The Blessed Sacrament Huguenot School

8VAC20-790-540-B-11

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for over 2 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-790-560-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 is currently working and did not have documentation of a completed TB screening in their record.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for 4 weeks, did not have documentation of requesting a central registry check and sex offender registry check from one state. Staff #3, employed for 4 weeks, did not have documentation of requesting a criminal history check, sex offender registry check or central registry check from one state. Additionally, staff #3 did not have documentation of requesting a sex offender registry check or central registry check from a different state.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal history check for staff #10 was overdue by 4 days and had not yet been requested.”

8VAC20-790-540-B-11

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for over 2 weeks, has a diagnosed food allergy and did not have a written care plan in their file.”

8VAC20-790-560-A

“Documentation of a negative tuberculosis (TB) screening must be submitted at the time of employment, before coming into contact with children, and shall have been completed within the last 30 days of the date of employment. Staff #1 is currently working and did not have documentation of a completed TB screening in their record.”

22.1-289.035-B-4

“The center is required to obtain background checks from any state in which the individual has resided in the preceding five years. Staff #2, employed for 4 weeks, did not have documentation of requesting a central registry check and sex offender registry check from one state. Staff #3, employed for 4 weeks, did not have documentation of requesting a criminal history check, sex offender registry check or central registry check from one state. Additionally, staff #3 did not have documentation of requesting a sex offender registry check or central registry check from a different state.”

22.1-289.035-A

“The center is required to have employees undergo a background check every five years. The most recent criminal history check for staff #10 was overdue by 4 days and had not yet been requested.”

8VAC20-790-600-F

“Based on review of staff records and interview, the center did not ensure each employee completed the department’s health and safety update course annually. Evidence: 1. The record for staff #2, #6, #7, #8, and #9 did not contain documentation of the department’s annual health and safety update course. 2. Staff acknowledged the annual health and safety update courses had not been completed and stated they were unaware of the subsidy requirement to complete such training annually.”

8VAC20-790-600-D-1

“Based on review of staff records and interviews, the center failed to ensure each staff maintained a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #6 (DOH:8/23/2021) contained a CPR certification that expired on 9/7/2023. 2. Staff #9 (DOH: 7/14/2023) did not have documentation of a current CPR certification. 3. Staff acknowledged the CPR certification being expired for staff #6 and confirmed staff #9 did not have any CPR certification. They stated they were unaware of the subsidy requirement of every staff maintaining a current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of staff records and interviews, the center failed to ensure each staff maintained a current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #6 (DOH: 8/23/2024) contained a first aid certification that expired on 9/7/2023. 2. Saff #9 (DOH: 7/14/2023) did not have documentation of a current first aid certification. 3. Staff acknowledged the first aid certification being expired for staff #6 and confirmed staff #9 did not have any first aid certification. They stated they were unaware of the subsidy requirement of every staff maintaining a current first aid certification.”

8VAC20-790-780-C-2

“Based on observation and interview, the center did not ensure all non-medical emergency supplies were maintained at the center. Evidence: 1. During the inspection, there was no working, battery-operated radio. 2. Staff acknowledged the radio previously on-site was broken last year and a new radio had not been purchased.”

8VAC20-790-600-F

“Based on review of staff records and interview, the center did not ensure each employee completed the department’s health and safety update course annually. Evidence: 1. The record for staff #2, #6, #7, #8, and #9 did not contain documentation of the department’s annual health and safety update course. 2. Staff acknowledged the annual health and safety update courses had not been completed and stated they were unaware of the subsidy requirement to complete such training annually.”

8VAC20-790-600-D-1

“Based on review of staff records and interviews, the center failed to ensure each staff maintained a current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1. The record for staff #6 (DOH:8/23/2021) contained a CPR certification that expired on 9/7/2023. 2. Staff #9 (DOH: 7/14/2023) did not have documentation of a current CPR certification. 3. Staff acknowledged the CPR certification being expired for staff #6 and confirmed staff #9 did not have any CPR certification. They stated they were unaware of the subsidy requirement of every staff maintaining a current CPR certification.”

8VAC20-790-600-D-2

“Based on a review of staff records and interviews, the center failed to ensure each staff maintained a current certification in first aid appropriate to the ages of children in care. Evidence: 1. The record for staff #6 (DOH: 8/23/2024) contained a first aid certification that expired on 9/7/2023. 2. Saff #9 (DOH: 7/14/2023) did not have documentation of a current first aid certification. 3. Staff acknowledged the first aid certification being expired for staff #6 and confirmed staff #9 did not have any first aid certification. They stated they were unaware of the subsidy requirement of every staff maintaining a current first aid certification.”

8VAC20-790-780-C-2

“Based on observation and interview, the center did not ensure all non-medical emergency supplies were maintained at the center. Evidence: 1. During the inspection, there was no working, battery-operated radio. 2. Staff acknowledged the radio previously on-site was broken last year and a new radio had not been purchased.”

8VAC20-790-640-A

“Based on observation, the vendor did not store hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: Cleaning materials were stored on a shelf in the children’s bathroom located in the Pre-K classroom.”

8VAC20-790-760-A-2

“Based on observation, the vendor did not ensure children’s hand were washed after toileting. Evidence: A staff member in the Two’s classroom was observed changing a child’s diaper. After the diaper change, the child did not wash their hands. The child began participating in activities in the classroom.”

8VAC20-790-580-A

“Based on review of seven children’s record, the vendor did not obtain documentation of immunizations required by the State Board of Health before one child began attending the center. Evidence: The record for Child #4 (first day of attendance 08/22/2023) did not contain a copy of immunization.”

8VAC20-790-540-B

“Based on review of seven children’s records, the vendor did not ensure two records contained the required information. Evidence: The records for Child #4 (first day of attendance 08/22/2023) and Child #7 (first day of attendance 08/22/2023) did not contain the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; names of persons other than the custodial parent who are authorized to pick up the child; written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds, and a written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor.”

8VAC20-790-760-A-3

“Based on observation, the vendor did not ensure staff washed their hands with soap and running water before and after helping a child use the toilet or changing a diaper. Evidence: A staff member in the Two’s classroom was observed changing a child’s diaper. After the diaper change, the staff did not wash their hands. The staff continued to complete tasks in the classroom.”

22.1-289.031-B-1

“Based on observation and interview, the center did not establish and implement procedures for hand washing by staff and children after diapering. Evidence: A staff member in the Two’s classroom was observed changing a child’s diaper. After the diaper change, the staff member and the child did not wash their hands. The staff member and the child began participating in activities in the classroom.”

22.1-289.058

“Based on observation and interview, the center did not ensure each building that serves preschool-age children was equipped with at least one carbon monoxide detector. Evidence: Children were observed present in six separate classrooms in the building. The children were two to five years of age. The licensing inspector did not see a carbon monoxide detector in the building. A member of management stated the building did not a carbon monoxide detector.”

22.1-289.031-B-4

“Based on observation and , the center did not establish and implement procedures for ensuring all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. The parent handbook states prior to a child attending the center, a copy of immunization must be submitted for the record. 2. The record for Child #4 (first day of attendance 08/22/2023) did not contain a copy of immunization.”

22VAC40-665-540-A

“Based on interview and documentation review, the vendor did not ensure the tuberculosis (TB) screening submitted at the time of employment was completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: 1. The record for Staff #2 (hire date 08/23/2021) contained documentation of a TB screening dated 06/29/2021. 2. The record for Staff #4 (hire date 08/23/2021) contained documentation of a TB screening dated 06/15/2021. 3. The director confirmed the hire dates with the licensing inspector.”

22VAC40-665-620-A

“Based on interview and observation, the vendor did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevents access by children. Evidence: During the virtual inspection, the licensing inspector observed a variety of cleaning chemicals sitting on a shelf above the toilets in the JK classroom. The director stated the JK classroom does not have an area to store cleaning chemicals.”