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St. Anne's-Belfield, Inc.
745 Faulconer Drive
Charlottesville, VA 22903
(434) 963-4858

Current Inspector: Beth Orebaugh (540) 847-9173

Inspection Date: Oct. 11, 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.
8VAC20-820 HEARINGS PROCEDURES.
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 renewal inspection was initiated on 10/11/2022 and concluded on 10/20/2022. There were 6 children present with 13 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 5 child records, 4 staff records, seven medication authorizations and 4 board records were reviewed.

Information gathered during the inspection determined noncompliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22.1-289.035-B-4
Description: Based on record review, the facility did not ensure a required out of state child abuse and neglect background check request is completed by the end of the 30th day of employment.

Evidence:
1. Staff #4's date of hire is 02/21/22 and the sworn statement indicated that staff member lived in GA in the last 5 years.
2. There is no out of state child abuse and neglect background check results in Staff #4's file.
3. Administration confirmed that there is no out of state background check in Staff #4's file.

Plan of Correction: We will make sure that the out of state background checks are requested and received within a timely manner.

Standard #: 8VAC20-780-160-A
Description: Based on record review, the facility failed to obtain documentation of a negative tuberculosis screening at the time of employment.

Evidence:
1. Staff #2's date of hire is 08/10/2022 and the date of the TB screening is documented as 08/13/2022.
2. Staff #3's date of hire is 08/10/2022 and the date of the TB screening is documented as 08/12/2022.
3. Administration confirmed the dates of hire and the dates of the TB screenings.

Plan of Correction: I will make sure that staff has documentation of TB screening or test prior to employment.

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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