VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Baptist Church of Front Royal
14 W. 1st Street
Front royal, VA 22630
(540) 635-6668

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Aug. 28, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures 63.2 Facilities & Programs. 22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 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 subsidy health and safety inspection was conducted on 8/28/19 from 11:00 am until 2:00 pm to review the subsidy health and safety requirements. At the time of the inspection 36 children were present with nine staff. The sample size consisted of five children's records, five staff's records and five diaper ointments. The center had no children on medication at the center at the time of the inspection. Children and staff were observed during indoor and outdoor play, educational lesson, lunch preparations, hand washing, bathroom break, lunch, nap, diapering, transitioning and behavioral guidance. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:

Standard #:	22VAC40-665-560-B
Description:	Based on record review and interview, the center failed to ensure immunization records are obtained once every six months for children less than two years of age. Evidence: 1. The records for five children were reviewed. Child 1's birth date is 3/24/17. There is one immunization record in the child's file dated 4/11/18. Child 4's birth date is 8/19/18. There is one immunization record in the child's file dated 10/11/18. 2. The director verified they do not have updated immunization records for child 1 and child 4.
Plan of Correction:	The parents of child 1 and child 4 will be asked to provide updated immunization records. The director will develop a system to keep up with when children need updated immunization records in the future.
Standard #:	22VAC40-665-580-H
Description:	Based on record review and interview, the vendor failed to ensure staff annually attend at least 16 hours of training and staff development activities. Evidence: 1. Five staff's records were reviewed. Staff 2's record only contained documentation of completing eight hours of annual training in 2018. 2. The director stated staff 2 only completed eight hours of annual training in 2018.
Plan of Correction:	In the future the director will monitor all staff's annual training hours to ensure everyone completes at least 16 hours.
Standard #:	22VAC40-665-650-E
Description:	Based on interview, the vendor failed to 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 director stated they have not developed a policy and procedure that describes how the they will ensure that each group of children receives care by consistent staff or team of staff members.
Plan of Correction:	A 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 will be developed and staff will be trained on the new policy.
Standard #:	22VAC40-665-770-B-5
Description:	Based on interview, the vendor failed to create continuity of operations procedures to ensure that essential functions are maintained during an emergency. Evidence: The director stated they have not developed continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	Continuity of operations procedures to ensure that essential functions are maintained during an emergency will be added to the emergency plan and all staff will be trained on the new procedure.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the vendor failed to ensure a request for an out-of-state child abuse and neglect search was completed by the end of the 30 days of employment for staff who have resided outside of VA within the past five years from the date of employment. Evidence: 1. Five staff records were reviewed. Staff 3's start date was documented as 10/29/18. Staff 3 documented on the sworn statement on 10/29/18 that she lived in TX within the last five years. The record did not contain documentation of a child abuse and neglect search being completed for TX. 2. The director stated she did not complete a child abuse and neglect search for TX for staff 3.
Plan of Correction:	A child abuse and neglect search will be completed and mailed within five days for staff 3. In the future a child abuse and neglect search will be completed for all new staff that have lived in another state within the last five years. The paperwork will be completed and mailed prior to 30th day of employment.