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Acton Academy Hampton Roads
516B Albemarle Drive
Chesapeake, VA 23322
(757) 410-5704

Current Inspector: Rene Old (757) 404-1784

Inspection Date: June 26, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Background requirements effective July 1, 2024 reviewed.


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.

Comments:
An unannounced renewal inspection was initiated on 06/26/2024 at 10:20 am and completed on 06/26/2024 at 12:15 pm. At the time of entrance there were 9 children in care care with 2 staff present. The children in care ranged in age from 3 years - 9 years.

Children were observed during morning program time which included free play in the preschool classroom and outdoor play. Records were reviewed for two staff and four children.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility. The areas of non-compliance were reviewed with the program director at the conclusion of the inspection.

Violations:
Standard #: 22.1-289.011-F
Description: Based on observation, the center failed to ensure that the findings of the most recent inspection of the facility shall be posted in a conspicuous place on the licensed premises.

Evidence:
1. The findings of the 02/03/2023 complaint inspection were not posted on the licensed premises of the facility.
a. This is the most recent inspection of the facility.
2. The findings of the 12/06/2022 monitoring inspection were 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 obtain a copy of the results of a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years.

Evidence:
1. The results of an out-of-state child abuse and neglect registry check were not available for staff 2 who has a hire date of 08/16/2023.
a. Written information in the record for staff 2 indicates residence in a state other than Virginia within the past 5 years.
2. The program director confirmed that an out-of-state child abuse registry check had not been requested for staff 2.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.058
Description: Based on observation and interview, the center failed to ensure that each building that was built before 2015 and that houses a child day program that is licensed pursuant to this chapter or any program described in subdivision A 4, B 1, or B 5 of ? 22.1-289.030 that serves preschool-age children shall be equipped with at least one carbon monoxide detector.

Evidence:
1. The inspector did not see a carbon monoxide detector inside of the facility.
2. The program director stated she was not sure if a carbon monoxide detector had been installed in the facility.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review and interview, the center failed to ensure that staff have a central registry finding within 30 days of employment or volunteer service.

Evidence:
1. There was no central registry finding on file for staff 2 who begam employment on 08/16/2023.
2. Staff 1 confirmed that she did not have the results of a central registry check for staff 2.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-130-A
Description: Based on record review and interview, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. Child 2, enrollment date 03/01/2023, lacked documentation of required immunizations.
2. Child 3, enrollment date 06/17/2021, lacked documentation of required immunizations.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-140-A
Description: Based on record review and interview, the center failed to ensure that 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.

Evidence:
1. There was no documentation of a physical exam on file for child 2 who began care on 03/01/2023.
2. The program director confirmed that a physical exam was not on file for child 2.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-A
Description: Based on record review, the center failed to ensure that documentation of the required tuberculosis screening shall have been completed within the last 30 calendar days of the date of employment.

Evidence:
1. The TB screening for staff 2 was completed on 06/19/2024 which is after her hire date of 08/16/2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-160-C
Description: Based on record review and interview, the center failed to ensure that at least every two years from the date of the first initial screening or testing, staff members shall obtain and submit the results of a follow-up tuberculosis screening.

Evidence:
1. The most recent TB screening on file for staff 1 was completed on 08/04/2021.
2. Staff 1 confirmed that an updated TB screening was not on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Repeat Violation:
Based on record review and interview, the center failed to ensure that children's records contain all of the required elements.

Evidence:
1. The enrollment record for child 1 lacked the following required information:
a. Address for one emergency contact;
b. First date of enrollment;
c. Documentation of child updates and confirmation of up-to-date information in the child's records required by 8VAC20-780-420-E.3.
2. The enrollment record for child 2 lacked the following required information:
a. The work phone number for Mother's place of employment;
b. Documentation of child updates and confirmation of up-to-date information in the child's records required by 8VAC20-780-420-E.3.
3. The enrollment record for child 3 lacked the following required information:
a. The work phone number for both parent's place of employment;
b. Names of persons authorized to pick-up child;
c. Documentation of viewing proof of the child's identity and age.
4. The program director confirmed that the above information was not available.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Repeat Violation
Based on record review and interview, the center failed to ensure that staff records contain all of the required elements.

Evidence:
1. There was no written documentation to verify that staff 2 meets program leader qualifications outlined in 8VAC20-780-210.
a. Staff 2 was observed in a program leader position during the inspection. Additionally, staff 2's job title is listed as program leader in the employment file.
2. The program director confirmed that documentation of these qualifications were not on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-240-A
Description: Based on record review and staff interview, the center failed to ensure that staff completed the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment.

Evidence:
1. There is no certificate available to demonstrate that staff 2, hire date 08/16/2023, has completed the Virginia Department of Education preservice orientation course.
2. Staff 1 stated that staff 2 had not completed this training course.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-270-A
Description: Repeat Violation:
Based on observation, the center failed to ensure that areas and equipment of the center, inside and outside, shall be maintained in a safe and operable condition.

Evidence:
The following safety hazards were observed inside of the facility:
1. A metal 5-shelf shelving unit measuring 29 inches wide x 59 inches high was not secured to the wall in the front bathroom located across from the enclosed preschool classroom. Numerous items were stored on each of the 5 shelves.
a. This is a toppling hazard.
2. The door utilized to enter & exit into the preschool room, from the hallway, was not able to be opened from inside the room as the door handle is no longer attached.
a. This is a fire safety/emergency evacuation hazard.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-B
Description: Repeat Violation:
Based on observation, the center failed to ensure that hazardous substances such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children.

Evidence:
1. A spray bottle of disinfectant was observed stored on the shelf of the front bathroom used by children.
a. The manufacturer label contained multiple warnings to indicate the contents as hazardous.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-320-B
Description: Based on review, the provider failed to ensure that water in bathroom sinks does not exceed 120 F.

Evidence:
The water temperature in the 2nd front bathroom sink measured 122 F.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-430-I
Description: Based on observation, the center failed to ensure that personal articles are used, they shall be individually assigned.

Evidence:
1. 4 of 6 water bottles reviewed lacked any type of name label or way to identify the owner.
2. The program director confirmed that these water bottles belonged to children in care.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-C
Description: Repeat Violation:
Based on observation, the center failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building.

Evidence:
1. Shelter-in-place procedures were not included on the posted evacuation plan for the facility.
2. The program director confirmed that shelter-in-place procedures were not posted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-550-G
Description: Based on record review and interview, the center failed to maintain documentation of shelter-in-place, and lockdown drills.

Evidence:
1. The emergency practice log for the facility did not have documentation of any lockdown or shelter-in-place practice drills for 2023 and 2024.
2. The program director confirmed these practice drills were not included on the emergency drill log for the facility.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-600-A
Description: Repeat Violation
Based on interview, the center failed to ensure that animals that are kept on the premises of the center shall be vaccinated, if applicable, against diseases which present a hazard to the health or safety of children.

Evidence:
1. Staff 1 stated that the vaccination record for a dog that was observed inside of the facility was not available.
a. This dog was observed running and playing in all areas of the facility during the inspection.
b. Children were observed interacting and playing with the dog during the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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