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Ambassadors For Jesus Christ
4 Duncan Drive
Hampton, VA 23663
(757) 723-5530

VDSS Contact: Shelika M Bowman (757) 755-5389

Inspection Date: April 26, 2018

Complaint Related: No

Areas Reviewed:
63.2 Licensure and Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies
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:
Licensing Inspector arrived on April 26, 2018 at 9:48am and departed at 3:00pm to conduct a Subsidy Health and Safety Inspection. Upon arrival to the facility, there were 27 children present with seven staff members, ranging in age from 19 months to four years old. Additional staff were on site for administrative and support purposes. The children were observed passing out water to members of the community, listening to a Bible story, doing an arts and crafts activity and napping. The sample size consisted of five children's records and six staff records were reviewed.

Violations:
Standard #: 63.2-1720.1-B-2
Description: Based on record review, in one of six staff records reviewed, the vendor did not ensure that staff submit to fingerprinting. Evidence: Staff #1 (date of hire 3/21/18) was observed working on the date of the inspection and the vendor had not obtained the staff member's fingerprint check.

Plan of Correction: We will submit the forms for new staff.

Standard #: VENDSUB-000-004-F
Description: Based on observation and inspection of the facility, the vendor did not ensure that the posted list of all children's allergies, sensitivities, and dietary restrictions was current. Evidence: 1. The allergy lists posted throughout the center were not current, therefore, the lists posted were not accurate. 2. The record for Child #5 was reviewed and it indicated that the child had an allergy to a medication that was not recorded on the posted lists.

Plan of Correction: The list will be updated.

Standard #: VENDSUB-000-005-B
Description: Based on observation and inspection of the facility, the vendor did not ensure that for each group of children, the vendor shall maintain a written record (hard copy) of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: The children were grouped in different classrooms and the vendor had not maintained an accurate written record of daily attendance that documented the arrival and departure of each child as it occurred.

Plan of Correction: We will figure out a system to document the groups.

Standard #: VENDSUB-000-006-B
Description: Based on record review, in four of five children's records reviewed, the vendor did not ensure that each child's record included all required information. Evidence: The following children's records were not documented with the following information: Child #1-an address for one person to contact in the event of an emergency and work address for one parent Child #2-work address for both parents, work phone number for one parent, incomplete home address for the child and both parents Child #4-an address for one person to contact in the event of an emergency and incomplete work address for one parent Child #5-work address and work phone number for one parent and an address for one person to contact in the event of an emergency

Plan of Correction: I will have the parents fill out the missing information.

Standard #: VENDSUB-000-007-2-a
Description: Based on record review, in two of six staff records reviewed, the vendor did not ensure that satisfactory results of a Virginia State Police name search for criminal history was in each staff member's record. Evidence: There was no documentation of results of a Virginia State Police name search for the following staff: Staff #2-date of hire 10/17 Staff #4-date of hire 12/1/14

Plan of Correction: We will have the staff member complete the forms.

Standard #: VENDSUB-000-007-2-b
Description: Based on record review, in three of six staff records reviewed, the vendor did not ensure that there were results of a Central Registry Child Protective Services check. Evidence: There was no documentation of results of a Central Registry Child Protective Services check for the following staff: Staff #1-date of hire 3/21/18 Staff #2-date of hire 10/17 Staff #6-date of hire 6/22/09

Plan of Correction: We will resubmit for Staff #6 and submit the forms for the other staff for completion.

Standard #: VENDSUB-000-007-2-c
Description: Based on record review, in one of six staff records reviewed, the vendor did not ensure that staff complete a sworn statement or affirmation prior to their first day of employment. Evidence: There was no documentation of a sworn statement or affirmation in the record for Staff #1 (date of hire 3/21/18).

Plan of Correction: The staff member will fill out the form.

Standard #: VENDSUB-000-008-A
Description: Based on record review, in five of six staff records reviewed, the vendor did not maintain documentation that each staff has been evaluated by a health professional and a statement that the individual is believed to be free of communicable tuberculosis shall be maintained in the individual?s record. Evidence: There was no documentation in the records that Staff #2 (date of hire 10/17) and Staff #5 (hire date 6/7/04) were believed to be free of TB.

Plan of Correction: All staff will obtain TB screenings.

Standard #: VENDSUB-000-008-A-1
Description: Based on record review, in one of six staff records reviewed, the vendor did not ensure that TB documentation shall be submitted not later than 21 days after employment. Evidence: There was no documentation of a TB screening or test submitted within 21 days after employment for Staff #1 (hire date 3/21/18).

Plan of Correction: All staff will obtain TB screenings.

Standard #: VENDSUB-000-012-E
Description: Based on record review, in three of six staff records reviewed, the vendor did not ensure that all staff providing care to children shall have within 30 days of the date of employment or 90 days from subsidy vendor approval: Current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. The training shall include an in-person competency demonstration; and Current certification in first aid. Evidence: There was no documentation of CPR and first aid training in the records for Staff #1 (date of hire 3/21/18), Staff #2 (date of hire 10/17), and Staff #3 (date of hire 7/28/17).

Plan of Correction: Staff #1 and Staff #2 are scheduled to go in June.

Standard #: VENDSUB-000-012-K
Description: Based on observation and inspection of the facility, the vendor did not ensure that there shall be at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation (DHO) of children. Evidence: There were seven staff present and there was no documentation that at least one staff on duty had obtained DHO training.

Plan of Correction: We will get the training and send documentation.

Standard #: VENDSUB-000-015-A
Description: Based on observation and inspection of the facility, the vendor did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Unsafe conditions shall include, but not be limited to, splintered, cracked or otherwise deteriorating wood, chipped or peeling paint; visible cracks, bending or warping, rusting or breakage of any equipment; head entrapment hazards; and protruding nails, bolts or other components that entangle clothing or skin, unstable heavy equipment, furniture or other items that a child could pull down on himself. Evidence: The following potentially unsafe conditions were observed: Infant Room: There was peeling paint on the walls, the multicolored floor mat was frayed and torn on the edges exposing the foam padding underneath Upstairs hallway: The ceiling had an approximate 7" opening in the ceiling that caused the paint to chip Super Stars Classroom: There was mold present on four ceiling tiles (one of the tiles was bulging from the ceiling) Care Bear Classroom: There was mold present on one ceiling tile Men's Bathroom: There was a hole in the wall near the sink

Plan of Correction: All items will be corrected. I will have to work with the maintenance person's schedule.

Standard #: VENDSUB-000-015-C-2
Description: Based on observation and inspection of the facility, the vendor did not ensure that electrical outlets shall protective covers. Evidence: Multiple uncovered outlets were observed in the Main childcare room, the upstairs hallway, the bathrooms, in the Super Stars classroom and the Honey Bears classroom.

Plan of Correction: Outlets will be covered.

Standard #: VENDSUB-000-016-A
Description: Based on observation and inspection of the facility, the vendor did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: The following unlocked hazardous substances were observed in the center: Infant Room: Bleach water solution, hand sanitizer, disinfecting wipes and bleach cleanser on a shelf Main Room: Hand sanitizing wipes on cubby and hand sanitizer on the window sill Super Stars Classroom: Six bottles of hand sanitizer, disinfecting wipes and disinfectant spray in an unlocked cabinet Care Bears Classroom: Six bottles of hand sanitizer, disinfecting spray and bleach water solution in an unlocked cabinet Honey Bears Classroom: Two bottles of hand sanitizer and one bottle of antiviral disinfectant spray Bathroom: Disinfectant wipes

Plan of Correction: The items will be locked.

Standard #: VENDSUB-000-028-A-3
Description: Based on observation and inspection of the facility, the vendor did not ensure that staff shall wash their hands with soap and running water before and after helping a child use the toilet or a diaper change. Evidence: A staff member was observed changing two children's diapers and the staff member did not wash her hands between diaper changes.

Plan of Correction: The staff member will be reminded of following proper diapering procedures.

Standard #: VENDSUB-000-028-B-8
Description: Based on observation and inspection of the facility, the vendor did not ensure that the diapering surface shall be cleaned with soap and at least room temperature water and sanitized after each use. Evidence: A staff member was observed changing the diapers of two children and the staff member did not clean the diapering surface with soap and at least room temperature water nor sanitize the surface between each diaper change.

Plan of Correction: The staff member will be reminded of following proper diapering procedures.

Standard #: VENDSUB-000-032-A
Description: Based on review and staff interview, the vendor did not ensure that all required emergency response drills were practiced.annually. Evidence: There was no documentation of a lockdown drill conducted in 2017 and no documentation of at least two shelter-in-place drills practiced in 2017.

Plan of Correction: We will make sure to do the lockdown and shelter in place drills.

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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