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Norfolk Christian Schools-Beach Campus Pre-kindergarten
1265 Laskin Road
Virginia beach, VA 23451
(757) 428-1284

Current Inspector: Emily Walsh (757) 404-2575

Inspection Date: April 16, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
22VAC40-80 THE LICENSE.
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Ensuring that blind cords are out of the reach of children was discussed with classroom staff in classroom 1. The potential hazard of having the cord to the wall mounted television near to the hand washing sink/water was also discussed with staff in classroom 1. Review of potential hazards of strings, cords, electrical wires with staff in the classroom is suggested.

Comments:
An unannounced, mandated monitoring inspection was conducted. The inspector arrived at 10:45 AM and departed at 1:45 PM. Morning activities and gross motor play in the gymnasium were observed. Nineteen children were in care with four staff. A sample size of five staff records and five children's records were reviewed. Medication administration and injury records were reviewed. An exit meeting was conducted with administrative staff prior to closure of the inspection.

Violations:
Standard #: 22VAC40-185-160-A
Description: Based upon review of five staff records and staff interview, the facility has not ensured that they have obtained documentation of a tuberculosis screening within 21 days after employment of each staff member. Evidence: 1. The record provided for staff 5 did not include documentation of a tuberculosis screening. 2. Staff 1 stated that the first day staff 5, a substitute staff person, worked in the facility was in November 2017.

Plan of Correction: The facility responded with the following: All substitutes who work in the preschool and after care programs will have complete files to include tuberculosis screenings and all required documentation.

Standard #: 22VAC40-185-70-A
Description: Based upon review of five staff records and staff interview, the facility has not ensured that each staff record includes the date of hire, two references checked prior to employment and the name, address and telephone number of a person to be contacted in an emergency. Evodence: 1. Staff 5 was on duty as a substitute assistant with the children in classroom 1 upon arrival of the inspector. The record provided for staff 5 did not include the date of employment, documentation the two references were checked prior to employment or the name, address and telephone number of a person to be contacted in an emergency. 2. Staff 1 was unable to provide the above documentation for staff 5.

Plan of Correction: The facility responded with the following: All substitutes who work in the preschool and after care programs will have complete files to include all required documentation.

Standard #: 22VAC40-185-90--A
Description: Based upon review of five children's records, the facility has not ensured that there is a written agreement (agreement to pick up an ill child and agreement to notify the faciity within 24 hours if the child or any household member contracts a reportable communicable disease) between the parent and the center in each child's record by the first day of the child's attendance. Evidence: 1. The record provided for child 1 who has been attending this school year did not include a signed written parent agreement. 2. Staff 1 was unable to provide a signed written agreement for child 1.

Plan of Correction: The facility responded with the following: The parent will be contacted to complete the required agreement form. The records for all children in the preschool and after care programs will be checked to ensure the agreements have been signed.

Standard #: 22VAC40-185-240-A
Description: Based upon review of five staff records and staff interview, the facility has not ensured that staff receive the required training prior to the end of their first day of assuming job responsibilities. Evidence: 1. The record provided for staff 5 did not include documentation of the training required to be conducted prior to the end of the staff person's first day of assuming job responsibilities. 2. Staff 1 stated that staff 5 is a substitute and that the first time she was used as a substitute was in November 2017.

Plan of Correction: The facility responded with the following: All substitutes who work in the preschool and after care programs will have site specific orientation training prior to the end of the first day of assuming responsibilities.

Standard #: 22VAC40-185-240-D-4
Description: Based upon review of the medication administration documentation, the facility has not ensured that any child for whom emergency medications have been prescribed is always in the care of a staff member who is Medication Administration Training (MAT) certified. Evidence: The MAT certification for staff 1, the only MAT certified staff at the facility, expired on10/17/2017. Child 2, has benadryl and an epi-pen prescribed and stored for potential emergency administration. Child 3 has benadryl and an epi-pen Jr. prescribed and stored for potential emergency administration.

Plan of Correction: The facility responded with the following: Sufficient staff will receive Medication Administration Training and/or Emergency Medication Administration Training to ensure that children are always in the care of a certified staff member.

Standard #: 22VAC40-185-280-B
Description: Based upon observation, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There was an aerosol container of disinfectant on a high shelf in the children's bathroom in classroom 2. the container was labeled "warning" and "keep out of reach of children". 2. The hand soap on the counter by the sink in classroom 2 is labeled "warning" and "keep out of reach of children".

Plan of Correction: The facility responded with the following: All staff will be reminded that potentially hazardous substances must be kept in locked locations.

Standard #: 22VAC40-185-510-A
Description: Based upon review of medication administration documentation, the facility has not ensured that their written medication policies are followed. Evidence: 1. The parent and physician authorization to administer Benadryl and an epi-pen to child 2 expired on 1/25/2018. The medication is still stored at the facility for potential administration to child 2. 2. An epi-pen stored at the facility for emergency administration to child 2 expired in October 2017.

Plan of Correction: The facility responded with the following: The school nurse will be responsible for ensuring that the parent and physician authorizations are up to date for any child for whom medication is to be administered.

Standard #: 22VAC40-185-510-B
Description: Based upon review of the documentation of administered medication, the facility has not ensured tha nonprescription medication is administered by a staff member who meets the requirements of 22VAC 40-185-240.D.1 or d.3 (Medication Administration Training (MAT) certification. Evidence: 1. Staff 1, whose MAT training expired on 10/17/2017, administered tylenol to child 7 on 12/6/2017. 2. Staff 1, whose MAT training expired on 10/17/2017, administered tylenol to child 6 on 12/12/2017

Plan of Correction: The facility responded with the following: Sufficient staff will receive Medication Administration Training and/or Emergency Medication Administration Training to ensure that children are always in the care of and medication is administered by a certified staff member.

Standard #: 22VAC40-185-550-D
Description: Based upon review of the emergency drill documentation and staff interview, the facility has not ensured that they have implemented monthly practice evacuation drills. Evidence: 1. The record of evacuation drills provided did not have indicated an evacuation drill being conducted in February 2018. 2. Staff 1 stated that they missed conducting a fire (evacuation) drill in February.

Plan of Correction: The facility responded with the following: Once it was discovered that an evacuation drill was not conducted in February, an extra drill was conducted in March. Monthly drills will be conducted and documented.

Standard #: 22VAC40-185-550-M
Description: Based upon review of documentation, the facility has not ensured that they maintain a written record of children's injuries that includes all required documentation. Evidence: An injury record dated 1/25/18 for child 6 did not include the date and time the parent was notified of the injury. The record included a staff's initials but did not include two staff signatures or one staff signature and a parent signature. There also was no documentation of any future action to be taken to prevent recurrence of the injury.

Plan of Correction: The facility responded with the following: The record used to document children's injuries will be updated to ensure that all required documentation is captured and on record.

Standard #: 22VAC40-191-40-D-1-B
Description: Based upon observation and review of records, the facility has not ensured that they have obtained a completed and signed sworn statement or affirmation prior to the first day of employment at the facility. Evidence: 1. Staff 5 was on duty as a substitute with the children in room 1 upon arrival of the inspector. The record provided did not include a completed and signed sworn statement or affirmation. 2. Administrative staff were unable to provide a completed and signed sworn statement for staff 5.

Plan of Correction: The facility responded with the following: All substitutes who work in the preschool and after care programs will have complete files to include all required documentation. Sworn statement or affirmation forms will be completed and signed prior to employment.

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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