VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Worship and Praise United Methodist Church
3006 E. Laburnum Avenue
Richmond, VA 23223
(804) 788-7690

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Oct. 16, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Wednesday, October 16, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at approximately 1:00 PM and concluded at approximately 4:10 PM. A total of 58 children present with the following ratios being followed: Infants: 4 children with 1 staff Toddlers: 5 children with 1 staff Twos: 8 children with 1 staff Threes and Fours: 10 children with 1 staff Fours and Fives: 10 children with 1 staff School Age: 21 children with 3 staff Children were observed napping, washing hands and taking bathroom breaks and eating snack, playing with toys, having books read to them and completing homework. All areas of the center were inspected including the classrooms, hallways, bathrooms and outdoor play area. Medication is administered and medication authorization forms were reviewed. Transportation is provided and vehicles and transportation information was reviewed. Five children?s records and five staff records were reviewed. Violations were cited during the inspection. See the violation notice for additional information. If you have any questions, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC40-665-800-E
Description:	Based on observation and interview, the vendor did not ensure prepared infant formula was refrigerated, dated, and labeled with the child's name if more than one infant is in care. Evidence: There were four infants present in the Infant classroom. Three bottles were sitting in the bottle warmer and four bottles were located in the Infant?s refrigerator. The bottles were not labeled with a date.
Plan of Correction:	We will instruct the teachers to check for labeling, including dates and names on the bottles when the parents bring in the infants' bottles. If they are not labeled, we will have the staff label the bottles with names and dates.
Standard #:	22VAC40-665-520-B-11
Description:	Based on the review of five children's records and interview, the vendor did not obtain a written allergy care plan for each child that is diagnosed with a food allergy to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record for Child #1 indicated the child has a food allergy. A member of management stated the family had turned in an allergy care plan with the required information but it could not be located during the inspection.
Plan of Correction:	If we cannot locate the allergy plan we will have the family to resubmit the plan.
Standard #:	22VAC40-665-530-2-a-1
Description:	Evidence: 1. The records for Staff #1 (hire date 09/23/19), Staff #2 (hire date 03/15/19) and Staff #5 (hire date 09/23/19) did not contain satisfactory results of the finger-print based national criminal background check. 2. The records for Staff #3 (hire date 03/16/18) contained the results of the finger-print based national criminal background check dated 06/07/19. The record for Staff #4 (hire date 10/15/18) contained satisfactory results of the finger-print based national criminal background check dated 11/28/18. Staff hired after 01/22/2018 were required to have the results of the national criminal background check prior to beginning employment or volunteering. 3. A member of management confirmed this information while the licensing inspector was on site.
Plan of Correction:	Now that we know staff are not allowed to start work prior to obtaining the results of the criminal record search, going forward we will make sure everyone completes the process prior to beginning work. We will have the current staff obtain the criminal background checks within the next 10 days.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on a review of five staff records and interview, the vendor did not ensure that three staff records contained satisfactory results of the Child Protective Services Central Registry check within 30 days of the individual beginning employment or service. Evidence: 1. The records for Staff #2 (hire date 03/15/19) and Staff #4 (hire date 10/15/18) did not contain satisfactory results of the Child Protective Services Central Registry. 2. A member of management confirmed this information while the licensing inspector was on site.
Plan of Correction:	We will make sure going forward staff have the central registry findings within the required time frame. We will request the central registry findings for the staff that do not have them and submit the proof to the licensing inspector within the next 10 days.
Standard #:	22VAC40-665-530-5
Description:	Based on the review of five staff records and interview, the vendor did not ensure documentation that training required for orientation was completed, including the date completed, the total hours of the session, and the names of the trainer and of any sponsoring organization. Evidence: The records for Staff #1, Staff #2, Staff #3, Staff #4 and Staff #5 did not contain documentation of orientation. A member of management stated orientation training had been completed but not documented.
Plan of Correction:	We will have the staff complete the orientation form and going forward we will make sure orientation of all new staff is documented when it is completed.
Standard #:	22VAC40-665-540-A
Description:	Based on a review of five staff records, the vendor did not ensure three staff members submitted documentation that they were free of communicable tuberculosis (TB) when evaluated by a health professional within thirty days prior to employment and prior to coming in contact with children. Evidence: 1. The record for Staff #1 (hired date 09/23/19) contained documentation of a negative TB screening dated 09/11/18. 2. The record for Staff #2 (hire date 03/15/19) contained documentation of a negative TB screening dated 11/03/18. 3. The record for Staff #5 (hire date 09/23/19) contained documentation of a negative TB screening dated 10/03/19. 4. A member of management confirmed this information while the licensing inspector was on site.
Plan of Correction:	Going forward, we will make sure staff have a TB screening within 30 days prior to being hired.
Standard #:	22VAC40-665-650-E
Description:	Based on interview, the vendor did not develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: A member of management stated she did not realize there was a requirement to have a written policy developed for care by consistent staff or team of staff members and she would write one by the end of the week.
Plan of Correction:	We will have a written plan in place by the end of the week.
Standard #:	22VAC40-665-740-B-6
Description:	Based on observation, the vendor did not ensure that disposable diapers were disposed in a leak-proof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member's hand nor the soiled diaper touches an exterior surface of the storage system during disposal. Evidence: There was no disposal system in the toddler room. Staff stated diapers were bagged individually and taken to the garbage containers outside.
Plan of Correction:	I will buy a foot operated trashcan for the diaper changing table today.