VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Star Bethlehem Missionary Baptist Church
19068 Bethlehem Church Road
Triangle, VA 22172
(703) 221-4111

VDSS Contact: Shawanda Henderson (540) 216-1434

Inspection Date: Sept. 29, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-790 SUBSIDY REGULATIONS. 8VAC20-770 Background Checks

Comments:

An unannounced Subsidy Health and Safety inspection was conducted with the director on September 29, 2022 beginning at 11:48 AM and ending at 2:36 PM. There were 15 children, ages 3 through 5 years old, in care during the inspection. The children were observed completing school work and eating lunch in the cafeteria. Five children's records were in compliance with the code requirements. Five staff records were reviewed. There were no medications on site to be reviewed. Facility policies and procedures were reviewed and in compliance. If there are any questions regarding this inspection, contact Shawanda Henderson at 540-216-1434 or Shawanda.Henderson@doe.virginia.gov.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of four staff records, the center failed to provide the department's representative documentation of fingerprinting background checks being completed for all staff members. Evidence: Documentation of a fingerprint background checks were requested for Staff A, staff C, and staff D by the Licensing Inspector on 9/29/2022. By the close of business 9/30/2022, no documentation was received from the director.
Plan of Correction:	The director did not have access to this documentation during the inspection. The director will obtain a copy of this documentation and place it a record that he has regular access to.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of four staff records, the center failed to provide the department's representative documentation of completed sworn statement and central registry background checks being completed for all staff members. Evidence: Documentation of completed sworn statements and central registry background checks were requested for Staff A, staff C, and staff D by the Licensing Inspector on 9/29/2022. By the close of business 9/30/2022, no documentation was received from the director.
Plan of Correction:	The director did not have access to this documentation during the inspection. The director will obtain a copy of this documentation and place it a record that he has regular access to.
Standard #:	8VAC20-790-560-A
Description:	Based on review of staff records, the program did not obtain documentation that all staff were evaluated by a health professional and issued a statement that the individual was determined to be free of tuberculosis (TB) at the time of employment and prior to coming into contact with children. Evidence: The records for Staff A, staff C, and staff D did not contain documentation of a negative TB screening.
Plan of Correction:	The center will request documentation of a TB screening from the staff and documentation will be placed in their record upon receipt.
Standard #:	8VAC20-790-560-B
Description:	Based on review of staff records, the program did not obtain documentation of subsequent TB screenings at least every two years from the date of the initial screening. Evidence: The most recent TB screening on record for Staff B was dated 10/24/2017.
Plan of Correction:	The center will ensure that each staff has an updated TB screening completed and documentation placed in their record.
Standard #:	8VAC20-790-580-A
Description:	Based on review of five child records, the program did not obtain documentation that each child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: The records for Child A, with enrollment forms dated 8/31/2020, did not contain documentation of immunization records.
Plan of Correction:	The center will request the missing documentation from the child's parent and it will be placed in the record upon receipt.
Standard #:	8VAC20-790-600-B
Description:	Based on record review, the program did not ensure that all staff completed the required Virginia Preservice Training for Child Care Staff by the required date. Evidence: Staff D, with a start date of 9/26/2017, did not have documentation of completing the Virginia Preservice Training for Child Care Staff.
Plan of Correction:	The center will request that the staff complete the Virginia Preservice Training for Child Care Staff and documentation will be placed in the record.
Standard #:	8VAC20-790-600-D-1
Description:	Based on review of staff records and interview, the program did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: Staff D did not have documentation of CPR certification in their record.
Plan of Correction:	The staff will complete CPR training as soon as possible. The documentation will be placed in their record.
Standard #:	8VAC20-790-600-F
Description:	Based on record review, the program did not ensure that all staff completed the department's health and safety updated course. Evidence: Staff A, staff B, and staff C did not have documentation of completing the updated health and safety training course.
Plan of Correction:	The staff will be asked to complete the updated health and safety training and provide documentation which will be placed in their record.