VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rejoice Christian Center Ministries
2713 & 2715 Byron Street
Active Minds Daycare and Learning Center
Richmond, VA 23223
(804) 225-8557

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Oct. 7, 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

Technical Assistance:

N/A

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Monday, October 7, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at approximately 9:45 AM and concluded at approximately 1:40 PM. A total of 20 children were present during the inspection and the following staff to child ratios were observed: Infants: 5 children and 1 staff ? see violation notice Toddlers and Twos: 9 children and 2 staff Preschool: 6 children and 1 staff School Age children were not present during the inspection. Children were observed playing with toys, creating spiders and pumpkins, learning to spell their names, singing, washing hands and taking bathroom breaks, eating lunch and resting at nap time. 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. The provider?s responses for the ?plan of correction? were not received as of October 22, 2019 and will not appear on this Violation Notice.

Violations:

Standard #:	22VAC40-665-790-G
Description:	Based on observation, the vendor did not ensure tables and high chair trays were sanitized before and after each use for feeding. Evidence: Staff #1 was observed wiping down the tables with sanitizing wipes immediately prior to the children eating lunch. Vendors are required to sanitize the surface by spraying or dipping it into a sanitizing solution and then allowing it to air dry for a minimum of two minutes or according to the sanitizing solution instructions.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-800-B
Description:	Based on observation and interview, the vendor did not ensure when a child was placed in an infant seat, high chair, or feeding table, the protective belt was fastened securely. Evidence: Two children (11 months of age) were observed sitting in the feeding table in the Infant room. The seats in the feeding table did not contain protective belts. Staff #5 stated the infants were supposed to be sitting in the high chairs when being fed.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-530-2-a-1
Description:	Based on review of five records and interview, the vendor did not obtain satisfactory results of the finger-print based national criminal background check for two staff prior to beginning employment/volunteering. Evidence: The records for Staff #1 (hire date 10/01/19) and Staff #2 (hire date 10/03/19) did not contain satisfactory results of the finger-print based national criminal background check. Staff #5 stated the staff are supposed to be scheduling an appointment to get the background checks done within the next two weeks. Staff hired after 01/22/2018 were required to have the results of the national criminal background check prior to beginning employment or volunteering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-530-2-c
Description:	Based on review of five staff records, the vendor did not obtain an individual's sworn statement or affirmation for one staff member. Evidence: The record for Staff #2 (hire date 10/03/19) did not contain documentation of a sworn statement or affirmation. Staff #5 stated Staff #2 had not submitted all of her paperwork yet.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-540-A
Description:	Based on a review of five staff records, the vendor did not ensure two 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 10/01/19) and Staff #2 (hire date 10/3/19) did not contain a negative TB screening. 2. Staff #1 and Staff #2 were observed supervising children on 10/07/19.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-540-B
Description:	Based on review of five staff records, the vendor did not ensure subsequent TB screenings were required at least every two years from the date of the initial screening for one staff member. Evidence: The record for Staff #4 (hire date 9/17/18) contained a TB screening dated 06/15/17.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-B
Description:	Based on review of five staff records and interview, the vendor did not ensure one staff member completed the required VA Preservice Training for Child Care Staff within 90 days of employment. Evidence: The record for Staff #4 (hire date 09/17/18) did not contain documentation of completing the Virginia Preservice Training. Staff #4 stated she had not completed the training during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-D
Description:	Based on the review of five staff records, observation and interview, the vendor did not ensure orientation training for two staff was completed on specific topics prior to staff members working alone with children. Evidence: The records for Staff #1 (hire date 10/01/19) and Staff #2 (hire date 10/03/19) did not contain documentation of orientation. Staff #5 stated she had not had the opportunity to complete orientation training with the staff. Staff #1 and Staff #2 were observed working alone with the children during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-E-2
Description:	Based on review of five staff records, the vendor did not ensure one staff that works directly with children had current certification in first aid within 90 days of employment. Evidence: The record for Staff #3 (hire date 06/17/19) did not contain documentation of certification in first aid.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-580-K
Description:	Based on review of five staff records and interview, the vendor did not ensure at least one staff was on duty who had obtained within the last three years instruction in performing a daily health observation of children. Evidence: The records for the five staff members did not contain documentation of daily health observation training. Staff #5 stated no staff had been trained for daily health observation.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-610-A
Description:	Based on observation, the vendor did not ensure areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. The bathroom in the hallway and the kitchen walls had peeling paint. 2. The wooden door in the Two's classroom had a hole in the door that created jagged edges.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-610-C-2
Description:	Based on observation, the vendor did not ensure in areas used by children of preschool age or younger that all electrical outlets had protective covers that were of a size that could not be swallowed by children. Evidence: The Twos and the kitchen area had electrical outlets that did not have protective covers. Children were observed in the classroom and the kitchen area during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-620-A
Description:	Based on observation, the vendor did not ensure all hazardous substances such as cleaning materials, insecticides, and pesticides were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. The kitchen contained cleaning chemicals sitting on the sink and shelves where the children were observed eating. 2. Sanitizing spray and wipes were observed sitting on top of a shelf in the Preschool classroom.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-630-C-3
Description:	Based on temperature readings, the vendor did not ensure the sinks were supplied with running warm water that did not exceed 120 degrees Fahrenheit. Evidence: The water temperature at the hand washing sink used by the children registered 124.8 degrees Fahrenheit on the digital thermometer.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-650-C
Description:	Based on observation and inspection of the facility, the vendor did not ensure that ratios were maintained for children from birth to the age of 16 months: one staff member for every four children. Evidence: In the Infant classroom, there were five children (six months to 20 months of age) being cared for by Staff #4. Staff #4 stated that most days she has five children by herself. Staff #5 stated she thought the ratio could be doubled when the infants were sleeping.
Plan of Correction:	Not available online. Contact Inspector for more information.
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: Staff #5 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.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-710-H-1
Description:	Based on inspection, the vendor did not ensure cribs meet the current Consumer Product Safety Commission Standards. Evidence: 1. A crib was being used for Child #2 (five months of age) to sleep in. The crib was marked as being manufactured February 21, 2002. If a crib was purchased prior to and manufactured before June 28, 2011, a Children?s Product Certificate (CPC) or test report from a CPSC-accepted 3rd party lab is required in order to demonstrate compliance with 16 C.F.R. Part 1219 or C.F.R. Part 1220.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22VAC40-665-780-B
Description:	Based on documentation review and interview, the vendor did not maintain a record of the dates of the practiced drills for one year. Evidence: The emergency drill log showed documentation of monthly fire drills. Staff #5 stated the lockdown and shelter-in-place drills were not documented.
Plan of Correction:	Not available online. Contact Inspector for more information.