VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holy Family Catholic School
14160 Ferndale Road
Woodbridge, VA 22193
(703) 670-3138 (314)

Current Inspector: Angela Dudek (804) 629-8167

Inspection Date: Sept. 27, 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 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

Provided consultation on the following: 8VAC20-780-260B Documentation for the Health inspection needs to be kept on site and completed annually. 8VAC20-780-560G All food from home, including water bottles if filled at home, will need to be labeled with name and date.

Comments:

An unannounced monitoring inspection was conducted on 09/27/2023 from 8:55am to 10:20am. There were 46 children ages 2 years old months to age 5 years old supervised by 6 staff. The physical plant, outdoor playground area, programming, attendance, menus, 3 staff records, 3 children?s records, 6 medications with corresponding authorization records, emergency drills, injury reports, emergency supplies, and policies were reviewed. Children were observed participating in dramatic play, building activities, art, and reading. Handwashing procedures were also observed. There was an adequate number of staff present with current certification in Medication Administration Training (MAT), CPR and First Aid, and Daily Health Observation (DHO) training. Areas of non-compliance are identified in the Violation Notice. 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 5pm on 10/6/23. Please email me at angela.dudek@doe.virginia.gov with any questions.

Violations:

Standard #:	8VAC20-780-160-C
Description:	Based on review of 3 staff records, the center did not obtain documentation of a negative tuberculosis (TB) test or screening for staff every 2 years from the date of the initial screening or testing. Evidence: The record for Staff #3 did not have documentation of a negative TB test or screening within 2 years of the last TB test. The most recent TB test on file was dated 4/9/21.
Plan of Correction:	Staff member will obtain a current TB screening this week.
Standard #:	8VAC20-780-80-A
Description:	(Repeat Violation) Based on review of the written attendance record and interview with staff, the center did not ensure they maintained a written record of daily attendance for each group of children documenting the arrival and departure of each child in care as it occurs. Evidence: During inspection in the Busy Bees classroom, there were 14 children present, but the written record reflected there were 15 children present.
Plan of Correction:	I have met with the teacher and we have established a new way to ensure that attendance is taken as soon as the children arrive in the morning.
Standard #:	8VAC20-780-330-B
Description:	(Repeat Violation) Based on observation and inspection of the playground, the Center did not to ensure that the required amount of resilient surfacing was under playground equipment with moving parts or climbing apparatus to create a sufficient fall zone. The Preschool playground had a merry go round with seats that are 16 inches from the ground and it was placed 12 inches from the fence on one side. The required distance from an obstruction for a fall zone should extend to 6 feet.
Plan of Correction:	The resilient material on our playground meets the licensing requirements. We have a "trike-cycle" that was moved and is too close to fence. It will be moved to the proper distance this week.
Standard #:	8VAC20-780-510-B
Description:	Based on review of 6 medications and medication authorizations, the center did not ensure they have written authorization from the parent to administer prescription and nonprescription medications. Evidence: There was no documentation of written authorization from the parent for medication for Child #4.
Plan of Correction:	All paperwork for the medication was on file. Only one signature was missing from the first page, all other paperwork was in order. The parent has signed the paper.
Standard #:	8VAC20-780-510-H
Description:	Based on review of 6 medications, the center did not ensure that they administer only those drugs that were dispensed from a pharmacy and maintained in the original, labeled container. Evidence: The medication for Child #4 was not maintained in the original, labeled container from a pharmacy.
Plan of Correction:	The parent has brought in new medication in the original box and it is labeled properly.