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Fredericksburg Children's Academy
365 Ferry Road
Fredericksburg, VA 22405
(540) 371-9300

Current Inspector: Keesha M Minor (540) 340-2672

Inspection Date: May 29, 2019

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.
22VAC40-80 THE LICENSE.
22VAC40-80 THE LICENSING PROCESS.
22VAC40-191 Background Checks (22VAC40-191)
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
An unannounced Monitoring Inspection was conducted today from 9am to 1pm. There were 168 (infants to school-agers) directly supervised by 27 staff. The physical plant, 5 staff records, 8 children?s records, 2 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, listening to stories, playing outside, preparing for lunch. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@dss.virginia.gov).

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on review, the facility did not ensure that each child has documentation of a physical examination by or under the director of a physician before the child's attendance or within one month after attendance. Evidence: Reviewed 8 children's records and found that CH4 did not have documentation of a physical examination and has been in care for more than 30 days.

Plan of Correction: Will speak with parents about obtaining documentation today.

Standard #: 22VAC40-185-150-B
Description: Based on review, the facility did not ensure that children's immunization records include the date of the physical examination and dates immunizations were received and shall be signed by a physician, his designee or an official of a local health department. Evidence: Reviewed 8 children's records and found that CH4 did not have documentation of a signed immunization record.

Plan of Correction: Will speak with parents about obtaining documentation today.

Standard #: 22VAC40-185-160-A
Description: Based on review, the facility did not ensure that each staff member submits documentation of a negative tuberculosis screening. Documentation of the screening shall be submitted no later than 21 days after employment and shall have been completed within 12 months prior to or 21 days after employing. Evidence: Reviewed 5 staff records and found that Staff 3 and 4 did not have documentation of TB screenings and have been employed for more than 21 days.

Plan of Correction: Will be completed and on file by.

Standard #: 22VAC40-185-40-J
Description: Based on review, the facility did not ensure that the injury prevention procedures are updated at least annually based on documentation of injuries and a review of the activities and services. Evidence: Reviewed the injury prevention procedures and found that they were not dated as being completed on an annual basis.

Plan of Correction: Will updated it by the 31st.

Standard #: 22VAC40-185-70-A
Description: Based on review, the facility did not ensure that staff records are kept for each staff person and maintained the required information. Evidence: Reviewed 5 staff records and found that Staff 3 and Staff 4 did not have documentation of reference checks.

Plan of Correction: Will be added to the files by the 31st.

Standard #: 22VAC40-185-240-A
Description: Based on review, the facility did not have documentation of completion of orientation training. Evidence: Reviewed 5 staff records and found that 3 did not have documentation of completing orientation training by the end of their first day of assuming job responsibilities.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the facility did not ensure that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) Observed in the Science Room, two small bottles of essential oils marked "keep out of reach of children" in an unlocked cabinet. 2) Observed in the cafeteria a bottle of bleach water and 2 bottles of sanitizer in an unlocked cabinet. 3) Observed in the Art Room, two small bottles of essential oils marked "keep out of reach of children" in an unlocked drawer.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-185-290-2
Description: Based on observation, the facility did not ensure that fans, when used, shall be out of reach of children and cords shall be secured. Evidence: Observed that the fan was on a shelf and the cord was located below the fan, within reach of children.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the facility did not ensure that electrical outlets have protective covers. Evidence: Observed in the Language Arts Room, 5 uncovered electrical outlets

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-185-510-J
Description: Based on observation, the facility did not ensure that medical, except for those designated otherwise by written physician's orders, including refrigerated medication and staff's personal medical, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: Observed acetaminophen in an unlocked cabinet in the Science Room.

Plan of Correction: Corrected at the time of the visit.

Standard #: 22VAC40-80-120-E-2
Description: Based on review, the facility did not ensure that the most recent inspection of the facility was posted. Evidence: Reviewed the posted inspection report and found that it was dated 5/11/18 and not 1/31/19.

Plan of Correction: Corrected at the time of the visit.

Standard #: 63.2(17)-1720.1-A
Description: Based on review, the facility did not have documentation of a complete criminal history records check prior to the first day of employment. Evidence: Reviewed 5 staff records and found that Staff 3 has been employed for over 30 days and did not have documentation of completion of a criminal history records check.

Plan of Correction: Facility will obtain documentation of a completed Criminal History Records Check within 10 days.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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