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First Baptist Church of Martinsville
23 Starling Avenue
Martinsville, VA 24112
(276) 632-2636

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

Inspection Date: Sept. 8, 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 First Baptist Church of Martinsville (Wee Ministry) conducted an announced SHSI Monitor Inspection on Friday, September 8, 2017. LI Anderson arrived & started inspection at 11:05 AM on 9/08/2017. There were a total of forty-three (43) children ages 3 months years-4 years old present under the direct care & supervision of eleven (11) staff members. The Licensing Inspector reviewed five (5) children records & five (5) staff records. Center does not administer medication and does not provide transportation. LI Anderson conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director on September 8, 2017. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:
Standard #: VENDSUB-000-005-B
Description: Based on inspection & discussion with the Assistant Director, the Vendor failed to maintain for each group of children a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. EVIDENCE: For each group of children, documentation of daily attendance did not include arrival and departure times of each child in care as it occurs.

Plan of Correction: Center Director will instruct staff to document arrival and departure times

Standard #: VENDSUB-000-006-B
Description: Based on record review, the Vendor failed to ensure records for each child enrolled includes all required information. EVIDENCE: Licensing Inspector reviewed five (5) children records. 5 out of 5 records did not include some and/or all of the following required information: Name, address, and phone number for each custodial parent?s place of employment or school attendance; Name, address, and phone number of at least one person designated by the parent to contact in case of an emergency, if the parent cannot be reached; Information on allergies, including food allergies, intolerances to food, medication, or other substances, and actions to be taken in an emergency situation; and information on other physical problems; pertinent developmental information, and any special accommodations needed; Names of persons besides the custodial parent who are authorized to pick up the child; Written authorization for emergency medical care should an emergency occur and the parent cannot be located immediately; Proof of a child?s identity and age as stated in ?63.2-1809 of the Code of Virginia; A written statement that the center 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 center; and Any written agreements between the parent and the center.

Plan of Correction: Center Director will review and update information in each child's record. Will send a new registration/enrollment form home to each parent requesting updated information.

Standard #: VENDSUB-000-007-1
Description: Based on record review, the Vendor failed to ensure each staff record includes all required documentation. EVIDENCE: Licensing Inspector reviewed five (5) staff records. 5 out of 5 records did not include documentation of verification of age.

Plan of Correction: Center Director will obtain a copy of each staff member's drivers license

Standard #: VENDSUB-000-007-2-b
Description: Based on record review, the Vendor failed to ensure Central Registry Child Protective Services Background Check is completed for each staff member. EVIDENCE: Licensing Inspector reviewed five (5) staff records. Records for Staff #1, #2 and #3 did not include documentation of completed Child Protective Services check. Date of hire for 5 out of 5 staff members was not documented in each staff record.

Plan of Correction: Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.

Standard #: VENDSUB-000-008-A-1
Description: Based on record review, the Vendor failed to ensure each staff members submits documentation of a negative TB Skin test/screening no later than 21 days after employment. EVIDENCE: Licensing Inspector reviewed five (5) staff records. 5 out of 5 records did not have documentation of completed negative TB Skin test/screening.

Plan of Correction: Center Director will contact health department to arrange for each staff member to receive TB skin test/screening

Standard #: VENDSUB-000-010-B
Description: Based on record review, the Vendor failed to obtain documentation of additional immunizations once every six months for children under the age of two years old. EVIDENCE: Licensing Inspector reviewed 5 children records. Record for Child #5 did not include documentation of updated immunizations. Date of birth for Child #5 is 4/30/2014 & the immunizations in the child's record was completed on 3/20/2015.

Plan of Correction: Center Director will request information from the child's mother

Standard #: VENDSUB-000-030-A-1
Description: Based on inspection & discussion with the Assistant Director, the Vendor failed to have a first aid kit on each floor of each building used by the children in care. EVIDENCE: A complete first aid kit was unavailable on the basement level floor. Children use the basement area of the church for indoor activities & sleeping.

Plan of Correction: Center Director will put a complete first aid kit on all levels of the day care.

Standard #: VENDSUB-000-030-C-2
Description: Based on inspection, the Vendor failed to have required first aid supplies. EVIDENCE: The Center's first aid kit located on the 1st floor did not include tweezers.

Plan of Correction: Tweezers will be added to the first aid kit.

Standard #: VENDSUB-000-030-C-6
Description: Based on inspection, the Vendor failed to have required first aid supplies. EVIDENCE: The Center's first aid kit located on the 1st floor did not include antiseptic cleansing solution/pads.

Plan of Correction: Antiseptic will be added to the first aid kit.

Standard #: VENDSUB-000-030-C-7
Description: Based on inspection, the Vendor failed to have required first aid supplies. EVIDENCE: The Center's first aid kit located on the 1st floor did not include a digital thermometer.

Plan of Correction: Digital Thermometer will be added to the first aid kit.

Standard #: VENDSUB-000-030-C-8
Description: Based on inspection, the Vendor failed to have required first aid supplies. EVIDENCE: The Center's first aid kit located on the 1st floor did not include single use gloves.

Plan of Correction: Single use gloves will be added to the first aid kit.

Standard #: VENDSUB-000-030-D-1
Description: Based on inspection and discussion with the Center Director, the Vendor failed to have a working, battery-operated flashlight on each floor of each building that is used by the children in care. EVIDENCE: A working battery-operated flashlight was unavailable on the basement level and the 1st floor used by the children in care.

Plan of Correction: Will purchase and store battery operated flashlight on each level of the day care.

Standard #: VENDSUB-000-031-B-2-F
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to ensure Shelter-in-Place procedures include/address all required areas. EVIDENCE: The Shelter-in-Place procedures of the Center's Emergency Preparedness Plan did not include procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: Center Director will add Shelter-in-Place reunification procedures

Standard #: VENDSUB-000-031-B-3-F
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to ensure Lock-Down procedures include/address all required areas. EVIDENCE: The Lock-Down procedures of the Center's Emergency Preparedness Plan did not include procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child.

Plan of Correction: Center Director will add Lock-Down reunification procedures

Standard #: VENDSUB-000-031-B-4
Description: Based on discussion with the Center Director, the Vendor failed to ensure staff members receives required training. EVIDENCE: Staff members have not received training on the Center's Emergency Preparedness Plan.

Plan of Correction: All staff will receive training

Standard #: VENDSUB-000-031-C
Description: Based on inspection, the Vendor failed to emergency evacuation and shelter-in-place procedures/maps posted in a conspicuous to staff and children on each floor of each building. EVIDENCE: The Center's posted emergency maps/procedures did not identify shelter-in-place information.

Plan of Correction: Will include shelter-in-place information on the posted emergency maps

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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