VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Disciples of Christ Fellowship Ministries
2719 Colonial Avenue, SW
Roanoke, VA 24015
(540) 204-0409

VDSS Contact: Nicole Scott (804) 588-2372

Inspection Date: Feb. 20, 2024

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 8VAC20-790 Administration 8VAC20-790 Physical Plant 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services 8VAC20-790 Staffing & Supervision 8VAC20-790 Staff Qualifications & Training

Comments:

Two Licensing Inspectors conducted an unannounced complaint inspection on February 20, 2024 in response to allegations received by the licensing office on January 12, 2024, in the areas of adult to child ratios, and building maintenance. There were 17 children present during the inspection An unannounced Religiously Exempt Code Complaint Inspection was conducted on the same date as the SHSI complaint inspection. Only subsidy requirements that are not covered in Code requirements were reviewed during this inspection. Violations related to the complaint are cited on the Code Complaint inspection. The complaint is determined to be "VALID".

Violations:

Standard #:	8VAC20-790-530-B
Description:	Based on inspection, the Vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children. EVIDENCE: Written daily attendance was unavailable from January 24 through February 16.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-560-A
Description:	2nd REPEAT VIOLATION Based on record review, the Vendor failed to ensure each staff member is evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB) received at the time of employment and prior to coming into contact with children. EVIDENCE: 1. TB skin test/screening was unavailable for Staff #1 (date of hire 11/06/2023). 2. TB skin test/screening was unavailable for Staff #2 (date of hire unavailable). 3. Both staff members were present during the inspection and were observed working with the children in care
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-A-3
Description:	Based on observations, the Vendor failed to ensure staff wash their hands with soap and running water before and after changing a diaper. EVIDENCE: Licensing Inspector observed staff member changing multiple diapers without washing their hands before and after each diapering.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-B-6
Description:	Based on inspection, the Vendor failed to dispose disposable diapers in a leak-proof or plastic lined storage system that is either foot operated or used in such a way that neither the staff member's hand not the soiled diaper touches an exterior surface of the storage system during disposal. EVIDENCE: Licensing Inspector observed 2 uncovered trash cans (infant and toddler areas) used to dispose soiled diapers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-820-E
Description:	Based on observations, the Vendor failed to ensure prepared infant formula is refrigerated, dated and labeled with the child's name when more than one infant is in care. EVIDENCE: Licensing Inspector observed 3 infant bottles containing infant formula/milk sitting on the counter. Bottles were not refrigerated, dated not labeled with names. There were a total of 4 infants present during the inspection.
Plan of Correction:	Not available online. Contact Inspector for more information.