VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mt. Zion Temple
412 S. Iron Street
Prudence Child Care
Marion, VA 24354
(276) 378-0146

VDSS Contact: Angela Farmer (276) 608-2283

Inspection Date: June 20, 2019 and June 24, 2019

Complaint Related: No

Areas Reviewed:

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 Code Compliance inspection was conducted today,6/20/19 and 6/24/19. Upon arrival to the center the children were having snack. Following snack the children went to their areas to begin the day. A violation notice was completed regarding the violations found during today's inspection. There were 41 children in care ranging in age from five months to 10 years with six staff present. Inspection began: 9:20 am and ended 12:15 pm.

Violations:

Standard #:	22VAC40-665-800-A
Description:	Based on observation the vendor failed to ensure that children in high chairs are less than 12 months of age. Evidence: 1. Six children in the infant/toddler area aged 15 months to two years were placed in high chairs for snack time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-800-B
Description:	Based on observation the vendor failed to ensure that when a child is placed in a high chair the protective belt is fastened securely. Evidence: 1. Upon arrival to the center at 9:20 am approximately five infant/toddlers were being removed from the high chairs by staff. No child had the safety belts fastened securely. 2. Later the same day seven toddlers were placed in the high chairs with no protective belt fastened securely.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-510-B
Description:	Based on observation and interviews the vendor failed to have a written hard copy of daily attendance for each group of children. Evidence: 1. The vendor did not have a written hard copy of the children's daily attendance which includes the arrival and departure of each child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-520-A
Description:	Based on review of records the vendor failed to maintain and keep at the center a record for all children in care. Evidence: 1. Child # 2 did not have a record on file. This child was in care during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-520-B-12
Description:	Based on review of children's records the vendor failed to have information regarding a child's identity within the set time frames. Evidence: 1. Child #2 was in care on the day of the inspection and there was no file at the center on this child. Based on interviews with staff the child has been in care over two weeks.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-520-B-7
Description:	Based on review of children's records the vendor failed to have information regarding a child's immunization on or before the child's first day of attendance. Evidence: 1. Child #2 was in care on the day of the inspection and there was no file at the center on this child. Based on interviews with staff the child has been in care over two weeks.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on review of staff records the vendor failed to have all staff complete a Child Protective Services Central Registry check. Evidence: 1. Staff #8 had a hire date of 5/2/19 and there was no Central Registry check on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-530-2-c
Description:	Based on review of staff records the vendor failed to have all the required background information on file. Evidence: 1. Staff # 4 had a hire date of 6/17/19 and was working the day of the inspection 6/20/19. There was no sworn statement on file.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-540-A
Description:	Based on review of staff records the vendor failed to have all staff evaluated by a health professional prior to coming in contact with children to determine they are free of communicable TB. Evidence: 1. Staff # 4, 6, 7, 8, 9 did not have a current TB screening on file. The hire dates of these staff range from 5/2/19 to 6/17/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-540-B
Description:	Based on review of staff records the vendor failed to ensure that all staff have subsequent TB screenings every two years. Evidence: 1. Staff #1 had a TB test/screening dated 1/12/17. This test/screening expired 1/12/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-560-A
Description:	Based on review of children's records the vendor failed to ensure that all children in care have received immunizations as required by the State Board of Health. Evidence: 1. Child #2 had no record on file and was in care during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-B
Description:	Based on review of staff records the vendor failed to ensure that all staff have completed the Virginia Preservice Training for Child Care staff within the first 90 days of employment. Evidence: 1. Staff # 2, 6 did not have the required Virginia Preservice training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-E-2
Description:	Based on review of staff records the vendor failed to ensure that all staff are trained in CPR. Evidence: 1. Staff #6 had a hire date of 11/11/18 and had not obtained CPR certification within 90 days of beginning employment.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-H
Description:	Based on review of staff records the vendor failed to ensure that all staff annually attend at least 16 hours of training and development. Evidence: 1. Staff # 1-3 did not have documentation of receiving 16 hours of annual training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-610-A
Description:	Based on observation the vendor failed to maintain all areas and equipment inside and outside in a clean, safe and operable condition. Evidence: 1. The black playpen located in the infant/toddler area was broken, very unstable-shaking when touched, and had a hole in the mesh siding. 2. The pink playpen located beside the black playpen had a hole that is approximately two inches in diameter in the mesh and was dirty. 3. There was peeling paint on all the posts in the center, the walls in the girls bathroom, the wall in the preschool classroom and on corners leading into the hall. 4. Several of the ceiling tiles were loose and have pieces missing. 5. The toilet seat in the girl's bathroom was loose. 6. There was water all over the floor in the boy's bathroom and there was a foul odor present. 7. Upstairs in the sanctuary area was a metal vent on the outside of the sound room. This metal vent was broken in several places and has sharp edges. This was accessible to the children when they come upstairs to participate in activities. 8. In the preschool area during nap time, there were seven mats being used, these mats were torn, ripped and had no cushioning.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-610-C-2
Description:	Based on observation the vendor failed to have protective covers on all the electrical outlets. Evidence: 1. Five electrical outlets did not have protective covers. There were two on the power strip in the preschool room used for the TV. Two on the power strip on the table in the preschool room and one on a post in the infant room.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-620-A
Description:	Based on observation the vendor failed to keep all hazardous substances in a locked place using a locking method that prevents access by children. Evidence: 1. The closet located off the entrance had paint in the floor and electrical equipment accessible to the children. The door was open. 2. The Lysol spray used during diapering was stored in an area that is not locked.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-C
Description:	Based on observation the vendor failed to ensure that the ratio requirements are maintained. Evidence: 1. Upon arrival to the center on 6/20/19 at 9:20 a.m. approximately, the infant/toddler area had nine children ranging in age from five months to two years with two staff. 2. At this time in the lunch room area were 25 children ranging in age from two years to ten years with two staff. At 9:35 am approximately, three additional school age children arrive. The total was 28 children with two staff and the youngest was two years old. 3. When the inspectors ended the inspection at 12:15 pm approximately, on 6/20/19, there were 17 school age children ranging in age from five years to ten years with one staff. 4. Upon arrival to the center on 6/24/19 at 1:45 pm approximately, there were 15 children ranging in age from 5-10 years in the school age area with one staff. 5. On 6/24/19 at 1:45 pm approximately, in the infant/toddler area there were 11 children with two staff. 6. At 2:20 pm approximately, there were 20 school age children with one staff and the youngest was five years old. 7. At 2:25 pm approximately on 6/24/19, there were 17 preschoolers napping and no staff were in this area.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-F
Description:	Based on observation the vendor failed to ensure that all staff directly supervise children when in care. Evidence: 1. In the preschool area the staff would leave the area and go into the infant/toddler area or the school age area leaving the preschoolers alone during nap time.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-H
Description:	Based on observation the vendor failed to ensure that the children less than 10 years of age are always in sight supervision. Evidence: 1. On 6/24/19 at 2:25 pm, there were 17 preschoolers napping and no staff was within sight supervision of all the children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-710-F
Description:	Based on observation on 6/24/19 at 1:45 pm, the vendor failed to ensure that cribs, cots, rest mats are not occupied by more than one child at a time. Evidence: 1. Upon arrival to the center the inspector witnessed in the infant/toddler area Child # 3 & 4, both 19 months old, asleep in the same playpen. Child #5 & 12, age 19 and 23 months old, were asleep in the same crib.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-710-F-1
Description:	Based on observation the vendor failed to ensure that children from birth through 12 months of age are provided a crib. Evidence: 1. There are five children in care ranging in age from five months to eight months and the center had only three cribs.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-720-A
Description:	Based on observation the vendor failed to ensure that children are provided linens that are assigned for individual use. Evidence: 1. In the preschool area the vendor had a sleeping bag opened up with three children sleeping on. 2. Also in this area, another sleeping bag was being shared by two children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-740-A-1
Description:	Based on observation the vendor did not ensure that all children washed their hands before and after eating meals or snacks. Evidence: 1. The infants and toddlers had snack and no one washed their hands.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	VENDSUB-000-030-C-2
Description:	Based on observation and interviews the vendor failed to have a working battery operated radio. Evidence: 1. The vendor had a radio; however, it was inoperable during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.