VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Siena Academy Catholic Montessori Pre-School
1020 Springvale Road
Great falls, VA 22066
(703) 759-4129

Current Inspector: Ariel Hayes (804) 629-7124

Inspection Date: March 31, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Reviewed background check requirements

Comments:

An unannounced renewal inspection was initiated and concluded on 03/31/2022. At the time of inspection there were 22 children present with 3 staff supervising. Children were observed eating lunch and playing at various stations in the classrooms. A total of 4 children records, 5 staff records, and 1 agent record were reviewed. The physical plant, emergency drills, emergency supplies, and medication were also 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 #:	22.1-289.035-B-2
Description:	Based on record review, a fingerprint-based criminal history check was not obtained for 2 of 5 staff members reviewed prior to their date of employment. Evidence: 1. Staff #2 began employment on 8/30/21. The fingerprints in the record for Staff #2 were dated 2/28/22. 2. Staff #3 began employment on 8.30/21. The fingerprints in the record for Staff #3 were dated 9/13/21.
Plan of Correction:	We will begin the process for background checks at the time of the interviews moving forward.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the child day center did not obtain a copy of the results of a criminal history record information check, sex offender registry check, and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding 5 years within required time frames for 2 staff. Evidence: 1. Documentation in the record for Staff #2 (start date 8/30/21) indicated Staff #2 has resided outside of the state of Virginia in the past 5 years. The out of state child abuse and neglect check results were dated 3/29/22. The out of state sex offender registry check results were dated 2/25/22. The out of state criminal history record check results were dated 3/29/22. 2. Documentation in the record for Staff #5 (start date 7/30/19) indicated Staff #5 has resided outside of the state of Virginia in the past 5 years. The out of state child abuse and neglect check was dated 8/2/12. There was no documentation of a sex offender registry check or out of state criminal history record check in the record for Staff #5.
Plan of Correction:	We will begin the process for obtaining backgrounds at the time of interview moving forward. Documentation of requests for missing backgrounds will be provided within the next 10 business days.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the child day program did not have a central registry finding within 30 days of employment for 1 staff. Evidence: 1. Staff #2 began employment on 8/30/21. The central registry check results in the record for Staff #2 were dated 2/22/22.
Plan of Correction:	We will begin the process for backgrounds at the time of the interview moving forward.
Standard #:	8VAC20-780-70
Description:	Based on record review, 2 of 5 staff records reviewed did not contain all required information. Evidence: 1. The record for Staff #1 and Staff #2 did not contain documentation that 2 or more references were checked before employment. 2. References for Staff #1 (start date 8/19/21) were obtained on 9/2/21 and 9/14/21. 3. References for Staff #4 (start date 8/19/21) were obtained on 9/2/21.
Plan of Correction:	We will request references at time of interview.