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RESURRECTION LUTHERAN SCHOOL LLC

Inspection · 2024-11-21

Date
2024-11-21
Complaint Related
No
Licensing Inspector
Michele Patchett
(757) 439-6816
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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
20 Access to minor's records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site monitoring inspection was initiated on 11/21/2024 and completed on 12/28/2024. The on-site inspection began at 12:40 am and ended at 5:35 pm. The inspector reviewed compliance in the areas listed above.
There were 88 children present and 14 staff. The inspector reviewed 9 children?s records and 9 staff records on-site on 11/21/2024. This inspection included document review tour of the facility, interviews, observations and measurements.

Information gathered during the inspection determined non-compliance with applicable standards or law, and violations are documented on the violation notice issued to the program.

Violations

4
Standard 8VAC20-780-160-A
The center is required to obtain documentation of a negative tuberculosis (TB) screening at the time of employment and prior to coming into contact with children. Staff #7 is currently working, had no documentation of a TB Screening and had been employed for over two months.
Plan of Correction: Staff #7 will be required to obtain the results of her TB screening or obtain an new screening and submit the results within 2 weeks.
Standard 8VAC20-780-240-A
Staff are to complete the VDOE sponsored online orientation course within 90 days of hire. Staff #7, who is working with children, has not yet completed this course which is overdue by more than 1 month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-B
Staff are to complete a center-specific orientation appropriate to the age of children in care prior to working with children and no later than 7 days from the date of assuming job responsibilities. Reference checks taken over the phone, documentation shall include:
Dates of contact, Names of persons contacted The firms contacted, Results; and Signature of person making call.
Staff #7, who is working with children, did not have documentation in her record to demonstrate completion of the orientation training which is which is overdue by 2 months. Orientation documentation which was sent following the inspection did not contain the dates of contact or the signature of the person making the call.
Plan of Correction: Staff #2 was oriented to the center specific orientation training at the time of hire. A brief review of the orientation will be given and the documentation will be re-created and placed in staff #2's file to demonstrate compliance with the requirement.
Standard 8VAC20-780-70
Documentation of at least 2 references to character, reputation, and competency are to be checked prior to employment. . If a reference check is taken over the phone, documentation shall include: dates of contact, names of persons contacted, firms contacted, results; and signature of person making call.
Staff #7, who has been actively working at the center for the past 2 months, did not have complete reference verifications on file. The documentation sent to the inspector following the inspection did not include the dates that the references were checked and the signature of the person taking the reference.
Plan of Correction: Staff referenced will be updated with missing information and the completed documentation will be placed in staff #7's record within 2 weeks.
View original record on Virginia Department of Social Services