VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Richmond Waldorf School
1301 Robin Hood Road
Richmond, VA 23227
(804) 377-8024

Current Inspector: LaTasha Smith (804) 588-2362

Inspection Date: May 11, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 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(17) License & Registration Procedures

Technical Assistance:

n/a

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A monitoring inspection was initiated on May 11, 2020 and concluded on May 11, 2020. The director was contacted by telephone to initiate the inspection. There were no children present and 3 staff. The Inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 2 children?s records and 2 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility. If you have any questions regarding this inspection please contact the licensing inspector, Kelly Adriazola at (804) 662-9760.

Violations:

Standard #:	22VAC40-185-70-A
Description:	Based on a review of records on May 11, 2020, the center did not ensure that each staff record contains all required documentation. Evidence: 1. The record of Staff #2 contains a telephone reference check that is not signed. 2. The record of Staff #1 (DOH 8/12/19) did not contain documentation of a completed staff orientation.
Plan of Correction:	Effective immediately all documentation of reference checks will require and will be confirmed to have been signed by the person conducting the reference check. An orientation document, check off, was developed earlier in 2020. These document's requirements will be added to the Human Resources Hiring Check Off Form.
Standard #:	22VAC40-185-500-A
Description:	Based on interview on May 11, 2020, the center did not ensure that staff wash their hands with soap and running water before helping a child use the toilet or a diaper change, and they did not ensure that children wash their hands with soap and running water or disposable wipes after eating meals or snacks. Evidence: 1. A lead teacher stated that staff put gloves on prior to helping a child use the toilet or diapering. This staff said that they don't necessarily wash their hands prior to gloving or in between helping different children. This staff said that the gloves are changed between kids but staff hands aren't washed prior to that gloving. 2. A lead teacher stated that children don't necessarily wash their hands after lunch because they are transitioning to go home or to after school.
Plan of Correction:	Effective immediately, all Early Childhood Staff and AfterCare Staff will be instructed to prior to gloving, they are to wash their hands, and also after gloving each time. This also applies to hand washing before and after all meals and/or snacks.
Standard #:	22VAC40-185-510-J
Description:	Based on an interview on May 11, 2020, the center did not ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: Administration stated that an epi-pen is kept unlocked on the top of a cabinet in the office.
Plan of Correction:	Medication specific locking bags were ordered May 11, 2020. Information about the use of the bags will be communicated to all new and continuing parents each year in a back to school communication.
Standard #:	22VAC40-185-550-D
Description:	Based on a review of records on May 11, 2020, the center did not ensure to implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios. Evidence: 1. There was no documentation of Fire drills being practiced in June, July, and August of 2019. Administration stated they are open with children in care in Summer months. 2. There was no documentation of two shelter-in-place drills for 2019.
Plan of Correction:	Three (3) missing Fire Drills, acknowledged for June-August 2019 and reported to DSS in September 2019. Corrected in September 2019, the requirement for monthly fire drills has been communicated to staff responsible and no fire drills have been missed since. Shelter-in-Place, two (2) required per calendar year will be implemented immediately. The February update of our Emergency Response Plan includes instructions for shelter-in-place. This section will be updated May 12, 2020, to specify a shelter-in-place drill must be conducted twice a calendar year, the academic calendar (2020-2021) will be reviewed by responsible staff to establish dates for the next academic year on which to conduct drills.
Standard #:	22VAC40-191-60-B
Description:	Based on a review of record on May 11, 2020, the center did not ensure to obtain a Sworn Statement of each staff prior to employment. Evidence: The record of Staff #1 (DOH 8/12/19) contained documentation of a Sworn Statement dated 8/29/19.
Plan of Correction:	Corrected fall, 2019, and for all employees and new hires a review of all paperwork was updated. For all new hires, the paperwork is being and will be completed prior to start date and noted on Human Resources Hiring Check Off Form.
Standard #:	22VAC40-191-60-C-2
Description:	Based on a review of staff records and interview on 05/11/2020, the center did not ensure that each staff record reviewed contained a central registry finding within 30 days of employment. Evidence: 1. The record of Staff #1 (DOH 8/12/19) contained documentation of a central registry finding dated 10/3/19. 2. Administration stated they were in a hurry to get this staff in place.
Plan of Correction:	Corrected fall, 2019 and for all employees and new hires a review of all paperwork was updated. For all new hires, the paperwork is being and will be completed prior to start date and noted on Human Resources Hiring Check Off Form.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on a review of records and interview on May 11, 2020, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff. Evidence: 1. The record of Staff #1 (DOH 8/12/19) contained documentation of fingerprints dated 9/4/19, which is not prior to the 1st day of employment. 2. Administration stated they were in a hurry to get this staff in place.
Plan of Correction:	Corrected fall, 2019, and for all employees and new hires a review of all paperwork was updated. For all new hires, the paperwork is being and will be completed prior to start date and noted on Human Resources Hiring Check Off Form.