VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: Sept. 28, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFFING AND SUPERVISION. 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

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A renewal inspection was initiated on September 28, 2020 and concluded on September 30, 2020. The pre-school supervisor was contacted by telephone to initiate the inspection. There were 22 children present and seven staff. The inspector emailed the pre-school supervisor a list of items required to complete the inspection. The inspector reviewed three children's records and four staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance with applicable standards or laws and violations were documented on the violations notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care Programs.

Violations:

Standard #:	22VAC40-185-240-B
Description:	Based on a review of the center's written policies and procedures and interviews with administrative staff, staff were not provided in writing with all required information by the end of the first day of supervising children. Evidence: 1. Documentation provided to staff did not contain the following required information; procedures for supervising a child arriving after scheduled classes or activities including field trips, procedures to confirm absence of a child when arriving from another program or agency, and procedures for identifying where attending children are at all times, including field trips. 2.Administrative staff verified the required policies were not included in the written information that employees are provided upon hire that they were reviewed verbally.
Plan of Correction:	Administration will review the handbook for the licensed portion of the programs and update all required information.
Standard #:	22VAC40-185-510-E
Description:	Based on a review of medications, the center failed to ensure that all medication was labeled with the dosage amount. Evidence: 1. Child 2M had a bottle of emergency medication that was not labeled with the dosage amount. 2. Staff verified that the bottle was not labeled with the dosage amount.
Plan of Correction:	Staff immediately labeled the medication with the dosage. In the future when medication is brought into the center a staff member will review the medication before the parent leaves it at the center to ensure the dosage amount is written on the medication.
Standard #:	22VAC40-191-60-B
Description:	Based on review of staff records, the center failed to obtain a signed sworn statement or affirmation before the first day of employment. Evidence: 1. Staff #3's sworn statement or affirmation was dated 09/29/2020. Date of employment was 09/08/2020. 2. Staff verified that the sworn statement was not signed until 09/29/2020, and date of employment was 09/08/2020.
Plan of Correction:	Effective immediately Sworn Disclosure Statements will be included in the documentation provided to employees upon their acceptance of all employment in the Pre-K and/or Bridges Program. This document will be reviewed and signed by the employee and a copy will be provided to the assigned Sacred Heart designee for licensing documentation. The Sacred Heart designee is responsible for ensuring the documentation is reviewed, completed and signed prior to the first day of employment.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on review of staff records, the center failed to ensure that all staff had a completed fingerprint background check on file prior to the first day of employment. Evidence: 1. Staff #2's file did not contain a completed fingerprint background check. Date of hire for Staff #2 was 08/17/2020. 2. Staff #3's file did not contain a completed fingerprint background check. Date of hire for Staff #3 was 09/08/2020. 3. Staff #4's file did not contain a completed fingerprint background check. Date of hire for Staff #4 was 09/17/2020. 4. Staff verified that there was not a completed fingerprint background check for Staff #2, Staff #3, and Staff #4. 5. Staff stated that the fingerprints for Staff #2 and Staff #4 had been completed but that they were at the Diocese and they would not release them to the facility. Staff #3 has been sent for fingerprints, but they had not been returned, and there had not been any follow-up on the status of the fingerprints.
Plan of Correction:	Sacred Heart Academy will provide prospective employees the required documentation to complete their fingerprint screening upon acceptance of their employment in the Pre-K and/or Bridges Program. Employees will be advised that their on campus direct support to youth employment can not start until such time as a written hard copy of the results of the fingerprints completed is in the employee file. Sacred Heart Academy has set up an email account not associated with an individual person to avoid hard copy results being sent to an specific email account that is no longer active.