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The Fairfax Christian School
22870 Pacific Boulevard
Dulles, VA 20166
(703) 759-5100

Current Inspector: Afryea Deas (571) 835-0599

Inspection Date: Feb. 5, 2020

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Reviewed standards regarding required components of injury reports and injury prevention plan.

Comments:
An unannounced monitoring inspection was conducted from 2:30 pm-5:30 pm. 16 children were in care with 2 staff members present. Children were observed building with blocks, engaging in free play, and working on an art project. A selection of staff and children records, the physical space, evacuation drills, attendance records, injury reports, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the center did not obtain documentation that 3 of 5 children received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. There was no documentation of immunizations available for review in the records for Child #4 and Child #5.
2. The documentation of immunizations available for review in the record for Child #3 (start date 10/17/19) was not signed or dated by a physician.

Plan of Correction: We will contact the parents for the immunizations.

Standard #: 22VAC40-185-140-A
Description: Based on record review, the center did not obtain documentation of a physical examination by or under the direction of a physician within one month after attendance for 3 of 5 children.

Evidence:
There is no documentation of a physical exam in the records for Child #3 (start date 10/7/19), Child #4 (start date 8/26/19), and Child #5 (start date 8/26/19).

Plan of Correction: We will contact the parents for the physicals.

Standard #: 22VAC40-185-160-A
Description: Based on record review, the center did not ensure that each staff member submit documentation of a negative tuberculosis screening no later than 21 days after employment,

Evidence:
1. Documentation of a negative tuberculosis screening for Staff #1 (start date 8/26/19) was dated 9/30/19.

Plan of Correction: We will make sure the form for a tuberculosis screening is given to all new hires during their initial employee training and orientation.

Standard #: 22VAC40-185-40-I
Description: Based on record review and staff interview, the center did not develop written procedures for injury prevention.

Evidence: Staff acknowledged the center has not developed a written procedure for injury prevention.

Plan of Correction: An revised form for injury prevention will be created and reviewed annually.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 5 of 5 children's records did not contain all required information.

Evidence:
1. The record for Child #2 did not contain the mother's work phone number and place of employment. The record for Child #5 did not contain the work phone number for both parents.
2. The record for Child #3 did not contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached.
3. The record for Child #4 did not contain the names of persons authorized to pick up the child.
4. The records for Child #1, #2, #3, #4, and #5 did not contain documentation of viewing proof of the child's identity and age.

Plan of Correction: We will contact the parents to get the information.

Standard #: 22VAC40-185-70-A
Description: Based on record review, staff records did not contain all required information.

Evidence:
1. The records for Staff #1, Staff #2, and Staff #3 did not contain documentation that two or more references were checked before employment.
2. The records for Staff #1, Staff #2,and Staff #3 did not contain written information to demonstrate that the individual possesses the education required by the job position.
3. The record for Staff #1 and #2 did not contain written information to demonstrate that the individual possesses orientation training required by the job position.

Plan of Correction: Missing education information, orientation training, and references will be documented and placed in the files.

Standard #: 22VAC40-185-90--A
Description: Based on record review, 2 of 5 children's records did not contain all requirements of the written agreement between the parent and the center.

Evidence:
1. The record for Child #3 and Child #4 did not contain the following:
--a statement that the center will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the center
--a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseases which must be reported immediately.
2. The record for Child #3 did not contain an authorization for emergency medical care should an emergency occur when the parent cannot be located immediately unless the parent states in writing an objection to the provision of such care on religious or other grounds.

Plan of Correction: The agreement for one child was obtained during the inspection. We will contact the other parent.

Standard #: 22VAC40-185-240-A
Description: Based on record review, 3 of 3 staff did not receive all required training by the end of their first day of assuming job responsibilities.

Evidence:
1.The records for Staff #1 and Staff #2 did not contain documentation of training on the center's playground procedures.
2. The records for Staff #1,Staff #2, and Staff #3 did not contain documentation of training on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by the Code of Virginia

Plan of Correction: Staff completes playground training during orientation. Documentation of orientation will be placed in the files. Time will be given to staff to complete and document child abuse and neglect training.

Standard #: 22VAC40-185-550-M
Description: Based on record review, one injury report did not contain all required information.

Evidence:
The injury report for Child #6 did not contain any future action to prevent recurrence of the injury, and
staff and parent signatures or two staff signatures.

Plan of Correction: We will make a form that includes all requirements.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, The licensed child welfare agency did not have a central registry finding within 30 days of employment for one staff.

Evidence: The central registry check requested by the center in the record for Staff #1 (start date 8/26/19) was dated 11/15/19.

Plan of Correction: The school will make sure the background check documentation is given to the employee applicant to be completed at time of employee hire.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the center did not obtain a fingerprint-based background check for 2 of 3 staff members prior to their first day of employment.

Evidence:
1. The fingerprint-based background check located in the record for Staff #1 (start date 8/26/19) was dated 9/23/19.
2. The record for Staff #2 (start date 8/26/19) did not contain documentation of a fingerprint-based background check at the time of inspection.

Plan of Correction: The fingerprint-based background check for Staff #2 was completed on 9/19/2019. The center provided documentation to the Department on 02/10/2020 and placed documentation in the file.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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