VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Saint Mary Star of the Sea School
14 North Willard Avenue
Hampton, VA 23663
(757) 723-6358

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: Nov. 6, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on November 6, 2019 from approximately 11:50 am-3:30pm. Upon arrival to the facility, there were three preschool children present with one staff member. The cafeteria, gymnasium, after-school care room, recess yard and restroom areas used by the children were observed. The center does not offer transportation. Six staff records were reviewed.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in of six staff records reviewed, the center did not ensure that staff have results of a search of the Central Registry within 30 days of employment. Evidence: The HR Business Manager confirmed that there was no documentation of results of a search of the Central Registry for the following staff members: Staff #3-date of hire 9/2019 Staff #4-date of hire 8/2018
Plan of Correction:	I will contact the Office of Background Investigations and if they do not have them I will resend them.
Standard #:	63.2(17)-1716-A
Description:	Based on inspection of the facility and staff interviews, the center had not disclosed in writing to the parents or guardians of the children in the center all required information. Evidence: The Office Manager confirmed that the center had not disclosed the qualifications of the personnel in writing to the parents or guardians of the children in the center.
Plan of Correction:	Job descriptions of our after school care staff will be provided to our school community.
Standard #:	63.2(17)-1716-A-6
Description:	Based on inspection and staff interviews, the center did not ensure that all required aspects of the child day center's operations were described in a written statement provided to the parents or guardians of the children in the center and made available to the general public. Evidence: The Office Manager confirmed that the enrollment capacity and health requirements for staff were not provided in a written statement to the parents or guardians of the children in the center and made available to the general public.
Plan of Correction:	Written health requirements and after-school care enrollment capacity will be provided.
Standard #:	63.2(17)-1716-B-7
Description:	Based on staff interview, the center had not established and implemented procedures to ensure that all requirements were met regarding reports of serious injury or death of children attending the child day center. Evidence: The Office Manager confirmed that the center had not established and implemented the following procedures: 1. Ensuring that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Commissioner. 2. Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care professional or treatment in a hospital, shall be submitted annually. 3. Reports of deaths shall be submitted no later than one business day after the death occurred.
Plan of Correction:	Serious injury and death reporting procedures will be established and provided to staff.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review, in of six staff records reviewed, the center did not ensure that staff undergo required background checks prior to employment and every five years thereafter. Evidence: The HR Business Manager confirmed that all required background checks for staff were not completed every five years: Staff #2-most recent sworn statement dated 9/11/13
Plan of Correction:	Employee completed the form during the inspection.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in two of six staff records reviewed, the center did not ensure that staff submit to fingerprinting and obtain results. Evidence: The HR Business Manager confirmed that there was no documentation of a fingerprint results letter for the following staff members: Staff #1-date of hire 9/2017 Staff #2-date of hire 8/31/15
Plan of Correction:	I will have the staff to go to Fieldprint and schedule to have the fingerprints done.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, in one of six staff records reviewed, the center did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years. Evidence: The HR Business Manager confirmed that they had not obtained an out of state child abuse and neglect search for Staff #4 who indicated on the sworn statement dated 10/24/18 as to having lived outside of the state of Virginia within the past five years.
Plan of Correction:	I will call Wisconsin and report back to the licensing inspector.