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The Fairfax Christian School
22870 Pacific Boulevard
Dulles, VA 20166
(703) 759-5100

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Sept. 12, 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.
22VAC40-185 SPECIAL SERVICES.
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

Technical Assistance:
Licensing Inspector discussed the renewal application, background check, and central registry check requirements.

Comments:
An unannounced renewal inspection was conducted from 9:30 am-5:30. At the time of entrance, 28 children were in care with 4 staff members present. Children were observed drawing letters, coloring, and engaging in imaginative play. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. A selection of 4 staff and 5 children records, the physical space, emergency supplies, evacuation drills, attendance records, medications and the Emergency Preparedness Plan were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at jessica.willis@dss.virginia.gov or 571-352-1453.

Violations:
Standard #: 22VAC40-185-130-A
Description: Based on record review, the child day center did not obtain documentation that each child has received the immunizations required prior to the child's first day of attendance.

Evidence:
The record for Child #4 did contain documentation of immunizations.

Plan of Correction: Admissions will ensure immunization records are in the file prior to the first day of school.

Standard #: 22VAC40-185-60-A
Description: Based on record review, the child day center did not ensure each child record contained the required information.

Evidence:
1. The records for child #2 (1st date of attendance 8/26/2019) and child #4 (1st day of attendance 8/26/2019) did not contain documentation of viewing proof of the child's identity and age.
2. The record for Child #1 did not contain work phone numbers for both parents.
3. The record for Child #3 did not contain the work phone number for the father and place of employment for both parents.

Plan of Correction: We will require admissions to sign and date all copies of original proof of identification.
We will require record keeper to obtain a work phone number and place of employment or write N/A if unable to obtain.

Standard #: 22VAC40-185-70-A
Description: Based on record review, staff records did not contain required information.

Evidence:
1. The records for Staff # 1 and 3 did not contain documentation that two or more references were checked before employment.
2. The record for Staff #2 did not contain documentation of dates of contact for one reference or signature of person making call for two references.
3. The records for Staff #1,2,and 3 did not contain written information to demonstrate that the individual possesses the education required by the job position.
4. The record for Staff 1 did not contain written information to demonstrate that the individual possesses orientation training required by the job position.

Plan of Correction: I will make sure reference checks are in the file.
I will obtain copies of all transcripts for employees.
I will make sure orientation training is in the file.

Standard #: 22VAC40-185-280-B
Description: Based on observation hazardous substances such as cleaning materials were not kept in a locked place using a safe locking method that prevents access by children.

Evidence:
Clorox wipes were observed in the top shelf of an unlocked cabinet in the K3 classroom.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-290-3
Description: Based on observation, electrical outlets did not have protective covers.

Evidence:
2 out of 4 outlets located in the Dining Hall did not have protective covers.

Plan of Correction: Corrected during inspection.

Standard #: 22VAC40-185-330-B
Description: Based on observation, playground equipment fall zones were not free of hazardous obstacles.

Evidence
Castle play equipment was located feet of the chute of a slide.

Plan of Correction: We will move the playground equipment.

Standard #: 22VAC40-185-560-F
Description: Based on observation and staff interview, the center did not ensure the snack menu was posted in a location conspicuous to parents or given to parents.

Evidence:
1. The center provides snacks to children.
2. A menu indicating snacks served was not posted.
3. Staff reported the snack menu was in revision.

Plan of Correction: We will have a snack menu posted.

Standard #: 22VAC40-185-560-G
Description: Based on observation, the center did not ensure food brought from home was clearly dated and labeled in a way that identifies the owner.

Evidence:
1. 16 of 24 lunchboxes were not labeled in a way that identifies the owner.
2. 24 of 24 lunchboxes were not labeled with a date.

Plan of Correction: We will notify teachers effective immediately to add student's name and date to all lunchboxes.

Standard #: 22VAC40-191-60-C-2
Description: Based on record review, The licensed child welfare agency did not have a central registry finding within 30 days of employment.

Evidence: The record for Staff #2 (date of hire 7/1/2019) did not contain a central registry check requested by the center within 30 days of employment.

Plan of Correction: Administration will mail document to CPS no later than 9/18/19.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the center did not obtain a fingerprint-based background check for each staff member prior to their first day of employment.

Evidence:
3 of 4 staff member records did not contain documentation of a fingerprint-based background check prior to their first day of employment.

Plan of Correction: Administration will require fingerprinting be performed.

Standard #: 63.2(17)-1721.1-A
Description: Based on record review, the child day center did not obtain the sworn statement or affirmation form every 5 years for each agent of the child day center.

Evidence:
The sworn statement for Agent 1 expired on 8/28/2018.

Plan of Correction: Corrected during inspection.

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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