VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Dynamic Life Ministries, Inc.
1600 John Marshall Highway
Front royal, VA 22630
(540) 636-9595

VDSS Contact: Stephanie Reed (540) 272-6558

Inspection Date: Sept. 4, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Must be MAT Certified. 63.2 Facilities & Programs. 22VAC40-665 INTRODUCTION 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 and safety inspection was conducted on 9/4/19 from 10:45 am until 1:15 pm at Dynamic Life Ministries to review the subsidy health and safety requirements. At the time of the inspection 57 children were present with 10 staff. The sample size consisted of six children's records and six staff's records. Children and staff were observed during free outdoor and indoor play, during an educational activity, lunch, bathroom break, hand washing, nap, transitions and behavioral guidance. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:

Standard #:	22VAC40-665-540-B
Description:	Based on record review and interview, the vendor failed to ensure staff obtained subsequent TB screenings every two years from the date of the initial screening. Evidence: 1. The records for six staff were reviewed. Staff 1's current TB is dated 7/21/19. The previous TB was dated 3/30/17. Staff 5's current TB is dated 7/19/19. The previous TB was dated 6/19/17. Staff 5's current TB is dated 7/17/19. The previous TB was dated 3/32/17. 2. The administrator verified the dates of the TB results.
Plan of Correction:	In the future the administrator will ensure updated TB screenings are completed within two years of the previous TB screening.
Standard #:	22VAC40-665-640
Description:	Based on observation, the vendor failed to ensure all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining cushioning material under the playground equipment. Evidence: 1. The blue slide and ramp on the backside of the ark do not have cushioning material under them. 2. The director stated they are rarely used.
Plan of Correction:	Children will not be allowed to play on the ramp or slide until cushioning material is put down.
Standard #:	22VAC40-665-700-C
Description:	Based on record review, the vendor failed to maintain a written record of children's injuries in which entries are made the day of occurrence and include the following: date and time of injury, name of injured child, type and circumstance of injury, staff present and treatment given, date and time parents were notified and a staff and parent signature or two staff signatures. Evidence: 1. Four injury reports were reviewed. One did not contain the staff that were present, one only had one signature and three had no documentation of when parents were contacted. 2. The administrator verified the information was missing from the injury reports.
Plan of Correction:	All staff will be retrained on completing an injury report. The administration will review each injury report as they are turned in to ensure all required information is included.
Standard #:	22VAC40-665-770-B-5
Description:	Based on interview and a review of the emergency plan, the center failed to add a continuity of operations procedure to the emergency preparedness plan to ensure essential functions are maintained during an emergency. Evidence: 1. Throughout the emergency plan different procedures address essential functions, however, there is not an actual procedure regarding continuity of operations to ensure essential functions are maintained. 2. The director stated they did not add a procedure that just addressed continuity of operations.
Plan of Correction:	A procedure to address continuity of operations will be added to the emergency preparedness plan.