VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Norfolk Christian Schools - Norfolk Campus
7000 Granby Street
Norfolk, VA 23505
(757) 423-5770

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: May 16, 2019

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. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS.

Comments:

An unannounced monitoring inspection was conducted today. There were 35 children in care with three staff. Children in care range in age from three to 11 years old. Children were observed in teacher and self-directed activities including outside play, transitions and restroom routines. Required postings, emergency evacuation drills, emergency items and medication were reviewed. Violations regarding required postings, staff emergency contact information and training, ratios, accessible items, first aid kit and emergency evacuation drills were identified and appear on the violation notice. These violations were reviewed with the staff in-charge of the program at the conclusion of the inspection and with the program director by telephone on May 20, 2019.

Violations:

Standard #:	22VAC40-185-40-D
Description:	Based on observation and interview the center failed to post the center license in a place that is conspicuous to the public. Evidence: 1 - The current license is posted in the nurses office. a. The public enters the center through the front or side, classroom entrance. During pick-up today all parents were observed entering either through the front or side, classroom entrance. 2 - Staff 1 confirmed that there is not any way for staff to enter the program through the nurses office.
Plan of Correction:	Going forward the license and all required postings will be placed near the doors that the public uses to enter the program.
Standard #:	22VAC40-185-70-A
Description:	Based on record review and interview the center failed to ensure that each staff record contains all required information Evidence: 1 - The records for staff 1 and 3 do not contain emergency contact information. Upon review of the binder were staff emergency contact information is stored for the before and after school program, there is not an emergency contact form in the binder for staff 1 and 3. 2 - Staff 1 confirmed that there is not emergency contact information on file for staff 1 and 3.
Plan of Correction:	Center management will ensure that each staff has emergency contact information on file in the binder.
Standard #:	22VAC40-185-240-D-5
Description:	Based on documentation review and interview the center failed to ensure that there is at least one staff member on duty who has obtained instruction in performing the daily health observation of children Evidence: 1 - There is not any documentation in the binder provided, that either of the three staff has received instruction in performing the daily health observation of children. 2 - Staff 1 stated that she was unaware of any of the three staff present having obtained the required training.
Plan of Correction:	Center management will ensure that during all hours of operation at least one staff, who is present will have the required instruction in performing the daily health observation of children.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview the center failed to ensure that hazardous substances are kept in locked place. Evidence: 1 - There is hand sanitizer on a lower shelf in the supply cabinet. However, during the inspection the cabinet was standing open and unlocked, making the hand sanitizer accessible. 2 - Staff 1 confirmed that the hand sanitizer was accessible.
Plan of Correction:	Center management will remind and retrain all staff that when hand sanitizer is not in use it must be stored in a locked location.
Standard #:	22VAC40-185-350-C
Description:	Based on observation and interview the center failed to ensure that when children are regularly in ongoing mixed age groups, the staff-to-child ratio applicable to the youngest child in the group will apply to the entire group. Evidence: 1 - Upon arrival and continuing through the majority of the inspection there were 35 children present for care ranging in age from three to 11 years old. 2 - Staff 1 and 2 confirmed the ages of the children present for care today. 3 - Staff 1 confirmed that normally there are more than 30 children present for care daily and that at least one three or four year old child is present daily. 4 - Attendance documentation for the week showed more than 30 children present for care each day with not more than three staff present on any given day.
Plan of Correction:	Going forward center management will ensure that when three and four year old children are present four staff will also be present in order to maintain the required ratio.
Standard #:	22VAC40-185-540-A
Description:	Based on observation and interview the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: 1 - The first aid kit is located in an open and unlocked cabinet on a lower shelf in the after school classroom. 2 - Staff 1 confirmed that the first aid kit was in the unlocked and open cabinet.
Plan of Correction:	Going forward center management will remind and retrain all staff regarding the need for the first aid kit to be stored in the locked cabinet or moved to a different location that is easily accessible to staff but not to children in care.
Standard #:	22VAC40-185-540-C
Description:	Based on observation and interview the center failed to maintain a first aid kit will all required items. Evidence: 1 - The first aid kit is missing the following items; scissors, triangular bandages and antiseptic. 2 - Staff 1 confirmed that the first aid kit is incomplete.
Plan of Correction:	Center management will create and implement a method for ensuring that first aid kit is always fully stocked with all required items.
Standard #:	22VAC40-185-550-E
Description:	Based on record review and interview the center failed to ensure that evacuation drills are being divided evenly among the various shifts. Evidence: 1 - The documentation of evacuation drills shows that each drill was practice during the mid to late morning. Therefore, the before school nor the after school programs have ever practiced an evacuation drill during those program hours. 2 - Staff 1 confirmed that the documentation of evacuation drills does not include the before school or after school program hours.
Plan of Correction:	Going forward center management will ensure that the before and after school programs complete emergency evacuation drills including fire and shelter-in-place drills.