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St. Ann Catholic School - Preschool and Extended Day
980 North Frederick Street
Arlington, VA 22205
(703) 525-7599

Current Inspector: Mark Davis (804) 629-7103

Inspection Date: March 15, 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 Background Checks Code, Carbon Monoxide

Technical Assistance:
Reviewed changes to standards for licensed child day centers, effective 10/2021.

Comments:
An unannounced renewal inspection was initiated and concluded on 3/15/2022. There were 35 children present with 6 staff supervising. The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, and special care provisions and emergencies. A total of 3 child records 3 staff records, and 3 Agent 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.

Violations:
Standard #: 22.1-289-036-B-4
Description: Based on record review, the center did not obtain a copy of the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years for one Agent.

Evidence:
1. Documentation in the record for Agent #1 indicated they have lived outside of the state of Virginia in the preceding 5 years.
2. The record for Agent #1 did not contain documentation of a sex offender registry check and a search of the child abuse and neglect registry for the state of Michigan.

Plan of Correction: The center will provide documentation that the request was sent.

Standard #: 22.1-289.035-B-4
Description: Based on record review, the center did not obtain a copy of the results of a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years for one staff.

Evidence:
1. Documentation in the record for Staff #2 (start date 12/1/2021) indicated they have lived outside of the state of Virginia in the preceding 5 years.
2. The record for Staff #2 did not contain documentation of a sex offender registry check and a search of the child abuse and neglect registry for the state of Michigan.

Plan of Correction: The center will provide documentation that the request was sent.

Standard #: 8VAC20-770-60-C-2
Description: Based on record review, the center did not have a central registry finding within 30 days of employment for 3 of 3 staff.

Evidence:
1. The central registry check in the record for Staff #1 (start date 8/23/2021) was dated 10/13/2021.
2. The record for Staff #2 (start date 12/1/2021) did not contain documentation of a central registry check. Documentation indicated the central registry check was mailed on 12/30/2021, more than 7 days after Staff #2 began employment. There was no documentation of follow-up correspondence regarding the central registry check results.
3. The central registry check in the record for Staff #3 (start date 9/28/2021) was dated 1/25/2022.

Plan of Correction: Central registry checks were obtained and documented in the record. The Center will provide documentation to the department of follow-up correspondence regarding Staff #2's central registry check results.

Standard #: 8VAC20-780-160-A-2
Description: Based on record review, 1 of 3 staff did not obtain a tuberculosis screening within the last 30 calendar days of the date of employment.

Evidence:
1. Documentation of a tuberculosis screening in the record for Staff #2 (start date 12/1/2021) was dated 9/24/2021.

Plan of Correction: I will make sure they have proof of a tuberculosis screening before they start work.

Standard #: 8VAC20-780-70
Description: Based on record review, 3 of 3 staff records reviewed did not contain all required information.

Evidence:
1. The records for Staff #1, Staff #2, and Staff #3 did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment.
2. The record for Staff #1 (start date 8/23/2021) contained documentation of one reference dated 1/24/2022, obtained after start of employment.

Plan of Correction: I will get references moving forward. I will have them in place before offering a position.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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