC20-780-540-E
Description:	Based on staff interview, the center did not ensure there was one working battery operated flashlight on each floor of each used by children;and one working, battery -operated radio in each building, used by children. Evidence: During the inspection May 10, 2023, Staff #5 confirmed the center did not have battery operated radio and flashlight.
Plan of Correction:	Flashlight and radio was in evacuation kit. Make the item location known to all staff.