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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: Sept. 14, 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
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:
8VAC20-780-80-A
8VAC20-780-260-B

Comments:
An unannounced renewal inspection was conducted on 09/14/2023 from 3:05 p.m. to 4:35 p.m. There were 19 children present, ranging in ages from two to eleven years old with six 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 and four staff 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.

Violation notice amended on 09/29/2023.

If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:
Standard #: 22.1-289.035-A
Description: Based on review of records and interview, the center failed to ensure that background checks were repeated every five years.
Evidence:
1. The most recent criminal history background check result (fingerprints) for agent #1 was dated 09/21/2018
2. Staff #1 confirmed that Agent #1?s background check was not repeated every five years.

Plan of Correction: The criminal history background check (fingerprints) has been repeated for Agent #1.

Standard #: 8VAC20-780-40-M
Description: Based on observation and interview, the center failed to maintain, in a way that is accessible to staff, a current written list of all children?s allergies, sensitivities, and dietary restrictions in each room where children are present.
Evidence:
1. In the Pre-K and 2?s classroom, the list of children?s allergies, sensitivities, and dietary restrictions only included children in the Pre-K classroom.
2. Staff #1 confirmed that the lists only included children in the Pre-K classroom.

Plan of Correction: School-wide allergy lists have been distributed to each preschool classroom.

Standard #: 8VAC20-780-330-B
Description: REPEAT VIOLATION
Based on measurement, the center failed to ensure that where playground equipment is provided, resilient surfacing complies with minimum safety requirements.
Evidence:
1. On the preschool playground, the rubber mulch measured four inches in depth around the climbers. The rubber mulch did not meet the minimum requirement of six inches of depth.

Plan of Correction: Playground mulch. Maintenance has raked the mulch to distribute it evenly across the playground, resulting in a 6 inch depth. Additional mulch has been ordered to maintain the 6 inch depth throughout the remainder of the school year.

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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