VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Holy Cross Academy Aviat Care Program
250 Stafford Lakes Parkway
Fredericksburg, VA 22406
(540) 286-1600

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: Dec. 15, 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 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Technical Assistance:

8VAC20-780-60 Discussed the requirements for children?s records. 8VAC20-780-70 Discussed the requirements for staff records.

Comments:

An unannounced monitoring inspection was conducted on 12/15/23 from 7:00 a.m. to 8:17 a.m. with Director. There were 30 children in care, ranging in age from five to 12-years-old, supervised by two staff. The children were observed in free play. Three child records and five staff records were reviewed. The attendance, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio were observed. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 01/04/2024.

Violations:

Standard #:	8VAC20-770-60-C-2
Description:	Repeat Violation Based on review five staff records, the center did not obtain documentation of the results of a central registry search within 30 days of employment for all staff members. Evidence: The record for Staff #4, with a start date of 12/01/22, did not contain documentation of the results of a search of a central registry search at the time of inspection.
Plan of Correction:	CPS was sent out and paid for through the portal on 12/25/23 and we are waiting for the results.
Standard #:	8VAC20-780-160-C
Description:	Based on review of four staff records, the center did not obtain subsequent tuberculosis (TB) screening or testing at least every two years from the date of the initial screening or testing for staff members. Evidence: The tuberculosis test on file for Staff #1 and Staff#2 was dated 05/04/21.
Plan of Correction:	TB forms have been given to the employees
Standard #:	8VAC20-780-80-A
Description:	Based on review of the written attendance record, the center did not ensure they maintained a written record of daily attendance for each group of children documenting arrival and departure of each child in care as it occurs. Evidence: There was no written record of attendance.
Plan of Correction:	Physical attendance form is being used now for documenting student arrival.
Standard #:	8VAC20-780-350-B-5
Description:	Based on observation and interview, the center did not ensure the required ratio of staff to children was met. Evidence: From 7:08 a.m. to approximately 7:17 a.m. Staff #1 was alone with 20 children, ages 5 to 12-years-old. The required ratio for this age group is no more than 18 children to one staff member.
Plan of Correction:	Employee was met with and informed of being late and was told they needed to be on time to meet ratios
Standard #:	8VAC20-780-430-K
Description:	Repeat Violation Based on observation, there were not provisions made for individual place for each child's personal belongings. Evidence: Children's personal belongings were observed in various locations of the gym, on chairs and on the floor.
Plan of Correction:	Ordered baskets to place children's belongings in