VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Eastern Ridge School
9201 Vernon Drive
Great falls, VA 22066
(703) 757-7900

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: Nov. 9, 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 8VAC20-820 THE LICENSE. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

A renewal inspection was conducted on 11/09/2022 between 11:50am- 2:15pm. There were 23 children present with 8 staff supervising. The inspector reviewed compliance in the areas of administration, staff qualifications and training, physical plant, staffing and supervision, programs, special care provisions and emergencies. A total of 3 child records, 2 staff records, and 4 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 #:	22.1-289.035-B-4
Description:	Based on record review, a copy of the results of 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 was not obtained for 1 of 2 staff reviewed. Evidence: 1. Staff #1 (hire date 6/20/2022) has resided outside of the state of Virginia in the preceding 5 years. 2. An out of state child abuse and neglect registry check inquiry was requested on 6/20/2022. No results of the inquiry had been obtained and no follow-up with the agency had been completed at the time of the inspection.
Plan of Correction:	The center followed up with the state of New York regarding the request during the inspection.
Standard #:	8VAC20-770-40-D-1-a
Description:	Based on record review, 3 of 4 Agent records did not contain required background checks within 30 days of being designated as an agent. 1. Agent #1 assumed their role as an agent on 12/06/2021. The sworn statement of affirmation in the record for Agent #1 was dated 11/3/2022. The fingerprint-based criminal history record check results in the record for Agent #1 were dated 9/21/2022. The Virginia central registry check results in the record for Agent #1 were dated 11/2/2022. 2. Agent #2 assumed their role as an agent on 12/06/2021. The sworn statement of affirmation in the record for Agent #2 was dated 8/5/2022. The fingerprint-based criminal history record check results in the record for Agent #2 were dated 9/13/2022. The Virginia central registry check results in the record for Agent #2 were dated 10/31/2022. 3. Agent #3 assumed their role as an agent on 12/6/2021. The sworn statement of affirmation in the record for Agent #3 was dated 11/3/2022. The fingerprint-based criminal history record check results in the record for Agent #3 were dated 11/1/2022. The Virginia central registry check results in the record for Agent #3 were dated 11/14/2022.
Plan of Correction:	Background checks for all board officers were obtained. A new board officer has been appointed and we have already initiated the process for backgrounds in order to maintain compliance with required time frames.
Standard #:	8VAC20-780-160-A
Description:	Based on record review, documentation of a negative tuberculosis screening was not submitted at the time of employment for 1 of 2 staff reviewed. Evidence: The documentation of a negative tuberculosis screening for Staff #1 (date of hire 6/20/2022) was dated 7/7/2022.
Plan of Correction:	A tuberculosis screening was completed and placed in the file. We will pay closer attention to onboarding requirements moving forward.
Standard #:	8VAC20-780-40-J
Description:	Based on record review, injury prevention procedures were not updated at least annually. Evidence: the center?s injury prevention plan was last updated in 2020.
Plan of Correction:	The plan has been updated as of 11/11/2022
Standard #:	8VAC20-780-240-A
Description:	Based on record review, 2 of 2 staff records reviewed did not contain documentation of completion of the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment. Evidence: Staff #1 began employment on 6/20/2022. The record for Staff #1 did not contain documentation of the completion of the orientation course. Staff #2 began employment on 1/20/2022. The record for Staff #2 did not contain documentation of the completion of the orientation course
Plan of Correction:	Both staff members are currently working on completing the training.
Standard #:	8VAC20-780-550-D
Description:	Based on record review, evacuation drills were not practiced monthly. Evidence: An emergency evacuation drill was not completed during the month of May 2022.
Plan of Correction:	We will practice closer monitoring of our calendar of fire drill implementation.