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Our Lady of Lourdes Catholic School

Inspection · 2025-05-29

Date
2025-05-29
Complaint Related
No
Licensing Inspector
Florence Martus
(804) 389-0157
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

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks

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 code compliance inspection was initiated on 05/29/2025 and completed on 06/04/2025. The on-site inspection began at 4:30pm and ended at 5:35pm. The inspector reviewed compliance in the areas listed above. There were 31 children present with 13 staff. The inspector reviewed five children?s records and five staff records on-site. Additional information was reviewed electronically on 06/04/2025. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliances with applicable code sections, and violations are documented on the violation notice issued to the program.

Violations

5
Standard 22.1-289.031-A-4
Each person in a supervisory position is required to be certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

The initial staff health report on file for Staff #1 was obtained 20 days late.
Plan of Correction: Corrected 06/03/25.
Standard 22.1-289.031-B-3
The center shall establish and implement procedures to ensure daily simple health screenings are completed by a person trained to perform such screenings.

There was no documentation to show that any staff on site at the time of inspection were trained to perform daily simple health screenings.
Plan of Correction: Corrected 06/03/2025.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first
day of employment.

Staff #1 and Staff #4 completed a sworn statement a day after their first day of employment.
Plan of Correction: A sworn statement will be on file prior to employment.
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.

The record of Staff #1 did not contain the results of a national fingerprint background check. The staff has been employed for over nine months. The national fingerprint background check for Staff #4 was obtained one day after their first day of employment.
Plan of Correction: The missing fingerprints will be obtained.
Standard 8VAC20-770-40-D-2
For staff hired before July 1, 2024, the center must obtain the results of a central registry search for an employee, within 30 days of service.

The central registry search results in the record of Staff #3 were obtained 45 days after employment and the central registry results in the record of Staff #4 were obtained 52 days after employment.
Plan of Correction: Already corrected.
View original record on Virginia Department of Social Services