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St. Ann Catholic School - Preschool and Extended Day
980 North Frederick Street
Arlington, VA 22205
(703) 525-7599

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: Nov. 22, 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.
22VAC40-191 Background Checks (22VAC40-191)
63.2(17) License & Registration Procedures

Technical Assistance:
Discussed requirements for admissions and recordkeeping, available training, and requirements for submitting renewal application.

Comments:
An unannounced monitoring inspection was conducted between the hours of 10:30 am-4:00 pm. At the time of entrance, 35 children were in care with 6 staff members present. Children were observed during snack time, reading books, singing songs and playing independently. A selection of staff and children records, the physical space, emergency supplies, evacuation drills, attendance records, and medications 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 2 of 5 children received the immunizations required by the State Board of Health before the child can attend the center.

Evidence:
1. Child #1 began attending the center on 9/4/18. The immunizations in the record for Child #1 were dated 10/9/18.
2. Child #5 began attending the center on 9/3/19. The immunizations in the record for Child #5 were dated 10/4/19.

Plan of Correction: Documentation of immunizations were placed in the file once obtained. Follow up phone calls will be made to parents beginning the August prior to the school year to make sure immunizations are turned in before children start.

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

Evidence:
Staff #1 began employment on 8/26/19.There is no documentation of a tuberculosis screening in the record for Staff #1

Plan of Correction: I will ask them to complete a TB screen.

Standard #: 22VAC40-185-60-A
Description: Based on record review, 3 of 5 children's records did not contain all required information.

Evidence:
1. The record for Child #4 did not contain the address for 2 of 2 required designated people to call in an emergency if a parent cannot be reached.
1. The records for Child #2 and Child #5 did not contain documentation of viewing proof of the child's identity and age to include the date and person viewing the proof of identity documentation.

Plan of Correction: I will get the parents to fill in the information. I will ask the parents to show original proof of ID again and will document when it is viewed.

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

Evidence:
The record for Staff #1 did not contain docmentation of 1 of 2 required references. Staff stated phone calls were made to references over the summer, and the documentation of the references is not currently at the center.

Plan of Correction: I will place the references in the file.

Standard #: 22VAC40-185-540-C
Description: Based on observation, 1 of 2 first aid kits did not contain all minimum requirements.

Evidence:
Programs provided by the center are located in two separate buildings. The first aid kit located in the building for the Pre-K4 am class did not contain a thermometer.

Plan of Correction: I will put a thermometer in the classroom.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, The child day center did not obtain a child abuse and neglect finding within 30 days of employment for two staff.

Evidence:
1. Staff #1 and Staff #2 began employment on 8/26/19. Child abuse and neglect results obtained for Staff #1 and Staff #2 were dated 10/21/19.

Plan of Correction: Staff stated cps checks were previously obtained by the Diocese. Staff is aware that cps checks must be obtained by the center.

Standard #: 22VAC40-80-120-E-2
Description: Based on observation, the child day center did not ensure the findings of the most recent inspection of the facility were posted on the premises.

Evidence:
The most recent inspection posted at the facility was dated 11/7/18. The most recent inspection occurred on 4/15/19.

Plan of Correction: Corrected during inspection.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the center did not obtain fingerprint based background check results for 2 of 4 staff prior to their first day of employment.

Evidence:
1. Staff #1 began employment on 8/26/19. The fingerprint results on file for Staff #1 were dated 9/30/19.
2. Staff #2 began employment on 8/26/19. The fingerprint results on file for Staff #2 were dated 10/11/19.

Plan of Correction: Staff stated fingerprints were previously obtained by the Diocese. Staff is aware that fingerprints must be obtained by the center and will have fingerprints completed for employees before their first day.

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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