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St. Mary's School
400 Green Street
Alexandria, VA 22314
(703) 549-1646

Current Inspector: Shahana Green (571) 423-6735

Inspection Date: March 18, 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.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

Technical Assistance:
*Discussed need for licensing records to be more organized and in one central location.
Recommended Director to go to Phase 2 training for CDC review.

Comments:
Today an unannounced Monitoring Inspection took place between the hours of 12:45pm-2:00pm. There were 2 classrooms observed with a total of 30 with 2 staff within the supervision guidelines. The children were observed taking a nap. A complete inspection of the physical plant, children and staff records, evacuation drill log and emergency procedures were observed during this inspection. Violations were found during today?s inspection and can be viewed on the Violation Notice. Thank you for your cooperation during the inspection. If you have any questions, please e-mail me at shahana.green@doe.virginia.gov.

Violations:
Standard #: 8VAC20-780-160-A
Description: Based on a review of staff records, 1 out of 2 staff did not contain documentation of a negative tuberculosis screening.

Evidence:
1. Staff #2 (doh: 8/2020) did not have documentation of a tuberculosis screening on file at the time of the inspection.

Plan of Correction: We will have the staff member get their TB screening and place in their file.

Standard #: 8VAC20-780-60-A
Description: Based on a review of children's records, 3 out of 3 records reviewed did not contain the required information.

Evidence:
1. Child #1, Child #2, and Child #3 did not have the name, address, and phone number for 1 of 2 required emergency contacts.

Plan of Correction: We will ask the parents to give another emergency contact with full contact information.

Standard #: 8VAC20-780-70
Description: Based on a review of staff records, 2 out of 2 staff records reviewed did not contain the required information.

Evidence:
1. Staff #1 (doh: 8/2022) did not have documentation of 1 of 2 required references of character and reputation prior to hire.
2. Staff #2 (doh: 8/2020) did not have documentation of 2 of 2 required references of character and reputation prior to hire.
3. Staff #1 and Staff #2 did not have documentation of new hire orientation given within 7 days of hire.

Plan of Correction: We will get the references placed into the files. We will also have the staff members all take the new hire (licensing) orientation and place in the file.

Standard #: 8VAC20-780-450-A
Description: Based on observation, 2 out of 30 children did not have linens consisting of a top cover and a bottom cover or a one-piece covering which is open on three edges.

Evidence:
1. One child observed in each of 2 classrooms visited did not have a top and bottom cover available during the rest time period. The 2 children observed were laying directly on their naptime mats with no top or bottom cover.

Plan of Correction: We will ensure that all children have a top and bottom cover during every rest period.

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.

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