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The Father's House Community Outreach Center
3340 W. Washington Street
Petersburg, VA 23803
(804) 861-5270

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Oct. 26, 2022

Complaint Related: No

Areas Reviewed:
22.1-289.031.A WRITTEN DICSLOSURE TO PARENTS; GUARDIANS:
22.1-289.031.A.6 WRITTEN STATEMENT TO PARENTS; GUARDIANS AND THE GENERAL PUBLIC:
22.1-289.031.A.3 (a-f):
22.1-289.031.A.3 STAFFING:
22.1-289.031.B.(1-7) ESTABLISHMENT; IMPLEMENTATION OF PROCEDURES:
22.1-289.031.A.5.d TRANSPORTATION:
22.1-289.031.B.(1-7) ESTABLISHMENT; IMPLEMENTATION OF PROCEDURES:
22.1-289.031.A.5.d TRANSPORTATION:
8VAC20-770-40.D.2 BACKGROUND CHECKS:
22.1-289.035.(B.2 and B.4) BACKGROUND CHECKS:
22.1-289.035.A BACKGROUND CHECKS:
22.1-289.031.A.5.(a & c) CENTER COMPLIANCE:
22.1-289.031.A.(8 and 9) CPR/FIRST AID;SAFE SLEEP:

Technical Assistance:
n/a

Comments:
A code compliance inspection was initiated on 10/26/2022 and concluded on 10/31/2022. On Wednesday, October 26, 2022, the inspector was on site from 9:45am to approximately 11:35am. There were 23 children in attendance and a total of six staff directly supervising. Upon arrival, the children were observed in their designated classrooms. The children were participating in a variety of activities.The children were later observed preparing for lunch, taking bathroom breaks, and resting. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, kitchen, hallways, outdoor play area, and bathrooms were inspected. Five children's records and five staff records were reviewed. Additional information was submitted electronically on 10/31/2022.

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 #: 22.1-289.031-A-4
Description: Based on a review of five staff records, the center did not ensure one staff obtained the required staff health report within the required timeframe.

Evidence: 1) The staff health report in the record of Staff #1, employed 09/16/22, was completed on 10/02/22. The staff health report should have been obtained prior to the staff beginning employment.

Plan of Correction: In the future, staff will obtain a staff health report at the time of employment.

Standard #: 22.1-289.031-B-3
Description: Based on interviews, the center did not establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily.

Evidence: During interviews, management was not able to identify a staff member who is trained to perform daily health screening and exclusion of sick children.

Plan of Correction: The center will ensure staff receive training and follow the established procedures for daily health observation.

Standard #: 22.1-289.031-B-4
Description: Based on a review of five children's records and interview, the center did not implement the center's procedure to ensure that all children in the center are in compliance with the provision of ? 32.1-46 regarding the immunization of children against certain diseases.

Evidence: 1) The immunizations in the record of Child #1, date of attendance 08/08/22, were dated 09/01/22. The center is required to obtain documentation of immunizations prior to the child's first day of attendance. 2) During interview, the center acknowledged immunizations for Child #1 were not obtained prior to the child's attendance.

Plan of Correction: In the future, children will have the required immunizations at the time of attendance. The center will ensure to follow their established procedures for ensuring children have the required immunizations.

Standard #: 22.1-289.035-A
Description: Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member.

Evidence: 1) The sworn disclosure in the record of Staff #4, employed 09/19/17,
expired on 09/19/22. 2) During interview, management reported Staff #4 did not complete a new sworn statement every five years as required.

Plan of Correction: A new sworn disclosure is on file for Staff #4. In the future, background checks will be repeated every 5 years.

Standard #: 22.1-289.035-B-2
Description: Based on a review of five staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe.

Evidence: The fingerprint-based national criminal background check in the record of Staff #1, employed 09/16/22, was dated 10/06/22. The results should have been obtained prior to employment.

Plan of Correction: In the future, staff will be required to provide fingerprint results prior to employment.

Standard #: 22.1-289.035-B-4
Description: Based on a review of five staff records and interview, the center did not obtain the required out-of-state background checks from one state in which one staff member had resided in the preceding fiver years within the required timeframes.

Evidence: 1) The record for Staff #1, employed 09/16/22, indicated the staff had resided in a state outside of Virginia within the last five years. The record did not contain the results of a criminal history record information check, a sex offender registry check, or a search of the child abuse and neglect registry from that state. 2) During interview, management reported the center did not obtain the required out-of-state background checks for Staff #1. The criminal history record information check and the sex offender registry should have been obtained prior to employment. The central registry search should have been requested within 30 days of employment.

Plan of Correction: The out-of-state searches will be completed for Staff #1.

Standard #: 8VAC20-770-40-D-2
Description: Based on a review of five staff records and interview, the center did not ensure three staff had the results of the central registry check within 30 days of the individuals beginning employment.

Evidence: 1) The record of Staff #1, employed 09/16/2022, did not contain the results of the
central registry check.

2) The central registry finding in the record of Staff #3, employed 07/15/19, was dated 07/09/20.

3) The record of Staff #5, employed 04/07/22, did not contain the results of the central registry check.

4) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1, Staff #3, and Staff #5. The records did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff members had been continuously employed.

Plan of Correction: In the future, the center will follow up with OBI and document contact if results are not received within 30 days of employment. The center will follow up with OBI about the missing results.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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