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Sacred Heart of Jesus Catholic Church
110-120 Keating Drive
Winchester, VA 22601
(540) 662-7177

Current Inspector: Amy Tomblin (804) 629-3923

Inspection Date: Feb. 18, 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.
22VAC40-185 SPECIAL SERVICES.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Facilities & Programs.

Technical Assistance:
Measurements were taken for three classrooms that may be used for the next school year. Please let the Licensing Inspector know what classrooms will be used for the 2020-2021 school year.

Comments:
An unannounced monitoring inspection was completed on 02/18/2020 from 11:30 A.M. until 4:15 P.M. At the time of the inspection 36 children were in care with seven staff present. An additional 29 children arrived afterschool with four staff present. Five children's records, five staff records, required posted information, evacuation drills, one medication and required documentation, health inspection, fire inspection, first aid kits, emergency supplies, medication policy, and outside play area were reviewed. Measurements for three potential classroom were taken. Children were observed during transition from the playground to the classroom, music and movement, handwashing, lunchtime, transition to nap, departure of half day students, naptime, arrival of afterschool, free choice activities for the afterschool children, and departure. The exceptions to compliance are noted on the violation notice.

If you have questions or concerns contact the licensing inspector at (540)-430-9257 for further assistance.

Violations:
Standard #: 22VAC40-185-160-C
Description: Based on review of staff files, the center failed to ensure that an updated tuberculosis screening was completed at least two years form the initial screening or testing.

Evidence:
1. Staff #5's last documented tuberculosis screening was dated 05/01/2016.
2. Staff verified that the tuberculosis screening dated 05/01/2016 was the most current tuberculosis screening on file.

Plan of Correction: Administration will send Staff #5 for an updated tuberculosis screening immediately. Administration looked at the wrong form and had documented the wrong date of the last tuberculosis screening.

Standard #: 22VAC40-185-40-E
Description: Based on review of medication policy and classroom observation, the operational responsibilities of the licensee did not ensure that the center's activities and services are maintained in compliance with the center's own policies and procedures that are required by these standards.

Evidence:
1. The center did not follow their policy for Medication Administration located in the Pre-K Faculty and Staff Handbook. The handbook states, "Within one week after expiration of the effective date on the order or on the last day of school, the parent/guardian must personally collect any unused portions of the medication. Medications not claimed within that period will be destroyed."
2. In Classroom #2 there was an epi-pen that expired in December 2019.
3. Staff verified that the Epi-Pen had expired in December 2019.

Plan of Correction: Staff will contact the parent today and request a new Epi-Pen be brought in immediately. The staff will post expiration dates of medications in their classroom that teachers can easily access to check expiration dates of the medications.

Standard #: 22VAC40-185-540-E
Description: Based on observation, the center failed to have all required non-medical emergency supplies.

Evidence:
1. In Classroom #2, located on the bottom floor of the Academy, there was not a working battery operated radio.
2. The only batteries that could be located in the school were D batteries, and the radio required C batteries.
3. Staff verified that there were no working battery operated radios on the bottom floor of the academy, and that there were no C batteries on site to be used.

Plan of Correction: Administration will purchase additional batteries to have on hand for the radios.

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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