VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Eastern Ridge School
9201 Vernon Drive
Great falls, VA 22066
(703) 757-7900

Current Inspector: Jessica Willis (571) 352-1453

Inspection Date: June 5, 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

Comments:

A monitoring inspection was conducted on 06/05/2023 between the hours of approximately 1:40 pm and 3:55 pm. There were 22 children present, ranging in ages from 2 years to 5 years, with 4 staff supervising. At the time of entrance, children were napping. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 3 child records and 4 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at maria.robles@doe.virginia.gov.

Violations:

Standard #:	8VAC20-780-40-H
Description:	Based on documentation review, the center did not ensure to maintain public liability insurance. Evidence: 1) On the date of inspection, the proof of insurance form available for review was dated with effective dates of 01/17/2022-2023. 2) During the inspection, a program representative made efforts to produce a current proof of insurance form from their electronics records with no success.
Plan of Correction:	We located the documentation to show coverage and forwarded today.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, one out of three records reviewed did not contain all required information. Evidence: 1) At the time of the inspection, the record for Child #1 did not contain the following information: name, home address, and home phone number of a second parent who has custody; work phone number and place of employment of a second parent who has custody; name, address, and phone number of a second designated person to call in an emergency if a parent cannot be reached. 2) During the inspection, a program representative made efforts to produce the information from their electronics records with no success.
Plan of Correction:	The missing pages of this document were located and re-integrated into the child's file. The info is complete now.
Standard #:	8VAC20-780-60-A-8
Description:	Based on record review, the center did not ensure to 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) The health exam in the record for Child #1 stated that Child #1 has been diagnosed with a food allergy. A written care plan for Child #1's allergy was not available for review.
Plan of Correction:	This child no longer has a food allergy. Forms have been updated to reflect that.
Standard #:	8VAC20-780-80-A
Description:	Based on documentation review, the center did not ensure to keep an accurate written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1) There were 7 children in attendance in the Acorns class. The attendance record had 6 children documented. Child # 4 attendance was not documented. 2) There were 7 children in attendance in the Sassafras class. The attendance record had 6 children documented. Child #5 attendance was not documented.
Plan of Correction:	This was discussed with both the teachers in each class and the parent/grandparent responsible.
Standard #:	8VAC20-780-240-A
Description:	Based on record review, staff did not complete the Virginia Department of Education-sponsored orientation course within 90 calendar days of employment or within 90 days from October 13 2021 for staff hired before this date. Evidence: 1) On the date of inspection, the records for Staff #2 (start date 02/10/2014) and Staff #3 (start date 01/20/2022) did not contain documentation of having completed the Virginia Department of Education-sponsored orientation course.
Plan of Correction:	Staff in question have been given links and will be working on it next week.
Standard #:	8VAC20-780-510-P
Description:	Based on medication and medication documentation review, the center did not ensure that when an authorization for medication expired, the parent be notified that the medication needed to be picked up within 14 days or the medication was disposed of by the center. Evidence: 1) On the date of inspection, emergency medication in the center for Child #1 had authorization dated with an expiration date of 08/16/2022. The medication itself had an expiration date of 11/2022.
Plan of Correction:	Director spoke to parent, who confirmed the child no longer has the food allergy, and the medication was returned to the parent at that time.
Standard #:	8VAC20-780-520-B
Description:	Based on observation, requirements for when using sunscreen were not met: Sunscreen does not need to be kept locked but shall be inaccessible to children Evidence: 1) On the date of inspection, four bottles of sunscreen were observed on a wagon on the Sassafras playground.
Plan of Correction:	Staff meeting on 06/05/23 - this was addressed. Teachers have been reminded to keep sunscreen out of reach.
Standard #:	8VAC20-780-550-F
Description:	Based on documentation review and interview with the provider, lockdown procedures were not practiced at least annually. Evidence: 1) In the 2022 emergency drills log provided for review, a lockdown drill for the year 2022 was not documented. 2) The provider stated that they did not conduct a lockdown drill for the year 2022.
Plan of Correction:	Director will reach out to Dept. of Public Safety for a consultation, as well as ERAFANS, for resources specific to nature-based programs.