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Portsmouth Catholic Regional School
2301 Oregon Ave
Portsmouth, VA 23701
(757) 488-6744

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Oct. 2, 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(17) License & Registration Procedures
63.2 Facilities & Programs.

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 9/30/20 and concluded on 10/8/20. The director was contacted by telephone to initiate the inspection. There were 7 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-compliance with applicable standards or law and violations were 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.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on record review and interview, the center did not ensure that each child's record contains all the required information.

Evidence:
1. The records for child 1 (DOE: 8/26/20) and child 2 (DOE: 8/26/20) do not contain the addresses of two designated people to call in an emergency if a parent cannot be reached.
2. The director confirmed that the records for child 1 and child 2 are lacking the addresses for the 2 emergency contacts.

Plan of Correction: The center responded with the following: We have gone to an online child registration form for this school year and the line for emergency contact addresses was mistakenly left off the online form. We have contacted the company who developed the online program and it has been corrected. Parents are being contacted to go online and add the addresses for their emergency contacts.

Standard #: 22VAC40-185-260-B
Description: Based on a review of the most recent health inspection and interview, the center did not ensure that annual approval from the health department is provided.

Evidence:
1. Documentation of the most recent health inspection for the center is dated 3/4/19.
2. The center director confirmed that the most recent health inspection is expired.

Plan of Correction: The center responded with the following: The director will have maintenance contact the health department to schedule an inspection.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment.

Evidence:
1. The record for staff 1 (DOH: 1/2/20) does not contain documentation of a completed fingerprint based national criminal history record check.
2. The director confirmed that a fingerprint based national criminal history record check was not completed for staff 1.

Plan of Correction: The center responded with the following: This was an oversight as staff 1 previously worked in a position with the Diocese that did not involve care of children prior to being hired for his current position. Staff 1 is in the process of scheduling an appointment to obtain his fingerprint background search.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review and interview, the center did not ensure that staff who have lived outside of the state of Virginia within the past 5 years obtain a central registry check from that state.

Evidence:
1. Staff 1 has a hire date of 1/2/20. Staff 1 indicated on his sworn statement or affirmation that he has resided in the state of Massachusetts within the past five years. There is no documentation that a request for an out of state central registry check was sent to Massachusetts for staff 1.
2. The director confirmed that an out-of-state central registry search was not requested from the state of Massachusetts for staff 1.

Plan of Correction: The center responded with the following: The out-of-state central registry request will be completed for staff 1. Going forward, the center will ensure all background checks are completed within the required timeframes.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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