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Fresh Start Ministries
219 Clearview Drive
Martinsville, VA 24112
(276) 634-5526

VDSS Contact: Monique D Anderson (540) 309-2397

Inspection Date: Aug. 31, 2017

Complaint Related: No

Areas Reviewed:
VENDSUB-000 INTRODUCTION.
VENDSUB-000 ADMINISTRATION
VENDSUB-000 STAFF QUALIFICATIONS & TRAINING
VENDSUB-000 PHYSICAL PLANT
VENDSUB-000 STAFFING & SUPERVISION
VENDSUB-000 PROGAMS
VENDSUB-000 SPECIAL CARE PROVISIONS & EMERGENCIES
VENDSUB-000 SPECIAL SERVICES

Comments:
The Licensing Inspector for Fresh Start Ministries (God?s Creative Learning Center) conducted an announced SHSI Monitor Inspection on Wednesday, August 31, 2017. LI Anderson arrived & started inspection at 9:05 AM on 8/31/2017. There were a total of twelve (12) children ages 24 months years-3 years old present under the direct care & supervision of three (3) staff members. The Licensing Inspector reviewed five (5) children records & five (5) staff records. Center does not administer medication. LI Anderson conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director on August 31, 2017. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:
Standard #: VENDSUB-000-007-1
Description: Based on record review, the Vendor failed to ensure staff records document all required information. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Record for Staff #4 did not include documentation of age verification.

Plan of Correction: Will provide a copy of age verification

Standard #: VENDSUB-000-012-C
Description: Based on record review, the Vendor failed to ensure staff member's complete the Virginia Pre-Service Training for child care staff . EVIDENCE: Licensing Inspector reviewed five (5) staff records. Staff #4 has not completed the required VA Pre-service Training. Staff #4 began employment on 8/10/2015.

Plan of Correction: Staff will complete training

Standard #: VENDSUB-000-012-D
Description: Based on record review, the Vendor failed to ensure all staff members complete orientation training on facility specific topics prior to the staff member working alone with children. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Staff #3 has not completed orientation training. Documentation of completion was not in the record. Staff #3 began employment on 6/05/2017.

Plan of Correction: Will complete training for staff #3 after reviewing reqirements

Standard #: VENDSUB-000-012-F
Description: Based on record review, the Vendor failed to ensure staff member's complete cardiopulmonary (CPR) and first aid training. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Staff #4 has not currently have First Aid & CPR certification. Staff #4 began employment on 8/10/2015.

Plan of Correction: Director will ensure that Staff #4 will receive first aid and CPR training by end of month

Standard #: VENDSUB-000-012-K
Description: Based on record review & discussion with the Center Director, the Vendor failed to have at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children. EVIDENCE: Center does not have a staff on duty who has current Daily Health Observation training.

Plan of Correction: Director will schedule a training within the next 30 days.

Standard #: VENDSUB-000-031-B-1-C
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to designate primary and secondary routes out of the building. EVIDENCE: The Evacuation procedures portion of the Center's Emergency Preparedness Plan did not designate primary and secondary routes out of the building.

Plan of Correction: The director will provide primary and secondary routes on the emergency preparedness plan and will add correction to maps

Standard #: VENDSUB-000-031-B-1-I
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include all required procedures for Evacuation emergencies. EVIDENCE: The Evacuation portion of the Center's Emergency Preparedness Plan did not include procedures for accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during evacuation or relocation.

Plan of Correction: The director will get with local EMS to ensure the safety procedures for infants, toddlers and children with special needs.

Standard #: VENDSUB-000-031-B-2-E
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include all required procedures for Shelter-in-Place emergencies. EVIDENCE: The Shelter-in-Place portion of the Center's Emergency Preparedness Plan did not include procedures for accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during sheltering.

Plan of Correction: The director will check with shelter-in-place (local school) and will address the care for the ceter

Standard #: VENDSUB-000-031-B-3-B
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include all required procedures for Lock-down emergencies. EVIDENCE: The Lock-down portion of the Center's Emergency Preparedness Plan did not include methods to secure the facility.

Plan of Correction: The center director will include in the lock-down procedures methods to secure the facility

Standard #: VENDSUB-000-031-B-3-E
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include all required procedures for Lock-down emergencies. EVIDENCE: The Lock-down portion of the Center's Emergency Preparedness Plan did not include procedures for accommodations or special requirements for infants, toddlers, and children with special needs to ensure their safety during lock-down emergencies.

Plan of Correction: The director will revise procedures for the accommodations for infants, toddlers and children during lock-down

Standard #: VENDSUB-000-031-C
Description: Based on inspection, the Vendor failed to ensure emergency evacuation procedures/maps are posted. EVIDENCE: The emergency procedures maps posted did not identity the primary and secondary means of egress.

Plan of Correction: The director will add the primary and secondary means of egress to maps.

Standard #: VENDSUB-000-031-E
Description: Based on record review & discussion with the Center Director, the Vendor failed to ensure all staff receives training regarding emergency evacuation, relocation, shelter-in-place and lock-down procedures on an annual basis and at the end of each plan update. EVIDENCE: Staff members have not received training on the recently updated Emergency Preparedness Plan.

Plan of Correction: The Director will provide training on the corrected procedures for the Emergency Preparedness Plan

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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