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: Aug. 19, 2020 and Aug. 20, 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 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

Provided consultation on COVID-19 Guidance for programs that remain open: Infection Control and Sanitation Practices During COVID-19: Implement robust policies and procedures for handwashing and cleaning and sanitizing frequently touched surfaces. "Cleaned" means treated in such a way as to remove dirt and debris by scrubbing and washing with soap and water or detergent solution and rinsing with water; "Sanitized" means treated in such a way as to remove bacteria and viruses from inanimate surfaces through first cleaning and secondly using a solution of bleach water prepared fresh daily. The surface of the item is sprayed or dipped in the sanitizing solution and then allowed to air dry.

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 8/19/2020 and concluded on 8/20/2020. The director was contacted by telephone to initiate the inspection. There were 64 children present with nine staff supervising. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed four children's records, four staff records, the menu, emergency reponse drills, two medications and authorization forms and the health and fire inspection to ensure documentation was complete. The information gathered during the inspection determined non-compliance with standards that are documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-160-A
Description:	Based on review of four staff records, the center did not have documentation of a tuberculosis (TB) test/screening for staff within 21 days of hire or within 12 months prior to hire. Evidence: the record for staff #1 (date of hire: 6/1/2020) had a TB test/screening dated 4/29/19.
Plan of Correction:	Going forward, all staff will have a TB test/screening on day 1 that is dated within 30 days of hire.
Standard #:	22VAC40-185-160-C
Description:	Based on review of four staff records, not all staff had a repeat tuberculosis (TB) test/screening at least every two years from the date of the previous test/screening. Evidence: the record for staff #3 had a TB test/screening dated 5/20/16.
Plan of Correction:	Going forward, all staff will have a repeat TB test/screening within 2 years from the date of the previous TB test/screening.
Standard #:	22VAC40-185-60-A
Description:	Based on review of four children's records, it was determined that not all records contained all required information. Evidence: the records for child #1 and child #2 did not have the addresses for two emergency contacts.
Plan of Correction:	Will parents to update information.
Standard #:	22VAC40-185-70-A
Description:	Based on review of four staff records, the facility did not ensure that each staff record contained all required information. Evidence: the record for staff #4 contained documentation of one of the two required references.
Plan of Correction:	Will obtain a second reference within 7 days.
Standard #:	22VAC40-185-240-D-1
Description:	Based on review of documentation, and an interview with the director, the center did not have a staff member with current Medication Administration Training (MAT) certification in the building all hours that the center was operating. Evidence: The center is open from 5:30 am - 7:00 pm. Staff with current MAT certification work from 7:00 am to 5:30 pm. There are no staff with MAT certification in the building from 5:30-7:00 am and from 5:30 - 7:00 pm. One long term emergency medication was present during the inspection.
Plan of Correction:	A MAT-trained person will be on site at all times beginning 8/31/20. Medication has been returned to the parent until then.
Standard #:	22VAC40-185-510-C
Description:	Based on review of two medications and authorization forms, it was determined that not all procedures for administering medication were followed. Evidence: Child #5 had a long term medication authorization form that was signed by the parent but did not have the physician's signature.
Plan of Correction:	The medication has been returned to the parent with a request to complete the authorization form by obtaining the physician's signature.
Standard #:	22VAC40-191-60-C-2
Description:	Based on review of four staff records, and an interview with the director, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #4 (Date of hire: 6/1/2020), did not have documentation of Central Registry search results.
Plan of Correction:	Will send out a request within 7 days if the orginal results cannot be found.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of four staff records, and an interview with the director, it was determined that no Out of State Child Abuse and Neglect Search was requested by the end of the 30th day of employment. Evidence: the record for staff #2, (date of hire: 12/31/18) who indicated that they have lived in two states outside of Virginia in the past five years, had no documentation of an out of state search request.
Plan of Correction:	Will send out a request within 7 days.