Treetop Academy

8VAC20-780-160-C

Repeat Violation Each staff member shall obtain at least every two years, from the date of the initial screening or testing, the results of a follow- up tuberculosis screening. Staff #1's record did not include an updated TB screening as the most recent was overdue by 14 months.

8VAC20-780-140-A

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. Child #2 did not have a copy of a physical and was overdue by 4 months.

8VAC20-780-540-A

A first aid kit shall be wherever children are in care. The centers vehicle used for transportation does not have a first aid kit.

8VAC20-780-500-B

Disposable diapers shall be disposed of 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. Staff #6 was observed throwing away a soiled diaper into a trashcan that did not have a lid and was accessible to children.

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. In Classroom A diapering was observed for Child #1 and Staff #6 did not wash their hands or the children?s hands after diapering.

8VAC20-780-280-B

Repeat Violation Hazardous substances must be in a locked place that prevents access by children. 1.In Classroom C there was a container of disinfectant wipes in an unlocked cabinet. 2. In Classroom A, there was a container of hand sanitizer on the counter All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.

8VAC20-780-270-A

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.There were areas of rust, chipping and peeling paint on the on the music board on the younger children playground. 2.There were 10 bolts protruding from the top of the older childrens playground. 3. In Classroom B, there was a metal ladder above 5 feet that was unstable and moved easily when touched. There were 9 children and in classroom B the ladder was accessible.

8VAC20-780-350-B-1

The center did not maintain required staff to child ratios, 1 staff for every 5 children, as an extension of a temporary staff-to-child ratio variance granted by the Office of Child Care Health and Safety on June 25, 2024. In the multipurpose room there were 2 staff with 15 children and the youngest was Child #1 age 5 months. The staff-to-child ratio for children birth to 16 months is 1:4 but the center had an approved variance for 1:5.

8VAC20-780-150-B

Physicals and Immunization records are required to be signed and dated by a physician, his designee, or an official of the local health department. Both records for Child #2 were not signed and they have been attending for over 3 months.

8VAC20-780-260-B

After the first license, annual approval from the health department shall be provided. The most recent health and sanitation report from the health department was dated 3-15-2024.

8VAC20-780-270-A

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas. 1.The stairs for the composite piece on the older children?s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children?s playground. 3. There are areas of rust, chipping and peeling paint on the pretend speakers near the composite piece for the older children?s playground and on the music board on the younger children?s playground. 4. In Classrooms A, B,C, D and E there were areas of chipping and peeling paint and throughout the classrooms and areas of dirt that easily comes off when touched with paper towel. 5. In Classrooms C by an exit door there were 2 small pieces of broken tile that easily moved and were not attached to the floor. 6. In Classroom C, D and on the playground, there were plastic chairs with broken seats, causing pinch points.

8VAC20-780-280-B

Hazardous substances must be in a locked place that prevents access by children. I 1.In Classroom D, two spray containers of Bug Defense/ Killer and one spray container of cleaning solution were in an unlocked cabinet. 2. In Classroom E, two spray containers of disinfectant were in an unlocked cabinet. 3. In Classroom C there was one container of hand sanitizer on a shelf. All items were labeled ?Keep out of reach of children? and at least one other statement hazardous, harmful and flammable.

8VAC20-780-320-B

Repeat Violation Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. There are two restrooms in the hallway and one did not have soap for two of the sinks and one restroom did not have toilet paper for three of the toilets.

8VAC20-780-560-G

When food is brought from home the food container must be clearly labeled to identify the owner and date. Four lunch boxes were observed, and they did not have both names and dates.

8VAC20-780-320-B

Each restroom area provided for children shall be equipped with soap, toilet paper, and disposable towels or an air dryer within reach of children. The boys restroom did not have toilet paper within reach for 3 of the toilets available and the girls restroom did not have toilet paper available for one toilet available.

8VAC20-780-500-B

The diapering area shall have a nonabsorbent surface for diapering or changing. The diaper pad in 3 classrooms had small tears/ rips and therefore the pad was no longer nonabsorbent.

8VAC20-780-270-A

Repeat Violation The center shall ensure that areas and equipment of the center, inside and outside, are maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that could entangle clothing or snag skin. The center did not ensure areas and equipment inside and outside, shall be maintained in a clean, safe and operable condition for the following areas on the playground. 1.The stairs for the composite piece on the older children?s playground had areas of rust and broken plastic with sharp edges. 2.There is torn landscaping material that poses as a tripping hazard at the bottom of the slide chute for the composite piece for the older children?s playground. 3. There are areas of rust , chipping and peeling paint on the music board on the younger children?s playground. 4. There are approximately 14 bolts protruding from the plastic landscape boarders around the younger children?s playground. 5. The outdoor shed frame has broken sharp edges and there is protruding nail round the door handle.

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 following was missing from 2 of 5 records reviewed. 1.The record for Child #2, did not include employment location and phone number for one parent listed. 2. The record for Child #4, did not include home phone number for one parent listed, employment location and phone number for one parent listed and a second emergency contact name, address and phone number.

8VAC20-780-150-B

Immunization records shall include the dates immunizations were received and shall be signed by a physician, his designee, or an official of a local health department. The record Child #5 did not include a signature from a physician, his designee, or an official of a local health department