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Fellowship Baptist Church
725 Gate Road
Madison, VA 22727
(540) 948-5970

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Oct. 24, 2022

Complaint Related: No

Areas Reviewed:
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Comments:
A Subsidy Health and Safety inspection was conducted on October 24, 2022 to review supplemental health and safety requirements. This on-site visit was conducted from 11:35 am through 12:40 pm. Upon arrival, there were 28 children ranging in ages from 6 months through 5 with 7staff supervising. Three children records and ten staff records were reviewed and updated.
Areas of non-compliance may be found on the violation notice.

Please complete your plan of correction and return to the licensing inspector within 5 business days.

Please contact the licensing inspector if you have any questions at 540-430-9256.

Violations:
Standard #: 8VAC20-790-550-2-a
Description: Based on record review, the center failed to obtain fingerprints for one staff before date of hire.

Evidence:
1. Ten staff records were reviewed and updated.
2. Staff #8 did not have documentation of obtaining fingerprints before prior to start date.
3. Staff #8's date of hire was documented on 10/10/2022.
4. The director confirmed fingerprints for Staff #8 had not been obtained prior to start date.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-560-A
Description: Based on staff review, the center failed to obtain a tuberculosis screening for four staff within 30 calendar days of the date of employment.

Evidence:
1. Ten staff records were reviewed.
2. Staff #3, #7,#8 and #9 did not have documentation of obtaining a tuberculosis screening within 30 calendar days of the date of employment.
3. Staff #3's date of hire was documented 10/04/2022,Staff #7 documented date of hire was 10/03/2022, Staff #8 documented date of hire was 10/10/2022 and Staff # 9's date of hire was documented on 10/17/2022.
4. The director confirmed a tuberculosis screening had not been obtained with 30 calendar days of employment.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-600-F
Description: Based on record review, the center failed to obtain 16 hours of annual training to include the departments health and safety update.

Evidence:
1. Ten staff records were reviewed.
2. Staff #1, #2, #4, and #10 did not have documentation of completing 16 hours of annual training which include the health and safety update course.
3. The director confirmed the hours had not been taken.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-620-A
Description: Based on record review the center failed to obtain an annual fire inspection.

Evidence:
1. There was no documentation on 10/24/2022 of an annual fire inspection being conducted.
2. Last documented fire inspection was dated 06/15/2021.
3. The director confirmed an annual fire inspection had not been conducted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-620-B
Description: Based on record review the center failed to obtain an annual health inspection.

Evidence:

1. There was no documentation 0n 10/24/2022 of obtaining an updated annual health inspection.
2. Last documented health inspection was dated 06/16/2021/
3. The director confirmed the annual health inspection had not been obtained.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-670-C-1
Description: Based on observation, the center failed to have one staff member to four children ages zero to 16 months.

Evidence:
1. At approximately 11:45 a.m. one staff member was observed to be supervising 6 infants.
2. Staff confirmed she was the only person scheduled for the day to work in the infant room.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-800-A-2
Description: Based on record review, the center failed to conduct annually two shelter-in-place drills.

Evidence:
1. Based on record review there was no documentation of the center conducting two shelter in place drills for the 2021-2022 year.
3. The director confirmed these drills had not been conducted.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-800-A-3
Description: Based on record review, the center failed to conduct an annual lockdown drill.

Evidence:
1. There was no documentation of conducting an annual lockdown drill.
2. The director confirmed the drill had not been conducted.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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