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Portsmouth Catholic Regional School

Inspection · 2024-04-25

Date
2024-04-25
Complaint Related
No
Licensing Inspector
Heather Harrell
(757) 334-4329
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 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

Inspector Notes

A monitoring inspection was initiated and concluded on 4/25/2024. The inspector arrived at 10:09 AM and departed at 11:30 AM. There were 29 preschool children present with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 5 child records and 5 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 and discussed with staff 1 during the exit interview.

Violations

7
Standard 22.1-289-036-B-4
Based upon review of staff records, the facility has not ensured that they obtain the results of a criminal history record before having responsibility for the safety and well-being of children.
Evidence:
The record for staff 5 indicated a hire date of 8/9/2023. Results of a criminal history record were not obtained until 8/15/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-60-B
Based upon review of staff records, the facility has not ensured that an employee must not be employed without a completed sworn statement or affirmation.
Evidence:
The record for staff 5 indicated a hire date of 8/9/2023. The sworn disclosure or affirmation statement was not completed and signed until 8/14/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-160-A
Based upon review of staff records, the facility has not ensured that documentation of a negative tuberculosis (TB) screening obtained within 30 days prior to employment.
Evidence:
The record provided for staff 5 indicated a date of employ of 8/9/2023. Results of a negative TB screening was not obtained until 8/20/2023.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-240-I
Based upon review of newly hired staff, the facility has not ensured that the documentation of orientation training includes all required information.
Evidence:
The provided documentation of orientation training of staff 5, employed on 8/9/2023, did not include all required training topics.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-270-A
Based upon observation, the facility has not ensured that areas of the outside area of the facility are maintained to be safe.
Evidence:
There is an open metal ring protruding around an approximate six inch hole in the sidewalk area where the preschool children were observed walking to the outdoor playground. This is a potential tripping hazard.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Based upon measurements obtained, the facility has not ensured that where playground equipment is provided, resilient surface complies with the minimum safety standards of the American Society for Testing and Materials Standards for compressed loose fill depth.
Evidence:
1. The depth of the pea gravel taken under several areas of the chin-up bars and horizontal ladder bars measured at 4 inches or less.
2. The depth of the hardwood mulch under several the balance beams measured at 4 inches or less.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-550-P
Based upon review of written children's injury records, the facility ahs not ensured that all required information is documented.
Evidence:
1. An injury record dated 2/7/2024 for child 6 did not include the date, time and how the parent was notified of the injury, no future action to prevent recurrence of the injury, and no staff or staff/parent signatures.
2. An injury record dated 2/7/2024 for child 7 did not include the date, time and how the parent was notified of the injury, no future action to prevent recurrence of the injury, and no staff or staff/parent signatures.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services