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: March 26, 2024
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 renewal inspection was conducted on 03/26/2024 from approximately 12:30 p.m. to 5:15 p.m. There were 49 children present and 10 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. Five child (5) records, five (5) staff records, and four (4) board officer records were reviewed.
The information gathered during the inspection determined violations with applicable standards or law. Please sign and 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.
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 Susan Ellington-Sconiers, Licensing Inspector at 804-588-2368 or susan.ellington-sconiers@doe.virginia.gov.
- Violations:
-
Standard #: 8VAC20-770-60-C-2 Description: (Repeat violation)
Based on staff record review, the provider failed to have central registry findings within 30 days of employment.
Evidence:
The record for S3, employed 01/18/2024 did not contain findings of a central registry search within 30 days of employment. The results were dated 02/20/2024.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-140-B Description: Based on child record review, the provider failed to ensure that physical examinations shall be within the time period prescribed by the subsection of the standard based on the child?s age.
Evidence:
C1, age 3, enrolled 11/08/2023 had a physical examination dated 10/27/2022 which is outside the prescribed time period of 12 months prior to attendance.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-160-A Description: (Repeat violation)
Based on staff record review, the provider failed to ensure that three of five 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 S1, employed 10/10/2023 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 01/08/2024.
The record for S3, employed 01/18/2024 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 09/17/2023.
The record for S4, employed 02/26/2024 did not document a tuberculosis (TB) screening
within the required time frame. The screening was completed 09/26/2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-40-J Description: (Repeat violation)
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:
S6 reported the review of the injury prevention procedures has not been completed.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-B Description: Based on staff record review, the provider failed to ensure that staff completed orientation training required by 8VAC20-780-(3)-240-C prior to the staff member working alone with children and no later than seven days of the date of assuming job responsibilities.
Evidence:
The staff record for S4 did not contain documentation of orientation.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-C Description: Based on staff record review, the provider failed to ensure that staff received orientation training in facility specific topics.
Evidence:
Orientation form used by the center for S1, S2, and S5 failed to document training in sudden infant death syndrome, shaken baby syndrome and abusive head trauma.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-240-E Description: (Repeat violation)
Based on staff record review, the provider failed to ensure that staff within 30 days of the first day of employment complete orientation training in first aid and cardiopulmonary resuscitation (CPR).
Evidence:
Orientation form used by the center for S1, S2, S3, S4, and S5 did not document the orientation training in first aid and CPR.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-E Description: Based on review of emergency drill documentation and interview, the provider failed to ensure that shelter in place procedures shall be practiced at least twice per year.
Evidence:
Emergency drill records were reviewed and did not document two shelter in place drills being conducted twice per year. S6 acknowledged that the shelter in place procedures were practiced once in 2023.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-780-550-G Description: Based on review of emergency evacuation drill documentation, the provider failed to ensure
the documentation contained the required information.
Evidence:
The emergency drill documentation dated July 2023- February 2024 did not document the weather conditions during the drills.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.
