VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Birth Fellowship Ministries
5745 Orcutt Lane
Richmond, VA 23224
(804) 864-1305

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: June 8, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Introduction 8VAC20-790 Administration 8VAC20-790 Staff Qualifications & Training 8VAC20-790 Physical Plant 8VAC20-790 Staffing & Supervision 8VAC20-790 Programs 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services

Technical Assistance:

n/a

Comments:

A Subsidy Health and Safety Inspection was initiated on Thursday, June 8, 2023 and concluded on Friday, June 9, 2023. On June 8, the inspector was on site from 10:10am to approximately 12:35pm. There were a total of 45 children in care in the direct care of 8 staff members. The center's director assisted the inspector throughout the inspection. Upon the inspector's arrival, the children were observed cleaning up after eating breakfast and taking bathroom breaks. The children and staff were later engaged in various activities. The children were observed during transitions, during free-play, and teacher-led activities. The center is equipped with age appropriate materials and equipment for the children's use. Staff were engaged with the children and offered guidance when needed. The areas where children receive care were inspected and found to be in compliance. The required postings were observed. During the inspection, five children's records and six staff records were reviewed. Additional documentation was submitted electronically on June 9, 2023. 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
Description:	Based on a review of five children's records and interview, the vendor did not ensure one child's record contained the required information. Evidence: 1) The record of Child #3 (DOA: 09/06/22) did not contain the following information: a. Name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached; b. Names of persons other than the custodial parent who are authorized to pick up the child; c. Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately unless the parent presents a written objection for the provision of medical treatment on religious or other grounds; d. A written statement that the vendor will notify the parent when the child becomes ill and that the parent will arrange to have the child picked up as soon as possible if so requested by the vendor. 2) During interview, a member of management acknowledged the center did not have this documentation for Child #3.
Plan of Correction:	The missing information was obtained from the parent on 06/08/23.
Standard #:	8VAC20-790-550-2-a
Description:	Based on a review of six staff records and interview, the vendor did not ensure one staff had the satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of employment. Evidence: 1) The Virginia Child Protective Services Central Registry check in the record of Staff #2 (DOE: 10/02/22) was completed on 12/13/22. 2) During interview, a member of management acknowledged the results were not received within 30 days of employment.
Plan of Correction:	Corrected. The results have been received. In the future, the vendor will follow up with OBI if results are not received within the required timeframe.
Standard #:	8VAC20-790-550-2-b
Description:	Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the child abuse and neglect registry from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of the child abuse and neglect registry from that state. 2) During interview, a member of management acknowledged the request of the child abuse and neglect registry from that state has not been requested to date. The results should have been obtained within 30 days of the staff's date of employment.
Plan of Correction:	A request of the search of the central registry check for this state was mailed on 06/09/2023.
Standard #:	8VAC20-790-550-2-c
Description:	Based on a review of six staff records and interview, the vendor did not obtain the satisfactory results of the sex offender registry check from any other state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state in the preceding five years. The record did not contain the results of a sex offender registry check from that state. 2) During interview, a member of management acknowledged the sex offender registry check from that state has not been requested to date. The results should have been obtained prior to the first day of employment. An out-of-state criminal history record information check was not required because the state participates in the National Fingerprint File (NFF) program through the FBI.
Plan of Correction:	The search of the sex offender registry check was conducted on 06/08/23.
Standard #:	8VAC20-790-560-A
Description:	Based on a review of six staff records and interview, the vendor did not ensure four staff were evaluated by a health professional and were issued a statement that the individuals were determined to be free of communicable tuberculosis (TB) within the required timeframes. Evidence: 1) The TB screenings in the record of Staff #1 (DOE: 01/05/23) were completed on 01/31/23 and on 01/14/23. 2) The record of Staff #2 (DOE: 10/02/22) did not contain a TB screening. During interview, a member of management reported the staff member completed the TB screening, but the documentation could not be located. 3) The TB screening in the record of Staff #4 (DOE: 01/13/23) was completed on 02/03/23. 4) The TB screening in the record of Staff #5 (DOE: 05/11/23) was completed on 03/29/23. 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.
Plan of Correction:	In the future, the vendor will ensure TB results are obtained within the required timeframe.
Standard #:	8VAC20-790-580-A
Description:	Based on a review of five children's records and interview, the vendor did not obtain documentation that one child had received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1) The immunizations in the record of Child #3 (DOE: 09/06/22) were dated 01/27/23. The center did not have documentation that immunizations were obtained prior to this date. 2) During interview, a member of management acknowledged the immunizations that were reviewed at the time of the child's enrollment were not on file at the center. The center returned the immunizations to the parent and kept the updated immunizations.
Plan of Correction:	In the future, the vendor will retain all immunization records to ensure compliance at the time of enrollment.
Standard #:	8VAC20-790-640-A
Description:	Based on observation and interview, the vendor did not ensure 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. Evidence: 1) During a walk-through of the facility, the inspector observed several bottles of disinfectant wipes a classroom designated for care. The materials were unlocked and were within the reach of children. The school age children were observed in the designated space. 2) During interview, a member of management acknowledged the disinfectant wipes should have been locked.
Plan of Correction:	The materials were locked away. The church and staff will be reminded to do a walk through prior to children being in care to ensure the materials are locked.