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Holy Cross Academy Aviat Care Program
250 Stafford Lakes Parkway
Fredericksburg, VA 22406
(540) 286-1600

Current Inspector: Beth Velke (804) 629-8302

Inspection Date: May 22, 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
32.1 Report by person other than physician
63.2 Child Abuse & Neglect

Comments:
An unannounced monitoring inspection was conducted on 5/22/24 from 3:00 p.m. to 4:00 p.m. with the site director. There were 34 children in care, ranging in age from five to 12-years-old, supervised by four staff. The children were observed in free play. Five child records and five staff records were reviewed. Five medications and authorization forms were reviewed, and the center has one staff current in Medication Administration Training (MAT). Required postings were observed. The attendance, menu, and emergency drill log were reviewed. The first aid kit, flashlight, and battery-operated radio were observed. The most recent Fire Inspection on file was dated 9/30/24 and the most recent Health Inspection on file was dated 11/15/23. Areas of non-compliance are identified in the Violation Notice. If you have questions regarding this inspection, please contact the Licensing Inspector, Beth Velke, at beth.velke@doe.virginia.gov or 804-629-8302.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by 5 p.m. on 6/19/24.

Violations:
Standard #: 8VAC20-780-160-A
Description: Based on a review of five staff files, the center did not obtain documentation of a tuberculosis (TB) screening for staff at the time of employment and prior to coming in contact with children.

Evidence: The record for Staff #4, with an employment date of 7/31/23, did not contain documentation of a negative TB screening.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-70
Description: Based on a review of five staff records, the center did not obtain all required documentation for staff records.

Evidence: The records for Staff #3, with an employment date of 12/1/22, and Staff #4, with an employment date of 7/31/23, did not contain documentation of two references.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-280-H
Description: Based on observation and interview, hazardous substances.
such as cosmetics, medications, or other harmful agents were not in areas, purses or pockets that are accessible to children.

Evidence: A purse containing cosmetics and perfume was on a table, accessible to children.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-430-K
Description: Repeat Violation

Based on observation, there were not provisions made for individual place for each child's personal belongings.

Evidence: Children's personal belongings were observed in various locations of the gym floor.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-780-510-E
Description: Based on review of medication it was determined that the center did not follow procedures regarding expired medication.

Evidence: The emergency medication on site for Child #6 expired on 2/24.

Plan of Correction: Not available online. Contact Inspector for more information.

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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