VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lighthouse Academy of Fredericksburg
10713 Tidewater Trail
Fredericksburg, VA 22408
(540) 372-9699

Current Inspector: Cindy Horne (804) 297-4469

Inspection Date: Feb. 5, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 STAFF QUALIFICATIONS AND TRAINING. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 PROGRAMS. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-80 THE LICENSE. 22VAC40-80 THE LICENSING PROCESS. 22VAC40-191 Background Checks (22VAC40-191) 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs.

Technical Assistance:

Technical assistance was provided regarding shelter-in-place drills. A minimum of two shelter-in-place practice drills shall be practiced per year for the most likely to occur scenarios. In addition, requirements for background checks were discussed.

Comments:

An unannounced renewal inspection was conducted today from 10:45am-1:50pm. There were 14 children directly supervised by 2 staff, and the classroom was within supervision guidelines. The physical plant, programming, 3 staff records, 7 children's records, 3 board officer records, emergency drills and supplies, injury reports, and policies were inspected. The center currently has several staff trained in Medication Administration Training (MAT), however, there were reportedly no medications on site today. In addition, an adequate number of staff on site are trained in CPR/First Aid and Daily Health Observation. Children were observed reading books, watching a movie and learning about space and astronauts, playing with blocks, and engaging in center play. Positive interactions between children and staff were observed during this inspection. There was an abundant supply of age appropriate materials for the children and the center was clean and organized. Areas of non-compliance are identified in the Violation Notice. If you have any questions regarding this inspection, please contact me at morgan.bryson1@dss.virginia.gov.

Violations:

Standard #:	22VAC40-185-130-A
Description:	Based on record review, 1 of 7 children's records reviewed did not contain documentation that each child has received immunizations required by the State Board of Health before the child can attend the center. Evidence: Child #4's record did not contain the immunization record.
Plan of Correction:	I already made contact with mom and she is going to get the religious exemption form to us.
Standard #:	22VAC40-185-70-A
Description:	Based on record review, 1 of 3 staff and volunteer records reviewed did not contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering.
Plan of Correction:	I can get 2 references by Monday.
Standard #:	22VAC40-185-80-A
Description:	Based on observation and staff interview, the center did not have a written record of children in attendance today. Evidence: At the beginning of the inspection, at approximately 10:45am, Staff #1 stated attendance has not been completed today.
Plan of Correction:	We'll follow up to make sure the staff understands to take attendance as students are arriving and not waiting until midday in case of emergency so that we know the exact head count.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on record review, 1 of 3 board officer records reviewed did not contain the Sworn Disclosure Statement by the first day or results of the central registry search by the 30th day of becoming a board officer. Evidence: Board Officer #3 (Start Date: 5/8/19)'s record did not contain the Sworn Disclosure Statement or the results of the central registry search.
Plan of Correction:	We'll contact the board officer and have him sign the paperwork.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, 1 of 3 staff and volunteer records reviewed did not contain the results of a fingeprint based national criminal history background check. Evidence: Volunteer #1 has not completed a fingerprint based national criminal history background check.
Plan of Correction:	We will have the volunteer complete fingerprinting.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review, 3 of 3 board officers' records reviewed did not contain the results of a fingerprint based national criminal history background check. Evidence: Board Officer #1, Board Officer #2, and Board Officer #3 have not completed fingerprint based national criminal history background checks.
Plan of Correction:	We will have the board officers complete fingerprinting.