VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Campagna Center - John Adams Early Childhood Program
5651 Rayburn Avenue
Alexandria, VA 22311
(703) 931-7541

Current Inspector: Jenifer Nalli (703) 309-9153

Inspection Date: Sept. 18, 2019 , Sept. 19, 2019 and Oct. 8, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2 Facilities & Programs.

Comments:

An unannounced investigation was conducted 09/18/2019, 09/19/2019 and 10/08/2019 in response to a self- reported incident regarding supervision of children. During the investigation, staff were interviewed, a child was interviewed, staff and children's files were reviewed, classrooms as well as hallways of the facility were observed, and a video recording was reviewed. The preponderance of evidence does support the allegation, therefore, violations were cited related to the self-reported incident. Please see violation notice for details. The exit interview was conducted with the administrators. If you have any questions pertaining to this investigation, please contact Kimberly.Sawyer@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-40-E
Description:	Based on record review and interviews, the center failed to maintain compliance with the center's own policies and procedures. Evidence: 1. The Campagna Center's "Procedures for Face to Name Sheets" under the "Steps for filling out face to name sheets during transition" states "As each child leaves the classroom look at the child's face, then find their name on the face to name sheet and place a check mark next to the child's name. Do this for every child as they leave the classroom". 2. Staff A confirmed by signature that these procedures were covered during their orientation on 09/28/2015. 3. Staff B confirmed by signature that these procedures were covered during their orientation on 05/06/2019. 4. Staff B stated the procedure was to count the children and all staff are responsible for counting the children. 5. Staff A and B confirmed that on 09/18/2019 that they did not follow the center's name to face procedures for Room 109. 6. The 09/18/2019 "Name to Face" sheet completed by Staff A for Room 109 documents that there were 15 Children at 10 am, 14 children at 10:30 am, and 15 children at 11 am. 7. According to the "Attendance" document for 09/18/2019 there were 14 children at 10 am, 14 children at 10:30 am and 13 children in attendance at 11 am. 8. Staff A stated that she, Staff B and the class left the playground at approximately 10:45 am. The children were counted on the gate near the building and there were 15 children before entering the building. Staff A stated that the children were not counted upon entrance into the classroom. 9. Staff B stated that both staff counted the children while on the playground and that she counted 14 children. Staff B stated they went outside and counted and she doesn't know what happened.
Plan of Correction:	1. Staff A has been terminated. 2. A training occurred on October 14th 2019 with the Quality Assurance Director which pertained to the usage of the "face to name" sheet. This training included scenarios which gave examples of the correct usage of the "face to name" sheet and an open forum for questions took place at this time. 3. An analysis was completed of the "face to name" sheets and based on the information a summary of trends was provided to staff as well as guidance on improved usage. To provide ongoing support, Administration reviews the "face to name" sheets weekly. Administration then follows up with staff when needed. 4. Training occurred December 18th, 19th and 20th 2019. Training specifically focused on actions to create a culture of safety, active supervision, transitions during daily routines, all tied to proper use of the "face-to-name" sheet. An enhancement was made to guidelines around active supervision resulted from this training. 5. Follow up training took place on January 31, where "face to name" sheet was reviewed again, and trends were shared based on analysis of face to name sheets. Each site created instructions/strategies for supporting proper use of the face to name sheet, customized to each site. 6. An ongoing series of observations and spot checks occurred and is currently occurring where feedback is given on site. 7. "If you are leaving, have you completed your face to name sheets?" has been posted on commonly used doors through the facility.
Standard #:	22VAC40-185-340-A
Description:	Based on interviews and review of video recording, when supervising children staff did not always ensure their care and protection. Evidence: 1. On 9/18/2019, Child A (3 years old) was left outside when the child's class transitioned inside from the playground. For approximately 23 minutes, staff were unaware the child was missing until the child was returned to the classroom by an adult who found the child outside 2. At approximately 10:22 am, the center 's video recording shows Staff A and B entering the school building with 13 children. 3. At approximately 10:45 am, Child A was recorded entering the school building with an employee of the school in which the center is located. 4. Staff A and Staff B stated they did not notice that Child A was missing until Adult A brought the Child into the classroom.
Plan of Correction:	1. Staff A has been terminated. 2. A training occurred on October 14th 2019 with the Quality Assurance Director which pertained to the usage of the "face to name" sheet. This training included scenarios which gave examples of the correct usage of the "face to name" sheet and an open forum for questions took place at this time. 3. An analysis was completed of the "face to name" sheets and based on the information a summary of trends was provided to staff as well as guidance on improved usage. To provide ongoing support, Administration reviews the "face to name" sheets weekly. Administration then follows up with staff when needed. 4. Training occurred December 18th, 19th and 20th 2019. Training specifically focused on actions to create a culture of safety, active supervision, transitions during daily routines, all tied to proper use of the "face-to-name" sheet. An enhancement was made to guidelines around active supervision resulted from this training. 5. Follow up training took place on January 31, where "face to name" sheet was reviewed again, and trends were shared based on analysis of face to name sheets. Each site created instructions/strategies for supporting proper use of the face to name sheet, customized to each site. 6. An ongoing series of observations and spot checks occurred and is currently occurring where feedback is given on site. 7. "If you are leaving, have you completed your face to name sheets?" has been posted on commonly used doors through the facility.
Standard #:	22VAC40-185-340-F
Description:	Based on review of the center's video recording and interviews, a child under 10 years old was not always within actual sight and sound supervision. Evidence: 1. On 09/18/2019, Child A (3 years old) was not within actual sight and sound supervision of staff for approximately 23 minutes, when the child's class transitioned inside from the playground and left Child A outside. 2. At approximately 10:22 am, the center 's video recording shows Staff A and B entering the school building with 13 children. 3. At approximately 10:45 am, Child A was recorded entering the school building with an employee of the school in which the center is located. 4. Staff A stated that she, Staff B and the class left the playground at approximately 10:45 am. The children were counted on the gate near the building and there were 15 children before entering the building. Staff A stated that the children were not counted upon entrance into the classroom. 5. Staff B, stated that both staff counted the children while on the playground and that she counted 14 children. Staff B stated they went outside and counted and she doesn't know what happened. 6. Adult A stated that Child A entered the school with her class and Child A was discovered by her after nearly bumping into the child. 7. Staff A and Staff B stated they did not notice that Child A was missing until Adult A brought the Child into the classroom.
Plan of Correction:	1. Staff A has been terminated. 2. A training occurred on October 14th 2019 with the Quality Assurance Director which pertained to the usage of the "face to name" sheet. This training included scenarios which gave examples of the correct usage of the "face to name" sheet and an open forum for questions took place at this time. 3. An analysis was completed of the "face to name" sheets and based on the information a summary of trends was provided to staff as well as guidance on improved usage. To provide ongoing support, Administration reviews the "face to name" sheets weekly. Administration then follows up with staff when needed. 4. Training occurred December 18th, 19th and 20th 2019. Training specifically focused on actions to create a culture of safety, active supervision, transitions during daily routines, all tied to proper use of the "face-to-name" sheet. An enhancement was made to guidelines around active supervision resulted from this training. 5. Follow up training took place on January 31, where "face to name" sheet was reviewed again, and trends were shared based on analysis of face to name sheets. Each site created instructions/strategies for supporting proper use of the face to name sheet, customized to each site. 6. An ongoing series of observations and spot checks occurred and is currently occurring where feedback is given on site. 7. "If you are leaving, have you completed your face to name sheets?" has been posted on commonly used doors through the facility.