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Greater Brook Road Baptist Church
4208 Chamberlayne Avenue
Richmond, VA 23227
(804) 266-4523

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Aug. 16, 2021

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:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program.

A subsidy health and safety inspection (SHSI) was initiated on 08/16/2021 and concluded on 08/16/2021. There were 13 children present with 3 staff supervising. A code compliance inspection was also conducted on this date.

Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22VAC40-665-530-2-d
Description: Based on staff record review, the center did not ensure one of two staff records had documentation of a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (start date: 9/8/20) did not have documentation of a completed sworn statement of affirmation.

Plan of Correction: I will have the staff complete and sign the form by Wednesday.

Standard #: 22VAC40-665-540-B
Description: Based on record review, the center did not ensure one of two staff records contained documentation of subsequent a Tuberculosis screening which is required at least every two years from the date of the initial screening, or more frequently if recommended by a physician.
Evidence:
The record of staff #2 (start date: 11/15/13) had documentation of a tuberculosis screening dated 9/16/2016.

Plan of Correction: Appointment is already scheduled for Wednesday the 18th.

Standard #: 22VAC40-665-580-E-1
Description: Based on record review, the center did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care.
Evidence:
The record of staff #2 (start date: 11/15/13) did not have documentation of a current certification in cardiopulmonary resuscitation (CPR).

Plan of Correction: I will have them complete it by Friday the 20th.

Standard #: 22VAC40-665-580-E-2
Description: Based on record review, the center did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid.
Evidence:
The record of staff #2 (start date: 11/15/13) did not have documentation of a current certification in first aid.

Plan of Correction: I will have them complete it by Friday the 20th.

Standard #: 22VAC40-665-580-K
Description: Based on record review and an interview, the center did not ensure to have at least one person on staff that has been trained to conduct daily health screenings of children.
Evidence:
During the inspection of two staff records and an interview with the center representative, it was discovered there were no staff that received training in daily health observation within the past three years. Daily health observation training should be completed once every three years. The record of staff #3 had documentation of a Daily Health screening certificated dated 9/3/2015.

Plan of Correction: We will have the [Daily Health Observation Trainer] to come on site to do the training.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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