VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Saint Mary Star of the Sea School
14 North Willard Avenue
Hampton, VA 23663
(757) 723-6358

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: July 27, 2023

Complaint Related: No

Areas Reviewed:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide 32.1 Report by person other than physician 54.1 Must be MAT Certified. 63.2 Child abuse and neglect 8VAC20-770 Background Checks

Technical Assistance:

Discussed and clarified the requirement establishing and implementing a procedure for a daily simple health screening and exclusion of sick children by a person who is trained to perform such screenings.

Comments:

A code compliance inspection was initiated on and concluded on July 27, 2023. There were 18 children present, ranging in ages from 5 to 9, with 4 staff supervising. Additional administrative staff were present. A total of 4 staff records were reviewed. The inspection started at 10:10AM and concluded at 11:25AM. Children were observed working on an art projects and preparing to play games. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.031-A
Description:	Based on observation and staff interviews, the center did not ensure that there was a certification that the child day center has disclosed in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and has posted the fact that it is exempt from licensure in a visible location on the premises and posted the qualifications of the personnel employed. Evidence: Center Camp Coordinator confirmed there was nothing posted for the public regarding exemption from licensure and the staff qualifications and there was nothing given to parents / guardians in writing regarding exemption from licensure.
Plan of Correction:	Prepare and provide a written disclosure document for parents or guardians with an acknowledgement form. Additionally post the exempt form license documentation for public view if requested.
Standard #:	22.1-289.031-A-4
Description:	Based on record review and interview with staff, the center did not ensure each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability that would prevent them from caring for children under their supervision. Evidence: The records for Staff #1 and Staff #2 did not include the annual staff report at the time of the inspection. Center Camp Coordinator Staff #1 and Staff #2 were working with children in a supervisory capacity.
Plan of Correction:	Staff #1 and #2 were not included in the annual staff report submitted in November 2022. Include all staff in the program (regular and summer school) in the annual staff report submission process at the next annual submission.
Standard #:	22.1-289.031-A-6
Description:	Based on observation and staff interviews, the center did not ensure the required aspects of the child day center's operations are described in a written statement were provided to the parents or guardians of the children in the center and made available to the general public. Evidence: The Center Camp Coordinator confirmed the following required aspects of the center /information was not in a written statement and made available to parents or the public as required. physical facilities, enrollment capacity food services health requirements for the staff, public liability insurance.
Plan of Correction:	Post the Center information for parents or the public.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and staff interviews, the center did not ensure, all staff had obtained an out of state criminal history name check (CRC) prior to the first day of employment. Evidence: The record for Staff #2 did not include a CRC prior to the first day of employment. The CRC was dated 6-28-23. Staff #2 was observed working during the inspection and confirmed their first day working with children was 6-20-2023.
Plan of Correction:	Staff #2-A criminal background check was submitted on 6/28/23;final adjudication by the Central Registry was received dated 7/31/2023. Ensure paperwork is field prior to work assignment date.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of 5 staff records and staff interviews, the provider did not ensure each staff member had obtained by their first day or employment a sworn statement of affirmation and by end of the 30th day of hire the results of the Central Registry (CPS) finding for the state of Virginia. Evidence: The record for Staff #2 (date of hire 6-19-2023) did not include documentation of a CPS check conducted. Staff #2 was observed working during the inspection and confirmed their first day working with children was 6-20-2023.
Plan of Correction:	Staff #2-A criminal background check was submitted on 6/28/23;final adjudication by the Central Registry was received dated 7/31/2023. Ensure paperwork is filed prior to work assignment date.