VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. James's Children's Center
1205 W. Franklin Street
Richmond, VA 23220
(804) 358-9788

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: March 16, 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 PROGRAMS. 8VAC20-780 Special care provisions and emergencies. 8VAC20-780 SPECIAL SERVICES. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Early Childhood Care and Education

Comments:

A unannounced renewal inspection was conducted on-site on March 16, 2022 and concluded remotely on March 24, 2022. The director was contacted by telephone and a virtual inspection was conducted. There were 32 children present, ranging in ages from 2 years to 5 years, with 12 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records 3 staff records, 4 board member records, and 1 agent record 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of records and interview, the center did not ensure to obtain a copy of the results of a criminal history record check and sex offender registry check prior to the first day of employment and did not request an out-of-state search of the child abuse and neglect registry or equivalent by the end of the 30th day of employment for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #1 (hired 12/18/21) did not contain documentation of an out-of-state criminal history record check, sex offender registry check, and central registry check. Administration confirmed it was not completed.
Plan of Correction:	Ex. Director will get paperwork started no out of state background check for staff #1.
Standard #:	22.1-289.036-B-2
Description:	Based on a review of board member records and interview, the center did not ensure to obtain a fingerprint based national criminal record check within 30 days of appointment of a board member. Evidence: The records of board members #2 and #3 (took office 5/1/21) did not contain documentation of fingerprints. Administration confirmed the fingerprints were not completed.
Plan of Correction:	Ex. Director will get paperwork started on having board member #1 and #2 sign sworn disclosure statement and central registry checks. Mailed 3/24/22.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on a review of board member records and interview, the center did not ensure to obtain a Sworn Statement for each new board member when a change occurred and a central registry check from each board member before the end of the 30 days after the change of officer. Evidence: The records of board members #2 and #3 (took office 5/1/21) did not contain documentation of a sworn statement and central registry results. Administration confirmed the sworn statement and central registry checks were not completed.
Plan of Correction:	Ex. Director will get paperwork started on having board member #1 and #2 sign sworn disclosure statement and central registry checks. Completed 3/24/22.
Standard #:	8VAC20-780-160-A-1
Description:	Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. Evidence: 1.) The record of staff #1 (hired 12/18/21) did not contain documentation of tuberculosis results.
Plan of Correction:	Program manager will have staff #1 provide results from TB record on file DR have TB resubmitted.
Standard #:	8VAC20-780-160-A-2
Description:	Based on a review of staff records, the center did not ensure that each staff submit documentation of a negative tuberculosis screening within the last 30 calendar days prior to beginning employment. Evidence: 1.) The record of staff #2 (hired 11/22/21) contained documentation of a tuberculosis screening dated 11/30/20. 2.) The record of staff #3 (hired 3/14/22) contained documentation of a tuberculosis screening dated 1/27/22.
Plan of Correction:	Program manager will make note that TB tests need to be completed 30 days prior to hire. TB Tests for staff #2 and staff #3 do not need to be redone.
Standard #:	8VAC20-780-550-B
Description:	Based on a review of the emergency preparedness plan the center did not ensure the emergency preparedness plan contained all procedural components. Evidence: The emergency preparedness plan did not contain the following components: 1.) securing information on allergies or food intolerances; 2.) methods to ensure any health care needs to include medications and care plans; emergency contact information for staff; and supplies are taken to the assembly point or relocation site; 3) includes method of communication with emergency responders; and 4) procedures to reunite children with a parent or authorized person designated by the parent to pick up the child.
Plan of Correction:	Program manager will begin correcting emergency preparedness plan to include missing information.