VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America Salem Church, LLC
12008 Old Salem Church Rd
Fredericksburg, VA 22407
(540) 548-1555

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: March 10, 2020 and March 19, 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. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted from 9:00 am - 2:00 pm with the center director. There were 73 children, ranging from two months to five years of age, supervised by 11 staff. Children were observed playing in centers, working on arts and crafts projects, listening to stories, eating lunch and napping. Lunch served today was chicken nuggets, green beans, apple sauce and milk. Eight children's records, eight staff records, and eight medications and authorization forms were reviewed. The last emergency escape drill was conducted: 11/25/19 and the last shelter-in-place drill was conducted: 7/15/19. The playground was not observed due to weather. An exit interview was conducted on 3/19/20. If you have any questions regarding this inspection, please contact Donna Liberman at 540-359-5244 or donna.liberman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of eight children's records, the center did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #1 (date of first attendance: 2/3/20) did not have documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-140-A
Description:	Based on a review of eight children's records, the center did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #1 (date of first attendance: 2/3/20) did not have documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-160-B
Description:	Based on review of five staff records, the center did not ensure all staff have acceptable forms of documentation of tuberculosis (TB) screening. Evidence: the TB screening for staff #3 and staff #6 did not have a signature of a physician, the physician's designee or an official of the local health department.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-70-A
Description:	Based on review of eight staff records, the facility did not ensure that each staff record contained all required information. Evidence: the records for staff #1, staff #2 and staff #3 did not have documentation of two references; the records for staff #1, staff #3, staff #4, staff #5, staff #6 and staff #7 did not have written information to demonstrate that the individual possesses the education, staff development, certification, and experience required by the job position.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-80-A
Description:	Based on review of the written attendance record, and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record. Evidence: in the Pre-K A class, 15 children were listed on the attendance sheet and 19 children were observed. In the toddler class, ten children were observed and only seven were listed on the attendance sheet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-240-A
Description:	Based on review of five staff records, the center did not have documentation that staff received orientation training that includes job responsibilities, policies/procedures, playground safety procedures, child abuse and neglect, and confidentiality by the end of their first day of assuming job responsibilities. Evidence: The records for staff #1 (date of hire: 2/3/20), staff #2 (date of hire: 2/26/20) and staff #3 (date of hire: 3/9/20) did not have documentation of orientation training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-340-D
Description:	Based on observation, and review of documentation, the facility failed to ensure that in each grouping of children at least one staff member meets the qualifications of a program leader. Evidence: staff #4, staff #5 and staff #6 were all observed alone in a classroom acting as a lead teacher. Records for these staff do not include documentation indicating they meet the qualifications of program leader.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-510-C
Description:	Based on review of eight medications and authorization forms, not all required procedures for administering medication were followed. Evidence: There was no written authorization form, signed by a physician or parent, for child #14's long term emergency medication.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-550-D
Description:	Based on review of the emergency drill log, it was determined that not all emergency evacuation procedures were practiced monthly as required. Evidence: The last documented emergency escape drill was conducted: 11/25/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-560-I
Description:	Based on observation, not all food was stored in a sanitary manner. Evidence: milk was left out on a counter in the preschool room for approximately two hours.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-570-A
Description:	Based on observation, not all infants used a high chair, infant carrier seat or feeding table when being fed. Evidence: an infant was observed laying on a mat drinking milk from a bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-185-570-B
Description:	Based on observation, bottle fed infants who cannot hold their own bottles were not all held when being fed. Evidence: an infant was observed sitting in a bouncy chair and on a boppy pillow while a staff member held their bottle.
Plan of Correction:	Not available online. Contact Inspector for more information.