Brecknock Academy Childcare

During an unannounced inspection on 4/2/25 Cert rep noted Staff 1's health assessment was dated 2/23/24 This is more than 12 month before her date of hire.(See LIS Code sheet).

During a unannounced inspection on 2/12/25 Cert rep observed the dishwasher had visible mold/mildew on both the top and bottom racks where dishes would be placed. Inside the dishwasher was three plastic kids trays that were observed to be the same type of trays staff reported are used for children's lunches.

During a renewal inspection on 12/12/24 and 12/18/24 emergency plan training for 2023 and 2024 for all staff was not available for certification rep review. An acceptable plan of correction was received on 12/30/24 with a correction date of 1/10/25. During a unannounced verification visit on 2/5/25 it was noted Staff 5 had not completed emergency plan training. it was noted all other staff not on medical leave completed emergency training in January 2025.

During a renewal inspection on 12/12/24 and 12/18/24 the operator did not have a Department of Enviromental Protection PWS compliance letter available for review. Operator reported the letter had not yet been requested. An acceptable plan of correction was received on 12/30/24 with a correction date of 1/30/25. During an unnanouce verification visit on 2/5/25 it was noted the operator had the request form for the PWS compliance letter, but did not have a Department of Enviromental Protection PWS compliance letter at that time.

During a renewal inspection on 12/12/24 cert rep supervisor noted Child 1's health assessment did not state if the child is able to participate in child care and appears to be free from contagious or communicable disease. Child 1's health assessment did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted. An acceptable plan of correction was received on 12/30/24 with a correction date of 1/15/25. During an unannounced verification visit on 2/5/25 cert rep observed Child 1's health assessment did not state if the child is able to participate in child care and appears to be free from contagious or communicable disease. Child 1's health assessment did note that recommended age-appropriate screenings were completed.

During a renewal inspection on 12/18/24 cert rep noted Staff 2's NSOR clearance certificate was dated 12/17/19. This was expired at the time of inspection. Staff 5 and 6 had disclosure statements that were not dated.

During a renewal inspection on 12/12/24 the facility's emergency plan did not address the facility's plan for continuity of operations after an emergency.

During a renewal inspection on 12/12/24 cert rep noted the emergency plan did not address the method for facility persons to contact parents as soon as reasonably possible when an emergency situation arises.

During a renewal inspection on 12/12/24 cert rep noted the emergency plan and letter to the parents regarding the emergency plan did not address the method for facility persons to inform parents that the emergency has ended and to provide instruction as to how parents can safely be reunited with their children.

During a renewal inspection on 12/12/24 and 12/18/24 emergency plan training for 2023 and 2024 for all staff was not available for certification rep review.

During a renewal inspection on 12/12/24 white out was found in an unlocked accessible drawer in the currently unused preschool classroom. The white out was labeled "Keep out of reach of children"

During a renewal inspection on 12/1/224 and 12/18/24 the operator did not have a Department of Enviromental Protection PWS compliance letter available for review. Operator reported the letter had not yet been requested.

During a renewal inspection on 12/12/24 the following child care rooms had temperatures that were less than 65 degrees: Older toddler room, Pre- kindergarten room, Main Room/School aged room, and the currently unused preschool room.

During a renewal inspection on 12/12/24 there was no first aid kit in the currently unused preschool room. This room is on the facility license as childcare space.

During a renewal inspection on 12/12/24 cert rep observed a chunk of wooden trim was broke off in the young toddler room under the alligator. What remained on the trim left splintered wood exposed.

During a renewal inspection on 12/12/24 cert rep observed peeling paint in the following locations: Under the birthday board in the Young toddler room and on the bottom trim of the windows in currently unused preschool room.

During a renewal inspection on 12/12/24 cert rep observed the follow concerns: 1) Broken piece with a rough edge on the top of the yellow toy tool bench in the main room/school aged room 2) Cracked seat on a riding elephant in the toddler play space 3) Child 3's rest equipment had tears in equipment that would prevent proper sanitation. 4) Child 4's pack and play had a crack in the plastic corner of the top of the pack and play. 5) Rough edge on the broken plastic from a gate that is no longer used in the young toddler room.

During a renewal inspection on 12/12/24 cert rep observed plastic bags were being kept in a location that made them accessible to children who were being changed in the young toddler classroom. The plastic bags were kept in a cloth bag with an opening that rested on the changing table. Children in this classroom may still be placing objects in their mouths.

During a renewal inspection on 12/12/24 cert rep supervisor noted Child 1's health assessment was not signed and dated by a physician, physician's assistant or a CRNP.

During a renewal inspection on 12/12/24 cert rep supervisor noted Child 1's health assessment did not state if the child is able to participate in child care and appears to be free from contagious or communicable disease. Child 1's health assessment did not include a statement that age-appropriate screenings recommended by the American Academy of Pediatrics were conducted.

During a renewal inspection on 12/12/24 cert rep observed the following expired creams and lotions: Child 5's Aquaphor (expiration 7/2019) and Child 5's Hand lotion (expiration 5/2024) in the infant classroom.

During a renewal inspection on 12/12/24 and 12/18/24 Staff 1 and Staff 2 did not have an initial tuberculosis screening on file. Staff 2 had an initial health assessment dated 7/28/2023, which is more than one year before her date of hire. Staff 6 had an initial health assessment and tuberculosis screening dated 1/31/2023, which is more than one year before her date of hire. See code sheet for dates of hire.

During a renewal inspection on 12/12/24 cert rep observed the facility menu was not posted in a conspicuous location for the parents.

During a renewal inspection on 12/12/24 cert rep noted the emergency plan did not address accommodations for infants, and toddlers. The emergency plan did address accommodations for children with disabilities, and children with chronic medical conditions.

During a renewal inspection on 12/12/24 and 12/18/24 documentation a copy of the emergency plan was sent to the local municipality and to the county emergency management agency was not available for certification rep review.

During a renewal inspection on 12/12/24 cert rep observed that the annual traffic letter sent to local traffic authorities did not have the facility's correct information regarding the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

During a renewal inspection on 12/18/24 it was noted Staff 1 had fire safety training 6/10/23 and 11/7/24. This is more than 12 months between fire safety training.

During a renewal inspection on 12/12/24 it was noted Staff 3 did not have an annual staff evaluation on file for review.

During a renewal inspection on 12/12/24 it was noted that Staff 4 did not have 1 year of experience documented on file. Staff 4 has a bachelor's degree in human resource management.

During a renewal inspection on 12/12/24 and 12/18/24 Staff 1 did not have a high school diploma/general educational development certificate or experience with children documented on file. Staff 1 reported having graduated high school. Staff 5 had a high school diploma but only had 1420 year of experience verified and documented on file. Both staff have been working as Assistant group supervisors.

During a renewal inspection on 12/18/24 it was noted that parents were not being provided in writing information regarding the facility's supervision policy nor a daily schedule.

During a renewal inspection on 12/12/24 it was noted Child 2 did not have an address for the release persons on the emergency contact form.

During a renewal inspection on 12/12/24 cert rep observed the currently unused preschool classroom did not have an emergency medical transportation plan posted. This room is listed on the facility license as childcare space.

During a renewal inspection on 12/12/24 Child 1's Emergency contact form and fee agreement was not reviewed and signed by the parent since 9/8/2023.

During a renewal inspection on 12/18/24 Staff reported that a copy of the accident injury or illness reports is not retained in the child's file. Staff reported that when accident injury or illness reports are completed, the parent is given the original, and a copy is kept in the facility book.

During a renewal inspection on 12/12/24 cert rep noted there was no information available for or provided to parents to access the 3270 regulations electronically.

During a renewal inspection on 12/12/24 and 12/18/24 it was noted that Staff 1 had 1 hour of child care training during her training year (3/7/2023-3/7/24) and Staff 2 had 11.5 hours of child care training during her training year (9/28/2023-9/28/2024) This is less than the required 12 hours of annual child care training.,

During an unannounced inspection on 11/21/24 cert rep supervisor observed the staff were out of ratio in the young toddler room. The one staff had 1 young toddler and 5 older toddlers in her supervision group. Ratio for the mixed age group is 5 children.

During an unannounced inspection on 11/21/24 cert rep supervisor observed the staff were out of ratio in the young toddler room. One staff had 1 young toddler and 5 older toddlers in her supervision group and the other staff had 6 older toddlers in her supervision group. Ratio for the mixed age group is 5 children.

During and unannounced inspection on 11/21/24 Staff 1's file was not present at the facility for review by Cert Rep. Staff 1's file was being kept at a different facility that does not share the same legal entity as this facility.

During an unannounced inspection on 8/14/2024, staff person #1 was observed to be caring for children unsupervised. Staff person #1 had not completed mandated reporter training within the last 60 months. This was evidenced by the previously documented mandated reporter training on file being dated 6/10/2019.

On 8/14/2024, staff person #1 had not completed mandated reporter training within the last 60 months. This was evidenced by the previously documented mandated reporter training on file being dated 6/10/2019.

It was observed and stated in the toddler room that although a schedule was posted, that schedule is not being followed and regular routines are not established. The written schedule shows snack time from 9:30-9:50, 10-10:30 diapers, 9:50-11:15 fee play/art, 10:30-11:15 outside, and nothing listed on the schedule to show what the children would be doing between 11:15-11:30. From 9:30-10:55 it was observed and stated by staff that 8 toddler-aged children were left sitting at the high chair table once snack was completed. Staff stated that children were not going outside that morning because of the weather but weather was moderate and appropriate for outdoor play. Staff stated that children did not do an art project that day either. Staff stated that they checked diapers but this was not completed according to the time on the posted schedule. At 10:55, staff were observed to have the TV on and children having free play on the floor. Staff #4 and #5 were unable to soothe or redirect child #1. Child #1 was observed to be laying on the floor screaming by the door. Staff person #4 and #5 sat on the floor with the children in silence as the children watched TV and freely played with what…

It was observed that staff are restraining toddler children in the one-year-old room stating they put the children in the highchair table at 9:30am for snack, but it was observed that all 8 children were still sitting within that highchair table at 10:40am. At 10:40am, approximately 6 out of the 8 children were siting there without food in front of them, and the last 2 children were not removed from those highchair seats until approximately 10:55am.

During a complaint investigation on 5/24/24, Staff person #1 and #2 were observed to be caring for children unsupervised together. Staff person #4 was left unsupervised when staff person #5 walked out of the classroom to open the door at the front entrance of the facility. Staff person #1, #2, and #4, see code sheet for hire date, have not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

During a complaint investigation on 5/24/24, staff person #7 was observed to be caring for children unsupervised. Staff person #7 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 3/2024.

During a complaint investigation on 5/24/24, files for staff person #1, #2, and #6, see code sheet for hire dates, did not contain the acceptable signed, dated, and witnessed disclosure statements as required. Staff person #1 did not have a disclosure statement on file. Staff person #2 had an undated disclosure statement on file. Staff person #3 had the wrong and therefore unacceptable disclosure statement on file. Staff person #1 and #2 were paired together alone in the infant room. Staff person #1 was hired provisionally and staff person #2 was hired provisionally incorrectly. File for staff person #1 contained a completed state police clearance, completed child abuse clearance, completed NSOR verification certificate, and the fingerprint receipt dated 4/26/24 for their FBI clearance. However a completed FBI clearance was not found on file. File for staff person #2 contained only a completed child abuse clearance and the application for the NSOR verification certificate.

During a complaint investigation on 5/24/24, it was observed that staff person #5 left the toddler room and came to open the door for an agent of the department, leaving staff person #4 alone for approximately 1-2 minutes with 8 toddlers.

During a complaint investigation on 5/24/24, it was observed and stated by staff person #1 that the infant room, which contained 7 infants, were not separated into care groups. Staff person #1 stated that staff person #2 did not have a care group assigned to them.

During a complaint investigation on 5/24/24, there were several pack-n-plays containing sleeping children that did not have at least 2 feet of space on at least 3 sides of that rest equipment. The pack-n-plays were only inches apart from each other and lined up against the wall.

During a complaint investigation on 5/24/24, file for staff person #2 did not contain a health assessment or written results of a TB screening. Staff person #2 was present and working with children the day of inspection.

It was observed that the files for staff person #1, #2, and #4 did not contain documentation to verify that those staff persons met the appliable qualifications to be working in the position in which they were hired. Staff person #1 was hired as an AGS and staff persons #2 and #4 were hired as aides. File for staff person #1 contained verification of a high school diploma but did not contain documentation of experience. File for staff person #2 did not contain any verification of education or experience. File for staff person #3 contained verification of completion up to an 8th grade education level but did not contain verification of experience.

Files for child #1-#4 did not contain child service reports dated within the last 6 months as required. Facility stated that they are behind on completing these reports for children and families.

During a complaint investigation on 5/24/24, file for child #5 did not contain an agreement. There was no initial or subsequent agreement observed on file.

During a complaint investigation on 5/24/24, file for staff person #2 and #4 did not contain two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

During the Renewal Inspection on 12/13/2023, it was discovered that Staff #1 resided in the state of Virginia within the previous 5 years. Staff #1 did not have the required out of state clearances or the request for the clearances from Virginia on file.

On 12/13/2023, Lysol cleaner and carpet cleaner was seen in an unlocked cabinet accessible to children in the preschool classroom. Both items were labeled keep out of reach of children.

During the Renewal Inspection on 12/13/2023, a broken drawer was seen in the pre-k classroom. Peeling paint was also seen on the building outside next to the door entering the pre-k classroom.

On 12/13/2023, Staff #2 had a current health assessment on file, but the health assessment did not include tuberculosis screening by the Mantoux method required at initial employment.

During an unannounced inspection on 8/1/2023, two staff members reported and provided written statements about being out of ratio during the previous morning, 7/31/2023. One staff confirmed that they had 5 infants by themself in the infant room until 8:00 AM on 7/31/2023. The other staff confirmed that they had 8 older toddlers by themself at certain points from 9:00 AM-9:45 AM on 7/31/2023.

On 7/6/2023, Staff #1 and Staff #2, the owner both verified that Staff #1 took a group of school age children on a bowling excursion away from the facility earlier that morning without having another facility person present.

On 7/6/2023, it was discovered that the previous director is no longer employed as of approximately two weeks prior. Staff #1 is now serving as the director. Staff #1 is now the only staff person employed that qualifies as a director or a group supervisor. There were 62 children in attendance on 7/6/2023.

On 5/12/2023, at 7:45 a.m., Staff #1 and Staff #3 were observed in the middle room with a mixed-age group of 20 children, including 4 older toddlers, 6 preschool children, and 10 young and older school-age children. This amount of children would require at least 3 staff persons. During this visit, Staff #4 and Staff #5 were also observed in the infant room with a mixed-age group of 7 infants and 2 young toddlers. This amount of children would require at least 3 staff persons.

On 5/12/2023, at 7:45 a.m., Staff #1 and Staff #3 were observed in the middle room with a mixed-age group of 20 children, including 4 older toddlers, 6 preschool children, and 10 young and older school-age children. This amount of children would require at least 3 staff persons. During this visit, Staff #4 and Staff #5 were also observed in the infant room with a mixed-age group of 7 infants and 2 young toddlers. This amount of children would require at least 3 staff persons.

On 5/12/2023, it was observed that the young toddler and older toddler classrooms were using one hand towel in each classroom to dry the children's hands after handwashing.

On 5/3/2023 at 3:45 PM, Staff #2 was observed in the preschool classroom with 13 children for approximately 2 minutes. Two children were eventually moved to a different classroom, leaving Staff #2 with 11 preschool children. Both amounts of children require at least 2 staff in each situation. During this visit, Staff #1 was observed with a mixed-age group of 15 young and older school-age children. This amount of children requires at least two staff persons. On 5/12/2023, at 7:45 a.m., Staff #1 and Staff #3 were observed in the middle room with a mixed-age group of 20 children, including 4 older toddlers, 6 preschool children, and 10 young and older school-age children. This amount of children would require at least 3 staff persons. During this visit, Staff #4 and Staff #5 were also observed in the infant room with a mixed-age group of 7 infants and 2 young toddlers. This amount of children would require at least 3 staff persons.

On 3/2/2023, the updated health reports on file for Child #1, #2, #3, #4 and #5 did not have the up-to-date annual influenza immunization as recommended by the ACIP. The files for Child #1, #2, #3, #4 and #5 did not include an exemption from immunization for religious belief or strong personal objection equated to a religious belief written, signed and dated statement by the child's parent.

Staff #7 and #9 had current health assessments on file on 3/2/2023, dated 2/23/2023 for Staff #7 and 2/6/2023 for Staff #9. The previous health assessments on file were for 9/1/2020 for Staff #7 and 11/2/2020 Staff #9.

During the Opening Inspection on 3/2/2023, the operator did not have proof of purchase/installation for the fire detection system on file.

Staff persons #1, #2, #3, #4, #5, #6, #7, #8, #9, #10, #11, #12, #13, #14, #15, #16 and #17 did not complete the required one-hour 2022 update to the health and safety training by 12/30/2022.