VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cedar Road Assembly of God
916 Cedar Road
Chesapeake, VA 23322
(757) 547-9553

VDSS Contact: Rene Old (757) 404-1784

Inspection Date: Dec. 13, 2022

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 32.1 Report by person other than physician 63.2 Child abuse and neglect 8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Technical Assistance:

The following was discussed with administrative staff: a. Background check requirements b. Maintaining sufficient resilient surfacing under swings c. Ensure the date and time of parent notification of injury is documented on center injury reports d. Ensure allergy lists are dated to indicate current information on children in care

Comments:

An unannounced subsidy health and safety inspection was conducted on 12/13/2022 from 11:00 am - 2:25 pm. At the time of entrance there were 62 children, ages 2 years - 4 years, in care with 11 staff. Children were observed during lunch and nap. The violations are listed on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the vendor failed to obtain a copy of the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the individual has resided in the preceding five years. Evidence: 1. Out-of-state background checks were not on file for staff 1, staff 2 and staff 3. a. All three staff indicated on employment forms they had resided outside of Virginia within the past five years. 2. Administrative staff confirmed that out-of-state background checks were not on file for these staff.
Plan of Correction:	Administrative staff stated that all required out-of-state background checks will be requested.
Standard #:	8VAC20-770-40-D-2
Description:	Based on record review and interview, the vendor failed to ensure that prospective a employee, volunteer, or any other person who is expected to be alone with one or more children enrolled in the religious exempt child day center shall have a search of the central registry within 30 days of employment or commencement of service. Evidence: 1. Staff 1, hire date 11/08/2022, lacks a central registry check. 2. Staff 2, hire date 10/20/2021, lacks a central registry check. 3. Staff 3, hire date 11/30/2022, lacks a central registry check. 4. Staff 4, hire date 10/10/2022, lacks a central registry check 5. Administrative staff confirmed that these background checks were not on file.
Plan of Correction:	Administrative staff stated that central registry checks had been requested however, due to an unexpected change in an email address -the results have not been received. Administrative staff stated that OBI would be contacted and if the results could not be obtained - new requests will be made.
Standard #:	8VAC20-790-560-A
Description:	Based on record review and interview, the vendor failed to ensure that staff shall be evaluated by a health professional and be 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: 1. Staff 1, hire date 11/08/2022, lacked documentation of a TB screening. 2. The TB screening for staff 2 was conducted on 08/14/2020 which is more than 30 days prior to her hire date of 10/20/2021. 3. Administrative staff confirmed the accuracy of this documentation.
Plan of Correction:	Administrative staff stated that staff would obtain a current TB screening.
Standard #:	8VAC20-790-600-D-1
Description:	Based on record review, the vendor failed to ensure that current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care shall include an in-person competency demonstration. Evidence: 1. The CPR certification for staff 2 was obtained from an on-line organization lacking any in-person skill component.
Plan of Correction:	This staff will obtain a CPR class with an in-person skills test.
Standard #:	8VAC20-790-630-A
Description:	Based on observation, the vendor failed to ensure that outside equipment of the center shall be maintained in a safe condition. Unsafe conditions shall include splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; protruding nails, bolts, or other components that entangle clothing or skin; and unstable heavy equipment, furniture, or other items that a child could pull down on himself. Evidence: 1. The following tripping hazards were observed on the school age playground: a. Multiple areas of exposed tree roots were observed surrounding the SA outdoor play structure. b. The rubber has detached, in three areas, from the second step of the outdoor play structure. 2. The yellow steering wheel on the outdoor play car, on the two-year old playground, is loose. a. This is a pinch point as the wheel is not secured tight.
Plan of Correction:	Administrative staff stated the tree roots have been removed and that the bolts on the car wheel have been secured to eliminate the pinch point hazard. The areas of plastic coating that have come loose from the step on the outdoor climber will be repaired as well.
Standard #:	8VAC20-790-640-A
Description:	Based on observation, the vendor failed to ensure that hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. If a key is used, the key shall not be accessible to children. Cleaning supplies to clean and sanitize the diapering area or toilet chairs do not need to be kept locked during diapering or toilet training time as long as they are inaccessible to children. Evidence: 1. A can of spray disinfectant and a spray bottle of bleach & water solution was observed stored on a high shelf in the two-year old classroom. a. Diapers were not being changed when the classroom was reviewed by the inspector.
Plan of Correction:	Staff will be reminded to lock up disinfectants after completion of diaper changing.
Standard #:	8VAC20-790-760-A-2
Description:	Based on interview, the vendor failed to ensure that children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine. Evidence: 1. There is no hand washing sink in one of the two-year old classrooms therefore, staff report they use hand wipes to clean children's hands after a diaper change.
Plan of Correction:	Administrative staff will put systems in place to ensure staff and children are able to utilize the hand washing sink before and after changing diapers.
Standard #:	8VAC20-790-760-A-3
Description:	Based on staff interview and observation, the vendor failed to ensure that staff shall wash their hands with soap and running water before and after changing a diaper. Evidence: 1. The diaper changing table in one of the two-year old classrooms is not located near a sink with running water therefore, staff reported they use hand sanitizer to clean their hands before and after changing a child's diaper. a. Staff stated they do walk over to the adjacent classroom, which contains a hand washing sink, when they are able however, as this is not always possible, hand sanitizer is utilized instead.
Plan of Correction:	Administrative staff will put systems in place to ensure staff and children are able to utilize the hand washing sink before and after changing diapers.
Standard #:	8VAC20-790-790-C
Description:	Based on observation, the vendor failed to ensure that shelter-in-place procedures or maps shall be posted in a location conspicuous to staff and children on each floor of each building. Evidence: 1. Shelter-in-place procedures were not included on the posted emergency map.
Plan of Correction:	Shelter-in-place procedures will be added to the posted emergency evacuation/procedure map.
Standard #:	8VAC20-790-790-D
Description:	Based on observation and interview, the vendor failed to ensure that a 911 or local dial number for police, fire, and emergency medical services and the number of the regional poison control center shall be posted in a visible and conspicuous place. Evidence: 1. Emergency phone numbers for poison control, 911 or local dial for police & fire were not posted in a visible place in the child care facility. a. Administrative staff verified that emergency numbers were not posted.
Plan of Correction:	Emergency phone numbers will be posted.