VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. James's Children's Center
1205 W. Franklin Street
Richmond, VA 23220
(804) 358-9788

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: Aug. 5, 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. 22VAC40-191 Background Checks (22VAC40-191) 32.1 Report by person other than physician 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

The licensing inspector and the facility representative reviewed Standard 22VAC40-185-320-B-3 which states that sinks shall be supplied with warm running water that does not exceed 120 degrees Fahrenheit. Also discussed was Standard 22VAC40-185-510-J which states that medication, except for those prescriptions designated otherwise by written physician's order, including refrigerated medication and staff's personal medication, shall be kept in a locked place using a safe locking method that prevents access by children.

Comments:

The licensing inspector conducted an announced initial inspection on August 5, 2019 from approximately 9:30 AM until 11:45 AM. A facility representative was present during the inspection and assisted the licensing inspector. The center plans to operate six classrooms, for children aging in range from two years to ten years. Measurements of the classrooms and the inspection of the building allow for the requested number of children, 74, to be cared for at one time. The classrooms were observed to be well laid out and filled with equipment for the children. The classrooms have toys, educational materials, games, arts and crafts materials, books, tables, chairs, cots and many other items for the children to use. The outside play area was also inspected. The center will provide meals. Transportation will be offered for field trips. During the inspection, the following items were reviewed and discussed; emergency preparedness plan, emergency supplies, storage of medications, transportation, storage of cleaning supplies, daily attendance sheets, bathroom breaks along with staff supervision. Emergency supplies including the first aid kit, battery operated radio and flashlight were checked. Parent and staff policies and procedures were reviewed prior to the initial inspection. Liability insurance policy expires 06/01/2020. Current health inspection: 8/3/18. Current fire inspection: 6/18/19. During the inspection, five agent records and two staff records were reviewed. Children's records will be reviewed during the next inspection. Areas of non-compliance are identified within this report. Though, some standards of care could not be determined during the initial study, the center is in sufficient compliance with the standards that could be determined. A recommendation for a six-month conditional license will be made at this time. During the conditional period, the center will be subject to unannounced licensing inspections, with the first inspection taking place within the first sixty days of licensure. Please contact Ali Metzger at (804) 662-9092 if you have any questions regarding this inspection.

Violations:

Standard #:	22VAC40-185-240-D-5
Description:	Based on review of staff records and staff interview, the licensee did not ensure there was one staff member on duty who has obtained, within the last three years, instruction in performing the daily health observation of children. EVIDENCE: During the inspection, the licensing inspector observed that staff records did not contain documentation of having obtained instruction in performing the daily health observation of children. A member of management stated there were no staff who had obtained the training for daily health observation.
Plan of Correction:	Management will ensure an adequate number of staff obtain daily health observation training.
Standard #:	22VAC40-191-40-C-1-B
Description:	Based on the review of five agent records, the center did not obtain Central Registry check for two listed agents. Evidence: The records for Agent #1 and Agent #2 did not contain documentation of a Central Registry search.
Plan of Correction:	Management will ensure the Central Registry search requests are mailed out.
Standard #:	22VAC40-191-60-C-2
Description:	Based on the review of two staff records, one record did not contain documentation of a Central Registry finding. Evidence: The record for Staff #2 did not contain documentation of a Central Registry finding.
Plan of Correction:	Management will mail a request for the staff member's Central Registry search.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on the review of five agent records, the center did not obtain a national fingerprint-based criminal history record check for two listed agents. Evidence: The record for Agent #1 contained documentation of a national fingerprint-based criminal history record check dated 10/5/18. The record for Agent #3 contained documentation of a national fingerprint-based criminal history record check dated 4/18/18. A statement of eligibility based on a national fingerprint-based criminal history record check was required to be obtained within 90 days of the initial application.
Plan of Correction:	Management will ensure the appropriate background checks are initiated within ten days of the inspection.