VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Seven Oaks Academy II, Inc
14621 Richmond Highway
Woodbridge, VA 22191
(703) 490-3546

Current Inspector: Shawanda Henderson (540) 216-1434

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. 8VAC20-770 Background Checks 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced renewal inspection was conducted with the director on November 9, 2023, beginning at 8:30am and ending at 11:15am. There were 26 children, ages 12 months through 4 years old, in the care of 5 direct care staff. The children were observed playing with age-appropriate toys and games. Five children?s records were reviewed and in compliance. Three staff records were reviewed. The first aid kit, flashlight, and battery-operated radio were observed and in compliance. There were no medications on site to be reviewed. The menu, daily attendance, and emergency drill log were reviewed. The most recent evacuation drill was documented as 10/20/2023. The most recent shelter-in-place drill was documented as 3/14/2023. The most recent lockdown drill was documented as 6/29/2023. The most recent health inspection was dated 12/05/2022. The most recent fire inspection was dated 1/24/2023. If you have any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or Shawanda.Henderson@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of 3 staff records, the facility did not obtain out of state background checks for all staff within 30 days of their first day of employment. Evidence: Staff member 1 (start date 2/13/2023)did not have documentation of out of state background checks in their record.
Plan of Correction:	The director will request an out of town background check for the staff and place the documentation in the staff's record.
Standard #:	22.1-289.036-B-2
Description:	Based on a review of two board member's records, the facility failed to ensure that all board members had current background checks. Evidence: Board member 1 did not have a current fingerprinting background check in their record. The most recent fingerprint background check was dated 8/1/18 which was expired as of 8/1/2023.
Plan of Correction:	The board member has been contacted and will make an appointment to get fingerprints completed. Upon their receipt a copy will be provided to the licensing inspector and placed in their record.
Standard #:	8VAC20-780-80-A
Description:	Based on observation and staff interview, the facility staff failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: On November 9, 2023, there were 12 children signed in on the written attendance record in the 3/4's classroom but 11 children were physically present.
Plan of Correction:	The director spoke with the lead teacher in the classroom regarding updating the written attendance as it occurs. The staff will be remined that written attendance needs to reflect the children that are in care at all times.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and staff interview, the facility failed to ensure that all areas and equipment inside and outside of the center were maintained in a clean, safe, and operable condition. On the fenced in playground, there was a broken, overturned patio umbrella with sharp edges exposed. In the infant classroom there were several ceiling tiles with water spots and holes. The vents also had a heavy coating of dust on the covers.
Plan of Correction:	The director stated that she would speak with the facility owner to get the areas of the facility cleaned and replace the ceiling tiles. The director also stated the playground area is currently not in use but would have the broken patio umbrella removed.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the facility failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the 3/4 year old classroom, the door to the laundry area was unlocked where there was cat litter and a bottle of all laundry detergent stored. In the school-aged classroom, a storage closet was left unlocked where 15 cans of paint, 3 cans of appliance epoxy, a bottle of carpet treatment/remover, a bottle of Stain Away, a bottle of carpet and rug dry cleaner, and a bottle of high performance enamel. A second storage closet in the school-aged classroom was unlocked. The second closet contained 2 bottles of Fabuloso, a bottle of OdoBan, a bottle of bug spray, a jug of bleach, a bottle of bedbug and flea spray, and bottle of drain cleaner.
Plan of Correction:	The laundry door and two closets were secured during the inspection. The director will remind all staff to make sure to lock the doors when they are finished accessing the areas.
Standard #:	8VAC20-780-330-B
Description:	Repeat Violation - Based on observation and staff interview, the facility has not ensured the resilient surfacing complied with the minimum safety standards. Evidence: The resilient surfacing in the fall zones were less than 1 inch and the dirt ground was exposed.
Plan of Correction:	The director stated that the playground was off limits and not being used by the children. The director has discussed getting resilient surfacing for the playground area.
Standard #:	8VAC20-780-350-B-4
Description:	Based on observation, review of documentation, and staff interview, the facility failed to maintain the appropriate staff to child ratio for children 3 years old up to school age. Evidence: In the 3/4's classroom, there were 12 children in the care of 1 staff member from 8:17am to 8:38am. From 8:39am to 9:00 there were 11 children in the care of 1 staff member in the same class. The required staff-to-child ration for 3 year olds up to school age is 1:10.
Plan of Correction:	Staff-to-child ratio was out of compliance because a staff member was absent due to illness. The director was unable to assist with staff-to-child ratio due to dealing with another emergency situation.