VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: March 29, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Early Childhood Care and Education

Technical Assistance:

Provided consultation on: 1) ensuring playground equipment is free from chipped, peeling paint 2) ensuring playground resilient surfacing does not have rips and tears, which could be tripping hazards or not resilient (including space where basketball hoop was) 3) ensuring that expired medication is sent home and/or replaced with updated medication 4) ensuring that the written list of food allergies, sensitivities and dietary restrictions is dated and current, and available wherever children are in care (inside, outside, on van)

Comments:

An unannounced monitoring inspection was conducted from 10:40 am - 1:20 pm with staff. There were 71 children, ranging from four months to five years of age, present with 14 staff supervising. Children were observed having free play in centers, listening to a story, preparing for lunch and eating. Lunch served today was: pasta with ground beef and sauce, green beans, apple sauce and milk. Five children's records, five staff records, four medications and authorization forms, two allergy care plans, the emergency drill log, and the written list of allergies, sensitivities and dietary preferences were all reviewed. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Wednesday, 4/13/2022. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on review of five staff records, it was determined that the facility failed to obtain a copy of the results of a criminal history record information check and a sex offender registry check (prior to employment) and a search of the child abuse and neglect registry or equivalent registry (by the end of the 30th day of employment) from any state in which the individual has resided in the preceding five years. Evidence: the record for staff #1, (date of hire: 11/8/2021), who indicated that they have lived in two other states in the past five years, had no documentation of any out of state search requests.
Plan of Correction:	The request for out of state background checks has already been made and we are waiting on results. Going forward these requests will be conducted in the required time frame.
Standard #:	22.1-289.058
Description:	Based on observation, and an interview with staff, it was determined that the facility does not have a carbon monoxide detector as required. Evidence: there was no carbon monoxide detector in the facility.
Plan of Correction:	Staff have reached out to the maintenance people and the carbon monoxide detector will be installed on Friday, April 8th.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of five children's records, the center did not obtain documentation that each child has received immunizations prior to the child's first attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of immunizations.
Plan of Correction:	Staff have asked the parents to provide documentation of the immunization record.
Standard #:	8VAC20-780-140-A
Description:	Based on a review of five children's records, the center did not obtain documentation that each child has received a physical examination prior to the child's first attendance or within one month after attendance. Evidence: the record for child #3 (date of first attendance: 1/24/2022) did not have documentation of a physical examination.
Plan of Correction:	Staff have asked the parents to provide documentation of a physical examination.
Standard #:	8VAC20-780-80-A
Description:	Based on observation and an interview with staff, it was determined that the facility did not ensure all children were included on the written attendance record Evidence: 1) In the infant A class, five infants were observed and only two were listed on the attendance record. 2) In the toddler/2's class, eight children were observed and only six were listed on the attendance record. 3) In the preschool 1A class, 14 children were observed and only 12 were listed on the attendance record. 4) In the preschool IIB class, 20 children were observed and only 15 were listed on one attendance record and 11 on the second attendance record as two classes were combined.
Plan of Correction:	Will retrain staff, and going forward will ensure that all attendance sheets are accurate.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, it was determined that not all areas inside the center were maintained in a clean, safe and operable condition. Evidence: In the infant A classroom, there were cribs with loose fitting sheets on the mattress. Loose crib sheets are a suffocation hazard and increase the risk of sudden unexplained infant death.
Plan of Correction:	Staff stated they have already purchased the correct size sheets for the cribs.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, not all hazardous substance were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1) There was a bottle of bleach water/sanitizing solution in an unlocked cabinet in the infant A, toddler A, and toddler/2's classrooms.
Plan of Correction:	Staff will be retrained on locking cabinets that have hazardous substances are present.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, and an interview with staff, the facility failed to ensure that diapers are disposed of in a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: 1) in the toddler/2's classoom, the foot operated trash can didn't work. Staff stated that they dispose of diapers in the bathroom trash can, which was not foot operated. 2) in the preschool 1A classroom, staff were observed using their hand to lift a trash can lid to dispose of gloves after changing/assisting a child in the restroom.
Plan of Correction:	Staff will be retrained on using the correct trash can and method for disposing of soiled items. We have purchased a new foot-operated trash can to replace the broken one.
Standard #:	8VAC20-780-570-B
Description:	Based on observation, the facility failed to ensure that bottle-fed infants who cannot hold their own bottle are held when fed. Evidence: staff were observed holding a bottle to feed an infant who was sitting in a baby swing.
Plan of Correction:	Staff will be retrained on proper feeding methods for infants.