VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holy Cross Academy Preschool at Saint Mary
1009 Stafford Avenue
Fredericksburg, VA 22401
(540) 373-7553

Current Inspector: Laura Brindle (540) 905-2062

Inspection Date: Feb. 15, 2023

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 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on 2/15/23 from 9:30am to 10:30am with the Director. There were 34 children in care, ranging in age from three-years to five-years-old, supervised by six staff. The children were observed having morning meeting, discussing things that start with the letter ?P?, discussing how penguins have blubber to protect them from the cold and doing an ice/blubber experiment, as well as individual activities with staff. The three classes then went to the restroom and washed hands and ate a snack brought from home. Six child records and four staff records were reviewed off-site as the Director was needed in a classroom. The Center has staff with current certification in CPR and First Aid and staff trained in Daily Health Observation Training. Four medications and authorization forms were reviewed and the center has staff current in Medication Administration Training (MAT). The attendance and emergency drill log were reviewed. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 2/28/23. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on review of four staff records, the program did not ensure that the results of a national fingerprint-based background check were obtained prior to employment for one staff. Evidence: The record for Staff #1, with an employment date of 8/12/22, contained fingerprint results dated 8/30/22.
Plan of Correction:	Sworn statement and Central Registry information will be completed at interview. References will be checked and fingerprinting will be completed prior to an offer of employment being made.
Standard #:	22.1-289.035-B-4
Description:	Based on review of four staff records, the program did not obtain the results of a criminal history record check or sex offender registry check from all states in which staff members have resided within the past five years prior to employment; or the results of a central registry check from all states in which staff members have resided within the past five years within 30 days of employment. Evidence: The record for Staff #1, with an employment date of 8/12/22, indicated they had resided in Texas within the five years prior to employment. The criminal history record check and sex offender registry check on record for Staff #1 were dated 11/10/22. There was no central registry check from Texas on record for Staff #1.
Plan of Correction:	Director will document attempts to secure out of state background checks.
Standard #:	8VAC20-770-60-C-2
Description:	Based on review of four staff records, the program did not ensure that the results of a central registry (CPS) check were obtained within 30 days of employment for one staff. Evidence: The central registry results on record for Staff #1, with an employment date of 8/12/22, were dated 12/9/22.
Plan of Correction:	Director will maintain records of attempts to secure central registry results.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interview, the program did not maintain, in a way that was accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions that was dated and kept confidential in each room or area where children were present. Evidence: On 2/15/23 there were no allergy lists in the three classrooms or in the large area outside of the classrooms where children ate snack. There were children with food allergies enrolled and four emergency medications for two children on-site due to food allergies.
Plan of Correction:	Allergy lists for all students and staff in the program will be housed in the attendance/emergency form binder in each classroom.
Standard #:	8VAC20-780-80-A
Description:	Based on review of documentation and observation, the program did not maintain a written record of daily attendance for each group of children that documented the arrival and departure of each child in care as it occurred. Evidence: 1. At approximately 9:40 am on 2/15/23, the attendance in the first ?Fours? classroom had not been documented. The attendance for 2/10/23 and 2/13/23 had not been documented. 2. At approximately 9:50am on 2/15/23, the attendance in the second ?Fours? classroom contained documentation of 12 children present. Observation revealed that 13 children were present.
Plan of Correction:	Director will impress upon staff the importance of taking attendance as the children arrive.