VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. Pius X Catholic School
7800 Halprin Drive
Norfolk, VA 23518
(757) 588-6171

Current Inspector: Trisha Brown (757) 404-2601

Inspection Date: Sept. 17, 2019 and Sept. 18, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 63.2(17) License & Registration Procedures

Technical Assistance:

Today we discussed playgrounds, unlocked chemicals, accessible first aid kits, staff and children's records,

Comments:

An unannounced monitoring inspection was conducted on September 17 and 18, 2019. The inspection was conducted from 11:30am through 3:30pm on September 17, 2019 and from 12noon to 1:30pm on September 18, 2019. There were 32 children present with four teaching staff and two administration staff. The identified program director was not present during the inspection. Required postings, medication, fire inspection, health inspection and emergency evacuation documentation was reviewed. Additionally, first aid kit, radio and flashlight and insurance information were reviewed. Violations were identified in the areas of administration, physical plant, special care provisions and emergencies special services and appear on the violation notices. These violations were reviewed with the program administered on .

Violations:

Standard #:	22VAC40-185-160-A
Description:	1 - The record for staff 2 did not contain any documentation that tuberculosis screening was completed. Staff 2 has documented date of hire as August 21, 2000. 2 - The record for staff 5 did not contain any documentation that tuberculosis screening was completed. Staff 5 has documented date of hire as August 17, 2015. 3 - The record for staff 7 did not contain any documentation that tuberculosis screening was completed. Staff 7 has documented date of hire as August 24, 2015. 4 - The record for staff 8 did not contain any documentation that tuberculosis screening was completed. Staff 8 has documented date of hire as August 14, 2017. 5 - Staff 1 confirmed that the staff records did not contain documentation of tuberculosis screenings.
Plan of Correction:	New Agent has learned where staff medical records (to include documentation for tuberculosis screenings) are kept. Date to be corrected: Corrected 20 Sep 2019
Standard #:	22VAC40-185-160-C
Description:	Based on record review and interview the center failed to ensure that at least every two year from the date of first screening or testing staff members obtain and submit the results of a follow-up tuberculosis screening. Evidence: 1 - In the record of staff 6 the most recent documentation of tuberculosis screening was dated August 11, 2005. Staff 6 has a documented date of as August 18, 1997. 2 - Staff 1 confirmed that there was not a more recent tuberculosis screening available for review.
Plan of Correction:	Procedures will be developed to track when tuberculosis re-screenings are due. New Agent has learned where staff medical records (to include documentation for tuberculosis screenings) are kept. Date to be corrected: NLT 16 Oct 2019
Standard #:	22VAC40-185-70-A
Description:	Based on documentation and interview the center failed to ensure that staff records contain all required information. Evidence: 1 - The record for staff 2, 7,8 and 9 did not contain documentation of orientation training. a. Staff 2 has documented date of hire as September 25, 2017. b. Staff 5 has documented date of hire as February 17, 2018. c. Staff 7 has documented date of hire as August 24, 2015. d. Staff 8 has documented date of hire as August 14, 2017. e. Staff 9 has documented date of hire as August 14, 2017. 2 - Staff 1 confirmed that the information was not present in the staff records.
Plan of Correction:	Staff orientation training will be documented. Date to be corrected: NLT 31 Oct 2019
Standard #:	22VAC40-185-200-A
Description:	Based on observation and interview the center failed to have a qualified program director or qualified back-up director who meets one of the director qualifications who is regularly on site at least 50% of the center's hours of operation. Evidence: Staff 1 stated that the program director had been out on sick leave since April 15, 2019.
Plan of Correction:	A qualified program director has been appointed. Date to be corrected: Corrected 18 Sep 2019
Standard #:	22VAC40-185-270-A
Description:	Based on observation and interview the center failed to ensure that areas and equipment are maintained ins safe condition. Evidence: 1 - On the preschool playground there was peeling paint, within reach of children, around the double door frame leading from the outside play space. 2 - On the preschool playground there was a bent metal gutter, down spout. The bent metal was located approximately a quarter inch from the ground, within reach of children. The metal was sharp to the touch. 3 - In the pre-k3 classroom there is an extension cord stretched approximately 2.5 feet from the wall to under the teacher desk. The extension cord poses a trip hazard. 4 - In the pre-k4 classroom there were cords and wires stretched across the wall at the back of the classroom. The wires were within reach of children in care. The wires pose entanglement and strangulation hazards. 5 - In the nap room there were three large plastic bags filled with clothes. The bags pose a suffocation hazard. 6 - In Memorial Hall there were plastic bags filled with toys and other items. The bags pose a suffocation hazard. 7 - In Memorial Hall there was a stack of blocks, books and other items stacked in such a way that it poses a toppling hazard. 8 - On the columns at the entrance to Memorial Hall there was peeling paint within reach of children. 9 - Inside the entry way of Memorial Hall there was an area of splitting wood, on the window cut-out, within reach of children. 10 - The hot water heater in Memorial Hall was accessible as the door leading to the heater is unlocked. 11 - Staff one confirmed the unsafe conditions in the classrooms, on the preschool playground and in Memorial Hall were present during the inspection.
Plan of Correction:	1. Door frame will be scraped and painted. 2. Bent metal from downspout has been removed. 3. Cord covers will be utilized to eliminate tripping/strangulation hazards. 4. Cord covers will be utilized to eliminate tripping/strangulation hazards. 5. All plastic bags have been removed. 6. All plastic bags have been removed. 7. Stacked items have been removed, eliminating the toppling hazard. 8. Columns have been scraped and painted. 9. Splitting wood has been repaired. 10. Door to the water heater closet has been secured. Additionally, signage has been posted stating the need to keep the closet locked and inaccessible to children.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and interview the center failed to ensure that hazardous substances are kept in a locked place using a safe locking method. Evidence: 1 - There was an pump bottle of hand sanitizer in the pre-k 3 classroom on a shelf, an unlocked location. 2 - In the nap room there were bottles of disinfectant and sanitizer sitting on an open shelf, an unlocked location. 3 - In both rooms the unlocked chemicals state keep out of reach of children and caution or eye irritant. 4 - Staff 1 confirmed that chemicals were stored in unlocked locations.
Plan of Correction:	All hazardous substances will be kept in a secure location, inaccessible by children. Date to be corrected: Corrected 18 Sep 2019
Standard #:	22VAC40-185-540-A
Description:	Based on observation and interview the center failed to ensure that a first aid kit is in each building used by children. Evidence: 1 - A first aid kit was not available in Memorial Hall where the before and after school programs take place. 2 - Staff 1 stated that she did not whether or not there was a first aid kit in Memorial Hall.
Plan of Correction:	Memorial Hall did in fact have a first aid kit, however, new Agent was unaware of the location. Staff informed Agent where the first aid kit is kept. Additionally, signage has been posted in Memorial Hall to indicate where the first aid kit is kept. Date to be corrected: Corrected 20 Sep 2019
Standard #:	22VAC40-185-540-B
Description:	Based on observation the center failed to ensure that each first aid kit is easily accessible to staff but not to children. Evidence: In the prek-3, prek-4, and the nap room there are first aid kits sitting on open shelves within reach of children.
Plan of Correction:	All first aid kits have been secured and made inaccessible to children. Date to be corrected: Corrected 18 Sep 2019
Standard #:	22VAC40-185-540-E
Description:	Based on observation the center failed to ensure that there is a working battery operated radio and flashlight in each building used by children. Evidence: There was not a battery operated radio or flashlight in Memorial Hall, where the before and after school programs are held.
Plan of Correction:	Memorial Hall did in fact have a working battery operated radio and flashlight; however, new Agent was unaware of the location. Staff informed Agent where the radio and flashlight are kept. Additionally, signage has been posted in Memorial Hall to indicate where the radio and flashlight are kept. Date to be corrected: Corrected 20 Sep 2019
Standard #:	22VAC40-185-550-D
Description:	Based on documentation review the center failed to implement a monthly practice evacuation drill and a minimum of two shelter-in-place drills per year. 1 - There is no documentation of practice emergency evacuation drills or shelter-in-place drills for Memorial Hall, the location of the before and after programs. 2 - Review of the emergency evacuation drill log does not a show a practice drill was completed during the month of January, 2019.
Plan of Correction:	Monthly practice evacuation drills and the required shelter-in-place drills will be conducted and documented. Date to be corrected: Corrected 20 Sep 2019
Standard #:	22VAC40-185-560-K
Description:	Based on observation the center failed to sanitize tables after meals. Evidence: The tables in prek-3 were not sprayed or dipped and allowed to air dry as required. a. Staff 5 uses a Clorox wipe to clean and sanitize the tables.
Plan of Correction:	Staff will use an appropriate spray disinfectant to sanitize tables. Date to be corrected: Corrected 20 Sep 2019