VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Los Pentecostales De La Peninsula Church
13799 Warwick Boulevard
Newport news, VA 23602
(757) 874-1590

VDSS Contact: Michele Patchett (757) 439-6816

Inspection Date: Nov. 1, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures 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 November 1, 2019 from approximately 9:45 am-2:30 pm. Upon arrival to the facility, there were 35 children present with eight staff members. The children were observed playing in the gymnasium, doing a letter recognition activity, feeding, resting and playing freely and interacting with their peers and staff. The following areas were reviewed: indoor and outdoor areas, required postings, the center's vehicle, nutrition, administration, programming and emergency supplies and procedures. The center has MAT trained staff but there is no medication present in the center at this time.

Violations:

Standard #:	22VAC40-665-800-C
Description:	Based on observation and staff interview, the vendor did not ensure that bottles shall not be used while children are in their designated sleeping location. Evidence: An eight month old infant was observed in a crib laying on his back and drinking from a bottle. Two bottles were also observed in two separate empty cribs where children had fallen asleep while drinking from their bottles as confirmed by the Director.
Plan of Correction:	We will not place any babies with bottles in the crib as well as any objects in the crib.
Standard #:	22VAC40-665-520-B
Description:	Based on record review, in five of five children's records reviewed, the vendor did not ensure that each child's record included all required information. Evidence: The Director confirmed that the following information had not been documented in each child's record: Child #1 and Child #5-the employment addresses for both parents and and an address for one person to contact in the event of an emergency Child #2 and Child #4-the employment addresses for both parents Child #3-the employment address for one parent
Plan of Correction:	Director will contact the parents and update the record.
Standard #:	22VAC40-665-540-A
Description:	Based on record review, in one of five staff records reviewed, the vendor did not ensure that staff have documentation of a negative tuberculosis (TB) screening submitted at the time of employment and prior to coming into contact with children. The documentation shall have been completed within the last 30 calendar days of the date of employment . Evidence: The Director confirmed that the TB screening documentation for Staff #2 (hire date 11/1/19) was dated 6/5/19.
Plan of Correction:	Director will make sure that TB screenings are within the required timeframes.
Standard #:	22VAC40-665-580-D
Description:	Based on record review, in three of five staff records reviewed, the vendor did not ensure that orientation training for staff shall be completed prior to the staff member working alone with children and within seven days of the date of employment. Evidence: The Director confirmed that there was no documentation of orientation training in the records for Staff #1 (date of hire 8/30/19), Staff #4 (date of hire 8/30/19) and Staff #5 (date of hire 3/25/19).
Plan of Correction:	Director will review the training with staff and have them sign an orientation form.
Standard #:	22VAC40-665-610-A
Description:	Based on observation and inspection of the facility, the vendor did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: The Director confirmed the following conditions at the center: 1. The paint on the wooden playground equipment was chipped and peeling in multiple areas. 2. In the Three Year Old Classroom there was a white wooden cubby with a pink chest of drawers on top that posed a tipping hazard to the children in care.
Plan of Correction:	We will not use the playground equipment until it has been sanded and painted. We will replace the rope. We will take out the white cubby and have someone to secure it on the wall and place the pink chest of drawers on the floor.
Standard #:	22VAC40-665-620-A
Description:	Based on observation and inspection of the facility, the vendor did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The Director confirmed that there was a bottle of hand sanitizer on a shelf in an unlocked cabinet in the Toddler Classroom; a safety latch was present but had not been secured. There was a bottle of soap in the Two Year Old Classroom with keep out of reach of children and warning on the label.
Plan of Correction:	We will take out the bottle of soap and Director will review with the teachers that the cabinet has to be locked when chemicals are in it.
Standard #:	22VAC40-665-700-C
Description:	Based on record review, in two of two injury records reviewed, the vendor did not maintain a written record of children's injuries with all required information. Evidence: The following information had not been documented for each injury record: . 1. An injury record dated 9/27/19 did not include the time of the injury and the time that the parents were notified. 2. An injury record dated 10/08/19 did not include the time the parents were notified and staff present.
Plan of Correction:	Director will review with staff how to properly fill out the form and the form will be updated to be more detailed.
Standard #:	22VAC40-665-740-B-3-e
Description:	Based on observation and staff interview, the vendor did not ensure that all required items were in the diapering area. Evidence: The Director confirmed that there was not a covered receptacle for soiled linen in the diapering area of the Toddler Classroom.
Plan of Correction:	We will have a soiled linen receptacle in there.
Standard #:	22VAC40-665-750-D
Description:	Based on observation and inspection of the facility, the center did not ensure that medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The Director confirmed that there were seven aspirin and non-aspirin pills in an unlocked first aid kit on the center's vehicle used to transport children.
Plan of Correction:	We will take the medicine out and lock them away.
Standard #:	22VAC40-665-760-A-1
Description:	Based on observation and inspection of the facility, the vendor did not ensure that each first aid kit contains all required items. Evidence: The Director confirmed that the first aid kit on the van used to transport children did not contain scissors and a digital thermometer.
Plan of Correction:	Both will be corrected today.
Standard #:	22VAC40-665-780-A
Description:	Based on inspection and staff interview, the vendor did not ensure that emergency response drills were practiced at at least their required minimums. Evidence: The Director confirmed that the center had not practiced two shelter in place drills in 2018 and a lockdown drill in 2018.
Plan of Correction:	We will have those drills by the end of November.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in one of five staff records reviewed, the vendor did not ensure that staff submit to fingerprinting prior to employment. Evidence: The Director confirmed that the hire date for Staff #3 was 10/31/19 and the fingerprint results were dated 11/1/19.
Plan of Correction:	Director will make sure that employees are not hired before the results are received.