VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Huguenot United Methodist Church
10661 Duryea Drive
Richmond, VA 23235
(804) 272-1704

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: Feb. 11, 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

Technical Assistance:

N/A

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Tuesday, February 11, 2020 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at approximately 9:50 AM and concluded at approximately 1:50 PM. A total of 51 children were present during the inspection. The following staff to child ratios were observed: Infant 1: 3 children and 2 staff Infant 2: 2 children and 1 staff Toddlers: 8 child and 2 staff Twos: 9 children and 2 staff Threes: 14 children and 2 staff Pre-K: 15 children and 2 staff Children were observed sleeping in cribs, being fed, looking at books, playing with cars, participating in music class, playing in centers including blocks, dramatic play, sensory table, dollhouse, art and science. Children were also observed taking bathroom breaks, washing hands and eating snack. Five children?s records and five staff records were reviewed. Violations were cited during the inspection. See the violation notice for additional information. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within five business days from today. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have any questions, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC40-665-530-2-d
Description:	Based on a review of five staff records and interview, the vendor did not have documentation for any individual who begins employment or service after the vendor agreement has been signed in the file within 30 days of the individual's beginning date of employment or service. Evidence: The record for Staff #1 (hire date 09/04/2019) contained satisfactory results of the Child Protective Services Central Registry check dated 12/09/2019. A member of management stated the form accidently was placed in the record and once it was discovered, the form was sent to the local agency.
Plan of Correction:	We established an audit process for our staff records which will be conducted annually and includes a list of items required in the file and when to file them. All office personnel have been provided with a copy of the audit list to insure that paperwork is not misfiled going forward.
Standard #:	22VAC40-665-620-A
Description:	Based on observation and interview, the vendor did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: 1. In the Twos classroom two cleaners were sitting on top of a shelf. 2. In the Threes and Fours classroom, an aerosol can of sanitizer was sitting on top of the shelf. An aerosol can of cleaning spray was sitting in one of the toy bins by the door.
Plan of Correction:	We have reviewed our staff policies related to cleaning products with all staff members and will conduct more frequent classroom observations to insure the policies are being implemented correctly.
Standard #:	22VAC40-665-650-H
Description:	Based on interviews and observation, the vendor did not ensure children less than 10 years of age shall always be within actual sight and sound supervision of staff. Evidence: Two cribs were observed in the Infant I classroom. There were three infants present in the Infant I classroom. Staff stated that during nap time, one child is moved into the crib classroom due to different sleeping patterns. Staff stated a camera monitor is used to watch the infant sleep.
Plan of Correction:	We have eliminated the video baby monitors and increased staff to insure that a teacher is in each classroom where the infants are sleeping.
Standard #:	22VAC40-665-700-C
Description:	Based on documentation review, the vendor did not maintain a written record of children?s serious and minor injuries containing all of the required information. Evidence: Six accident reports were reviewed. The six accident reports did include the date and time when parent were notified of the accidents.
Plan of Correction:	We have revised our accident report form to include when and how parents are informed of the accident/injury.
Standard #:	22VAC40-665-740-A-2
Description:	Based on observation, the vendor did not ensure children?s hands were washed with soap and running water after toileting. Evidence: A staff member in the Twos classroom was observed changing two children?s diapers. After finishing each the diaper change, Staff #1 removed the child from the diaper-changing table and the children were observed going back into center, playing with toys in the classroom.
Plan of Correction:	We have reviewed our diaper and handwashing policies with all staff and will conduct more frequent classroom observations to insure that the policies are being implemented correctly.
Standard #:	22VAC40-665-780-B
Description:	Based on a review of documented emergency drills and interview, the vendor did not maintain a record of the dates of the practice drills for one year. Evidence: The documentation of the practiced emergency drills did not document monthly evacuation drills. A member of management stated the required drills had been completed but not all of the drills were documented. The vendor and inspector discussed a sample model form for documenting emergency drill and requested a copy of the form to be sent to the vendor.
Plan of Correction:	We have revised our emergency drill plan to correctly reflect the type and frequency required. We have also revised our drill documentation form to match the requirements from DSS.