VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Restoring America's Families Ministries
1901 Boulevard
Colonial heights, VA 23834
(804) 526-2009

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: June 4, 2019 and June 6, 2019

Complaint Related: No

Areas Reviewed:

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 & Safety inspection was conducted today, June 04, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at 2:00pm and concluded at approximately 4:00pm. Approximately twenty-two preschool children were present being supervised by four staff with the correct, child/teacher ratios. Nine school age children arrived and were supervised by one staff. All subsidy requirements were reviewed and compliance determined. Administrative records, all areas in the center used by children, and common areas were inspected. Per administrator the outdoor playground is not being used at this time. See attached notice for violations found during this inspection. If you have any questions, please contact the licensing inspector at (804) 662-9771. Note: A follow up inspection was conducted on 06/06/2019 to review staff records only.

Violations:

Standard #:	22VAC40-665-520-B-3
Description:	Based on the inspection of administrative records, the required documentation was not listed. Evidence: During the inspection of five children's records, it was discovered child #5 did not have the parents work address and telephone number listed in the record.
Plan of Correction:	Per administrator: We will correct this today during parent pickup.
Standard #:	22VAC40-665-530-4
Description:	Based on the inspection of administrative records, the required staff certifications in first aid and cardiopulmonary resuscitation (CPR) have expired. Evidence: During the inspection of four staff records, it was discovered that all staff employed received certifications in first aid and CPR in March 2017. However, these certifications expired in March 2019 with no further updates available.
Plan of Correction:	Per administrator: We are scheduled to take the first aid and CPR certification course on 06/15/19.
Standard #:	22VAC40-665-540-B
Description:	Based on the inspection of staff records, the required tuberculosis test (TB) or screening updates were not conducted. Evidence: During the inspection of four staff records, it was discovered staff #1, #3, and #4 had TB tests dated 05/26/17 and 05/27/17. These TB tests expired on 05/26/19 and 05/27/19 with no further updates available. Subsidy health & safety requirements stipulate for the center to obtain documentation that each staff has been evaluated by a health professional and a statement that the individual is believed to be free of communicable tuberculosis every two years from the date of the initial screening/test.
Plan of Correction:	Per administrator: I will have the staff to get an updated TB test.
Standard #:	22VAC40-665-650-H
Description:	Based on the supervision of school age children on site, it was discovered actual site and sound supervision of children was not maintained as required. Evidence: During the inspection of children in the school age classroom, it was discovered that nine school age children younger than 10 years of age were not always within actual sight and sound supervision of staff. During today's inspection, staff was observed leaving the school age classroom several times for up to approximately twenty five minutes. As a result, the staff member was observed being out of sight supervision of children.
Plan of Correction:	Per administrator: One of staff members went on lunch break and was in an accident, so we sent to check on her then returned to the center. We are currently in the process of hiring floater staff, that live within five to seven minutes of the center that can respond in emergency situations to cover the classroom. As of today we have hired one staff as a floater and have received the required background checks.
Standard #:	22VAC40-665-770-A
Description:	Based on the inspection of the administrative records, the center's emergency preparedness plan was not available to review. Evidence: During the inspection of the center's administrative records, the center's written emergency preparedness plan was not available to review. The emergency preparedness plan addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures. The plan shall address the most likely to occur emergency scenarios, including severe storms, loss of utilities, natural disaster, chemical spills, intruder, and violence on or near the facility, and facility damage or other situations that may require evacuation, lockdown, or shelter-in-place. * Inspector provided a written emergency preparedness plan template on site.
Plan of Correction:	Per administrator: I have the plan however, it is not present. I can submit it to licensing as soon as possible as our records are currently not present.
Standard #:	22VAC40-665-770-B-5
Description:	Based on the inspection of the center's administrative records, the required continuity of operations plan was not available. Evidence: During the inspection of the center's administrative records and interview with the administrator, it was discovered the continuity of operations procedures to ensure that essential functions are maintained during an emergency were not listed.
Plan of Correction:	Per administrator: We will create the procedures within the week.
Standard #:	22VAC40-665-780-A-2
Description:	Based on the inspection of administrative records, the center did not have documentation that the required shelter-in-place drills were practiced. Evidence: During the inspection of administrative records, it was discovered the center did not have documentation that two shelter-in-place drills for the year 2018 were conducted. Subsidy health and safety requirements stipulate for the center to practice the shelter-in-place drills a minimum of twice each year with documentation maintained to review.
Plan of Correction:	Per administrator: I will have a meeting with staff to ensure the drills are documented each time practiced.
Standard #:	22VAC40-665-780-A-3
Description:	Based on the inspection of administrative records, the center did not have documentation that the required lockdown drill was practiced. Evidence: During the inspection of administrative records, it was discovered the center did not have documentation that the lockdown drill for the year 2018 was conducted. Subsidy health and safety requirements stipulate for the center to practice the lockdown drill annually with documentation maintained to review.
Plan of Correction:	Per administrator: I will have a meeting with staff to ensure the lockdown drill is documented each time practiced.