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Dominion Educational Ministries, Inc.
109 & 117 Community Drive
Waynesboro, VA 22980
(540) 932-2060

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Jan. 21, 2021

Complaint Related: No

Areas Reviewed:
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

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 subsidy health and safety inspection was initiated on 1/21/21 and concluded on 1/25/21. The person in-charge was contacted by telephone to initiate the inspection. There were 53 children present and 12 staff. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 4 medications and supporting documents, 2 allergy care plans, 4 children?s records and 4 staff records submitted by the facility to ensure documentation was complete.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22VAC40-665-580-H
Description: Based on record review an interview, the center failed to ensure all staff hired prior to 3/1/19 complete the department's health and safety update course prior to 3/1/20.

Evidence:

1. The four staff records reviewed did not contain documentation of completing the department's health and safety update course.
staff 1 start date 4/14/08
staff 2 start date 11/24/14
staff 3 start date 9/2/10
staff 4 start date 3/16/15
2. The acting director verified the four staff had not completed the department's health and safety update course.

Plan of Correction: In the future all staff will complete the department's health and safety update course in the time frame required.

Standard #: 22VAC40-665-780-A-1
Description: Based on record review and interview, the center failed to practice evacuation procedures at least monthly during the year 2020.

Evidence:

1. The documentation of emergency drills provided did not contain documentation for the months of March, May, August, October and December.
2. The acting director stated she was not aware of emergency drills being conducted during the months of March, May, August, October and December.

Plan of Correction: An evacuation drill will be conducted every month in 2021.

Standard #: 22VAC40-665-780-A-2
Description: Based on record review and interview, the center failed to practice at least two shelter-in-place procedures in 2020.

Evidence:

1. The documentation of emergency drills conducted in 2020 only had documentation of one shelter-in-place drill conducted in 2020.
2. The acting director stated the one shelter-in-place drill was the only one she was aware of being conducted in 2020.

Plan of Correction: Two shelter-in-place drills will be conducted in 2021.

Standard #: 22VAC40-665-780-A-3
Description: Based on record review and interview, the center failed to practice lockdown procedures at least once a year for the year of 2020.

Evidence:

1. The documentation for emergency drills for 2020 was provided. There was no documentation for lockdown drills.
2. The acting director stated she was unaware of any lockdown drills conducted in 2020.

Plan of Correction: A lockdown drill will be conducted in 2021.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review and interview, the center failed to obtain an updated central registry background check five years since the previous central registry background check for one out of four staff records reviewed.

Evidence:

1. The record for staff 4, start date documented as 3/16/15, has a central registry dated 4/7/15.
2. The acting director stated the central registry dated 4/7/15 is the only central registry they have on file.

Plan of Correction: A new central registry will be completed for staff 4. In the future the center will ensure all background checks are updated every five years.

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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