VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cool Spring Baptist Church
9283 Atlee Station Road
Mechanicsville, VA 23116
(804) 746-4179

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Oct. 11, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Regulations

Comments:

The Licensing Inspector conducted an unannounced Subsidy Health and Safety inspection (SHSI) on Tuesday, October 11, 2022 from approximately 10:05am to 12:40pm. There were 42 children in attendance and a total of 10 staff directly supervising. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, kitchen, hallways, playgrounds, and bathrooms were inspected. Medication is administered when required and medication and medication authorizations were reviewed. Five children's records and five staff records were reviewed. A code compliance inspection was conducted on the same date as the SHSI 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 #:	8VAC20-790-540-B-11
Description:	Based on a review of five children's records and interview, the vendor did not have a written allergy care plan for two children with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergy and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1) The record for Child #2, enrolled 09/06/22, and the record for Child #3, enrolled 09/06/22, indicated the children had diagnosed food allergies, but the records did not contain a written allergy care plan. 2) During interview, management confirmed a written allergy care plan was not on file for each child.
Plan of Correction:	The plans were requested for each child on 10/11/22. In the future, a written allergy care plan will be requested for each child with a diagnosed food allergy.
Standard #:	8VAC20-790-550-2-a
Description:	Based on a review of five staff records and interview, the vendor did not ensure two staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of the individual beginning employment or service. Evidence: 1) The Virginia Child Protective Services Central Registry check in the record for Staff #1, employed 11/01/21, was dated 12/21/21. 2) The Virginia Child Protective Services Central Registry check in the record for Staff #5, employed 04/01/22, was dated 06/29/22. 3) During interview, management reported the checks were received more than 30 days of the individuals beginning employment. The center did not have documentation of following up with the Office of Background Investigation within 30 days of employment.
Plan of Correction:	Moving forward, when central registry checks are not received within 30 days of employment, the center will follow up with OBI and document contact.
Standard #:	8VAC20-790-600-B
Description:	Based on a review of five staff records and interview, the vendor did not ensure two staff ,who work directly with children, completed the Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1) The record for Staff #1, employed 11/01/21, did not contain a certificate of the Virginia Preservice Training for Child Care Staff. 2) The record for Staff #5, employed 04/01/22, did not contain a certificate of the Virginia Preservice Training for Child Care Staff. 3) During interview, management confirmed the staff have not completed the training.
Plan of Correction:	The staff have initiated the training and will finalize it as soon as possible. Staff will complete the training within 90 days of employment in the future.
Standard #:	8VAC20-790-600-D-1
Description:	Based on a review of five staff records, the vendor did not ensure two staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: 1) The CPR certification in the record for Staff #3, employed 01/18/17, expired on 09/09/22. 2) The record for Staff #5, employed 04/01/22, did not contain current certification in CPR. All staff who work directly with children should have CPR certification within 90 days of the date of employment.
Plan of Correction:	A class will be scheduled for the staff. In the future, staff will have CPR and First Aid within 90 days of employment.
Standard #:	8VAC20-790-600-D-2
Description:	Based on a review of five staff records, the vendor did not ensure two staff had current certification in first aid appropriate to the ages of children in care. Evidence: 1) The first aid certification in the record for Staff #3, employed 01/18/17, expired on 09/09/22. 2) The record for Staff #5, employed 04/01/22, did not contain first aid documentation. All staff who work directly with children should have within 90 days of the date of employment current certification in first aid.
Plan of Correction:	A class will be scheduled for the staff. In the future, staff will have CPR and First Aid within 90 days of employment.
Standard #:	8VAC20-790-800-A-3
Description:	Based on a review of documentation and interview, the vendor did not practice lockdown procedures at least annually. Evidence: 1) The emergency drill log reviewed did not have documentation of a lockdown drill for 2021. 2) During interview, management reported the lockdown procedures were not practiced a last annually in 2021.
Plan of Correction:	The lockdown procedures will be practiced annually moving forward. The lockdown drill for 2022 will be conducted next week.