VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Word of Life Outreach Ministries
14605 Woods Edge Road
South chesterfield, VA 23834
(804) 530-1150

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Nov. 18, 2019 and Dec. 9, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION

Technical Assistance:

N/A

Comments:

The licensing inspector completed an unannounced subsidy health and safety complaint inspection regarding forbidden action in response to a complaint that was received by the licensing department on 10/16/2019. The inspection was initiated on 11/19/19 and completed on 12/26/19. On 11/19/19, the inspector was on site from approximately 10:00 AM until 11:30 AM. On 12/09/19, the inspector was on site from approximately 2:30 PM until 4:00 PM. Interviews with staff were completed, observations were made in the center, and documentation was reviewed. The preponderance of the evidence gathered during the investigation does not support the allegation; therefore, the complaint is determined to be not valid. Though not a part of the original complaint, there were violations found during the inspection regarding background checks and staff records. See the violation notice for more details. If you have any questions about this inspection, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC40-665-530-1
Description:	Based on record review and interview, the vendor did not ensure the name, address, verification of age requirement and date of employment or volunteering was obtained for one staff member. During the 11/19/19 and 12/09/19 interviews, Staff #1 and Staff #2 stated they did not know the first day of employment for Staff #1.
Plan of Correction:	We will create a complete record for Staff #1.
Standard #:	22VAC40-665-530-2-a-1
Description:	Based on review of one staff record and interview, the vendor did not obtain satisfactory results of the finger-print based national criminal background check for one staff prior to employment. Evidence: The record for Staff #1 (hire date mid-October, 2019) did not contain satisfactory results of the finger-print based national criminal background check. Staff #2 stated Staff #1 has been supervising children in the afternoons.
Plan of Correction:	Staff #1 completed the finger-print based national criminal background check on December 2, 2019. We are waiting on the results.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on review of one staff record and interview, the vendor did not ensure that one staff had a search of the central registry within the first 30 days of employment. Evidence: 1. On 11/18/19, Staff #2 stated Staff #1 has been supervising children in the afternoons since the middle of October. Staff #2 stated a central registry finding had not been requested for Staff #1. The record for Staff #1 (hire date mid-October, 2019) did not contain central registry results. 2. On 12/9/19, the record for Staff #1 contained a copy of the requested central registry finding dated 12/02/19.
Plan of Correction:	The required background checks have been requested and/or obtained.
Standard #:	22VAC40-665-530-2-c
Description:	Based on review of one staff record and interview, the vendor did not ensure that one staff had an individual's sworn statement or affirmation. Evidence: 1. On 11/18/19, Staff #2 stated Staff #1 has been supervising children in the afternoons since the middle of October. The record for Staff #1 (hire date mid-October, 2019) did not contain a completed sworn statement of affirmation. Staff #2 stated Staff #1 had not completed a sworn statement of affirmation. 2. On 12/9/19, the record for Staff #1 contained a copy of the requested central registry finding and a completed sworn statement dated 11/19/19.
Plan of Correction:	The required background checks have been requested and/or obtained.
Standard #:	22VAC40-665-540-A
Description:	Based on record review and interview, the vendor did not ensure one staff member had been evaluated by a health professional and be issued a statement that the individual was determined to be free of communicable tuberculosis (TB). Documentation of the screening was required to be submitted at the time of employment and prior to coming into contact with children. The documentation should have been completed within the last 30 calendar days of the date of employment and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The record of Staff #1 (hire date mid-October 2019) did not contain documentation that the staff was free of communicable TB. On 12/9/19, Staff #2 stated Staff #1 still needs to obtain the TB screening.
Plan of Correction:	The staff has a doctor's appointment scheduled to get a TB test.
Standard #:	22VAC40-665-580-D
Description:	Based on record review and interview, the vendor did not ensure one staff member had completed orientation training prior to the staff member working alone with children and within seven days of the date of employment. Evidence: The record of Staff #1 (hire date mid-October 2019) did not contain documentation of orientation. Staff #2 stated Staff #1 had not completed the required orientation as of 11/19/19.
Plan of Correction:	Staff #1 will complete all required training and information will be added to the record.