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:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide 32.1 Report by person other than physician 54.1 Must be MAT Certified. 63.2 Child abuse and neglect

Technical Assistance:

n/a

Comments:

A code compliance 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. 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 six staff records and interview, five staff did not obtain the required staff health report within the required timeframe. Evidence: 1) The staff health report in the record of Staff #1 (DOE: 01/05/23) was completed on 04/12/23. 2) The staff health report in the record of Staff #2 (DOE: 10/02/22) was completed on 01/31/23. 3) The staff health report in the record of Staff #3 (DOE: 01/13/23) was completed on 01/24/23. 4) The staff health report in the record of Staff #4 (DOE: 01/13/23) was completed on 01/28/23. 5) The staff health report in the record of Staff #6 (DOE: 04/03/23) was completed on 04/12/23. 6) During interview, a member of management confirmed the staff health reports were not received within the required timeframe. The staff health reports should have been obtained prior to employment.
Plan of Correction:	Corrected. In the future, new staff will submit a staff health report prior to employment.
Standard #:	22.1-289.035-B-4
Description:	Based on a review of six staff records and interview, the center did not obtain the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from one state in which one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #6 (DOE: 04/03/23) indicated the staff had resided in another state outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry from the state. 2) During interview, a member of management confirmed the required out-of-state background checks for Staff #6 had not been obtained within the required timeframe. The out-of-state sex offender registry check is required to be obtained prior to employment and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. An out-of-state criminal history record information check was not required because the state participate 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. The request of the search of the central registry check for this state was mailed on 06/09/2023.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of six staff records and interview, the center did not ensure one staff had the search of the central registry within 30 days of employment. Evidence: 1) The 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.