VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Primrose School of Arlington at Crystal City
2461 South Clark Street
R-001
Arlington, VA 22202
(703) 415-4700

Current Inspector: Karen Dickens (571) 423-6978

Inspection Date: May 17, 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. ? 8VAC20-820 THE LICENSE. ? 8VAC20-820 THE LICENSING PROCESS. ? 8VAC20-820 HEARINGS PROCEDURES. ? 8VAC20-770 Background Checks (8VAC20-770) ? 20 Access to minor?s records ? 22.1 Background Checks Code, Carbon Monoxide ? 63.2 Child Abuse & Neglect ? 8VAC20-790 Subsidy Regulations.

Comments:

An announced initial inspection was conducted today from 10:00am through 1:30 pm. The physical plant, staff qualifications, background checks, policies and procedures and the emergency preparedness plan were reviewed. Classrooms were measured for space calculations to determine capacity. Rooms are filled with supplies, equipment, and age appropriate activities for children. The center is prepared to begin enrolling children. Areas of non-compliance are identified in the violation notice. Please contact me if you have any questions at Karen.dickens@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center did not complete a criminal history record check prior to the first day of employment. Evidence: 1. Staff #2's record (Date of hire-01/30/2023) did not contain documentation of a criminal history record check for Staff #2 prior to the first day of employment. 2. Staff #1 confirmed that Staff #2 did not have a criminal history record check prior to the first date of employment and that an appointment to submit fingerprints was made for today.
Plan of Correction:	The staff member has made an appointment today to get the fingerprints completed.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center did not obtain an out of state criminal history name check and out of state child abuse and neglect search request for individuals that have resided out of state in the last five years prior to the first day of employment. Evidence: 1. Staff #6's record (Date of hire-04/24/2023) contained a Sworn Disclosure stating that they have resided in Washington DC in the last five years. Staff #6's record did not contain documentation of an out of state history name check for Washington DC prior to the first day of employment. Staff #6's record did not contain documentation of an out of state child abuse and neglect search request. 2. Staff #1 confirmed that an out of state criminal history name check and an out of state child abuse and neglect search request had not been completed for Staff #6.
Plan of Correction:	The staff member will obtain an out of state criminal history record check and child abuse and neglect search request for Washington DC. The staff member will make an appointment.
Standard #:	8VAC20-780-160-A
Description:	Based on record review and interview, each staff member did not submit documentation of a negative tuberculosis(TB) screening. Evidence: 1. Staff #1's record (Date of hire-03/29/2023) did not have documentation of a current negative tuberculosis screening. Staff #1's record contained an expired TB screening dated 02/25/2021. 2. Staff #3's record (Date of hire-05/08/2023) did not contain a current TB screening. Staff #3's record contained an expired TB screening dated 05/30/2019. 3. Staff #4's record (Date of hire-04/17/2023) did not contain documentation of a negative TB screening. Staff #4 stated that the results for the TB screening were unavailable at the time of the inspection due to encryption issues. 4. Staff #5's record (Date of hire-05/03/2023) contained a TB screening that was not within 30 calendar days of the date of employment. Staff #5's record had documentation of a negative TB screening dated 10/31/2021.
Plan of Correction:	Staff members have mad appointments to get a current TB screening and will document the records.
Standard #:	8VAC20-780-70
Description:	Based on record review and interview, required records were not kept for each staff person. Evidence: 1. Staff #2's record (Date of hire-01/30/2023) did not contain documentation of two or more reference checks before employment. 2. Staff #3's record (Date of hire-05/08/2023) contained two references checks that were not checked before the employment. The reference checks were dated 05/16/2023. One of the reference checks was completed by Staff #3; therefore, not being a valid and objective reference check. Staff # 3 confirmed that the reference check was completed by them. 3. Staff #5's record (Date of hire-05/03/2023) contained two reference checks completed after the first day of employment. Staff #5's record contained two reference checks completed on 05/16/2023.
Plan of Correction:	Reference checks will be conducted for staff members and moving forward, reference checks will be completed prior to employment.
Standard #:	8VAC20-780-240-I
Description:	Based on record review, documentation of orientation training was not kept for each staff person. Evidence: Staff #5's record (Date of hire 05/03/2023) did not contain documentation of orientation.
Plan of Correction:	The staff member will complete documentation of orientation.
Standard #:	8VAC20-780-540-E
Description:	Based on observation and interview, one working, battery operated radio was not obtained by the center. Evidence: 1. One working battery operated radio was not available at the time of the inspection. 2. Staff #1 confirmed that a battery operated radio was not available at the time of the inspection and that one had been ordered and will arrive the next day.
Plan of Correction:	A battery operated radio was purchased the day of the inspection and should arrive to the center the next day.
Standard #:	8VAC20-780-550-A
Description:	Based on documentation review, the center did not have a written emergency preparedness plan in consultation with local or state authorities that addresses staff responsibility and facility readiness with respect to emergency evacuation and relocation, shelter in place, and lockdown. Evidence: 1. The center did not have a complete written emergency preparedness plan developed in consultation with local or state authorities. The document presented at the time of inspection was a general plan with information not specific to the center. The plan was not developed in consultation with local or state authorities.
Plan of Correction:	Administrative staff added specific information relevant to the center to the plan and consulted with the local fire department for final approval of the emergency plan.