Willowcreek Academy

8VAC20-780-340-D

In each grouping of children at least one staff member who meets the qualifications of a program leader or program director shall be regularly present. Staff #1 (employed 7 weeks) was alone in Classroom #3 supervising 7 children and did not meet the qualifications of a program leader. Complaint related: No

8VAC20-780-340-A

Complaint Related When staff are supervising children, they shall always ensure their care, protection, and guidance. Documentation demonstrated the center was not proactive for a period of 3 months when incidents began to escalate and did not provide the supervision needed to prevent injuries of other children. The center did not ensure the care and protection of children in Classroom #7 when Child #7 (4 years old) had 11 incidents within 4 weeks of hurting others. Five incidents toward Child #8 (5 years old) included pulling hair, being scratched, and kicked. Three incidents toward Child #9 (5 years old) included being scratched, pulling their shirt and leaving red marks. Complaint related: Yes

8VAC20-780-570-E

Repeat Violation Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Two bottles for Child #4 (13 months old) and one bottle for Child #5 (15 months old) were not labeled with the date. Complaint related: No

8VAC20-780-550-P

The center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. In documentation shared by the center and Staff #6, incidents involving Child #7 (4 years old) and hurting others in Classroom #7 were not documented or recorded properly by Staff #2 for over 2 months. Complaint related: No

8VAC20-780-500-A

Children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Staff shall wash their hands with soap and running water before and after a diaper change. -Staff #1 changed Child #2 and Child #3?s diaper and did not wash the children?s hands. -Staff #1 changed Child #1, Child #2, and Child #3?s diaper and did not wash their hands before or after the diaper change. Complaint related: No

8VAC20-780-350-I

For children ages 16 months through preschool age, during the designated rest period, when children are resting or in an inactive state, the rest period ratios permitted for children 16 through 24 months of age is one staff per 10 children. Classroom #2 and Classroom #3 combined for nap time, leaving Staff #1 alone with 11 children between the ages of 16 months to 2 years old for approximately 36 minutes. Complaint related: No

8VAC20-780-500-B

Disposable diapers shall be disposed in a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. The diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. -During diapering, Staff #1 did not use the foot pedal of the diaper trash can, instead lifted the lid to dispose of diapers. -Staff #1 did not clean or sanitize the diapering surface after changing Child #1, Child #2, or Child #3. Complaint related: No

8VAC20-780-130-E

The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #5 (21 months old) was missing an updated immunization record and was overdue by 3 weeks. Complaint related: No

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. The left side of the playground contained a broken metal plant support laying on the ground. The right side of the playground underneath the gate had an opening of approximately 11 inches and was 4 inches away from the concrete step, creating a tripping/fall hazard.

8VAC20-780-330-B

Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. The fall zones on the playground did not comply with minimum safety standards.

8VAC20-780-570-E

Prepared infant formula shall be refrigerated, dated and labeled with the child's name. Two bottles for Child #4 (10 months old) did not contain the date.

8VAC20-780-70

Documentation to demonstrate that the individual possesses the education, certification, and experience required by the job position are required. There was no documentation of the required education in the record for Staff #2.

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Child step stools being used in the bathroom of Classroom #3 and #6 were broken with chipping wood.

8VAC20-780-520-A

The center shall ensure over-the-counter skin products shall not be kept or used beyond the expiration date of the product. Two sunscreens in Classroom #7 had been kept and used beyond the expiration date of the product.

8VAC20-780-510-P

When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Medication for Child #7 was onsite, but the medication authorization had expired over 4 months ago. The authorization had not been renewed and the medication was not returned or disposed of as required.

8VAC20-780-280-B

Hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. An open bag of potting soil with warning labels, ?Keep out of reach of children,? were unlocked in Classroom #4, within reach of children.

8VAC20-780-60-A

Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The record for Child #2, enrolled for over seven months, was missing the address of two designated people to call in an emergency if a parent cannot be reached.

8VAC20-780-160-C

A tuberculosis (TB) screening is required every two years from the last screening. The updated screening for Staff #2 (employed for over 2 years) was due over 3 months ago and the updated screening has not yet been completed.

8VAC20-780-80-A

For each group of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. At approximately 9:30 a.m. on 11/13/2024, there were 6 children present in the Infant room, but only 3 were marked present on the attendance record.

8VAC20-780-270-A

The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. There are areas of chipping paint on four pillars on the outside playground.