VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Willow Tree Academy, LLC
2359 Jefferson Highway
Waynesboro, VA 22980
(540) 943-5996

Current Inspector: Michelle Argenbright (540) 848-4123

Inspection Date: April 22, 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 (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-280-G 8VAC20-780-350-Q 8VAC20-780-430-F & G

Comments:

The violation notice was amended based on the determination of a first step review conducted on 5/30/2024. A monitoring inspection was conducted on 04/22/2024 from 10:15AM to 1:30 PM. There were 99 children present, ranging in ages from infant to five years, with 17 staff. The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programming, and special care and emergencies. A total of nine children?s records, one child?s medication, and nine staff?s records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility. Please return a signed and dated copy of each page of this notice to the licensing inspector no later than 5:00pm on 05/16/2024. If you?d like to include a plan or correction and date to be corrected for each violation cited, please include that information with the signed and dated copy of the Violation Notice by the deadline. Plans of correction should include steps to correct the noncompliance with the standard and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.023-A
Description:	Based on observation, the center failed to post the Notice of Intent issued by the department in a prominent place at each public entrance of the premises to advise consumers of serious or persistent violations. Evidence: An inspection of the facility was conducted. The Notice of Intent issued by the department on 03/28/2024 was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center failed to request out of state child abuse and neglect searches by the end of the 30th day of employment, failed to complete out of state sex offender registry searches by the first day of employment, and failed to obtain the results of an out of state criminal history name check. Evidence: The Sworn Statement completed by staff 8 (day of employment 2/5/24) indicated staff 8 lived in Colorado and Washington within the last five years. A sex offender registry search and child abuse and neglect searches were not completed for Colorado and Washington. A criminal history name check was not completed for Washington.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION
Standard #:	8VAC20-780-150-B
Description:	Based on record review, the center failed to obtain a physical examination and immunization record that is signed by a physician, his designee, or an official of a local health department. Evidence: Child 9's immunization record and physical was not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	(REPEAT VIOLATION)Based on interview and record review, the center failed to keep documentation to demonstrate that three lead teachers possess the education, certification, and experience required by the job position of lead teacher. Evidence: The records for staff 12 did not contain documentation to demonstrate that the staff possessed the education, certification, and experience to be lead teachers, as assigned by the job position.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION
Standard #:	8VAC20-780-280-B
Description:	(REPEAT VIOLATION) Based on observation, the center failed to ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: In the preschool classroom a spray bottle labeled bleach water was on an shelf.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION
Standard #:	8VAC20-780-400-C
Description:	Based on observation, the center failed to ensure time out was used sparingly and did not exceed one minute for each year of the child's age. Evidence: When the licensing inspector arrived at 11:01 AM a child was seen sitting against the fence on the grass in time out on the playground. The child remained in time out until 11:09 AM. Per the teacher the child was four-years-old.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION
Standard #:	8VAC20-780-510-E
Description:	Based on documentation review, the center failed to ensure that the procedures for administering medication included all required components. Evidence: The center's procedures for administering medication did not indicate that for nonprescription medication, the procedures shall be consistent with the manufacturer's instructions for age, duration, and dosage, nor did it include methods to prevent use of outdated medications.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-F
Description:	(REPEAT VIOLATION) Based on record review and interview, the center failed to have a medication authorization available to staff during the entire time it is effective. Evidence: The medication for child 10 did not have a parent authorization form.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION
Standard #:	8VAC20-780-510-L
Description:	(REPEAT VIOLATION) Based on observation, the center failed to ensure medication was kept in a locked place using a safe locking method that prevents access by children. Evidence: A child's medication was observed in a zip lock bag on the top shelf of an open closet in the 2's classroom.
Plan of Correction:	SEE INTENSIVE PLAN OF CORRECTION