VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Life Harvest Church
5717 Midlothian Turnpike
Richmond, VA 23225
(804) 230-5950

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: Oct. 13, 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 10/12/2021 and concluded on 10/12/2021. There were 14 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 #:	22VAC40-665-520-B-12
Description:	Based on record review, the vendor did not ensure one of three children's records contained documentation of child's proof of identity and age as stated in ? 63.2-1809 of the Code of Virginia. Evidence: The record of child #3 (start date: 9/23/21) did not have documentation of the child's proof of identity and age.
Plan of Correction:	I have requested the proof of ID from the parent and expecting it within 2 weeks.
Standard #:	22VAC40-665-530-2-a-1
Description:	Based on record review, the vendor did not ensure two of four staff records contained documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (start date: 8/1/19) had documentation of fingerprint based national criminal history search results dated 10/26/20. 2. The record of administrator #4 (start date: 9/13/21) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction:	In the future I will make sure to get background checks before hire.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on staff record review, the vendor did not ensure one of four staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #2 (start date: 8/1/19) had documentation of central registry results dated 10/26/2020.
Plan of Correction:	In the future I will make sure to get background checks before hire.
Standard #:	22VAC40-665-530-2-d
Description:	Based on staff record review, the vendor did not ensure two of four staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff#2 (start date: 8/1/19) had documentation of complete sworn statement dated 10/15/2020.
Plan of Correction:	In the future I will make sure to get background checks before hire.
Standard #:	22VAC40-665-540-B
Description:	Based on record review, the vendor did not ensure two of three staff records contained documentation of the staff's subsequent TB screenings at least every two years from the date of the initial screening. Evidence: 1. The record of staff #2 (start date: 8/1/2019) had documentation of TB screening results dated 9/8/19. 2. The record of staff #3 (start date: 7/16/2014) had documentation of TB screening results dated 12/28/18.
Plan of Correction:	I will make sure every staff has updated TB screenings.
Standard #:	22VAC40-665-560-A
Description:	Based on record review, the vendor did not ensure two of three children's records contained documentation of immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record of child #2 (start date: 7/12/21) had documentation of immunizations dated 7/19/21. 2. The record of child #3 (start date: 9/23/21) did not have documentation of immunizations.
Plan of Correction:	I should receive immunizations within a week.
Standard #:	22VAC40-665-580-D
Description:	Based on record review, the vendor did not ensure four of four staff records had documentation of orientation training for staff completed on facility specific topics prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1. The record of staff #1 (start date: 7/26/21) did not have documentation of orientation training. 2. The record of staff #2 (start date: 8/01/19) did not have documentation of orientation training. 3. The record of staff #3 (start date: 7/16/14) did not have documentation of orientation training.
Plan of Correction:	I will implement that along with the employee handbook.
Standard #:	22VAC40-665-580-H
Description:	Based on record review, the vendor did not ensure two of three staff records contained documentation of the required annual 16 hours of training and staff development activities, to include the department's health and safety update course. Evidence: 1. The record of staff #2 (start date: 8/1/19) had documentation of 7.5 hours of annual training and the departments health and safety update course was last taken on 8/5/20. 2. The record of staff #2 (start date: 7/16/14) had documentation of 4.5 hours of annual training. Additionally, staff #2's record did not have documentation of the departments health and safety update course.
Plan of Correction:	Within the next 3 weeks, all of our staff will complete their 3 hour health and safety update training and a plan to complete their annual training.
Standard #:	22VAC40-665-640
Description:	Based on observation, the vendor did not ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining sand or other cushioning material under playground equipment. Evidence: The vendor did not ensure to have resilient surfacing or cushioning material under playground equipment.
Plan of Correction:	I will mulch the playground by the end of the month.