VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cadence Academy Preschool
365 Ferry Road
Fredericksburg, VA 22405
(540) 371-9300

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: June 24, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 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

Technical Assistance:

Effective January 1, 2025, the VDOE will begin determining compliance with ? 22.1-289.057 of the Code of Virginia, which is legislation passed by the General Assembly in 2020. The law requires all licensed child day programs, religious exempt child day centers that serve preschool age children, and certified preschools to test potable drinking water. The law requires that programs submit their plans and test results to the Virginia Department of Health Office of Drinking Water (VDH ODW) and the Superintendent. If the results of the testing indicate elevated lead levels, the program shall remediate, retest, and resubmit results to VDH ODW and the Superintendent. There is an additional alternative bottled water option that comes with additional requirements. The statutory requirement can be found online at https://law.lis.virginia.gov/vacode/title22.1/chapter14.1/section22.1-289.057/. Resources are now available for providers on the "What's New" webpage on the ChildCareVA website at https://www.childcare.virginia.gov/providers/what-s-new. Provided consultation on the following: 8VAC20-780-500. Staff should be able to wash their hands before and after a diaper change.

Comments:

An unannounced monitoring inspection was conducted on 6/24/24 from approximately 10:00am to 1:00pm with the Director. There were 155 children present, ranging from ages 3 months to 10 years, directly supervised by 25 staff. The physical plant, required postings, programming, attendance, transportation, 3 staff records, 3 children?s records, outdoor playground area, programming, attendance, menus, 15 medications with corresponding authorization records, 8 allergy care plans, emergency drills, 5 injury reports, emergency supplies, and policies were reviewed. Children were observed participating in floor play, reading time, playing on the playground and eating lunch. Diapering and handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. 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 of each page to me via email by 5pm on 7/4/24. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-780-160-C
Description:	Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing. Evidence: The record for Staff A did not have documentation of a negative TB test or screening within 2 years of the last TB test. The last TB test was completed 4/20/22, and the new TB test was not completed until 5/29/2024 exceeding the 2 years.
Plan of Correction:	TB screening test in file at time of inspection was renewed on 5/29/24. Going forward, staff will be removed from schedule until they obtain their updated screening.
Standard #:	8VAC20-780-40-M
Description:	Based on documentation request and staff interviews, the center did not maintain a current and dated written list of children?s allergies, sensitivities, and dietary restrictions that was accessible to all staff in each group or area where children are present. Evidence: The preschool 3-B and School Age classrooms were on the playground, both classroom teachers stated that they did not have their allergy lists present on the playground.
Plan of Correction:	Allergy lists will be brought to the playground in addition to the required postings in the classroom.
Standard #:	8VAC20-780-50-A
Description:	(Repeat Violation) Based on observation, the center did not ensure that staff and child records were treated confidentially. There were records posted at the center dated 2/26/24 and 3/18/24 that contained confidential information for staff and children.
Plan of Correction:	When posting the required inspection report, the full unredacted report was posted in error. The page in question has been removed from the posting.
Standard #:	8VAC20-780-80-A
Description:	(Repeat Violation) Based on documentation review and staff interviews, the center did not maintain a written record of daily attendance for each group of children that documents the arrival and departure of each child in care as it occurs. Evidence: The daily attendance that was documented in the Infant 1 classroom had 12 children written on the daily the attendance, but only 11 children were present.
Plan of Correction:	Repeat entry was removed from attendance sheet.
Standard #:	8VAC20-780-270-A
Description:	(Repeat Violation) Based on observation, the center did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe and operable condition. Evidence: Based on observation, one of the buses had a broken window that was covered with poster board and tape. Poster board could be easily pushed on. There was also broken glass observed on the bus accessible to the children. Staff interview determined that this bus was driven the week of June 17-21 for a field trip.
Plan of Correction:	The bus window is scheduled for repair.
Standard #:	8VAC20-780-280-D
Description:	(Repeat Violation) Based on observation, the Center did not ensure that cleaning and sanitizing materials were not located above food, food equipment, utensils or single-service articles and should be stored in areas physically separate from food. Evidence: During inspection in the Preschool 2 B classroom, there was sanitizing materials stored above paper plates.
Plan of Correction:	The items were moved below/separate from food service items.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and inspection of the playground, the licensee did not to ensure that the required resilient surfacing surrounding playground equipment with moving parts or climbing apparatus created a sufficient fall zone. Evidence: 1)The Preschool playground has a curved slide that is 26 inches in height with wood chips at approximately 2 inches in depth at the bottom of the left and right sides instead of the required 6 inches. 2) The School Age playground has a climbing wall that is 91 inches in height with wood chips at approximately 3-4 inches in depth at the bottom left and right sides instead of the required 9 inches.
Plan of Correction:	The resilient surfacing that has become impacted over time will be tilled and replaced where needed.
Standard #:	8VAC20-780-450-E
Description:	Based on observation, the center did not ensure that mattresses when used, were covered with a waterproof material which can be cleaned and sanitized. Evidence: There was a torn mattress observed in the Infant 1 classroom causing it no longer to be waterproof.
Plan of Correction:	The mattress with the tear has been replaced with a new mattress.
Standard #:	8VAC20-780-510-E
Description:	(Repeat Violation) Based on documentation review of 14 medication authorizations, the center did not ensure that prescription and nonprescription medication is only be given to a child with written authorization from the parent. Evidence: Child C had medication onsite, and the center has administered this medication since 3/13/2024. The center did not have written authorization from the parent for this medication on file.
Plan of Correction:	Parent signed the form that they forgot to sign prior to submission,
Standard #:	8VAC20-780-550-P
Description:	Based on review of 5 injury reports, the center did not ensure that the written record of children?s injuries contained all required information. Evidence: 1)Child A injury report dated 6/17/2024 was missing date and time when parents were notified, parent signature or two staff signatures, and documentation on how parent was notified. 2)Child B injury report dated 6/13/2024 was missing date and time when parents were notified, parent signature or two staff signatures, and documentation on how parent was notified. 3)Child B injury report dated 6/17/2024 was missing date and time when parents were notified and documentation on how parent was notified.
Plan of Correction:	The missing items were added to the injury reports to reflect date, time and method of parent notification. Parents signed reports.
Standard #:	8VAC20-780-560-M
Description:	Based on observation, the center did not ensure that children were not allowed to drink or eat while walking around. Evidence: 1)Child D in the Preschool 3A classroom was observed walking around the classroom eating blueberries and drinking. 2)Child E in the Preschool 3A classroom was observed walking around eating a sandwich and also standing up in the chair.
Plan of Correction:	The children who were not seated were returned to the table and reminded that we stay seated when eating.