VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Father's House Community Outreach Center
3340 W. Washington Street
Petersburg, VA 23803
(804) 861-5270

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Sept. 25, 2019

Complaint Related: No

Areas Reviewed:

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 & Safety inspection was conducted today, September 25, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at 12:35pm and concluded at approximately 3:00pm. Approximately 20 children were present being supervised by four staff during this inspection. 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
Description:	Based on the inspection of administrative records, the required central registry background checks were not conducted. Evidence: During the inspection of five staff records, it was discovered that was no documentation that the central registry backgrounds were completed. Subsidy Health and safety requirements stipulate 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 child day center are to obtain the required background checks.
Plan of Correction:	Per administrator: I will have the staff to complete the forms and we will mail them off soon as possible.
Standard #:	22VAC40-665-530-2-c
Description:	Based on the inspection of administrative records, the required sworn statement or affirmation form was not completed. Evidence: During the inspection of five staff records, it was discovered staff #5 did not have any documentation that the individual's sworn statement or affirmation form was completed.
Plan of Correction:	Per administrator: We will have the staff to complete the form by the end of the week.
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 five staff records, it was discovered staff #5 did not have any documentation that Virginia Preservice Training has been completed. Subsidy, health, and safety requirements stipulates for this training to be completed within the first 90 days of employment.
Plan of Correction:	Per administrator: I believe the staff has completed the training, I will have her to print her completion certificate.
Standard #:	22VAC40-665-580-D
Description:	Based on the inspection of administrative records, there was no documentation of completed staff orientation training. Evidence: During the inspection of five staff records, it was discovered that in all five staff records there was not any documentation that orientation training was completed prior to the staff member working alone with children and within seven days of the date of employment.
Plan of Correction:	Per administrator: We will complete the training soon as possible with documentation placed in the record.
Standard #:	22VAC40-665-580-E-1
Description:	Based on the inspection of administrative records, the required cardiopulmonary resuscitation (CPR) certifications have expired. Evidence: During the inspection of five staff records, it was discovered that all five staff received CPR certifications on July 13, 2017. These certifications expired on July 13, 2019 with no further updates in the record to review.
Plan of Correction:	Per administrator: I will have the staff to take updated training.
Standard #:	22VAC40-665-580-E-2
Description:	Based on the inspection of administrative records, the required first aid certifications have expired. Evidence: During the inspection of five staff records, it was discovered that all five staff received first aid certification on July 13, 2017. These certifications expired on July 13, 2019 with no further updates in the record to review.
Plan of Correction:	Per administrator: I will have the staff to take updated training.
Standard #:	22VAC40-665-770-B-5
Description:	Based on the inspection of administrative records, the center did not have the Continuity of Operations procedures available to review. Evidence: During the inspection of administrative records, it was discovered the center did not create the required Continuity of Operations procedures to ensure essential functions are maintained during an emergency.
Plan of Correction:	Per administrator: We will complete the required procedures.
Standard #:	22VAC40-665-780-A-1
Description:	Based on the inspection of administrative records, the required evaucation drills were not practiced as required. Evidence: During the inspection of administrative records, it was discovered the center did not practice and document any evacuation drills from the year 2018 to September 2019. Subsidy health and safety requirements stipulate for the center to practice and document the evacuation drills each month.
Plan of Correction:	Per administrator: We will start conducting and recording the fire drills monthly.
Standard #:	22VAC40-665-780-A-2
Description:	Based on the inspection of administrative records, the required shelter-in-place drills were not practiced as required. Evidence: During the inspection of administrative records, it was discovered the center did not practice any shelter-in-place drills for the year 2018. 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: We will start conducting and recording the shelter-in-place drills a least twice per year.
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: We will start conducting and recording the lockdown drill each year.