VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Caritas Academy - Sugarland Campus
83 Sugarland Run Drive
Sterling, VA 20164
(571) 535-4567

Current Inspector: Stacy Doyle (571) 835-0386

Inspection Date: Dec. 19, 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 children using the hall bathroom and the supervision needed in the hallway as the children walk back to the classroom. The Daily Observation training link will be sent to the center. Discussed creating a binder with documents needed for the inspection. Discussed the mulch and the need for it to be raked over fall zone areas or more mulch is needed.

Comments:

An unannounced monitoring inspection was conducted on 12/19/2022 from 10:03am to 12:51pm. At the time of entrance, 40 children were in care with 8 staff members present. Children were observed coloring a holiday tree, playing with toys, listening to music, catching bubbles, making ornaments with paint and putting their coats on to go outside. Interactions between the children and staff were positive. A selection of staff and children records, medications, the physical space, evacuation drills, and attendance records 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 #:	22.1-289.058
Description:	Based on observation and interview, the center did not have a carbon monoxide detector and serves preschool-age children. Evidence: 1. Staff #6 stated they did not have a carbon monoxide detector in the building.
Plan of Correction:	The school has a carbon monoxide detector located in the furnace room per the fire Marshal's recommendation. This was present at the time of inspection, but it is not visible.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of staff records, the center did not obtain the central registry finding within 30 days of employment. Evidence: 1. Staff #2 (Date of hire 10/17/2022) had documentation that the central registry request was sent on 10/17/2022 and 11/01/2022, but did not have the findings.
Plan of Correction:	We will once again contact OBI for a status on the results of the inquiry.
Standard #:	8VAC20-780-40-H
Description:	Based on interview, the center did not have documentation of evidence of the liability insurance certificate Evidence: 1. Staff #6 did not have documentation of the liability insurance certificate.
Plan of Correction:	A copy of the liability insurance certificate was printed out and posted on the parent information board.
Standard #:	8VAC20-780-40-I
Description:	Based on interview, the center did not develop written procedures for injury prevention. Evidence: 1. Staff #6 stated they did not have an injury prevention plan.
Plan of Correction:	We have a comprehensive injury prevention plan that was submitted and reviewed as part of our initial licensure. We will print it out and place in binder for quick reference and each classroom.
Standard #:	8VAC20-780-40-N
Description:	Based on interview, the center did not develop written playground safety procedures that included all requirements. Evidence: 1. Staff #6 stated they did not have playground safety procedures. The center has a checklist that staff use for the playground, but it did not include all requirements.
Plan of Correction:	We have a comprehensive playground safety procedure manual that was reviewed as part of our initial licensure. We will print it out and place it in a binder for quick reference in each classroom.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, two children's records did not have complete information. Evidence: 1. Child #1 (start date 9/13/2021) and Child #2 (start date 8/24/2021) did not have documentation of previous child day care and schools attended by the child.
Plan of Correction:	We will request this information from the parents.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review of children's allergies, 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 #3, Child #4 and Child #5 had diagnosed food allergies and the center did not have a written care plan from a physician with instructions for the center.
Plan of Correction:	We will find the written care plans that are in place for each of the children in question and keep them in a secure place with medication.
Standard #:	8VAC20-780-70
Description:	Based on record review, staff records did not include all required information. Evidence: 1. Staff #1's file (Date of hire 10/17/2022) did not have documentation that the individual possesses the education required by the job position and did not have the emergency contact address. 2. Staff #2's file (Date of hire 10/17/2022) did not have documentation that the individual possesses the certification required by the job position and did not have the emergency contact address. 3. Staff #3's file (Date of hire 12/05/2022) did not have documentation that the individual possesses the education required by the job position, did not have the emergency contact address and did not have two references. 4. Staff #4's file (Date of hire 10/17/2022) did not have documentation that the individual possesses the education required by the job position and did not have two references. 5. Staff #5's file (Date of hire 12/19/2022) did not have documentation that the individual possesses the education required by the job position, did not have the emergency contact address and did not have two references.
Plan of Correction:	We will continue to update all staff files that are missing information as a result of the change of ownership.
Standard #:	8VAC20-780-245-J-3
Description:	Based on interview, the center had children with emergency medications and were not in the care of a staff member that meets the requirements of medication administration. Evidence: 1. Staff #6 was the only staff member at the center with medication administration training and three children had emergency medications. There were no teachers or assistant teachers on site with medication training that care for these children.
Plan of Correction:	We have identified two initial staff members who will be MAT trained along with the director.
Standard #:	8VAC20-780-245-L
Description:	Based on interview, there were not at least one staff member on duty who had obtained within the last three years instruction in performing the daily health observation of children. Evidence: 1. Staff #6 stated they did not have anyone who had obtained within the last three years instruction in performing the daily health observation of children.
Plan of Correction:	We will rotate all staff through DHO training to have 100% trained.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, areas and equipment of the center inside and outside were not maintained in a safe and operable condition. Evidence: 1. In the Three's classroom, a rug on the floor was coming apart at one corner approximately 3 inches long. A blue children's sofa had a hole on the arm rest. The paint was chipping on the orange wall near the door to go outside, below extinguisher and the red ledge near the windows and near the homeliving center. 2. In the Pre-K classroom, paint was chipping near the blue sofa and near the closet and door. The play sink was missing a part and had a hole in the equipment. 3. The sidewalk was raised on the 2's playground entrance path causing a tripping hazard and the wood was raised at the gate causing a tripping hazard.
Plan of Correction:	The rug and sofa was thrown away and a new carpet will be put in its place. We will be installing wall protection to reduce paint chipping as a result of the children's cots stored against the wall.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, hazardous substances were not kept in a locked place. Evidence: 1. In the Two's classroom, a spray bottle of Febreze was inside an unlocked high cabinet near the changing table.
Plan of Correction:	This is an unauthorized substance and was removed from the building . We will remind staff not to bring in their own cleaning or air freshner materials.
Standard #:	8VAC20-780-550-A
Description:	Based on interview, the center did not have a written emergency preparedness plan. Evidence: 1. Staff #6 stated the center did not have a written emergency preparedness plan.
Plan of Correction:	The school does have a written plan that was submitted and reviewed as part of the initial licensing. We will re-distribute the plan to staff to have on hand in each classroom.
Standard #:	8VAC20-780-560-F
Description:	Based on review of the center's menu, the center did not have a menu listing the foods to be served for meals and snacks during the current one week period. Evidence: 1. The center provides meals and snacks and did not list specific vegetables or fruit served each day. For example, 12/12 listed taquitos with rice. At the bottom of the menu, it lists that each meal will be served with milk, a vegetable and a fruit.
Plan of Correction:	We will modify our menu template to include all of the necessary details.
Standard #:	8VAC20-820-120-E-2
Description:	Based on observation, the center did not have the most findings of the most recent inspection of the facility posted. Evidence: 1. The inspection summary dated 10/06/2022 was not posted for parent's to view.
Plan of Correction:	The initial inspection report, along with this report was printed out and posted on the parent information board.