VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: Feb. 12, 2020 and Feb. 13, 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. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

Technical Assistance was provided regarding the process for obtaining background checks, timelines for completing required trainings, and recordkeeping requirements.

Comments:

An unannounced renewal inspection was conducted on 02/12/20 between the hours of 4:05pm- 6:30pm and on 02/13/20 between the hours of 9:55am and 1:30pm. At the time of entrance, 34 children were in care with 5 staff members present. Children were observed reading books, coloring, building with legos, and playing basketball. A selection of 3 staff and 5 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 #:	22VAC40-185-160-A
Description:	Based on record review one staff member did not submit documentation of a negative tuberculosis screening no later than 21 days after employment or within 12 months prior to employment. Evidence: Documentation of a negative tuberculosis screening in the record for Staff #2 (start date 9/9/19) was dated 1/20/18.
Plan of Correction:	I will ask them to get an updated tb screen.
Standard #:	22VAC40-185-40-I
Description:	Based on record review and staff interview, the center did not develop written procedures for injury prevention. Evidence: Written injury prevention procedures were not available for review during the time of inspection. Staff acknowledged the center has not developed a written procedure for injury prevention.
Plan of Correction:	I will have a meeting with staff at the end of the school year to look at injury reports and create procedures.
Standard #:	22VAC40-185-60-A
Description:	Based on record review, 2 of 5 children's records did not contain all required information. Evidence: 1. The record for Child #4 did not contain the work number for the child's mother and father. 2. The record for Child #5 did not contain the address for 1 of 2 designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	I will get the parents to fill in the information.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, 2 of 3 staff records did not contain all required information. Evidence: 1. The record for Staff #1 (start date 8/26/19) did not contain written information to demonstrate that the individual possesses orientation training required by the job position. 2. The record for Staff #2 did not contain the name, address and telephone number of a person to be notified in an emergency. 3. The record for Staff #2 (start date 9/9/19)did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. The references documented in the record for Staff #2 were dated 9/11/19 and 1/22/20.
Plan of Correction:	Orientation was provided to staff but not documented. I will re-orient them and have them sign the orientation paper. Emergency contact information for Staff #2 was obtained during inspection. References for Staff #2 were obtained.
Standard #:	22VAC40-185-270-A
Description:	Based on observation, areas inside the center were not maintained in a safe condition. Evidence: Peeling and chipped paint was observed in multiple areas along the walls of the extended day programming area, accessible to children.
Plan of Correction:	The areas are repainted every year. We have requested alternative solutions to prevent the peeling paint, but have not received a decision from the facilities manager.
Standard #:	22VAC40-185-550-D
Description:	Based on record review and staff interview, the center did not practice evacuation drills monthly. Evidence: There was no documentation of an evacuation drill for the month of December 2019. Staff stated an evacuation drill was not practiced during the month of December 2019.
Plan of Correction:	We have a yearly plan for our drills. We will have a back-up date for each month in case we are unable to do a drill on the planned date.
Standard #:	22VAC40-185-550-M
Description:	Based on review of the center's written record of children's serious and minor injuries, 4 of 7 injury reports did not contain all required information. Evidence: 1. Injury reports for Child #1 dated 8/30/19 and 1/15/20 did not contain the date and time that parents were notified of the injury. The injury report for Child #1 dated 1/15/20 did not contain staff and parent signatures or two staff signatures. The injury report contained only one staff member's signature and did not contain a parent's signature. 2. An injury report for Child #2 dated 9/11/19 did not contain the date and time parents were notified of the injury. 3. An injury report for Child #3 dated 9/7/19 did not contain the time of injury, treatment, date and time parents were notified of the injury, documentation on how parent was notified, and staff and parent signatures or two staff signatures. The injury report contained only one staff member's signature, and did not contain a parent's signature.
Plan of Correction:	All staff will have a review of how to fill out injury reports.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review, the center did not obtain Central registry results for one staff member every five years. Evidence: Central registry results for Staff #3 expired on 11/20/2019. Updated central registry results for Staff #3 were not obtained until 1/23/2020.
Plan of Correction:	Central registry results were obtained. I made a chart to keep track of dates.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on staff record review and staff interview, an out of state child abuse and neglect search was not completed. Evidence: 1. Staff #1 (start date 8/26/19) indicated they lived out of the state of Virginia during the past five years. No Out of State background search results were obtained from the state of Texas.
Plan of Correction:	The center will provide documentation that the request was sent within 10 business days