VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lakeside Presbyterian Preschool
7343 Hermitage Road
Henrico, VA 23228
(804) 261-7942

Current Inspector: Susan Ellington-Sconiers (804) 588-2368

Inspection Date: May 5, 2022

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 ? 63.2 Child Abuse & Neglect ? 8VAC20-790 Subsidy Regulations.

Comments:

The inspector conducted an unannounced focused inspection on 05/05/2022 from 10:18am to 2:30pm. This inspection focused on compliance with the standards that could not be determined during the initial inspection due to the center not being in operation at the time. The children were observed playing on the playground, completing art activities, preparing for graduation, eating lunch and napping. The menu was posted. Interviews were held with staff throughout the inspection. Ten children?s records, ten staff records and an additional 23 staff background check records were reviewed during this inspection. If you have any questions about this inspection, please contact the licensing inspector at (804) 929-3771.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on record review, the provider did not ensure 24 of 33 staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 2. The record of staff #4 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 3. The record of staff #5 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 4. The record of staff #6 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 5. The record of staff #7 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 6. The record of staff #8 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 7. The record of staff #10 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 8. The record of staff #11 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 9. The record of staff #12 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 10. The record of staff #14 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 11. The record of staff #15 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 12. The record of staff #16 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 13. The record of staff #17 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 14. The record of staff #18 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 15. The record of staff #19 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 16. The record of staff #23 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 17. The record of staff #24 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 18. The record of staff #26 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 19. The record of staff #27 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 20. The record of staff #28 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 21. The record of staff #29 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 22. The record of staff #31 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 23. The record of staff #32 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results. 24. The record of staff #33 (start date: 3/28/22) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the center did not ensure one of 33 staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years. Evidence: The record of staff #8 (start date: 3/28/2022) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-B
Description:	Based on record review, the provider did not ensure 25 of 33 staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #2 (start date: 3/28/22) did not have documentation of central registry results. 2. The record of staff #3 (start date: 3/28/22) did not have documentation of central registry results. 3. The record of staff #4 (start date: 3/28/22) did not have documentation of central registry results. 4. The record of staff #5 (start date: 3/28/22) did not have documentation of central registry results. 5. The record of staff #6 (start date: 3/28/22) did not have documentation of central registry results. 6. The record of staff #7 (start date: 3/28/22) did not have documentation of central registry results. 7. The record of staff #8 (start date: 3/28/22) did not have documentation of central registry results. 8. The record of staff #9 (start date: 3/28/22) did not have documentation of central registry results. 9. The record of staff #10 (start date: 3/28/22) did not have documentation of central registry results. 10. The record of staff #11 (start date: 3/28/22) did not have documentation of central registry results. 11. The record of staff #12 (start date: 3/28/22) did not have documentation of central registry results. 12. The record of staff #14 (start date: 3/28/22) did not have documentation of central registry results. 13. The record of staff #16 (start date: 3/28/22) did not have documentation of central registry results. 14. The record of staff #17 (start date: 3/28/22) did not have documentation of central registry results. 15. The record of staff #18 (start date: 3/28/22) did not have documentation of central registry results. 16. The record of staff #19 (start date: 3/28/22) did not have documentation of central registry results. 17. The record of staff #20 (start date: 4/11/22) did not have documentation of central registry results. 18. The record of staff #21 (start date: 3/28/22) did not have documentation of central registry results. 19. The record of staff #23 (start date: 3/28/22) did not have documentation of central registry results. 20. The record of staff #24 (start date: 3/28/22) did not have documentation of central registry results. 21. The record of staff #28 (start date: 3/28/22) did not have documentation of central registry results. 22. The record of staff #29 (start date: 3/28/22) did not have documentation of central registry results. 23. The record of staff #31 (start date: 3/28/22) did not have documentation of central registry results. 24. The record of staff #32 (start date: 3/28/22) did not have documentation of central registry results. 25. The record of staff #33 (start date: 3/28/22) did not have documentation of central registry results.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-60-C-2
Description:	Based on record review, the provider did not ensure 13 of 33 staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #6 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 2. The record of staff #8 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 3. The record of staff #10 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 4. The record of staff #14 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 5. The record of staff #15 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 6. The record of staff #18 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 7. The record of staff #21 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 8. The record of staff #23 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 9. The record of staff #24 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 10. The record of staff #26 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 11. The record of staff #27 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 12. The record of staff #28 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation. 13. The record of staff #33 (start date: 3/28/22) did not have documentation of a completed sworn statement or affirmation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center did not ensure one of ten children?s records contained documentation of a physical examination before the child?s attendance or within 30 days after the first day of attendance. Evidence: 1. The record of child #8 (start date: 3/28/2022) did not have documentation of a physical examination.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-60-A
Description:	Based on record review, the center did not ensure two of ten children?s records contained documentation of viewing proof of the child?s identity and age. Evidence: 1. The record of child #3 (start date: 4/4/2022) did not have documentation of viewing proof of the child?s identity and age. 2. The record of child #7 (start date: 3/28/2022) did not have documentation of viewing proof of the child?s identity and age.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-70
Description:	Based on record review, the center did not ensure one of ten staff records had documentation to demonstrate that the individual possesses the education and training as required by their assigned job position. Evidence: 1. The record of staff #8 (start date: 3/28/2022) did not have documentation showing that the staff member possesses the education and training required by the job position. 2. The record of staff #10 (start date: 3/28/2022) did not have documentation showing that the staff member possesses the education required by the job position.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-270-A
Description:	Based on observation, the center did not ensure areas and equipment of the center, inside, were maintained in a clean, save and operable condition. Evidence: 1. There was a rope, about 2 feet long, hanging from a window covering located near a crib presenting an entanglement hazard. 2. The Blue/Purple Room?s bathroom sink had begun to rust and there were two rusted screws sticking up, about 2 inches high, from the bottom of the toilet presenting a puncture hazard. 3. The Red/Yellow Room?s bathroom had two rusted screws sticking up, about 2 inches high, from the bottom of the toilet presenting a puncture hazard. 4. The Preschool bathroom had two rusted screws sticking up, about 2 inches high, from the bottom of the toilets presenting a puncture hazard.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-280-B
Description:	Based on observation, the center did not ensure hazardous substances such as cleaning materials were kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The unlocked staff break room had several cleaners located in unlocked cabinets out of the reach of children in care. 2. The Red Room had several cleaners located in an unlocked cabinet within the reach of children in care. 3. The Pre-K classroom had an unlocked closet with two cleaners located in it.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-780-330-B
Description:	Based on observation, the center did not ensure that where play equipment is provided, resilient surfacing complied with minimum safety standards described in the American Society for Testing and Materials. Evidence: 1. Both slides located on the center's toddler playground did not have enough resilient surfacing throughout the entire fall zone. There must be at least six inches of resilient surfacing throughout the fall zone. The center had about 1 inch of wooden mulch and decomposed mulch/dirt in the fall zone.
Plan of Correction:	Not available online. Contact Inspector for more information.