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: June 6, 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. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was conducted on 6/6/2024. The inspector was on site from approximately 9:22 am-1:25 pm. There were 75 children present, ranging in ages from 4 months to 10 years, with 23 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 7 child records and 7 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word corrected is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	8VAC20-770-60-B
Description:	REPEAT VIOLATION Based on a review of seven staff records and interview, the center did not ensure that one staff completed a sworn statement background check prior to employment as required. Evidence: 1. The record of staff # 7 (date of employment: 8/28/2023) contained a sworn statement dated 8/29/2023. 2. Administration acknowledged that the sworn statement was not completed prior to employment.
Plan of Correction:	Sworn statement Background Check Violation-Date to be Corrected 6-7-24 1. Steps to correct the Noncompliance Moving forward no staff will be allowed to start without a signed sworn statement dated before the employees start date 2. Measures to prevent the noncompliance from occurring again Moving forward no staff will be allowed to start without a signed sworn statement dated before the employees start date 3. Person?s responsible for implementing each step and/or monitoring any preventative measures Director/Assistant Director will ensure sworn statement is signed prior to employment.
Standard #:	8VAC20-780-130-A
Description:	Based on a review of seven child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1.The record of child #4 (date of attendance: 8/22/2023) contained an immunization record dated 9/7/2023. 2. Administration acknowledged that the immunization record was reviewed after the first date of attendance.
Plan of Correction:	Student records did not contain the required immunization records to start - Date to be corrected 6-7-24. 1. Steps to correct the Noncompliance Moving forward all children will provide the required immunization paperwork before starting. 2. Measures to prevent the noncompliance from happening again All children starting at LPP will must provide the required immunizations before the child starts at LPP. 3. Persons responsible for implementing each step, and/or monitoring any preventative measures After office manager accepts paperwork from newly enrolling students. Director/Assistant director will review paperwork for completeness before student starts at LPP
Standard #:	8VAC20-780-140-A
Description:	Based on a review of seven child records and interview, the center did not ensure that two children had a physical examination by or under the direction of a physician: 1. Before the child's attendance; or 2. Within 30 days after the first day of attendance. Evidence: 1. The record of child #6 (date of attendance: 8/21/2023) did not contain a physical record. The record of child #7 (date of attendance: 11/7/2023) did not contain a physical record. 2. Administration acknowledged that they had not received a physical record for the children.
Plan of Correction:	Student records did not contain the required physical form - Date to be corrected 6-7-24 1. Steps to correct the Noncompliance Parent was asked and provided the required physical form before child was able to attend LPP. 2. Measures to prevent the noncompliance from happening again After office manger accepts paperwork from newly enrolling students. Director/Assistant director will review paperwork for completeness before student starts at LPP 3. Persons responsible for implementing each step, and/or monitoring any preventative measures. Director and Assistant Director will monitor preventative measures.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on a review of seven child records and interview, the center did not ensure that two records contained the required information. Evidence: 1. The record of child #3 (date of attendance: 2/5/2024) was missing two emergency contact addresses. The record of child #4 (date of attendance: 8/22/2023) was missing one emergency contact address. Child records are required to contain the name, address, and phone number of two designated people to call in an emergency if a parent cannot be reached. 2. Administration acknowledged that the records were incomplete.
Plan of Correction:	Student Records did not contain the required emergency contact addresses Date to be corrected 6-7-24 1. Steps to correct the Noncompliance Parents provided the required emergency contact addresses. 2. Measures to prevent the noncompliance from happening again After office manger accepts paperwork from newly enrolling students. Director/Assistant director will review paperwork for completeness before student starts at LPP 3. Persons responsible for implementing each step, and/or monitoring any preventative measures Director and Assistant Director will monitor preventative measures.
Standard #:	8VAC20-780-70
Description:	Based on a review of seven staff records and interview, the center did not ensure that one record was kept that contained the required information. Evidence: 1. The record of staff #7 (date of employment: 8/28/2023) contained two references dated 8/29/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment. 2. Administration acknowledged that the references were obtained after the start of employment.
Plan of Correction:	Staff records did not contain the required reference checks-Date to be corrected 6-7-24 1. Steps to correct the Noncompliance Moving forward Assistant Director will check references prior to start date of new employees. 2. Measures to prevent the noncompliance from happening again Moving forward Assistant Director will check references prior to start date of new employees. 3. Persons responsible for implementing each step, and/or monitoring any preventative measures. Director will review staff records before new employees may start at LPP.