VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Horizon Outreach Ministries
1575 Kerrey Avenue
Norfolk, VA 23502
(757) 855-1964

VDSS Contact: Emily Walsh (757) 404-2575

Inspection Date: March 6, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Regulations

Comments:

A subsidy health and safety (SHSI) inspection was initiated and concluded on 3/6/2024. The inspectors arrived at 2:10 PM and departed at 3:42 PM. There were 14 children present with 2 staff supervising. A Code of Virginia compliance inspection was also conducted on this date. Both inspections combined cover subsidy health and safety regulations. Only subsidy requirements that are not covered in the Code of Virginia were reviewed during this supplemental inspection. The playground was not inspected during today's inspection due to flooding rainfall during the 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 upon review of records, the facility has not ensured that each child's record includes the telephone number for the parent's employment. Evidence: In the record provided for child 2, there were no telephone numbers for the employment of either parent. The provided space for the number was left blank.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-600-B
Description:	Based upon review of staff records, the facility has not ensured that within the first 90 days of employment, staff who work directly with children have completed the Virginia Preservice Training for Child Care Staff. Evidence: Staff 3 was employed on 9/11/2023. Staff 3 has not completed the required Preservice Training.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-600-C
Description:	Based upon review of staff records and staff interview, the facility has not ensured that orientation training of staff is completed prior to the staff member working alone with children and within seven days of the dated of employment. Evidence: 1. The record provided for staff three indicated a hire date of 9/11/2023. There was no documentation to verify that the staff person completed the required orientation training. 2. Staff 1 verified that staff 3 is on duty alone with the children from 6;30 AM - 7:00 AM.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-630-A
Description:	Based upon observation and staff interview, the facility has not ensured that areas and equipment of the center are maintained to be safe. Evidence: 1. There were long electrical cords hanging from both the wall mounted television and the free standing water cooler in the large classroom in use by the children during the inspection. The cords pooled in the floor posed a tripping and/or entanglement hazard. In addition, the television cords, if pulled, could possibly pull the television from the wall. 2. The latch to the feeding tray on the blue and white high chair, in use by a child during the inspection, was broken and cold not be securely latched. 3. The mesh on the mesh sided play pen in use by a child during the inspection is torn. Staff 1 stated that she had told staff 2 that the child was going to tear the mesh.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-640-A
Description:	Based upon observation, the facility has not ensured that hazardous substances such as cleaning materials are kept in locked places using a safe locking method that prevents access by children. Evidence: 1. During the inspection, the door to the kitchen was open. There was bleach and dish detergent stored in an unlocked cupboard under the sink. Two children were on cots directly outside of the kitchen area. 2. There was an aerosol can of disinfecting spray on an open shelf in the bathroom that is for the use of the children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-670-C-1
Description:	Based upon observation, the facility has not ensured that there is one staff member to every four children ages zero to 16 months and that when a group of children receiving care including children from different age brackets, the age of the youngest child in the group is used to determine the staff-to-child ratio that applies to that group. Evidence: 1. Upon arrival of the inspectors, there were two staff on duty with 14 children in a mixed age group of infants through preschool. 2. After thirty-five minutes, a volunteer arrived, making 3 staff with the 14 children ages infants through preschool.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-730-C
Description:	Based upon observation, the facility has not ensured that personal articles are individually assigned. Evidence: There was a light blue sippy cup with a straw that contained a liquid on a low table in the large classroom. The cup was not labeled to identify the child to whom it belonged.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-730-F-1
Description:	Based upon observation and staff interview, the facility has not ensured that cribs are provided for children from birth through 12 months of age or older children not developmentally ready to sleep on cots. Evidence: 1. Upon arrival of the inspectors, there was a child, identified by staff 1 as being two years old, standing in a crib.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-730-G
Description:	Based upon observation, the facility has not ensured that there is at least 12 inches of space between occupied cots. Evidence: There were two preschool aged children lying on cots in the small room adjacent to the kitchen. The ends of the cots were only 1 inch apart.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-A-3
Description:	Based upon observation, the facility has not ensured that staff wash their hands with soap and running water before and after changing a diaper. Evidence: Upon arrival of the inspectors, staff 1 was observed changing an infant's diaper. Upon finishing the change, staff 1 carried the child to staff 2, then picked up another infant and changed another diaper. Staff 1 did not wash hands between diaper changes.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-B-6
Description:	Based upon observation, the facility has not ensured that diapers are disposed in a storage system that is either foot operated or used in such a way that neither the staff's hands nor the soiled diaper touches the exterior surface of the storage system. Evidence: During diaper changes observed, the lid to the small storage system was lying upside down on the floor next to the open storage bin containing soiled diapers.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-810-C-1
Description:	Based upon observation and staff interview, the facility has not ensured that when food from home in brought to the facility, the food container is clearly labeled in a way that identified the owner. Evidence: There were two lunch boxes containing food on shelf in the kitchen. Neither was labeled with a child's name. Staff 1 stated that they belonged to children in care.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-820-E
Description:	Based upon observation, the facility has not ensured that when more than one infant is in care, prepared infant formula shall be dated and labeled with the child's name. Evidence: There were two bottles of infant formula on a table in the large classroom. Neither bottle was dated and only one bottle had a child's name.
Plan of Correction:	Not available online. Contact Inspector for more information.