VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fredericksburg Academy
10800 Academy Drive
Fredericksburg, VA 22408
(540) 898-0020 (211)

Current Inspector: Shawanda Henderson (540) 216-1434

Inspection Date: May 25, 2021 and May 28, 2021

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

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 5/25/2021 with an exit interview on 5/28/2021. The Auxillary Programs Director and Falcon Club Director were contacted by telephone and a virtual inspection was conducted. There were 54 children in the program, with 14 staff supervising. The Inspector reviewed three children's records, four staff records, one board officer record, the emergency drill log, ten emergency medications and authorization forms, 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 #:	22VAC40-185-160-A
Description:	Based on review of four staff records, the facility did not have documentation of a tuberculosis (TB) test/ screening for staff within 21 days of hire or within 12 months prior. Evidence: the records for staff #1, staff #2, and staff #4 did not have documentation of a clearance statement signed by a physician, the physician's designee or an official of the local health department.
Plan of Correction:	Staff stated that when the facility reopens in August all staff will have proper documentation of TB tests/screening.
Standard #:	22VAC40-185-60-A
Description:	Based on review of three children's records, it was determined that not all records contained all required information. Evidence: 1) The record for child #1 did not have the name and phone number of the child's physician or the addresses for two emergency contacts. 2) The record for child #2 did not have the name and phone number of the child's physician, the name, address and phone number for two emergency contacts, or documentation of viewing proof of the child's identity and age. 3) The record for child #3 did not have the addresses for two emergency contacts.
Plan of Correction:	Staff stated they will obtain the missing information.
Standard #:	22VAC40-185-240-D-1
Description:	Based on review of documentation, and an interview with staff, the facility has agreed to administer medication but did not always have a staff member on site who had Medication Administration Training (MAT). Evidence: Staff stated that there is no staff with MAT certification from approximately 4:00 pm - 6:30 pm daily when the school nurse leaves. Staff provided documentation that there are ten emergency medications located on site at the facility.
Plan of Correction:	Staff stated that when the facility reopens in August they will have a MAT certified person on site all hours of operation.
Standard #:	22VAC40-185-510-A
Description:	Based on review of ten emergency medications and authorization forms, the facility failed to have written parental authorization to administer all medications on site. Evidence: there was no parent signature on the medication authorization form for child #4's epipen, child #6's Albuterol, child #7's Albuterol, or child #8's epipen and albuterol.
Plan of Correction:	Staff stated that when the facility reopens in August, all required written authorizations will be obtained.
Standard #:	22VAC40-185-550-D
Description:	Based on staff interview, the facility failed to conduct a minimum of two shelter-in-place practice drills each year. Evidence: staff stated they didn't do any shelter-in-place drills this school year. The last documented shelter in place drill available at the time of inspection was dated 3/19/2019.
Plan of Correction:	Staff stated that when the facility reopens in August, the facility will conduct all emergency drills as required.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on review of five board officer records, it was determined that not all board officers had Central Registry Search results. Evidence: the record for board officer #1 did not have documentation of a Central Registry search report on file.
Plan of Correction:	Staff stated they will resubmit the Central Registry search request form for the board officer.