VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Children of America Salem Church, LLC
12008 Old Salem Church Rd
Fredericksburg, VA 22407
(540) 548-1555

Current Inspector: Donna Liberman (540) 359-5244

Inspection Date: March 31, 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 (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Technical Assistance:

Provided consultation on standard: 1) 320B: each restroom area shall be equipped with toilet paper and disposable towels accessible (within reach) to children 2) 340A: when staff are supervising children, they shall always ensure their care, protection and guidance; 400B: behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior. Children who are running around the classroom, climbing on top of a couch and jumping on and off cots should be consistently and effectively redirected to appropriate behavior to ensure their safety 3) 520C: If diaper ointment or cream is used, the following requirements shall be met: these products shall be labeled with the child?s full name. Over-the-counter skin products shall not be kept or used beyond the expiration date of the product 4) 540C: first aid kits shall include at a minimum triangular bandages (indicating more than one) 5) 540D: activated charcoal preparation is required at the center and to be available on field trips

Comments:

An unannounced renewal inspection was conducted from 10:00 am - 2:30 pm with the center director and staff. There were 63 children, ranging from three months to five years of age, present with 16 staff supervising. Children were observed being fed and changed, playing with age-appropriate toys, washing hands preparing for lunch, eating lunch and napping. Lunch served today: chicken with gravy, mashed potatoes, apples and milk. Five child records and eight staff records were reviewed, along with the written daily attendance, written allergy list, six medications and authorization forms, two allergy care plans, the emergency drill log, liability insurance and fire and health inspections. Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the violation notice, and then return a signed and dated copy to the licensing office by 4:00pm on Thursday, 4/13/2023. If you have further questions about this inspection please contact Donna Liberman at 540-359-5244 or Donna.Liberman@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-160-A
Description:	Based on review of eight staff records, it was determined that not all staff had documentation of a negative tuberculosis (TB) test/screening completed within the last 30 calendar days of the date of employment. Evidence: the record for staff # 2 (date of employment: 3/27/2023) had documentation of a negative TB test/screening dated: 1/19/2023.
Plan of Correction:	Out-of-state staff will redo TB test when waiting for clearance.
Standard #:	8VAC20-780-40-M
Description:	Based on review of the written allergy list, the facility did not maintain a current list of all children's allergies. Evidence: child #2, with a diagnosed food allergy, was not included on the allergy list.
Plan of Correction:	All children verified on allergy list.
Standard #:	8VAC20-780-60-A
Description:	Based on review of five child records, it was determined that not all records contain all required information. Evidence: the record for child #2, with a diagnosed food allergy, did not contain a written care plan to include the steps to be taken in the event of a suspected or confirmed allergic reaction.
Plan of Correction:	Written care in building for child to be able to attend.
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, observation, and an interview with staff, it was determined that the facility did not maintain a written record of daily attendance, for each group of children, that clearly and accurately documents the arrival and departure of children in care as it occurs. Evidence: 1) In the preschool 1A classroom there were 11 children listed on the attendance record, ten children observed, and, per staff, one child who had left and one child from another classroom.
Plan of Correction:	Attendance will show correct sign in/out time for students. Students from other room will be on front of roll call.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, not all hazardous substances were kept in a locked place, using a safe locking method that prevents access by children. Evidence: there was a can of disinfectant spray on a high, open shelf in the two's classroom.
Plan of Correction:	Retrained staff on locking materials.
Standard #:	8VAC20-780-500-A
Description:	Based on observation, not all handwashing procedures were followed, as required. Evidence: in the infant A classroom, one child was observed drinking a bottle and their hands were not washed with soap and water afterwards.
Plan of Correction:	Retrained infant teachers on handwashing.
Standard #:	8VAC20-780-500-B
Description:	Based on observation, not all disposable diapers were disposed of in a leakproof storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: in the infant B classroom the foot-operated trash can was broken, and staff stated that they used their hand to open up the trash can. In the two's classroom and the preschool IIA classroom, diapers were observed discarded in trash cans that were not foot-operated.
Plan of Correction:	New trash cans purchased and replaced.