VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Christ the King School Early Learning Center and Extended Care
3401 Tidewater Drive
Norfolk, VA 23509
(757) 625-4951

Current Inspector: D'Nae Goodwin (757) 404-3063

Inspection Date: April 12, 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 8VAC20-820 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:

Technical assistance was provided in the following areas: spring training for field trips, outlet covers and allergy list/plans.

Comments:

An unannounced monitoring inspection was conducted on April 12, 2024, from 9:05am to 11:45am. At the time of the inspection there were 45 children in care and six staff members. Children in care ranged in age from two to five years old. Children were observed participating in various activities including play, whole group math and play dough. Records were reviewed for five children and three staff members. Medication, evacuation drills, emergency supplies and other required records and postings were reviewed. The information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice and discussed during the exit meeting.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview the center did not ensure to obtain the results of a fingerprint background check for all staff prior to the first day of employment. Evidence: 1.Staff #1 (date of hire September 11, 2023) and Staff #2 (date of hire February 20, 2024) did not have a criminal history check prior to first day of employment. 2. The program director confirmed that the fingerprint background checks were obtained after the date of hire.
Plan of Correction:	Program Director will communicate with Diocese prior to first day of employment for new staff to receive background checks. New staff will start after receiving background check.
Standard #:	8VAC20-770-60-B
Description:	Based on record review and interview the center did not ensure that a sworn statement or affirmation is obtained prior to employment. Evidence: 1. The record for Staff #1 contains a Sworn Statement or Affirmation dated October 23, 2023. However, the date of hire is documented as September 11, 2023. 2. The record for Staff #2 contains a Sworn Statement or Affirmation dated February 29, 2024. However, the date of hire is documented as February 20, 2024. 3. The program director confirmed that the Sworn Statement or Affirmations were dated after the date of employment.
Plan of Correction:	Program Director will ensure sworn disclosure statement is completed at the time of interview.
Standard #:	8VAC20-780-160-A
Description:	Based on record review the center did not ensure that each staff submit documentation of a negative tuberculosis (TB) screening within 30 days of employment. Evidence: 1. The record for Staff #1 contains a TB test is dated May 9, 2022, However, the documented date of hire is September 11, 2023. Therefore, the TB test is not current. 2. The records for Staff #2 and Staff #3 did not contain any documentation of tuberculosis screening. a. The documented date of hire for Staff #2 is February 20, 2024. b. The documented date of hire for Staff #3 is January 29, 2024.
Plan of Correction:	Staff 2 and 3 will obtain TB form by 4/26/24. Program Director will include TB form in orientation paperwork upon hiring. Program Director will conduct monthly audits to ensure continued compliance.
Standard #:	8VAC20-780-60-A
Description:	Based on observation the center did not ensure to maintain records for each child containing all the required information. Evidence: 1.The record for Child #1 did not contain a work phone number for a custodial parent or the name and phone number of the child?s physician. 2. The record for Child #2 was missing work phone numbers and place of employment for both parents, an address for both emergency contacts and previous child day care attended by the child. 3. The records for Child #3 and Child #4 did not contain documentation of an annual update. 4. The record for Child #5 was missing work phone numbers, place of employment for both parents, previous child day care attended, and documentation of viewing proof identity.
Plan of Correction:	Children 1, 2, 3, 5 information will be gathered by 4/26/24. Moving forward children will not be allowed to start until all information is gathered/ Program Director will conduct monthly audits to ensure compliance.
Standard #:	8VAC20-780-70
Description:	Based on record review the center did not ensure that each staff record contain all the required information. Evidence: 1.The record for Staff #1 did not contain verification of age, documentation to demonstrate qualifications for job title and documentation of two references. 2.The record for Staff #3 was missing documentation of two references and documentation to demonstrate education and orientation training requirements.
Plan of Correction:	Item 1 and 2 will have the missing items from their staff file by 4/19/24. Program Director will follow new hire check list to ensure all items are in staff files prior to first day in ratio.
Standard #:	8VAC20-780-90-A
Description:	Based on record review the center did not ensure that the required written agreement between the parent and the center be in each child's record by the first day of the child's attendance. Evidence: 1.The records for Child #1 (first date of attendance February 14, 2024) and Child #2 (first date of attendance August 22, 2024) did not contain a statement that the center will notify the parent when the child becomes ill and a statement that the parent will inform the center within 24 hours of communicable disease. 2. The record for Child #5 (first date of attendance August 22, 2024) was missing all the required written agreements between the parent and the center.
Plan of Correction:	Program Director will gather required agreements for children 1, 2, 5 by 5/3/24. Moving forward, illness policy and agreements will be added to all new paperwork. Program Director will conduct monthly audits to ensure compliance.
Standard #:	8VAC20-780-240-A
Description:	Based on record review the center did not ensure that staff complete each required topic for orientation training. Evidence: 1.The records for Staff #1, Staff #2, and Staff #3 did not contain documentation of training for recognizing and reporting child abuse and neglect. 2. Staff #1, #2 and #3 were present providing direct care to children during the inspection.
Plan of Correction:	Program Director will include child abuse and neglect online video in addition to what is reviewed at orientation prior to first day in ratio.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview the center did not ensure that areas and equipment are maintained in a safe condition. Evidence: 1.The trapeze bars on the main playground had areas of rust within reach of children. 2. Several s-hooks on the trapeze bars were open more than the thickness of a penny. 3.The playground climbing structure had visible rust and peeling paint. 4. In a bathroom used by children in care, there was a hole in the wall in one of the stalls. The hole was large enough for a child?s fingers to fit into. 4.The program director confirmed that both the playground and bathroom have areas that are unsafe and accessible to the children in care.
Plan of Correction:	Item 1 and 2 will be removed/ replaced by 4/26/24. Item 3 and 4 will be repaired by maintenance team by 5/3/24. Program Director will conduct daily safety checks to ensure compliance.
Standard #:	8VAC20-780-280-B
Description:	Based on observation and interview the center did not ensure that hazardous substances are kept in a locked place. Evidence: 1. There were unlocked chemicals in the two-year-old classroom. a. There was accessible hand sanitizer near the sink in the classroom. b. On an open shelf above the toilet in the children?s bathroom, there was a spray bottle of air freshener. c. The manufacturer label for both products state ?Keep Out of Reach of Children.? 2.The program director confirmed that the hand sanitizer and air freshener were left unlocked.
Plan of Correction:	Staff were retrained on 4/18/24 on hazardous substances and proper storage of items. Program Director will conduct daily safety checks to ensure compliance.
Standard #:	8VAC20-780-330-B
Description:	Based on observation and interview the center did not ensure that resilient surfacing for playground equipment complies with required safety standards. Evidence: 1.The main playground did not have at least six inches of resilient surface. 2.The program director confirmed that the resilient surface on the playground was not the required depth.
Plan of Correction:	The center will have 6 inches of resilient surface by 5/17/24. Program Director will conduct daily safety checks to ensure compliance.
Standard #:	8VAC20-780-550-D
Description:	Based on record review the center did not ensure to implement a monthly practice evacuation drill. Evidence: 1.There was no documentation for an evacuation drill for the month of March 2024.
Plan of Correction:	Program Director will set calendar reminders for monthly drills required to ensure none are missed.