VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Sharon Baptist Church
2625 North Armistead Avenue
Hampton, VA 23666
(757) 838-1201

VDSS Contact: Tiffany Jones (757) 403-3045

Inspection Date: Aug. 14, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures

Technical Assistance:

American Academy of Pediatrics safe sleep guidelines

Comments:

An unannounced monitoring inspection was conducted on August 14, 2019 from approximately 9:30am-1:40pm. Upon arrival to the facility, there were 16 children present with four staff members. Additional staff were on site for administrative and support purposes. The children ranged in age from Infants to four years old. The infants were observed resting, feeding and playing on the floor. The preschool children were observed having water play outdoors. Four rooms, restrooms and the outdoor play area were inspected. One center vehicle was inspected. Five children's records and five staff records were reviewed.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in five of five staff records reviewed, the center did not ensure that staff have a sworn statement before employment and a search of the central registry within 30 days of employment. Evidence: The Director confirmed that the following staff members did not have a completed sworn statement or results of a search of the central registry: Staff #1 (date of hire 3/1/19) Staff #2 (date of hire 2/21/17) Staff #3 (date of hire 5/21/18) Staff #4 (date of hire 12/1/16) Staff #5 (date of hire 9/20/16)
Plan of Correction:	The sworn statements and the Central Registry forms have already been printed off and the employees will complete them by the end of the week.
Standard #:	63.2(17)-1716-A
Description:	Based on observation and inspection of the facility, the center did not comply with all required written disclosures to parents and guardians of the children in the center. Evidence: The Director confirmed that the center had not disclosed in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and also had not posted the fact that it is exempt from licensure in a visible location on the premises.
Plan of Correction:	Director will have a note posted on the Parents News Bulletin board by the end of this week as well as a note sent home to every child by the end of this week.
Standard #:	63.2(17)-1716-A-6
Description:	Based on observation and inspection of the facility, the center had not described all aspects of the child day center's operations in a written statement to the parents/guardians of the children in the center and made available to the general public. Evidence: The Director confirmed that the following information had not been provided in writing to the parents/guardians and made available to the general public: physical facilities, enrollment capacity and public liability insurance
Plan of Correction:	Capacity has been taken care of with posting the note on the Parents Bulletin Board. Director will have a note posted on the Parents News Bulletin board by the end of this week as well as a note sent home to every child by the end of this week regarding the other information.
Standard #:	63.2(17)-1716-A-8
Description:	Based on review, the center did not ensure that a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) will be present at the child day center whenever children are present or at any other location in which children attending the child day center are present. Evidence: The Director confirmed that it could not be verified that there was a person trained in first aid present at the child day center on the date of the inspection in which children were present.
Plan of Correction:	Director has emailed the CPR/First Aid instructor in regards to getting the details about whether our course included first aid and was labeled as medical emergencies instead of first aid.
Standard #:	63.2(17)-1716-B-5
Description:	Based on observation and inspection of the facility, the center did not maintain sand or other cushioning material under playground equipment. Evidence: The Director verified that the children occasionally use the outdoor playground equipment which has a sliding board, swings and an attached climbing apparatus. The equipment is positioned over grass and not maintained over sand or some other type of cushioning material. (Exhibit A)
Plan of Correction:	We will purchase the cushioning material and the playground equipment will not be used until the materials are installed.
Standard #:	63.2(17)-1716-B-7
Description:	Based on observation and inspection of the facility, the center had not established and implemented procedures regarding reports of serious injury or death of children attending the child day center. Evidence: The Director confirmed that the center had not established and implemented procedures to ensure that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Commissioner; Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care professional or treatment in a hospital, shall be submitted annually; and that reports of deaths shall be submitted no later than one business day after the death occurred.
Plan of Correction:	Director will form a procedure and have a staff meeting to go over the procedure with all staff in regards to reporting requirements.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in one of five staff records reviewed, the center did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: The Director confirmed that the hire date for Staff #3 was 5/21/18 as indicated in the record and the fingerprint results were dated 7/27/18.
Plan of Correction:	We will make sure that the fingerprinting results are back prior to the first day of employment.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, in one of five staff records reviewed, the center did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years. Evidence: The Director confirmed that there was not an out-of-state child abuse and neglect search for Staff #1 (date of hire 3/1/19) who indicated living outside of the state of Virginia within the last five years.
Plan of Correction:	The form has already been printed off and the employee will complete it by the end of the week.