VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lighthouse Academy of Fredericksburg
10713 Tidewater Trail
Fredericksburg, VA 22408
(540) 372-9699

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Sept. 28, 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. 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted 9/28/2022 from 9:40am-11:15am. There were 17 children directly supervised by 4 staff and all classrooms were in ratio. The physical plant, outdoor playground area, programming, menus, 2 staff records, 5 children?s records, emergency drills, injury reports, emergency supplies, and policies were inspected. The center reported no medications were on site. Children were observed participating in an emergency evacuation drill and emergency procedures were observed and found to be in compliance. After the fire drill, children were observed playing on the playground on the swings, coloring with chalk, and playing with balls. After outdoor time, children went inside, washed hands, and had snack. Children then were observed participating in various Montessori activities Positive interactions between children and staff were observed during this inspection. There was an abundant supply of age appropriate materials for the children and the center was clean and organized. All staff are current in CPR/First Aid certification. Areas of non-compliance are identified in the Violation Notice. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 10/11/2022. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the center did not obtain the results of a fingerprint-based criminal history background check for all staff prior to hire: Evidence: Staff #1 (Date of Hire: 8/22/2022) and Staff #2 (Date of Hire: 8/22/2022) had fingerprinting results on file dated 8/29/2022.
Plan of Correction:	Done as of 8/29/2022
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the center did not ensure that all staff submit a completed Sworn Disclosure Statement prior to hire. Evidence: Staff #1 (Date of Hire: 8/22/2022) had a Sworn Disclosure Statement on file signed on 8/24/2022. Staff #2 (Date of Hire: 8/22/2022) had a Sworn Disclosure Statement on file signed on 9/9/2022.
Plan of Correction:	Done as of 9/9/22
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the center did not obtain the results of a Virginia Child Abuse and Neglect Central Registry search for all staff within 30 days of employment. Evidence: Staff #1 (Date of Hire: 8/22/2022) and Staff #2 (Date of Hire: 8/22/2022) did not have Virginia Child Abuse and Neglect Central Registry search results on file.
Plan of Correction:	Sent out as of 8/22/22
Standard #:	8VAC20-780-160-A
Description:	Based on record review, the center did not obtain documentation of a negative tuberculosis screening that was submitted for all staff at the time of employment. Evidence: Staff #1 (Date of Hire: 8/22/2022) and Staff #2 (Date of Hire: 8/22/2022) both have tuberculosis tests on file completed 8/29/2022.
Plan of Correction:	Done as of 8/29/22
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: Child #1 has a diagnosed food allergy and does not have a written allergy care plan on file.
Plan of Correction:	Parents in contact with Dr. waiting on letter from Dr.
Standard #:	8VAC20-780-70
Description:	Based on record review and staff interview, the center did not ensure that two or more references as to character and reputation as well as competency were checked before employment. Evidence: Staff #2 (Date of Hire: 8/22/2022) did not have references on file.
Plan of Correction:	Calls made by 10/3/22. Waiting for return call back.