St. James's Children's Center
1205 W. Franklin Street
Richmond, VA 23220
(804) 358-9788
Current Inspector: Susan Ellington-Sconiers (804) 588-2368
Inspection Date: June 21, 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.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
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 monitoring inspection was conducted on 06/21/2023 from approximately 9:26 a.m. ? 3:40 p.m. There were 50 children present ranging from age 2 through school age and twelve staff supervising. The inspector reviewed compliance in the areas of administration, qualifications and training, physical plant, staffing and supervision, programming, medication, special care and emergencies, and nutrition. Six child records and eight staff records were reviewed.
The information gathered during the inspection determined violations with applicable standards or law. A violation notice was issued. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today, 07/3/2023. Please specify how the deficient practice will be or has been corrected. 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 preventive measure(s). If you have any questions related to this inspection, please contact Inspector Susan Ellington-Sconiers, at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
- Violations:
-
Standard #: 22.1-289.035-B-2 Description: Based on record review, the provider failed to ensure all applicants for employment shall
submit to fingerprinting and undergo a national criminal background check prior to
employment.
Evidence:
The record for S2, employed 08/15/2022, did not contain results of a national criminal
background check prior to employment. The results are dated 09/02/2022.
The record for S3, employed 10/14/2022, did not contain results of a national criminal
background check prior to employment. The results are dated 10/26/2022.
The record for S4, employed 08/29/2022, did not contain results of a national criminal
background check prior to employment. The results are dated 08/30/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 22.1-289.035-B-4 Description: Based on staff record review, the provider failed to obtain the results of the search of the
child abuse and neglect registry and criminal history record information check from any state
in which the individual has resided in the preceding five years for each staff as required.
Evidence:
S6, employed 05/01/2023, resided in a state other than Virginia within the past 5 years. The record for S6 did not contain a search of the child abuse and neglect registry or equivalent for the other state by the end of the 30th day of employment. The record for S6 did not contain results of a criminal history record information check from the other state prior to employment.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-B Description: Based on record review, the provider failed to ensure an employee must not be employed
until the center has the person?s completed sworn statement.
Evidence:
The record for S1, employed 03/20/2023 did not contain a completed sworn statement.
The record for S2, employed 08/15/2022 documented a sworn statement dated 09/09/2022. The record for S3, employed 10/14/2022 did not contain a completed sworn statement.
The record for S4, employed 08/29/2022 documented a sworn statement dated 09/08/2022.
The record for S7, employed 05/11/2023 did not contain a completed sworn statement.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-770-60-C-2 Description: Based on staff record review, the provider failed to have central registry findings within 30
days of employment.
Evidence:
The record for S7, employed 05/11/2023 did not contain findings of a central registry search.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-130-A Description: Based on child record review, the provider failed to obtain documentation that each child
has received the immunizations required by the State Board of Health before the child can
attend the center.
Evidence:
The immunization documentation in the record for child, C5 was dated 08/19/2022. C5 was enrolled 8/12/2022.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: Based on staff record review, the provider failed to ensure that four of eight staff submit documentation of a negative tuberculosis screening at the time of employment or documentation completed within the last 30 calendar days of the date of employment.
Evidence:
The record for S3, employed 10/14/2022, contained a screening completed 10/25/2022.
The record for S4, employed, 08/29/2022, contained a screening completed 9/5/2022.
The record for S6, employed 05/01/2023 did not document a tuberculosis (TB) screening within the required time frame. The screening completed 09/28/2022 was more than 30 days old at the time of employment.
The record for S7, employed, 05/11/2023, did not contain any screening results.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-C Description: Based on staff record review, the provider failed to ensure that one of eight shall obtain and submit the results of a follow-up tuberculosis (TB) screening at least every two years or more frequently if recommended.
Evidence:
The TB screening for S8 were dated 06/02/2021 and no follow-up TB screening results in the staff record.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-J Description: Based on interview, the provider failed to ensure the injury prevention procedures shall
be updated at least annually based on documentation of injuries and a review of the
activities and services.
Evidence:
Program Director reported that the injury prevention procedures have not been updated.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-60-A Description: Based on child record review, the provider failed to ensure that one of six contained required documentation.
Evidence:
The record for C2, enrolled 06/13/2022 did not contain documentation of confirmation of up-to-date information in the child?s record as required by 8VAC20-780-420-E.3.b.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-70 Description: Based on record review, the provider did not keep records for three of eight staff as required.
Evidence:
The records for S3, employed 10/14/2022, and S4, employed 08/29/2022 contained documentation of one of two references as to character and reputation as well as competency were checked before employment.
The record for S7, employed 05/11/2023, did not contain documentation that two or more
references as to character and reputation as well as competency were checked before
employment.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-E Description: Based on record review, the provider did not document within 30 days of the first day of employment, staff must complete orientation training in first aid and cardiopulmonary resuscitation (CPR).
Evidence:
The records for S1, employed 03/20/2023, S2, employed 08/15/2022, S3, employed 10/14/2022, S4, employed 08/29/2022, S5, employed 03/21/22, S6, employed 05/01/2023, and S7, employed 05/11/2023 did not document first aid and CPR orientation.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-530-A Description: Based on record review, the provider did not ensure that at least one staff in each classroom or area where children are present have a current certification in cardiopulmonary resuscitation (CPR) and first aid.
Evidence: The records for S1, employed 03/20/2023 and S2, employed 08/15/2022 did not document a current first aid and CPR certificate. S1 and S2 were observed working alone in a classroom with children on 06/21/2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-D Description: Based on the review of emergency evacuation documents, the provider failed to ensure that
the center implemented monthly practice evacuation drill.
Evidence:
Records did not document a monthly practice drill in November 2022.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.
