VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holy Cross Academy Preschool at Saint Mary
1009 Stafford Avenue
Fredericksburg, VA 22401
(540) 373-7553

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Oct. 12, 2021

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. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Technical Assistance:

HB1823 adds ? 22.1-289.058 to the Code of Virginia. This bill requires all licensed child day programs and religiously exempt child day centers, certified preschools, family day system homes and certain other programs that serve preschool-age children operating in a building built before 2015 to be equipped with at least one carbon monoxide detector. The final regulation to amend Standards for Licensed Child Day Centers (22VAC40-185, now 8VAC20-780) to address federal health and safety requirements became effective October 13, 2021. The final regulation can be found at https://townhall.virginia.gov/L/ViewXML.cfm?textid=15030. Technical Assistance was discussed with the Director regarding the requirements for references, TB tests, and immunizations prior to starting.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interviews, and a virtual tour of the program. A monitoring inspection was initiated on 10/12/21 and concluded on 10/18/21. The director was contacted by telephone and a virtual inspection was conducted. There were 26 children present, ranging in ages from three-years-old to five-years-old, with four staff supervising. The inspector reviewed compliance in the areas of administration, staffing and supervision, programming, medication, special care and emergencies, and nutrition. A total of three child records and three staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have questions regarding this inspection you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on review of documentation and interview, the center did not obtain documentation that each child had received required immunizations prior to their first day of attendance. Evidence: The record for Child A, with a start date of 8/31/21, did not contain documentation of immunizations.
Plan of Correction:	The parent was contacted and informed that the child could not return until documentation of immunizations was received. The parent submitted the immunizations on 10/14/21. Moving forward we will be sure to obtain immunizations before children attend.
Standard #:	22VAC40-185-160-B
Description:	Based on review of three staff records and interview, the center did not obtain an acceptable form of documentation for tuberculosis (TB) screening that includes a clearance statement signed by a physician, the physician's designee, or an official of the local health department and includes language that the individual does not have any current symptoms of active tuberculosis. Evidence: The TB screenings for Staff A, Staff B, and Staff C were completed by the staff members and sent to an off-site nurse for the program. The nurse wrote "OK" and their initials on the forms for Staff A and Staff C. The form for Staff B contained a clearance statement but was signed by the same nurse, rather than a doctor, doctor's designee, or official of the local health department.
Plan of Correction:	All staff will complete a new TB screening form by 10/29/2021.
Standard #:	22VAC40-185-80-A
Description:	Based on review of documentation and interview, the center did not ensure that a written record of children in attendance was kept each day. Evidence: 1. During the inspection on 10/12/21, there was no attendance documented for the four-year-old class.
Plan of Correction:	Attendance forms will be updated to include spots to check off both arrival and departure per the new guidelines. Attendance/emergency form books will be staged at the entrance of the building so that attendance can be taken as soon as children arrive at the center. The assistant teacher will bring the binder to the classroom once drop off is complete.
Standard #:	63.2(17)-1720.1-A
Description:	Based on review of three staff records, the center did not obtain the results of a central registry background check every five years from the date of the last check for one staff. Evidence: The most recent central registry background check on record for Staff A was dated 7/7/2016.
Plan of Correction:	OBI form will be sent in as soon as possible. When received it will be sent to licensing.