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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: Oct. 9, 2020 and Oct. 14, 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.

Technical Assistance:
Provided consultation on:
1) Standard 870: Scheduling snacks or meals so there is a period of no more than three hours between each meal or snack.
2) COVID-19 guidance: while masks are not required in child care, the essential guidance issued by the Department of Social Services, based on CDC recommendations, states that children over 2 years of age should wear masks when physical distancing cannot be maintained, as a best practice.

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 renewal inspection was conducted on 10/9/2020 with an exit interview on 10/14/2020. The director was contacted by telephone and a virtual inspection was conducted. There were 60 children present, ages six months - ten years of age, with 11 staff supervising. The Inspector reviewed four children's records, four staff records, the emergency drill log, medication, meals and snacks, hand washing, enhanced cleaning and sanitizing of toys and surfaces, and daily indoor and outdoor activities. 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 #: 22VAC40-185-150-B
Description: Based on review of documentation, not all physical examinations and immunization records were signed by a physician. Evidence: there was no physician signature on child #1's physical or immunization record.

Plan of Correction: Not available online. Contact Inspector for more information.

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) did not have documentation of a tuberculosis (TB) test/ screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-60-A
Description: Based on review children's records, it was determined that not all records contained all required information. Evidence: the record for child #1 (date of first attendance: 7/28/20), child #3 (date of first attendance: 9/9/20) and child #4 (date of first attendance: 5/27/20) did not have complete name, address and phone numbers for two emergency contacts. The record for child #1 did not have written authorization for emergency medical care. The record for child #2 (date of first attendance: 8/25/20) did not have documentation of proof of age/identity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-185-240-C
Description: Based on review of documentation, and staff interview, not all staff had 16 hours of staff development activities related to child safety and development. Evidence: The records for staff #2 and staff #3 did not contain documentation of 16 hours of training.

Plan of Correction: Not available online. Contact Inspector for more information.

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: 1) The center is open from 5:30am-7:00pm. 2) Staff with current MAT certification work from 5:30am-5:00pm. 3) On 10/7 and 10/8/2020 there was no staff with MAT certification from 5:00pm-7:00pm. 4) Only one current staff member is MAT certified. 5) There are four emergency medications on site.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-60-C-2
Description: Based on review of four staff records, and staff interview, it was determined that not all staff had Central Registry Search results within thirty days of employment. Evidence: The record for staff #1 (Date of hire: 6/1/2020) did not have documentation of a Central Registry search report on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review of four staff records, it was determined that not all staff had an Office of Background Investigations (OBI) fingerprinting-based criminal history record check prior to their first day of employment. Evidence: the record for staff #4 (Date of hire: 8/3/2020) had an OBI determination letter dated: 8/12/2020.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on review of four staff records, and staff interview, it was determined that no Out of State Child Abuse and Neglect Search request follow up was conducted 45 days after the initial request. Evidence: the record for staff #2, (date of hire: 12/31/2018) who indicated that they have lived out of the state of Virginia in the past five years, had an out of state search request sent on 8/2/2020 with no additional follow up.

Plan of Correction: Not available online. Contact Inspector for more information.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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