VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Enoch Baptist Church
5685 Herbert Moore Road
Virginia beach, VA 23462
(757) 552-7020

VDSS Contact: Emily Walsh (757) 404-2575

Inspection Date: Aug. 17, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Comments:

A subsidy health and safety (SHSI) inspection was conducted on 8/17/2022. There were 29 children present with 3 staff supervising. An RECDC code compliance inspection was also conducted on this date. Both inspections combined cover subsidy health and safety regulations. Only subsidy requirements that are not covered in the Code of Virginia were reviewed during this supplemental inspection. Information gathered during the inspection determined non-compliance with applicable requirements and violations were documented on the violation notice issued to the program. Violations cited were reviewed the program principal during the exit interview.

Violations:

Standard #:	8VAC20-790-540-B
Description:	Based upon review of children's records and staff interview, the vendor has not ensured that children's records include all required information. Evidence: 1. The record provided for child 1 did not have indicated the last date of attendance (termination date). 2. The record provided for child 2 did not include the first date of attendance and did not have the names, addresses and telephone numbers for two persons to be contacted in an emergency when a parent cannot be reached. 3. The record provided for child 3 did not include the first date of attendance. 4. The record provided for child 4 did not include the first date of attendance, the last date of attendance (termination dat) and did not have the names, addresses and telephone numbers of two persons to be contacted in an emergency when a parent cannot be reached. 5. Staff 1 verified that the above information was not in the children's records as stated above.
Plan of Correction:	The facility responded with the following: Entrance dates and exit dates have been written in students' folders. The suggested child registration form with all necessary information will be completed during 8/31/22 registration and orientation sessions to include dates, emergency contact information, and all other required information.
Standard #:	8VAC20-790-540-B-16
Description:	Based upon review of five children's records and staff interview, the vendor has not ensured that they have a written statement that the vendor will notify the parent when a child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. Evidence: 1. The record provided for child 4 did not include an agreement that the parent will pick up the ill child if requested by the vendor. 2. Staff 1 verified that the agreement (parent handbook agreement) was not in child 4's file.
Plan of Correction:	The facility responded with the following: This information has been added to parent handbook, which parents will sign.
Standard #:	8VAC20-790-540-B-8
Description:	Based upon review of children's records and staff interview, the vendor has not ensured that there is written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately. Evidence: 1. The records provided for child 1, 2, 3, 4 and 5 did not include written parent authorization for emergency medical treatment should an emergency occur and the parent cannot be located immediately. 2. Staff 1 verified that the agreement for emergency medical care is not the children's files as indicated above.
Plan of Correction:	The facility responded with the following: The suggested child registration form will be used for future registrants to gather all necessary written authorizations. Those returning for fall 2022 will have completed files.
Standard #:	8VAC20-790-550-1
Description:	Based upon review of staff records and staff interview, the vendor has not ensured that staff records include the date of employment. Evidence: 1. The record provided for staff 3 did not include the date of employment. 2. Staff 1 acknowledged that the date of employment was not indicated in the record provided for staff 3.
Plan of Correction:	The facility responded with the following: The date of employment was written in staff's folder after acknowledgement during review.
Standard #:	8VAC20-790-560-A
Description:	Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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 records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.
Plan of Correction:	The facility responded with the following: Child 5'2 parent has been notified of the missing State Board of Health documentation to be completed for upcoming school year. All student records will include this documentation.
Standard #:	8VAC20-790-560-A
Description:	Based upon review staff records, the vendor has not ensured that staff have been evaluated by a health professional and been 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 records provided for staff 1, 2, 3 and 4 did not include documentation of tuberculosis screenings.
Plan of Correction:	The facility responded with the following: There was no mention of missing TB results in original write-up. All TB screening results have been and are currently in staff folders.
Standard #:	8VAC20-790-580-A
Description:	Based upon review of children's records, the vendor has not ensured that children's records include documentation that the child has received the immunizations required by the State Board of Health before the child attends the center. Evidence: The record provided for child 5 did not include documentation of immunizations.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-600-C
Description:	Based upon review of staff records and staff interview, the vendor has not ensured that orientation training of staff is completed prior to staff working alone with the children and within seven days of the date of employment. Evidence: 1. The records provided for staff 1, 2, 3 and 4 did not include documentation of the required orientation training prior to working with the children. 2. Staff 1 acknowledged that the staff records did not include documentation of the required orientation training.
Plan of Correction:	The facility responded with the following: All staff received orientation training; however, there were no signatures for proof. Staff will be retrained. Documentation will be included in each employee file.
Standard #:	8VAC20-790-640-A
Description:	d upon inspector and staff observation, the vendor has not ensured that hazardous substances such as cleaning materials are kept in locked places using a safe locking methods that prevent access by children. Evidence: 1. There were containers of Lysol disinfecting wipes with warning labels in all three classrooms on shelves within reach of children. 2. There was a container of disinfecting spray with a warning label on a shelf within reach of children in the 3 - 5 year old classroom. 3. The was a container of spray paint and a container shaving cream on shelves in the 6-9 year old classroom. Both containers had warning labels. 4. A child was observed wringing out a cloth from an open container of bleach water on a table in the lunch room. 5. Staff 1 observed the above with the inspector.
Plan of Correction:	The facility responded with the following: All hazardous substances have been removed and placed in a secure area. Children will not have access to cleaning supplies or bleach water to clean tables.
Standard #:	8VAC20-790-720-C
Description:	Based upon review of written injury records and staff interview, the vendor has not ensured that written records of children's injuries include all required documentation. Evidence: 1. An injury record for child 2 was not dated and did not include the date, time and how the parent was notified of the injury. The injury record was signed by only one person. 2. An injury record dated 5/19/2021 for child 2 did not have the date, time and how the parent was notified of the injury. #. staff 1 reviewed the injury records with the inspector and acknowledged the missing information.
Plan of Correction:	The facility responded with the following: The suggested child injury form will be utilized in the future. All forms will be checked for completion.
Standard #:	8VAC20-790-770-A
Description:	Based upon review of children's medication documentation and staff interview, the vendor has not ensured that the written parent authorization for the medication to be administered includes the length of time the authorization is being given. Evidence: 1. There was prescription albuterol for the emergency administration to child 5. The parent authorization did not indicate the dates for which the authorization was being given. 2. There was prescription albuterol for the emergency administration to child 2. The parent authorization for the administration of the medication expired 4/30/2022. 3. Staff 1 acknowledged the above information.
Plan of Correction:	The facility responded with the following: ll medications have been returned to parents. Parents were instructed to get updated medications authorization forms completed by child's physician.
Standard #:	8VAC20-790-800-A-2
Description:	Based upon review of documentation and staff interview, the vendor has not ensured that shelter-in-place drills are practiced twice per year. Evidence: 1. The documentation of emergency drills provided did not include any documentation of shelter-in-place drills within the past year. 2. Staff 1 confirmed that there was no documentation of shelter-in-place drills being conducted.
Plan of Correction:	The facility responded with the following: Shelter-in-place drills were done but not properly documented. The suggested form will be used to properly document these drill, which will be conducted at least twice per year.