VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Charlottesville Waldorf School
120 Waldorf School Road
Charlottesville, VA 22901
(434) 973-4946

Current Inspector: Kelly Adriazola (804) 840-8245

Inspection Date: June 1, 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. 8VAC20-770 Background Checks (8VAC20-770) 22.1 Background Checks Code, Carbon Monoxide

Comments:

An unannounced monitoring inspection was conducted on-site June 1, 2023. The director was available during the inspection. There were 25children present with 7 staff supervising. 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 5 child records and 5 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. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.011-F
Description:	Based on observation and interview on June 1, 2023, the center failed to ensure the findings of the most recent inspection were posted in the facility. Evidence: The findings from the most recent inspection conducted 10/24/22 were not posted in the facility on the date of inspection. Staff #6 confirmed the inspection was not posted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-A
Description:	Based on a review of records and interview on June 1, 2023, the center failed to ensure that every employee undergo a fingerprint background check every five years. Evidence: The record of staff #1 contained documentation of a fingerprint result dated 04/26/18. There was no documentation of a repeat fingerprint search. Staff #6 confirmed the repeat fingerprint was not conducted.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Repeat Violation Based on a review of staff records and interview on June 1, 2023, the center failed to obtain the results of an out-of-state child abuse and neglect registry for each employee who has resided in any other state in the preceding five years. Evidence: The record of staff #4, hired 7/1/22, did not contain documentation of an out-of-state child abuse and neglect registry check. Staff #4 indicated living out-of-state in the previous five years on staff #4's sworn disclosure statement. Staff #6 confirmed the check was not complete.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of children's records on June 1, 2023, the center failed to obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #1, enrolled 09/01/21, contained documentation of immunizations dated 09/08/21. 2. The record of child #5, enrolled 08/31/22, did not contain documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children's records on June 1, 2023, the center failed to ensure that each child's record contained the required information. Evidence: The record of child #2 did not contain an address for two designated people to call in an emergency if a parent cannot be reached.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-245-A
Description:	Based on a review of staff records and interview on June 1, 2023, the center failed to obtain an annual minimum of 16 hours of training appropriate to the age of children in care for each staff. Evidence: The record of staff #4 did not contain documentation of 16 hours of annual training for August 2021 - August 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-510-L
Description:	Based on observation on June 1, 2023, the center failed to ensure that medication is kept in a locked place using a safe locking method that prevents access by children. Evidence: There was activated charcoal located in the first aid kits in the Marigold, Sunflower, and Rosebud classrooms. The first aid kits were kept unlocked on a shelf.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-550-D
Description:	Based on a review of records and interview on June 1, 2023, the center failed to ensure to implement a monthly practice evacuation drill. Evidence: There was no documentation of a fire drill being practiced in November 2022. Staff #6 confirmed the fire drill was not conducted.
Plan of Correction:	Not available online. Contact Inspector for more information.