VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Primrose School of Arlington
2107 Wilson Boulevard
Arlington, VA 22201
(703) 565-9800

Current Inspector: Margaret Allworth (703) 209-3521

Inspection Date: March 6, 2024

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:

An unannounced monitoring inspection was conducted on March 6, 2024, from 8:04am-12:05 pm. At the time of entrance, ( 53 ) children were in care with ( 15 ) staff members present. The inspector reviewed 4 children?s records and 6 staff records. Children were observed arriving to the program, building with magnet blocks and art. Medications were observed. Areas of non-compliance are identified on the violation notice. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use staff names; list staff by positions only. Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website. The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification of the Acknowledgement Form. Once the background check is received by the center, the results must be forwarded to the licensing inspector. If you have any questions about this inspection, please contact the Licensing Inspector, Margaret Allworth at Margaret.allworth@doe.virginia.gov

Violations:

Standard #:	22.1-289.035-B-4
Description:	Systemic Deficiency: Based on a review of staff records, 2 staff have not obtained a copy of the results of a criminal history record check and a search of the child abuse and neglect registry from any state in which the individual has resided in the preceding five years. Evidence: Staff # 3 indicated on their sworn disclosure statement that they have resided in Ohio within the past 5 years, that State requires a search of the child abuse and neglect which has not been completed. Staff # 6 indicated on their sworn disclosure statement that they have resided in Pennsylvania and South Carolina within the past 5 years, both states require results of a criminal history record check and a search of the child abuse and neglect registry which have not been obtained.
Plan of Correction:	Staff #3 no longer at job as of 3/7. Staff #6 has been completed and results submitted to inspector.
Standard #:	8VAC20-770-60-C-2
Description:	Systemic Deficiency: Based on a review of staff records, 4 staff did not have a central registry finding within 30 days of employment. Evidence: The following staff do not have documentation of their Central Registry Search: Staff # 2, date of employment 10/30/2023 Staff #3, date of employment 10/27/2023 Staff # 4, date of employment 12/7/2023 Staff #5, date of employment 11/3/2023
Plan of Correction:	These have been initiated, for staff #4 we have been awaiting results- will contact phone number given to follow up.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of children records, 1 child's record has not been updated annually to confirm with parents of any changes. Evidence: Child #1 record is dated 3/27/2021, there are no documentation to show the record has been reviewed and updated annually by the parent.
Plan of Correction:	We have a similar form called the Transportation form which was updated for the school year however, we have made a no change form as well- printed and distributed- collection due back is 3/15.
Standard #:	8VAC20-780-70
Description:	Systemic Deficiency Based on staff record review and staff interviews, documentation of at least 2 references have not been checked for 5 staff before employment. Evidence: The following staff do not have documentation of their references being checked prior to their employment. Staff#2 date of employment 10/30/2023 Staff #3 date of employment 10/27/2023 Staff #4 date of employment 12/7/2023 Staff #5 date of employment 11/3/2023 Staff #6 date of employment 1/22/2024
Plan of Correction:	These have been initiated and will be completed- new process has been put into place for references to be completed prior to an offer letter.
Standard #:	8VAC20-780-240-B
Description:	Based on a review of staff records and staff interviews, 2 staff have not completed orientation training no later than seven days of the day of assuming job responsibilities. And 1 staff has not completed the required Evidence: The following staff have not completed orientation training: Staff #3, date of employment 10/27/2023 Staff # 5, date of employment 11/3/2023
Plan of Correction:	Both staff have completed them but was filed in a separate area- rectified to be filed correctly.
Standard #:	8VAC20-780-240-C
Description:	Based on a review of staff records, 1 staff has not taken the required orientation training to include Recognizing Child Abuse and Neglect. Evidence: There was no documentation that showed staff # 4, date of employment 12/7/2023 has taken the required training on Recognizing Child Abuse and Neglect.
Plan of Correction:	This has been completed but was filed in a separate area- rectified to be filed correctly.