VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Truth and Worship Outreach Ministries
212 Murphy Circle
Danville, VA 24541
(434) 421-2602

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Jan. 9, 2020

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 initial Subsidy Health and Safety inspection was conducted on January 9, 2020 to review supplemental health and safety requirements. The Licensing Inspector arrived & started inspection at 9:40 AM. There were eight (8) children ages 11 months - 3 years old and five (5) staff members present. Center administers medication however there were no enrolled children receiving medication during the center?s hours of operation. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Licensing Inspector conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the center?s representative on January 9, 2020. The inspection concluded at 1:40 PM. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-665-530-1
Description:	Based on record review, the Vendor failed to document the date of employment for each staff member. EVIDENCE: Licensing Inspector reviewed nine (9) staff records. Records for Staff #1, #3, #5, #8 and #9 did not include the hire date for each person.
Plan of Correction:	Director will include date of hire in each staff record.
Standard #:	22VAC40-665-530-2-a-1
Description:	Based on record review, the Vendor failed to ensure Fingerprint Background Checks are completed for each staff member. EVIDENCE: Licensing Inspector reviewed nine (9) records. Record for Staff #3 did not include documentation of a completed Fingerprint Background Check.
Plan of Correction:	Staff will schedule appointment to complete Fingerprint Background Check. Documentation of the findings will be maintained on file at the Center. Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on record review, the Vendor failed to ensure Central Registry Background Check is completed for all staff. EVIDENCE: Licensing Inspector reviewed nine (9) staff records. Records for Staff #4, #5 and #9 did not include documentation of a completed Central Registry Background Check.
Plan of Correction:	Director will submit request to complete required CPS Background Check. Documentation of the findings will be maintained on file at the Center. Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.
Standard #:	22VAC40-665-530-2-c
Description:	Based on record review, the Vendor failed to ensure each staff member completes a Sworn Disclosure Background Check. EVIDENCE: Licensing Inspector reviewed nine (9) staff records. Record for Staff #1 did not include documentation of a completed Sworn Disclosure Background Check.
Plan of Correction:	Staff member will complete the sworn disclosure. Document will be kept in the staff record. Sworn Disclosure Background Check will be completed before hire date for all new staff. Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.
Standard #:	22VAC40-665-530-3
Description:	Based on record review, the Vendor failed to ensure each staff member completes a tuberculosis skin test or screening. EVIDENCE: Licensing Inspector reviewed nine (9) staff records. Records for Staff #5, #8 and #9 did not include documentation of a completed tuberculosis skin test or screening.
Plan of Correction:	Staff will complete a tuberculosis skin test. Documentation of the results will be maintained on file at the center.
Standard #:	22VAC40-665-770-B-5
Description:	Based on review of the center's Emergency Preparedness Plan, the Vendor failed to ensure procedures for the continuity of operations were included in the emergency preparedness plans. EVIDENCE: The center's Emergency Preparedness Plan did not include procedures for the continuity of operations.
Plan of Correction:	Director will revised the center's emergency preparedness plan to include the plan on continuity of operations procedures.