VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Portsmouth Catholic Regional School
2301 Oregon Ave
Portsmouth, VA 23701
(757) 488-6744

Current Inspector: Heather Harrell (757) 334-4329

Inspection Date: Aug. 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 63.2 Child Abuse & Neglect

Comments:

A monitoring inspection was conducted on 8/31/22 from 10:30am until 1:40pm. At the time of the inspection, there were 18 children in care with 5 staff. A sample of 5 children's records and 5 staff records were reviewed. Children were observed engaging in morning learning activities and playing on the playground. Restroom and handwashing procedures were also observed. First aid and emergency supplies, medication, documentation of emergency practice drills, the emergency preparedness plan and required center postings were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law. Violations are listed on the violation notice issued to the center and were discussed with center management during the exit interview.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment. Evidence: 1. The record for staff 1 (date of hire: 8/18/22) does not contain documentation of a completed fingerprint based national criminal history record check. 2. Center management confirmed that a fingerprint based national criminal history record check was not completed for staff 1.
Plan of Correction:	The center responded with the following: Staff 1 is a rehire, who was last employed by the school in May 2020. It was unknown by center management that the previous fingerprints, completed in 2019, were no longer valid. An appointment for staff 1 to complete a new fingerprint search will be scheduled as soon as possible and the results will be forwarded to the licensing inspector.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, the center did not ensure that each staff member shall submit documentation of a negative tuberculosis screening. Evidence: 1. The record for staff 1 (date of hire: 8/18/22) does not contain documentation of a negative tuberculosis screening. 2. Center management confirmed that the record for staff 1 is lacking documentation of a negative tuberculosis screening.
Plan of Correction:	The center responded with the following: Staff 1 will obtain a TB screening as soon as possible.
Standard #:	8VAC20-780-60-A
Description:	Based on record review and interview, the center did not ensure that children's records contain all the required information. Evidence: 1. The record for child 1 (date of enrollment: 8/25/22) does not contain the work phone number and place of employment of each parent. 2. Center management confirmed that the record for child 1 is lacking the parent's employment information.
Plan of Correction:	The center responded with the following: The parents of child 1 will be contacted to request their employment information be updated in the child's record.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, the center did not ensure that staff records contain all the required information. Evidence: 1. The records for staff 1, staff 2, staff 3, staff 4 and staff 5 do not contain the address of a person to be notified in an emergency. 2. Center management confirmed that the records for staff 1, staff 2, staff 3, staff 4 and staff 5 are lacking the addresses for the emergency contacts.
Plan of Correction:	The center responded with the following: The staff emergency contact forms will be updated to include the address for the emergency contact. Each staff will complete a new form, which will be placed in the staff's record.
Standard #:	8VAC20-780-200-A
Description:	Based on record review and interview, the center did not ensure that a qualified program director or a qualified back-up program director who meets one of the director qualifications shall regularly be on site at least 50% of the center's hours of operation. Evidence: 1. Staff 2 (date of hire: 9/25/17) stated she is the center's program director and that she was promoted from lead teacher to program director in the spring of 2022. 2. Staff 2 does not meet the qualifications for the job title of program director. 3. Staff 2 and staff 6 (school principal) confirmed that staff 2 does not meet the qualifications for the position of program director.
Plan of Correction:	The center responded with the following: Staff 2 was promoted to program director by the former school principal last school year. It was unaware by current management that staff 2 did not meet all qualifications for the position of program director. The current school principal will become the program director on record for the preschool/aftercare program, effective immediately. Administration will work together to devise a plan for staff 2 to obtain the educational qualifications for the position of program director.