VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Restoring America's Families Ministries
6751 Billy Williams Memorial Drive
Prince george, VA 23875
(804) 926-5331

VDSS Contact: Anita Drewry (757) 404-5261

Inspection Date: Aug. 19, 2019

Complaint Related: No

Areas Reviewed:

63.2(17) License & Registration Procedures 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

An unannounced inspection was conducted on August 19, 2019 from 12:30 pm to 3:45 pm to review subsidy health and safety inspection requirements. No children are currently enrolled and attending. No one was present at the onset of inspection but a staff member arrived for inspection to be conducted. Five staff records were reviewed.

Violations:

Standard #:	22VAC40-665-510-C
Description:	Based on interview, vendor this not ensure children's records are maintained and made accessible to the department for five years after termination. Evidence: Children's records were not available during inspection. Staff #3 reported she has cared for 5 - 6 children in the toddler room (ages 3 - 4 years) and those records were not available for review. Information was verified by staff #6.
Plan of Correction:	Will make sure in the future that if they register and transfer, a copy of the record is kept here.
Standard #:	22VAC40-665-540-B
Description:	Based on review, vendor did not ensure 3 of 5 staff records has an updated TB test/screening every two years. Evidence: The records for staff #2, staff #3 and staff #4 had a most recent TB test dated May 26, 2017 which is more than two years old. Information was verified by staff #6.
Plan of Correction:	Will make a note to make sure they have copies in the file here.
Standard #:	22VAC40-665-600-A
Description:	Based on interview, vendor did not ensure there is an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: A fire inspection report was not available during inspection. Information was verified by staff #6.
Plan of Correction:	The report will be located and put in the file.
Standard #:	22VAC40-665-610-A
Description:	Based on observation, vendor did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood, chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that entangle clothing or skin, unstable heavy equipment, furniture or other items that a child could pull down on himself. Evidence: The following was observed: 1. There is peeling paint on the outside door frame of the entrance to the facility. 2. There is peeling paint on the door frame in the infant room leading to an adjoining room.
Plan of Correction:	The door frames will be painted.
Standard #:	22VAC40-665-650-E
Description:	Based on interview, vendor did not ensure there 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: There is not a written policy and procedure that describes how children will receive care by consistent staff. Information was verified by staff #6.
Plan of Correction:	Will write the policy.
Standard #:	22VAC40-665-740-B-3-e
Description:	Based on observation, vendor did not ensure diapering areas have a leak-proof covered receptacle for soiled linens. Evidence: Staff #6 stated a mesh pail is available to be used for soiled linens. The receptacle is not leak-proof.
Plan of Correction:	Will get another step trash can and label it for linens.
Standard #:	22VAC40-665-760-A-1
Description:	Based on interview, vendor did not ensure there is a first aid kit available in the building. Evidence: A first aid kit was not available when requested during inspection.
Plan of Correction:	Will find the first aid kit and put it back in the filing cabinet.
Standard #:	22VAC40-665-770-B-5
Description:	Based on review and interview, vendor did not ensure the written emergency preparedness plan had documentation of all required components. Evidence: The emergency preparedness plan did not address continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	Policy was added to the emergency preparedness plan during inspection.
Standard #:	22VAC40-665-780-A-1
Description:	Based on interview, vendor did not ensure evacuation procedures are practiced at least monthly. Evidence: There is not documentation of any completed evacuation drills. Staff #6 reported drills are supposed to be done but she does not see any documentation showing they have been done.
Plan of Correction:	Documents will remain in files of all drills at all times.
Standard #:	22VAC40-665-780-A-2
Description:	Based on interview, vendor did not ensure shelter-in-place procedures are practiced at least twice per year. Evidence: There is not documentation of any completed shelter-in-place drills. Staff #6 reported drills are supposed to be done but she does not see any documentation showing they have been done.
Plan of Correction:	Documents will remain in files of all drills at all times.
Standard #:	22VAC40-665-780-A-3
Description:	Based on interview, vendor did not ensure lockdown procedures are practiced at least once per year. Evidence: There is not documentation of any completed lockdown drills. Staff #6 reported drills are supposed to be done but she does not see any documentation showing they have been done.
Plan of Correction:	Documents will remain in files of all drills at all times.
Standard #:	63.2(17)-1720.1-A
Description:	Based on review, vendor did not ensure 1 of 5 staff have an updated sworn statement or affirmation every five years. Evidence: The record for staff #3 has a most recent sworn statement or affirmation dated October 8, 2001. Information was verified by staff #6.
Plan of Correction:	Staff will fill out a new form today.
Standard #:	VENDSUB-000-030-C-2
Description:	Based on observation, vendor did not ensure there is a working, battery-operated radio in each building used by children. Evidence: The radio was not operable during inspection.
Plan of Correction:	Will buy a new radio with batteries.