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Blessed Sacrament School Early Childhood Ctr & Ext Day Program
1417 West Braddock Road
Alexandria, VA 22302
(703) 998-4170 (26)

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Nov. 21, 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.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
Discussed the allergy list for the entire center.

Comments:
An unannounced monitoring inspection was conducted on 11/21/2022 from 9:56am to 12:00pm. At the time of entrance, 44 children were in care with 10 staff members present. Children were observed eating snack, washing hands and playing outside. Interactions between the children and staff were positive. A selection of staff and children records, medications, the physical space, evacuation drills, allergy action plans, emergency plan, injury prevention plan and training hours were reviewed. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:
Standard #: 8VAC20-780-160-C
Description: Based on documentation review, the center did not obtain an updated tuberculosis screening or testing for each staff member every two years.
Evidence:
1. Staff #1 had a TB test or screening with a date 12/02, but the year was missing.
2. Staff #2 had a TB test or screening dated 9/02/2020.

Plan of Correction: The staff will obtain an updated TB screening.

Standard #: 8VAC20-780-60-A
Description: Based on record review, one of two children's records did not have complete information.
Evidence:
1. Child #1 was missing one parent's work phone number and one parent's place of employment and work phone number and two emergency contact addresses.

Plan of Correction: We will obtain the missing contact information.

Standard #: 8VAC20-780-60-A-8
Description: Based on review of children's records, the center did not obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction.
Evidence:
1. Child #2 and Child #5 had a diagnosed food allergy and the center did not have a written care plan to include instructions from a physician.

Plan of Correction: We will obtain a written care plan from the child's physician.

Standard #: 8VAC20-780-90--A
Description: Based on record review, one of two children's records did not have the written agreement signed between the parent and the center by the first day of the child's attendance.
Evidence:
1. Child #1's (Start date 8/31/2022) file did not have the parent signature on the written agreement.

Plan of Correction: We will obtain a signature on the written agreement.

Standard #: 8VAC20-780-245-A
Description: Based on review of training hours, one staff member did not complete a minimum of 16 hours of training.
Evidence:
1. Staff #1 completed 12 hours of training during the 2021/2022 school year.

Plan of Correction: We will ensure all staff obtain the necessary training hours.

Standard #: 8VAC20-780-270-A
Description: Based on observation, the center did not maintain a safe condition in one classroom.
Evidence:
1.Two adult scissors and one bulletin board pin were accessible to children in care on the teacher's desk in the Butterflies classroom.

Plan of Correction: Adult scissors and other sharp objects will be kept out of reach of children.

Standard #: 8VAC20-780-550-E
Description: Based on review of documentation, the center did not practice Shelter in Place procedures a minimum of twice per year.
Evidence:
1. The Center had documentation that it practiced the shelter in place procedures on 3/29/2022 for the school year 2021/2022.

Plan of Correction: We will conduct a 2nd Shelter in Place Drill.

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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