VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Ambassadors For Jesus Christ
4 Duncan Drive
Hampton, VA 23663
(757) 723-5530

VDSS Contact: Michele Patchett (757) 439-6816

Inspection Date: April 18, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

Licensing Inspector arrived on April 18, 2018 at 10:20am and departed at 4:00pm to conduct a Subsidy Health and Safety Inspection. Upon arrival to the facility, there were 28 children present with five staff members, ranging in age from Infants to five years old. Additional staff were on site for administrative and support purposes. The children were observed playing in their classrooms, having lunch, and resting. The sample size consisted of five children's records and five staff records. One medication was reviewed.

Violations:

Standard #:	22VAC40-665-800-C
Description:	Based on observation and inspection of the facility, the vendor did not ensure that bottle fed infants who cannot hold their own bottles shall be held when fed. Bottles shall not be propped or used while the child is in his designated sleeping location. Evidence: An infant was observed in a swing with a folded blanket on top of his chest propping the infant's bottle.
Plan of Correction:	Owner will reiterate to the staff that propping bottles is unacceptable.
Standard #:	22VAC40-665-800-E
Description:	Based on observation and inspection of the facility, the vendor did not ensure that bottles were not refrigerated and labeled appropriately. Evidence: Four bottles were observed on a cubby in the infant room and the bottles were not dated.
Plan of Correction:	A system will be put in place to date the bottles.
Standard #:	22VAC40-665-500-F
Description:	Based on observation and inspection of the facility, the vendor did not ensure that the current written list of children's allergies, sensitivities, and dietary restrictions shall be dated and kept confidential in each room where children are present. Evidence: The allergy lists were observed posted throughout the facility and were not dated.
Plan of Correction:	We will remove all posted allergy signs and relocate them to a place visible only to staff.
Standard #:	22VAC40-665-510-B
Description:	Based on review and staff interview, the vendor did not ensure that for each group of children, the vendor shall maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The daily attendance records, as confirmed by staff in the classrooms, had not been completed for the date of the inspection in the Infant room and the Busy Bee/Honey Bear classroom.
Plan of Correction:	The teacher will do the attendance upon entry to the classroom and add any additional children after.
Standard #:	22VAC40-665-520-B
Description:	Based on record review, in three of five children's records reviewed, the vendor did not ensure that all required information was maintained in each child's record. Evidence: The following information had not been documented in each child's record: Child #2-one parent's work address and work phone number Child #4 & #5-address for one emergency contact
Plan of Correction:	The parents will complete the missing information.
Standard #:	22VAC40-665-540-A
Description:	Based on record review, in of five staff records reviewed, the vendor did not ensure that staff were issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. The documentation shall have been 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: There was no documentation of a TB screening in the records for Staff #1, Staff #2, Staff #4 and Staff #5.
Plan of Correction:	The staff will obtain documentation and it will be placed in their files.
Standard #:	22VAC40-665-580-F
Description:	Based on record review, in two of five staff records reviewed, the vendor did not ensure that all staff who work directly with children must complete CPR and first aid training. Evidence: There was no documentation that Staff #1 and Staff 3 completed CPR and first aid training.
Plan of Correction:	We are in the process of scheduling a course and those staff will complete the training.
Standard #:	22VAC40-665-620-A
Description:	Based on observation and inspection of the facility, the vendor did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There were multiple unlocked substances throughout the facility, in areas that were accessible to the children in care, to include hand sanitizer, air fresheners, and bleach-water solution.
Plan of Correction:	Owner will purchase a tackle box that locks.
Standard #:	22VAC40-665-650-C
Description:	Based on observation and inspection of the facility, the vendor did not ensure that ratios were maintained for children from birth to two years: one staff member for every four children. Evidence: In the Honey Bears and Busy Bees room there was one staff with eight children. The youngest child in the room was 21 months old.
Plan of Correction:	An assistant will be placed in the room.
Standard #:	22VAC40-665-650-E
Description:	Based on inspection of the facility, the vendor did not develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: The center had not developed and implemented a consistent care policy.
Plan of Correction:	We will update the handbook to include the policy.
Standard #:	22VAC40-665-750-A
Description:	Based on staff interview and inspection of the facility, the vendor did not ensure that staff may administer prescription medication to a child with written permission of the parent. Evidence: There was no documentation of written permission from the parent's to administer prescription medication to Child #4 and staff verified that the medication had been administered to the child.
Plan of Correction:	We have a form that will be given to the parent.
Standard #:	22VAC40-665-750-A-1
Description:	Based on observation and inspection of the facility, the vendor did not ensure that medication is administered by staff who meets the requirements of 22VAC40-665-580 I and J. Evidence: A prescription medication had been administered to Child #4 and the staff member responsible for administering the medication did not have current training required to give prescription medication.
Plan of Correction:	The staff member is attempting to take the next MAT training available.
Standard #:	22VAC40-665-750-D
Description:	Based on observation and inspection of the facility, the vendor did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: A prescription medication was observed on an open cubby in the Honey Bears/Busy Bees classroom.
Plan of Correction:	We have a locked for medication and it will be placed in their today.
Standard #:	22VAC40-665-750-E
Description:	Based on review and staff interview, the vendor did not keep a record of prescription and nonprescription medication given to children, which shall include the following. Evidence: The staff member verified that prescription medication to Child #4 and there was no record of medication given to the child.
Plan of Correction:	The form used to record administration of medication will be given to staff once the parents give written permission to administer.
Standard #:	22VAC40-665-770-B-5
Description:	Based on review, the vendor did not ensure that the emergency preparedness plan contained all required components. Evidence: The center's emergency preparedness plan did not include the continuity of operations procedures.
Plan of Correction:	The emergency plan will be updated.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in one of five staff records reviewed, the vendor did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: There was no documentation of fingerprint results for Staff #5 (date of hire 4/8/19). The staff member was observed working on the date of the inspection.
Plan of Correction:	The staff member has received the screening and is waiting for the results.