Portsmouth Catholic Regional School

8VAC20-780-60-A · Based on record review and interview, the center did not ensure that each child's record contains all the required information.

Evidence: 1. The record for child 1 (date of enrollment: 8/24/21) does not contain the work phone number and place of employment of each parent who has custody. 2. The center director confirmed that the record for child 1 does not contain the work phone number and place of employment for each parent.

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8VAC20-780-160-A · Each staff member shall submit documentation of a negative tuberculosis screening at the time of employment and prior to coming into contact with children. The TB screening for staff 1 was completed seventeen days after she began employment.

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8VAC20-780-260-A · The center shall provide an annual fire inspection report from the appropriate fire official having jurisdiction. The fire inspection for the center is overdue by a month and a half.

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8VAC20-780-90-A · A written agreement between the parent and the center shall be in each child's record by the first day of the child's attendance. The agreement shall be signed by the parent and include a statement that the parent will inform the center within 24 hours or the next business day after his child or any member of the immediate household has developed any reportable communicable disease, as defined by the State Board of Health, except for life threatening diseased which must be reported immediately.

Five out of five children's records reviewed did not contain the parental agreement statement regarding reportable household communicable diseases.

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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.

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8VAC20-780-510-E · Based on interview and a review of medication, the center did not ensure that the center's procedures for administering medication shall include methods to prevent use of outdated medication.

Evidence: 1. There is an EpiPen prescribed to a child in care being stored at the center with an expiration date of November 2022. 2. The school nurse confirmed that the EpiPen was expired.

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22.1-289.035-B-2 · Based on record review and interview, the center did not ensure that they obtain the results of the fingerprint based background check prior to the first day of employment.

Evidence: 1. The record for staff 1 (date of hire: 8/18/22) does not contain documentation of a completed fingerprint based national criminal history record check. 2. Center management confirmed that a fingerprint based national criminal history record check was not completed for staff 1.

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