VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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

Current Inspector: Christina Jones (540) 340-2672

Inspection Date: Nov. 29, 2022

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. 22VAC40-191 BACKGROUND CHECKS

Comments:

An unannounced monitoring inspection was conducted with the staff and regional director on November 29, 2022 beginning at 10:13 AM and ending at 12:40 PM. There were 19 children, ages ranging between 6 weeks and 5 years old, in the direct care of 5 staff members. The children were observed playing with age appropriate toys and positively interacting with staff. Five children's records were reviewed. Three staff records were reviewed. There were no medications on site to be inspected. The first aid kit, flashlight, and weather-band radio were observed and in compliance. The most recent evacuation drill was documented as 4/8/2022. The most recent shelter-in-place drill was documented as 3/7/2022. Areas of non-compliance are identified in the Violation Notice If there are any question regarding this inspection, contact Shawanda Henderson at 540-216-1434 or shawanda.henderson@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-130-A
Description:	Based on a review of documentation, the center staff did not ensure that documentation of immunization was obtained for each child before the child attended the center. Evidence: Child A (start date3/18/2022) did not have documentation of immunization in their record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of documentation, the facility staff did not ensure that each child had a physical examination by or under the direction of a physician within 30 days of attending the center. Evidence: Child A (start date 3/18/2022) and Child C (start date 9/6/2022) did not have documentation of a physical examination in their records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-40-G
Description:	Based on a review of documentation, the center did not ensure that proof of child's identity and age requirements were met as stated in 22.1-289.049 of the Code of Virginia. Evidence: Child B's record was missing proof of the child's identity and age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of documentation, the facility staff did not ensure that each child's record contained the required information. Evidence: Child B's record was missing the work phone number for one parent. Child C and Child E's records was missing the addresses for both emergency contacts and documentation of child updates and confirmation of up-to-date information in the child's record as required by 8VAC20-780-420 E 3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of documentation, not all facility staff complete a minimum of 16 hours of training appropriate to the age of children in care annually. Evidence: Staff #1, Staff #2, and Staff #3 did not have documentation of 16 hours of annual training in their records.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-A
Description:	Based on a review of documentation, the facility did not provide to the licensing representative an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was dated 10/27/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-260-B
Description:	Based on a review of documentation, the facility did not provide to the licensing representative with documentation of annual approval from the health department. Evidence: The most recent health inspection was dated 10/29/2021.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, not all of the areas and equipment of the facility were maintained in a clean, safe, and operable condition. Evidence: In the infant classroom there were two crib mattresses that had rips and tears in the plastic. In school age classroom's bathroom located by the outside egress, there was dried urine around and on the sides of the toilet and a visible residue ring in the toilet bowl. In the second bathroom in the school age classroom there were three ceramic tiles from the wall boarder laying on the floor. One of the ceramic tiles was broken and hard a sharp edge. There were several more loose tiles on the wall boarder. There is a hole/gap in the drywall behind one of the toilets in that same bathroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the facility staff did not ensure that all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of Goo Gone adhesive remover on the counter by the sink in the 4 year old's classroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-340-F
Description:	Based on observation, the facility staff did not ensure that all children under 10 years of age were always within actual sight and sound supervision of staff. Evidence: Upon entering the building from the playground, three children from the 2 and 3 year old classroom ran down the hallway around the corner and entered their classroom. The children were not in actual sight and sound supervision of staff as they walked the other six children down the hallway.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of documentation, the facility staff did not implement a monthly practice evacuation drill. Evidence: The most recent practice evacuation drill was 4/8/2022. There was no documentation of drills for the months of May, June, July, August, September, and October of 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-570-E
Description:	Based on observation, the facility staff did not ensure that all prepared infant formula is refrigerated, dated, and labeled with the child's name. Evidence: In the infant room there were four bottles that did not have the date on them. There was one bottle that did not have a date and the child's name.
Plan of Correction:	Not available online. Contact Inspector for more information.