VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Friends Church
1062 Big Bethel Road
Hampton, VA 23666
(757) 265-6966

VDSS Contact: Tiffany Jones (757) 403-3045

Inspection Date: Jan. 23, 2020

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

Comments:

An unannounced monitoring inspection was conducted on January 23, 2020 from approximately 8:50 am-2:00 pm. Upon arrival to the facility, there were 34 children with four staff members. Additional staff were on site for administrative and support purposes. The children were observed arriving to the program, doing worksheets at their desks, transitioning to the music room and talking freely amongst each other. Six staff records were reviewed. Five children's records were reviewed. A school age and preschool playground area were inspected. Two center vehicles were observed.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in one of six staff records reviewed, the vendor did not ensure that staff shall have a central registry record check by end of the 30th day of employment. Evidence: The confirmed that there was no documentation of a Central Registry finding for Staff #6 (date of hire 11/11/19).
Plan of Correction:	The Director will have the form notarized and it will be mailed today.
Standard #:	22VAC40-665-520-B
Description:	Based on record review, in four of five children's records reviewed, the vendor did not ensure that each child's record included all required information. Evidence: The vendor confirmed that the following information had not been documented in each child's record: Child #1 and Child #4-the name, home address, phone number, place of employment, work address and work phone number of one parent; and the work address for the second parent Child #2-the name, home address, phone number, place of employment, work address and work phone number of one parent Child #5-place of employment, work address and work phone number for both parents
Plan of Correction:	The Director will have the parents to come in and properly fill out the paperwork.
Standard #:	22VAC40-665-540-A
Description:	Based on record review, in three of six staff records reviewed, the vendor did not ensure that staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be 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 and be signed by a physician, physician's designee, or an official of the local health department. Evidence: The Director confirmed that the documentation of the following TB screening results were not completed within 30 calendar days of the date of employment: Staff #1-(date of hire 8/22/19) no documentation of TB results Staff #2-(date of hire 9/10/18) TB results dated 1/11/19 Staff #5-(date of hire 9/4/19) TB results dated 10/24/19
Plan of Correction:	The Director will talk to Staff #1 and have her to bring the documentation of an updated TB screening. The Director will make sure that all new staff have their TB screening upon hire.
Standard #:	22VAC40-665-560-A
Description:	Based on record review, in one of five children's records reviewed, the vendor did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: The Director confirmed that there was no documentation of immunizations for Child #2 who was present at the center on the date of the inspection.
Plan of Correction:	Director will do a follow-up with the parent today and tell them that the shot record is needed ASAP.
Standard #:	22VAC40-665-580-B
Description:	Based on record review, in two of six staff records reviewed, the vendor did not ensure that staff who work directly with children shall complete Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: The Director confirmed that the following staff members had not completed the Virginia Preservice training: Staff #1 (date of hire 8/22/19) Staff #5 (date of hire 9/4/19)
Plan of Correction:	Director will ask both staff to get the Preservice training done.
Standard #:	22VAC40-665-580-E-1
Description:	Based on record review, in two of six staff records reviewed, the vendor did not ensure that staff obtain current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care and that the training shall include an in-person competency demonstration. Evidence: The Director confirmed that the following staff members had not obtained CPR training: Staff #1-(date of hire 8/22/19) Staff #5-(date of hire 9/4/19)
Plan of Correction:	The Director will have both staff obtain the training.
Standard #:	22VAC40-665-580-E-2
Description:	Based on record review, in two of six staff records reviewed, the vendor did not ensure that staff obtain current certification in first aid. Evidence: The Director confirmed that the following staff members had not obtained first aid training: Staff #1-(date of hire 8/22/19) Staff #5-(date of hire 9/4/19)
Plan of Correction:	The Director will have both staff obtain the training.
Standard #:	22VAC40-665-580-H
Description:	Based on record review, in three of six staff records reviewed, the vendor did not ensure that staff who work directly with children shall, in addition to preservice and orientation training, annually attend at least 16 hours of training and staff development activities. Evidence: The Director confirmed that there was no documentation that the following staff members completed 16 hours of annual training in 2019: Staff #2 (date of hire 9/10/18) Staff #3 (date of hire 8/20/12) Staff #4 (date of hire 6/24/05)
Plan of Correction:	Director will talk to the Co-Director in regards to getting the print out for our staff training hours.
Standard #:	22VAC40-665-610-C-2
Description:	Based on observation and inspection of the facility, the vendor did not ensure that electrical outlets shall have protective covers. Evidence: The Director confirmed that in Room 3, there were two uncovered outlets near the brown cabinet and one uncovered outlet in the surge protector.
Plan of Correction:	All outlets have been covered.
Standard #:	22VAC40-665-620-A
Description:	Based on observation and inspection of the facility, the vendor did not ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to children. Evidence: The Director confirmed the following unlocked chemicals labeled keep out of reach of children and warning, caution or flammable, throughout the center: Room 3-hand sanitizer on the desk and three bottles of rubbing alcohol Room 4-hand sanitizer and board cleaner on the desk Art Room-two hand sanitizers on the desk Music Room-air freshener, disinfecting wipes and shave cream in a white cabinet; hand sanitizer on the cubby Room 107-disinfecting spray on the sink in the bathroom
Plan of Correction:	Director will make sure all staff lock all cleaning supplies away after using them.
Standard #:	22VAC40-665-640
Description:	Based on observation and inspection of the facility, the vendor did not ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: The Director confirmed the following obvious injury hazards on the outdoor playground area: School Age Playground: The multi-hoop basketball goal was not properly cemented into the ground and was visibly leaning to one side Preschool Playground: The yellow/red plastic playground equipment had three circular holes with potentially sharp and jagged edges that could also be a pinching hazard.
Plan of Correction:	Director or Co-Director will contact that maintenance department of the church to help fix those areas that are in need of repairs.
Standard #:	22VAC40-665-750-A
Description:	Based on review, the vendor did not ensure that prescription medication can be administered to a child with written permission of the parent. Evidence: The Director confirmed that a prescription medication had been administered to Child #3 13 times between 12/11/2019-01/06/2020 without the facility having obtained written permission from the parents.
Plan of Correction:	Director will contact the parent today and have them to sign the medication authorization form.
Standard #:	22VAC40-665-780-A-2
Description:	Based on review of documentation the vendor did not ensure that shelter-in-place procedures shall be practiced twice a year. Evidence: The Director confirmed that there was only one shelter-in-place drill practiced in 2019.
Plan of Correction:	Shelter-in-place drills will take place two times this year.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in three of six staff records reviewed, the vendor did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: The confirmed that fingerprint results were obtained after employment for the following staff members: Staff #1 (date of hire 8/22/19)-fingerprint results letter dated 8/28/19 Staff #2 (date of hire 9/10/18)-fingerprint results letter dated 9/12/18 Staff #5 (date of hire 9/4/19)-fingerprint results letter dated 10/25/19
Plan of Correction:	Director will make sure the fingerprint results are received before they are officially hired.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, in one of six staff records reviewed, the vendor did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years. Evidence: The Director confirmed that the center had not conducted an Out of State Central Registry request for Staff #6 (date of hire 11/11/19) who indicated on the sworn statement as to living outside the state of Virginia within the last five years.
Plan of Correction:	Director will look into that matter today.
Standard #:	VENDSUB-000-030-C-2
Description:	Based on observation and inspection of the facility, the vendor did not ensure that all required nonmedical emergency supplies were operable and at the center. Evidence: The Director confirmed that the battery-operated radio was inoperable when not plugged in.
Plan of Correction:	We will make sure that we have a working radio in the office for future inspections.