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: Feb. 7, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 Physical plant. 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-770 Background Checks (22VAC40-191) 22.1 Early Childhood Care and Education

Technical Assistance:

Discussed the following standards with the Director: -a lockdown drill to be conducted once per year -CPR orientation for new staff who are not certified in CPR -DOE-sponsored orientation course (Preservice) for new staff

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contact, documentation review, interview, and a virtual tour of the program. A renewal inspection was initiated on 2/7/22 and concluded on 2/15/22. The director was contacted by telephone and a virtual inspection was conducted. There were 13 children present, ranging in age from three-years to five-years-old, with two staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, 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 #:	22.1-289.035-A
Description:	Based on review of three staff records and interview, the center did not obtain the results of a search of the central registry every five years for a staff member. Evidence: The central registry results on record for Staff B were dated 7/7/16.
Plan of Correction:	A new background check was sent off on 1/10/22. The results were received on 2/14/22 and were scanned to the licensing inspector.
Standard #:	22.1-289.035-B-4
Description:	Based on review of three staff records, the center did not obtain the results of a criminal history record check or sex offender registry check from all states in which staff members have resided within the past five years prior to employment, or the results of a search of the child abuse and neglect registry or equivalent from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: Staff A disclosed on a sworn statement dated 11/22/21 that they had lived in Connecticut within the past five years. The record for Staff A, with a start date of 1/3/22, did not contain the results of a criminal history record check or of the child abuse and neglect registry or equivalent from Connecticut. The results of the sex offender registry check from Connecticut on record for Staff A were dated 1/12/22 but were required before hire on 1/3/22.
Plan of Correction:	Director will update new hire checklist/staff records form with corresponding timelines/dates to place in each staff folder. Review of all staff records will be completed during annual evaluation conferences to ensure compliance and note itesm to be updated over the summer.
Standard #:	8VAC20-780-160-B
Description:	Based on review of three staff records and interview, the center did not obtain acceptable forms of documentation of tuberculosis (TB) screening. Evidence: 1. The TB documentation on record for Staff B did not contain a clearance statement or language that the individual does not have any current symptoms of active tuberculosis or is free of tuberculosis in a communicable form. 2. The TB test on record for Staff A, with a start date of 1/18/22, was dated 6/15/21 and was not within the last 30 days prior to hire as required.
Plan of Correction:	Director will update new hire checklist/staff records form with corresponding timelines/dates to place in each staff folder. Review of all staff records will be completed during annual evaluation conferences to ensure compliance and note items to be updated over the summer.
Standard #:	8VAC20-780-80-A
Description:	Based on review of documentation and interview, the center did not maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. An attendance form submitted during the inspection for the Tuesday/Thursday 3's and 4's class did not contain documentation of attendance for Thursday, January 27, 2022. 2. The attendance forms submitted for the inspection and viewed virtually during the inspection on 2/7/22 did not contain documentation of the arrival and departure of children, only documentation of present or absent for the day.
Plan of Correction:	Director will update attendance policies in writing by 2/25/2022. Director will obtain staff signatures on updated attendance policy to ensure understanding. Director will conduct a monthly attendance sheet check to ensure updated policy is being followed.