Holy Family Catholic School
14160 Ferndale Road
Woodbridge, VA 22193
(703) 670-3138 (314)
Current Inspector: Angela Dudek (804) 629-8167
Inspection Date: Feb. 28, 2024
Complaint Related: No
- Areas Reviewed:
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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:
8VAC20-780-80A A written record of attendance is required to be kept with each group of children.
- Comments:
-
An unannounced renewal inspection was conducted on 02/28/2024 from 10:10am to 12:25pm. There were 43 children ages 3 years to age 5 years old supervised by 6 staff. The physical plant, programming, attendance, menus, 5 staff records, 3 children?s records, 9 medications with corresponding authorization records, emergency drills, emergency supplies, and policies were reviewed. Children were observed participating in circle time, snack and large motor activities. 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 3/7/24. Please email me at angela.dudek@doe.virginia.gov with any questions.
- Violations:
-
Standard #: 22.1-289.035-A Description: Based on review of 5 staff records, the Center did not obtain a sworn disclosure statement or Criminal History results every five years from the date of the last statement and background check.
Evidence:
1)The record for Staff #2 did not contain a signed sworn disclosure statement every five years from the last sworn disclosure statement date. The previous statement was dated 8/1/18.
2)The record for Staff #3 did not contain criminal history results every five years from the last background check. The previous criminal history results were dated 9/21/18.Plan of Correction: Staff #2 completed and signed a sworn disclosure statement on 2/28/24 and it is in the file.
Staff #3 will obtain a new criminal record check and the documentation will be emailed when it is received.
Standard #: 22.1-289.036-B-2 Description: Based on review of 5 staff records, the Center did not obtain a criminal history background check completed by the end of the 30th day of employment for a renewal applicant or agent.
Evidence:
1)The record for Staff #1 (start date 6/28/19) did not contain a criminal history background check by the end of the 30th day of employment.Plan of Correction: Staff #1 will be fingerprinted on 3/5/24. The completed documentation will be emailed when it is received.
Standard #: 8VAC20-770-40-D-1-a Description: Based on review of 5 staff files and interview with staff, the center did not obtain documentation that a central registry search or sworn disclosure statement was completed by the end of the 30th day of employment for a renewal application or agent.
Evidence: The record for Staff #1 (start date 6/28/19) did not contain documentation that a central registry search or sworn disclosure statement was completed within 30 days of employment. There were no Central registry results or sworn statement in the file. No documentation of follow up was in the file.Plan of Correction: The sworn disclosure statement has been obtained from Staff #1 and is in the file.
Standard #: 8VAC20-780-510-E Description: Based on review of 9 medications and medication authorizations, the center did not ensure they follow the policy for administration of medication.
Evidence:
For 3 medications for Child #1, the duration of the parent?s authorization was not renewed after 10 workdays nor was written medication authorization given from the child?s physician and parent for a long term medication.Plan of Correction: The medication has been returned to the parent.
Disclaimer:
A compliance history is in no way a rating for a facility.
The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.
