VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greater Brook Road Baptist Church
4212 Chamberlayne Avenue
Richmond, VA 23227
(804) 266-4523

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Aug. 16, 2021

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program. A subsidy health and safety inspection (SHSI) was initiated on 08/16/2021 and concluded on 08/16/2021. There were 12 children present with 2 staff supervising. A code compliance inspection was also conducted on this date. Information gathered during the inspection determined non-compliance(s) with applicable standards or law, and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-665-520-B-11
Description:	Based on record review, the center did not ensure one of two children's records had documentation of a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: The record of child #1 (start date: 10/26/20) did not have documentation of a written allergy care plan signed by a physician. The record of child #1 had a documented food allergy.
Plan of Correction:	I will give the report to her mother and have the doctor complete it.
Standard #:	22VAC40-665-530-2-a-1
Description:	Based on staff record review, the center did not ensure one of six staff records had documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #1 (start date: 9/6/18) had documentation of fingerprint based national criminal history search results dated 4/5/19.
Plan of Correction:	In the future I will make sure all background checks are completed on time.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on staff record review, the center did not ensure one of two staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 9/6/18) had documentation of central registry results dated 12/28/2018.
Plan of Correction:	In the future I will make sure all background checks are completed on time.
Standard #:	22VAC40-665-530-2-d
Description:	Based on staff record review, the center did not ensure one of two staff records had documentation of a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (start date: 9/6/18) had documentation of a sworn statement or affirmation dated 1/20/2021.
Plan of Correction:	In the future I will make sure all background checks are completed on time.
Standard #:	22VAC40-665-580-D
Description:	Based on record review, the center did not ensure one of two staff records contained documentation of orientation training within seven days of the date of employment. Evidence: The record of staff #1 (start date 9/6/18) did not have documentation of orientation training.
Plan of Correction:	It will be completed by the end of business tomorrow the 17th.
Standard #:	22VAC40-665-580-E-1
Description:	Based on record review, the center did not ensure all staff who work directly with children have within 90 days of the date of employment current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care. Evidence: The record of staff #1 (start date: 9/6/18) did not have documentation of a current certification in cardiopulmonary resuscitation (CPR).
Plan of Correction:	I will have them complete it by Friday the 20th.
Standard #:	22VAC40-665-580-E-2
Description:	Based on record review, the center did not ensure all staff who work directly with children shall have within 90 days of the date of employment current certification in first aid. Evidence: The record of staff #1 (start date: 9/6/18) did not have documentation of a current certification in first aid.
Plan of Correction:	I will have them complete it by Friday the 20th.
Standard #:	22VAC40-665-580-K
Description:	Based on record review and an interview, the center did not ensure to have at least one person on staff that has been trained to conduct daily health screenings of children. Evidence: During the inspection of two staff records and an interview with the center representative, it was discovered there were no staff that received training in daily health observation within the past three years. Daily health observation training should be completed once every three years. The record of staff #3 had documentation of a Daily Health screening certificated dated 4/8/2017.
Plan of Correction:	We will have the [Daily Health Observation Trainer] to come on site to do the training.