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Skipwith Academy @ Hanover (#38)
304 Ashcake Road
Ashland, VA 23005
(804) 798-2886

Current Inspector: Tara Barton (804) 381-8487

Inspection Date: June 12, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Comments:
A renewal inspection was conducted on 6/12/2023 with the center director and staff. There were 78 children present, ranging in ages from 2 months to 12 years, with 15 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 7 child records and 7 staff records were reviewed. The children were having rest time, eating afternoon snack, arriving from school, and playing outdoors.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Time of today?s inspection: 1:00 p.m. to 4:30 p.m.
Please call me if you have any questions at 804-381-8487 or e-mail tara.barton@doe.virginia.gov.

Violations:
Standard #: 8VAC20-770-60-C-2
Description: Based on review of seven staff records, the facility failed to have documentation of a completed search of the central registry (CPS check) on file for each staff within the first 30 days of employment. Evidence: Staff 1 (date of employment 5/1/2023) did not have a completed search of the central registry on file. There was no documentation of having submitted the search of the central registry within 7 days of employment as required. The CPS check was submitted 6/06/2023.

Plan of Correction: The CPS search of the central registry was submitted 6/06/2023.

Standard #: 8VAC20-780-150-B
Description: Based on review of 7 children's records, the facility failed to ensure that each child's immunization record received at enrollment was signed by a physician, his designee, or an official of a local health department. Evidence: The immunization record on file for Child 5 (date of enrollment 10/06/2022) was not signed by a physician or his designee.

Plan of Correction: Center director will request a signed immunization record from the parents.

Standard #: 8VAC20-780-60-A
Description: Based on review of seven children's files, the facility failed to have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child 6 has diagnosed food allergies, but did not have a written allergy action plan on file.

Plan of Correction: Center director will request an allergy action plan for every child with diagnosed food allergies.

Standard #: 8VAC20-780-70
Description: Based on review of two staff records, the facility failed to have required documentation in each staff file. Evidence: the two phone references obtained for Staff 6 (date of employment 10/11/2022) did not have the signature of the person making the call.

Plan of Correction: Phone references will be signed by the person obtaining the reference.

Standard #: 8VAC20-780-510-E
Description: Based on review of the medication being stored at the facility, it was determined that the facility did not follow their medication procedures to prevent the use of outdated medication. Evidence: One emergency medication expired 1/2023 and had not been returned to the parent.

Plan of Correction: The medication will be returned to the parent.

Standard #: 8VAC20-780-530-A-1
Description: Based on staff interview and record review, the facility failed to have one staff in each in each grouping of children with cardiopulmonary resuscitation (CPR). Evidence: Staff 1 does not have documentation of current CPR on file. Management stated that Staff 1 has been alone on the bus transporting children.

Plan of Correction: A CPR class is scheduled for 6/14/2023.

Standard #: 8VAC20-780-530-A-2
Description: Based on staff interview and record review, the facility failed to have one staff in each grouping of children with first aid certification. Evidence: Staff 1 does not have documentation of current first aid certification on file. Management stated that Staff 1 has been on the bus alone transporting children.

Plan of Correction: A first aid class is scheduled for 6/14/2023

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.

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