VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Restoring America's Families Ministries
300 Perrymont Road
Hopewell, VA 23860
(804) 862-1600

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: July 17, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures 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, July 17, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at 3:10pm and concluded at approximately 5:30pm. During today's inspection approximately 19 children were in attendance being supervised by two staff. All subsidy requirements were reviewed and compliance determined. Administrative records and all areas in the center used by children were inspected. See attached notice for violations found during this inspection. If you have any questions, please contact the licensing inspector at (804) 662-9771.

Violations:

Standard #:	22VAC40-665-530-2-a-2
Description:	Based on the inspection of administrative records, the required central registry background check was not conducted as required. Evidence: During the inspection of three staff records, it was discovered staff #2 did not obtain an central registry background check. Subsidy health and safety requirements stipulates all applicants for employment, employees, applicants to serve as volunteers, and volunteers and any other person who is expected to be alone with one or more children enrolled in the center are to obtain the required central registry background check.
Plan of Correction:	Per administrator: I will immediately have the staff to complete the form and mail it off within the week.
Standard #:	22VAC40-665-540-A
Description:	Based on the inspection of administrative records, the required tuberculosis (TB) test or screening documentation was not obtained. Evidence: Based on the inspection of three staff records, it was discovered that staff #3 did not have any documentation of a completed TB test or screening in the record. Subsidy Health & Safety requirements stipulate each staff needs to be evaluated by a health professional prior to beginning employment and coming into contact with children, and a statement that the individual is believed to be free of communicable tuberculosis with documentation maintained in the individual's record.
Plan of Correction:	Per administrator: I will have the staff to obtain a copy of the most recent TB test and place a copy in the record.
Standard #:	22VAC40-665-580-B
Description:	Based on the inspection of administrative records, the required Virginia Preservice Training has not been completed. Evidence: During the inspection of three staff records and interview with the administrator, it was discovered that staff #3 hired on 03/11/19 has not completed the required Virginia Preservice Training. Subsidy health and safety requirements stipulate for the Virginia Preservice Training to be completed within 90 days of employment.
Plan of Correction:	Per administrator: I will have the staff to complete the training.
Standard #:	22VAC40-665-580-E-1
Description:	Based on the inspection of administrative records, the required cardiopulmonary resuscitation (CPR) certification was not obtained. Evidence: During the inspection of three staff records, it was discovered staff #2 did not have the required cardiopulmonary resuscitation (CPR) certification training. Subsidy, health, and safety requirements stipulates for all staff to have cardiopulmonary resuscitation (CPR) certification within 90 days of the date of employment.
Plan of Correction:	Per administrator: I will have the staff to take the training.
Standard #:	22VAC40-665-580-E-2
Description:	Based on the inspection of administrative records, the required first aid certification was not obtained. Evidence: During the inspection of three staff records, it was discovered staff #2 did not have the required first aid certification training. Subsidy, health, and safety requirements stipulates for all staff to have first aid certification within 90 days of the date of employment.
Plan of Correction:	Per administrator: I will have the staff to take the training.
Standard #:	22VAC40-665-580-K
Description:	Based on the inspection of administrative records, there were no staff present with daily health observation training to conduct a daily simple health screening of children. Evidence: During the inspection of three staff records, it was discovered there were no staff that received training in daily health observation to conduct a simple daily health screening of children in care. There must always be at least one staff on duty trained in daily health screening.
Plan of Correction:	Per administrator: I will have the staff to take the training.
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, it was discovered 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: We are currently updating our emergency preparedness plan, which is the reason it is not available to review at this time. We will complete the update soon as possible and leave a copy in the center.
Standard #:	63.2(17)-1716-A-3
Description:	Based on the visual inspection of classroom #1 and #2 the required ratios were not maintained. Evidence: During the inspection of classroom #1 (toddler room) it was observed that four-two year old children, one three year old child, and one four year old child were being supervised by one staff. Per updated regulations effective July 1, 2019 for each age grouping of children a minimum of one staff per age group is required based on the number of children in the group. The center was not in compliance with this regulation as two staff were not present. Also in classroom #2 (school age), eight children (ages 5-9yrs) and five children (ages 9-12yrs) were discovered with one staff. Updated regulations that became effective July 1, 2019 requires one staff for every 20 children ages five years to nine years, and one staff member for every 25 children ages nine to twelve years. The center was not in compliance with this regulation as an additional staff was not present.
Plan of Correction:	Per administrator: We will have additional staff in each classroom.