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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: March 21, 2024

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 monitoring inspection was conducted on March 21, 2024 with the center director, district director, and staff. There were 78 children present, ranging in age from 5 months to 5 years, with 13 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 8 child records and 8 staff records were reviewed. The children were finishing lunch, having rest time, and arriving from school.

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.
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Time of today?s inspection: 11:40 p.m. to 2:30 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 eight 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 4 (date of employment 12/04/2023), Staff 5 (date of employment 1/24/2024), and Staff 7 (date of employment 9/11/2023) 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.

Plan of Correction: Staff provided documentation that the missing CPS checks were sent through the portal on 3/1/2024.

Standard #: 8VAC20-780-160-C
Description: Based on review of eight staff records, the facility failed to ensure staff members obtained and submitted documentation of a TB screening at least every two years from the date of the initial screening. Evidence: Staff 2 had a TB test dated 10/05/2021 and Staff 3 had a TB test dated 7/06/2021.

Plan of Correction: Staff will get updated TB tests or screenings as soon as they can be scheduled.

Standard #: 8VAC20-780-70
Description: Based on review of eight staff records, the facility failed to have required documentation in each file. Two references as to character, reputation, and competence should be checked prior to employment. Evidence: Staff 5 (date of employment 1/24/2024) and Staff 6 (date of employment 3/11/2024) did not have documentation of two references on file.

Plan of Correction: Reference checks will be conducted for each staff prior to employment.

Standard #: 8VAC20-780-260-A
Description: Based on review of inspection reports, the facility failed to ensure that an annual fire inspection was conducted by the appropriate fire official having jurisdiction. Evidence: The last fire inspection on file was dated 1/10/2023.

Plan of Correction: Cleaning solutions will be removed from the cabinet with items used for food.

Standard #: 8VAC20-780-280-D
Description: Based on observation, the facility failed to store cleaning supplies in areas physically separate from food. Evidence: A cabinet in the twos room had cleaners such as Lysol and Pine sol in a cabinet with silverware, plates, and trays used for eating.

Plan of Correction: The center director stated she would contact the fire marshal to schedule an inspection.

Standard #: 8VAC20-780-500-A
Description: Based on observation, the facility failed to have staff wash hands and wash children?s hands with soap and running water after toileting or diapering. Evidence: Staff changed three children?s diapers in the twos room. Staff did not take the children to the sink to wash hands with soap and water. Staff used hand sanitizer on their own hands, not soap and water.

Plan of Correction: The director stated that staff would be retrained on handwashing procedures.

Standard #: 8VAC20-780-500-B
Description: Based on observation, the facility failed to have staff clean and sanitize the diaper changing table as required after each use. Evidence: Staff in the twos room did not clean and sanitize the diaper changing table after changing two diapers. After the third diaper, staff sprayed the diaper changing table and wiped it dry. They did not allow the cleaning solution to dry for a period of at least 2 minutes.

Plan of Correction: The center director stated that staff would be retrained on diapering procedures.

Standard #: 8VAC20-780-530-A-1
Description: Based on staff interview and record review, the facility failed to have one staff in each grouping of children with current certification in cardiopulmonary resuscitation (CPR). Evidence: Staff 1 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current CPR certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have current CPR certification on file.

Plan of Correction: A first aid and CPR class will be scheduled soon.

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 and Staff 2 were alone in the older infant room with 8 children, but neither have documentation of current first aid certification on file. Staff 3 was alone with 10 children in the toddler room, but does not have first aid certification on file.

Plan of Correction: A first aid and CPR class will be scheduled soon.

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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