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The Carmel School
9020 Jericho Rd.
Ruther glen, VA 22546
(804) 448-3288

Current Inspector: Lauren Bickford (540) 280-0742

Inspection Date: Feb. 27, 2023

Complaint Related: No

Areas Reviewed:
8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Comments:
A renewal inspection was initiated on February 27, 2023, at approximately 10:00 AM to 12:30 PM and on April 6, 2023 from 9:45 AM to 11:55 AM. There were 14 children present, ranging in age from three years to five years, with three staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care, and emergencies and nutrition. A total of five child records, four staff records and five board member records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Please complete the plan of correction and the date to be corrected for each violation listed on the violation notice and return it to the department within 5 business days from receipt. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s); 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures.

Heather Dapper
Licensing Inspector
Office of Child Care Health and Safety
Division of Early Childhood Care and Education
Phone # (804) 625-2304
heather.dapper@doe.virginia.gov

Violations:
Standard #: 22.1-289.035-B-2
Description: Based on record review and interview, the center did not ensure staff obtained a fingerprint based criminal history record information check prior to employment.

Evidence:
1. The records for staff #1 (employed:10/11/18 ), staff #2 (employed: 5/28/21), staff #3 (employed: 8/05/20), and staff #4 (employed: 7/12/22) did not have documentation for the correct fingerprint based criminal history record check.
2. A member of management stated that the fingerprint documentation was not the fingerprint based criminal history record check.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.036-B-2
Description: Based on record review, the center did not ensure one board member obtained a fingerprint based criminal history record information check prior to employment.

Evidence:
The record for board member #2 (employed:10/18/18) did not have documentation of the correct fingerprint based criminal history record check.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-A
Description: Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
In room #1, child #6 was observed in attendance. Child #6 did not have a record on file at the center.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-60-C
Description: Based on a review of children's records, the center did not ensure that each record contains all required information.

Evidence:
The records for child #1 (enrolled: 01/03/23), did not contain documentation of viewing proof of the child's identity and age.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-L
Description: Based on observation and interview, the center did not ensure that all medications shall be kept in a locked place, using a safe locking method that prevents access by children.

Evidence:
1. In room #1, one epinephrine injection (EpiPen) was hanging in an unlocked bag on the wall near the exit door within reach of children.
2. Staff #1 acknowledged that the EpiPen was not in a locked container.

Plan of Correction: Not available online. Contact Inspector for more information.

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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