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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:
32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies

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 code compliance inspection was initiated on 08/16/2021 and concluded on 08/16/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 12 children present with 2 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 2 children?s records and 2 staff records were reviewed.
Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22VAC40-191-40-D-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 and a completed sworn statement or affirmation prior to the first day of employment.
Evidence:
1. The record of staff #1 (start date: 9/6/18) had documentation of central registry results dated 12/28/18 and a sworn statement or affirmation dated 1/20/21.

Plan of Correction: In the future I will make sure all background checks are completed on time.

Standard #: 63.2(17)-1716-B-3
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 simple 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 screenings within the past three years. Religious exempt requirements stipulate that a staff should be able to conduct a daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Daily health screenings should be completed 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.

Standard #: 63.2(17)-1720.1-B-2
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.

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.

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