VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Horizon Outreach Ministries
1575 Kerrey Avenue
Norfolk, VA 23502
(757) 855-1964

VDSS Contact: Emily Walsh (757) 404-2575

Inspection Date: Sept. 21, 2022

Complaint Related: No

Areas Reviewed:

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

Technical Assistance:

The use of "boppy" pillows in cribs was discussed with the program director. Recording of all food items serviced to the children each day and the notation of substituted foods was discussed with the program director.

Comments:

A subsidy health and safety (SHSI) inspection was conducted on 9.21.2022. There were 7 children present with 2 staff supervising. A 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 standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-520-F
Description:	Based upon observation and staff interview, the facility has not ensured that a current written list of all children's allergies, sensitivities and dietary restrictions is dated and kept in each room where children are present. Evidence: When asked about children's allergies and dietary restrictions, staff 1 stated that one child can only have certain milk and that it was posted in the kitchen. The posting was not dated and was not available in each room where children were present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-540-B
Description:	Based upon review of children's records, the facility has not ensured that each child's record includes all required information. Evidence: The records provided for child 1 and child 2 do not include the names of persons other than the custodial parent who are authorized to pick up the child.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-540-B-16
Description:	Based upon review of children's records, the facility has not ensured that each child's record includes a written statement that parents will be notified when a child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested. Evidence: The records provided for child 1 and child 2 did not include a written statement that the parents will be notified when a child becomes ill and that the parent will arrange to have the child picked up.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-1
Description:	Based upon staff interview, the facility has not ensured that each staff record includes the name, address, verification of age and date of employment or volunteering. Evidence: Staff 1 stated that staff 3 assists in the afternoons after staff 2 leaves for the day. Staff 1 acknowledged that there was no record for staff 3.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-3
Description:	Based upon staff interview, the facility has not ensured that all staff records include the results of a tuberculosis screening. Evidence: Staff 1 stated that staff 3 assists in the afternoons after staff 2 leaves for the day. Staff 1 acknowledged that there was no record of a tuberculosis screening for staff 3
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-560-B
Description:	Based upon review of staff records and staff interview, the facility has not ensured that subsequent tuberculosis screenings of staff are obtained at least every two years. Evidence: 1. The most recent tuberculosis screening in the record provided for staff 1 is dated 7/17/2018. 2. The most recent tuberculosis screening in the record provided for staff 2 is dated 11/6/2019. 3. Staff 1 verified that more recent tuberculosis screenings had not been obtained.
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 facility has not ensured that orientation training of staff is completed on the required specific topics prior to the staff member working alone with children and within seven days of the date of employment. Evidence: 1. The record provided for staff 2 indicated a date of hire of 8/1/2022. The record did not include documentation of orientation training in the required topics. 2. There was no documentation of orientation training for staff 3 who staff 1 indicated has been working with the children in the afternoons after staff 2 leaves for the day.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-640-A
Description:	Based upon observation, the facility has not ensured that hazardous substances are kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. There were Lysol disinfecting wipes and disinfecting spray in the unlocked staff bathroom. 2. There was a container of hand sanitizer on a table in the main child care room where children were eating.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-730-B
Description:	Based upon observation, the facility has not ensured that children are protected from materials that could be swallowed or present a choking hazard. Evidence: There were numerous die cast metal cars and trucks on the floor where children under the age of three years were playing. These toys are not made for children under the age of three years. One of the trucks was missing a small wheel.
Plan of Correction:	Not available online. Contact Inspector for more information.