VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. Paul's Episcopal Preschool and Kindergarten
3439 Payne Street
Falls church, VA 22041
(703) 820-1134

Current Inspector: Derek Acosta (703) 554-4995

Inspection Date: Jan. 13, 2020

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) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Discussed limiting the use of White out on reports.

Comments:

An unannounced renewal inspection was conducted today between 9:00 am and 2:00 pm. There were 22 children (at arrival) directly supervised by 5 staff. The children were observed singing and dancing and playing on the playground. The physical plant, children's records, staff records, training logs, evacuation logs, emergency plans, emergency supplies and policies were inspected. There were no medications on site. Areas of non compliance were cited on the Violation Notice. If you have any questions please contact me at Tanya.Johnson1@dss.virginia.gov or call 571.423.6392.

Violations:

Standard #:	22VAC40-185-140-A
Description:	Based on a review of children's records, the center failed to ensure that each child shall have a physical examination by or under the direction of a physician by the 30th day of attendance. First day of attendance was 9/3/2019.
Plan of Correction:	I will get form from parent and place in child's record.
Standard #:	22VAC40-185-160-C
Description:	Based on a review of staff records, the center failed to obtain at least every two years from the date of the initial screening or testing, the results of a follow up tuberculosis screening as stated in subsection B of this section. Evidence: Staff # 4's record does not have documentation of a current Tuberculosis test or screening results.
Plan of Correction:	I will have staff member obtain a TB screening as soon as possible.
Standard #:	22VAC40-185-60-A
Description:	Based on a review of children's records, the center failed to maintain children's with required documentation for all children enrolled in the program. Evidence: Child #5 does not have documentation of emergency contacts addresses.
Plan of Correction:	I will contact parents for missing information and place in child's records.
Standard #:	22VAC40-185-70-A
Description:	Based on a review of staff records, the center failed to ensure that all staff records contained required documentation. Evidence: 1) Staff #2 and #4's records do not contain documentation of 2 references. 2) Staff #3's record does not have documentation of emergency contact.
Plan of Correction:	I will obtain references for staff members.
Standard #:	22VAC40-185-240-A
Description:	Based on a review of training documents, it was determined that 4 of 5 staff member had not completed "Recognizing Child Abuse and Neglect" training. Evidence: Staff #1, #2, #3, and #4's records do not have documentation of completing "Recognizing Child Abuse and Neglect" training.
Plan of Correction:	I will have staff complete the training by 01/17/2020.
Standard #:	22VAC40-185-240-C
Description:	Based on a review of training logs, the center failed to ensure that Program directors and staff who work directly with children shall annually attend 16 hours of training. Evidence: Staff #1, #2, #4 and #5's records do not have documentation of 16 hours of annual training.
Plan of Correction:	All staff will complete 16 hours of annual training by 04/01/2020.
Standard #:	22VAC40-185-280-B
Description:	Based on observation, the center failed to ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) In room 112 there were disinfectant wipes., not in a locked place using a safe locking method that prevents access by children. 2) In the girl's bathroom there were disinfectants on a shelf, not in a locked place using a safe locking method that prevents access by children. 3) In the boy's bathroom there was a can of deodorizer spray in the top drawer under the changing table, not in a locked place using a safe method that prevents access by children. 4) In the kitchen there was a bleach/water solution on the counter and one under the sink, not in a locked place using a safe locking method that prevents access by children.
Plan of Correction:	The items will be removed to a locked cabinet.
Standard #:	22VAC40-185-290-3
Description:	Based on observation, the center failed to ensure that electrical outlets shall have protective covers that are of a size that cannot be swallowed by children. Evidence: The electrical outlet outside the boy's bathroom does not have a protective cover that is of a size that cannot be swallowed by children.
Plan of Correction:	I will replace outlet cover.
Standard #:	22VAC40-185-550-M
Description:	Based on a review of accident/incident logs, the center failed to maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. The record shall include the date and time of injury, name of injured child, type and circumstance of the injury, staff present and treatment, date and time when parent were notified, any future action to prevent recurrence of the injury, staff and parents signatures or two staff signatures and documentation on how parent was notified. Evidence: 1) 5 of 15 reports did not have documentation of the date of parent notification. 2) 1 of 15 reports did not have documentation of a staff signature. 3) 1 of 15 reports did not have documentation of time of accident.
Plan of Correction:	I will remind staff that every section must be filled out on accident/incident form.