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Blessed Sacrament School - Extended Day Program
1417 West Braddock Road
Alexandria, VA 22302
(703) 998-4170 (26)

Current Inspector: Anansa Archer-Hicks (703) 268-3295

Inspection Date:

Complaint Related: No

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on a review of children's records, 1 of 3 children's records did not contain all of the required information. Evidence: Child #2's (start date: 9/24/2018) record did not contain documentation of written agreements between the parent and the center as required by 22 VAC40-185-90, and documentation of child updates and confirmation of up-to-date information in the child's record as required by 22 VAC 40-185-420 E 3.

Plan of Correction: I will have the parents sign the form.

Standard #: 22VAC40-185-70-A
Description: Based on a review of staff records, 2 of 3 staff records did not contain documentation of all of the required information. Evidence: 1. Staff B's (date of hire: 8/30/2016) record did not contain documentation of two completed reference checks as to character, reputation, and competency, and completed orientation training. 2. Staff C's (date of hire: 8/11/2017) record did not contain documentation of two completed reference checks as to character, reputation, and competency.

Plan of Correction: We will look for the missing documentation and place it in the staff files.

Standard #: 22VAC40-185-240-A
Description: Based on a review of staff records, 3 of 3 staff records did not contain documentation of recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse as required by ???? 63.2-1509 of the Code of Virginia. Evidence: Staff A (date of hire: 8/12/2015), Staff B (date of hire: 8/30/2016), and Staff C's (date of hire: 8/11/2017) record did not contain documentation of completed training on recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse.

Plan of Correction: All staff will complete child abuse and neglect training.

Standard #: 22VAC40-185-240-D-5
Description: Based on a review of staff records, the center did not ensure that there is always atleast one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was no documentation of any staff member with completed daily health observation training.

Plan of Correction: We will have all staff complete the daily health observation training.

Standard #: 22VAC40-185-340-D
Description: Based on observation of the classroom, a review of staff records, and staff interview, the center did not ensure that at least one staff member who meets the qualifications of a program leader or program director was regularly present in each grouping of children. Evidence: There was no program leader present in the Preschool Extended Day program (children ages 3-5 years old). The Preschool and Extended Day program directors verbally stated that all Extended Day staff members are classroom aids/teacher assistants.

Plan of Correction: We will promote staff to program lead for Extended Day.

Standard #: 22VAC40-185-380-A
Description: Based on classroom observation, the center did not maintain a posted daily schedule that allows for flexibility as children's needs required. Evidence: The Extended Day classroom (children ages 3-5 years old) did not have a posted daily schedule.

Plan of Correction: We will have the staff post a daily schedule.

Standard #: 22VAC40-185-510-F
Description: Based on a review of medications, the center did not ensure that nonprescription medications were in the original container with the direction label attached. Evidence: Child #3's (start date: 8/27/2018) cough syrup did not have the original medication box.

Plan of Correction: The nurse will send home the medication.

Standard #: 22VAC40-185-550-D
Description: Based on a review of drills, the center did not ensure the implementation of a monthly practice of evacuation drills. Evidence: There was no documentation of a completed fire drill for March 2019.

Plan of Correction: Firedrill was completed on 4/9/2019.

Standard #: 22VAC40-185-550-M
Description: Based on record review of injuries, 1 of 4 injury reports did not contain documentation of all of the required components. Evidence: One injury report did not contain documentation of staff and parent signatures or two staff signatures, and how the parent was notified.

Plan of Correction: Preschool program director signed the report today and the nurse will add on the method of parent notification.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on a review of staff records, 1 staff record did not contain documentation of an out-of-state central registry request, as required. Evidence: Staff C's (date of hire: 8/11/2017) record indicated that the employee lived in Texas within the last 5 years. Staff C's record did not contain documentation of a central registry request for the state of Texas.

Plan of Correction: We will obtain the Texas background check for the staff.

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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