VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Christian Way Ministries
549 Newtown Road
Suite 107 & 108
Virginia beach, VA 23462
(757) 278-6460

VDSS Contact: Arlene Agustin (804) 629-7519

Inspection Date: June 9, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Regulations

Comments:

A subsidy inspection (SHSI) was conducted on June 9, 2022 from 10:20am to approximately 12:45pm. There were seven children present and five staff members. A religious exempt code compliance inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. 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. The violations are listed on the violation notice issued to the center and were reviewed with the site director at the exit interview.

Violations:

Standard #:	8VAC20-790-560-A
Description:	Based on record review and interview, it was determined that the vendor did not ensure that staff 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: 1. In review of five staff records, 4 of the 5 records did not have a required TB screening. a. Staff #1, the director (date of hire: 04/04/22) does not have the required TB screening completed. b. Staff #2 (date of hire: 04/20/22) does not have the required TB screening completed. c. Staff #4 (date of hire: 04/04/22) does not have the required TB screening completed. d. Staff #5 (date of hire:05/16/22) does not have the required TB screening completed. 2. The vendor acknowledged that TB screenings were required and that 4 of the 5 staff members did not have it completed prior to the date of employment.
Plan of Correction:	The center responded with the following: The director will ensure that all staff members have their TB screening completed showing a negative test. Documentation will be placed in the staff records signed by a physician or designee. Moving forward, the director will ensure that prior to employment, that the TB screening for new staff will be completed.
Standard #:	8VAC20-790-620-B
Description:	Based on observation and interview, it was determine that the vendor was unable to provide the department representative an annual certification from the Health Department. Evidence: 1. The last Health Department annual inspection was completed on May 18, 2020. 2. The director of the center, Staff #1, confirmed that there was no annual Health Department inspection completed since May 18, 2020.
Plan of Correction:	The center responded with the following: Staff #1 will contact the Health Department and schedule the inspection. Once the inspection is completed, Staff #1 will email a copy of the certificate to licensing.
Standard #:	8VAC20-790-640-A
Description:	Based on observation and interview, it was determined that the vendor did not ensure that hazardous substances such as cleaning materials be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, with three infants present, there were sanitizing wipes next to the changing table with a warning label stating, ?Hazards to humans.? 2. In the children?s bathroom, there were two disinfectant spray bottles as well as sanitizing wipes with warning labels stating, ?Keep out of reach of children? unlocked and accessible to children. 3. In the toddler room, with children presently in care, there were two aerosol spray cans with warning labels stating, "Keep out of reach of children? that were unlocked. 4. Staff #1 confirmed that the spray bottles and sanitizing wipes were unlocked and accessible to children.
Plan of Correction:	The center responded with the following: All cleaning materials were immediately locked during the time of the inspection and were no longer accessible to children. Moving forward, staff will lock all cleaning supplies and hazardous materials.
Standard #:	8VAC20-790-770-B
Description:	Based on observation and interview, it was determined that the vendor did not ensure that the over-the-counter or nonprescription medication to a child has written permission from the parent. Evidence: 1. In the infant room, there was a tube of diaper cream that did not have written permission from a parent to use at the center. 2. Staff #1 confirmed that there was no written consent for the use of over-the-counter diaper cream.
Plan of Correction:	The center responded with the following: All over-the-counter and nonprescription medication will have written permission to use at the center by a parent and placed in the child?s file.
Standard #:	8VAC20-790-800-A-1
Description:	Based on interview, it was determined that the vendor did not ensure that emergency response drills be practiced at the center. Evidence: 1. Staff #1 confirmed that no evacuation procedures have been practiced at the center.
Plan of Correction:	The center responded with the following: Staff #1 will ensure that all evacuations procedures will be practiced.
Standard #:	8VAC20-790-810-C-1
Description:	Based on observation and interview, it was determined that the vendor did not ensure that when food is brought from home that food containers be clearly labeled in a way that identifies the owner. Evidence: 1. There were three baby bottles in the infant room that were unlabeled with no name and date. 2. In the toddler room, with four children present, there were two sippy cups unlabeled with no name and date. 3. The director of the center, Staff #1, confirmed that there were no names and dates to the bottles and cups at the center.
Plan of Correction:	The center responded with the following: All bottles and cups for the children in care will all be labeled with the appropriate name and date.
Standard #:	8VAC20-790-820-B
Description:	Based on observation and interview, it was determined that the center did not ensure that when a child is placed in an infant seat, high chair, or feeding table, the protective belt shall be fastened securely. Evidence: 1. In the infant room, Child #1, was not securely fastened with a protective belt when sitting in an activity chair. 2. Staff #2 confirmed that Child #1 was not securely fastened in the activity chair.
Plan of Correction:	The center responded with the following: The staff will ensure that all children placed in seats or chairs that require a protective belt be securely fastened.