VIRGINIA DEPARTMENT OF SOCIAL SERVICES

House of Genesis
3118 Cofer Road
Richmond, VA 23224
(804) 233-6425

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: July 11, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Introduction 8VAC20-790 Administration 8VAC20-790 Staff Qualifications & Training 8VAC20-790 Physical Plant 8VAC20-790 Staffing & Supervision 8VAC20-790 Programs 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Special Services

Technical Assistance:

n/a

Comments:

A Subsidy Health and Safety Inspection was initiated on Tuesday, July 11, 2023 and concluded on Wednesday, July 12, 2023. On July 11, 2023, the inspector was on site from 9:50am to approximately 1:00pm. There were 20 children present and two staff members supervising. A total of five children's records and three staff records were reviewed. Additional documentation was submitted electronically on July 12, 2023. A code compliance inspection was conducted on this date. Both inspections combined cover subsidy health and safety regulations. Only subsidy requirements that are not covered in the code compliance inspection were reviewed during the supplemental inspection. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-540-B
Description:	Based on a review of five children?s records and interview, the vendor did not ensure two children?s records contained the required information. Evidence: Each child record shall include the name, address, and telephone number of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached. 1. The record of Child #2, date of attendance 05/11/23, did not contain the address of the emergency contact listed. 2. The record of Child #5, date of attendance 02/21/23, did not contain a complete address of the emergency contact listed. 3. During interview, Staff #1 acknowledged the address for the emergency contacts listed for Child #2 and Child #5 were missing.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-560-A
Description:	Based on a review of three staff records and interview, the vendor did not ensure one staff shall be evaluated by a health professional and be issued a statement that the individual is determined to be free of communicable tuberculosis (TB). Documentation of the screening shall be submitted at the time of employment and prior to coming into contact with children. Evidence: 1. The record of Staff #3, employed on 06/22/23, did not contain documentation of a negative TB screening. 2. During interview, Staff #1 acknowledged Staff #3 has not provided documentation of a negative TB screening to date.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-580-A
Description:	Based on a review of five children?s records and interview, the vendor did not ensure one child had received the immunizations required by the State Board of Health before the child attended the center. Evidence: 1. The immunizations in the record of Child #2, date of attendance 05/11/23, were dated 05/12/23. 2. During interview, Staff #1 confirmed the immunizations were dated after Child #2 attended the center.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-600-F
Description:	Based on a review of three staff records and interview, the vendor did not ensure staff who work directly with children shall annually attend at least 16 hours of training and staff development activities, to include the department's health and safety update course. Training shall be related to child safety, child development, the function of the center, and any required department sponsored training. Evidence: 1. The record of Staff #1 contained 11 hours of annual training from 01/2022 ? 01/2023. Staff #1 completed the department?s health and safety update course on 03/19/23. The record did not contain documentation that the training was taken annually in 2021 or 2022. 2. During interview, Staff #1 acknowledged the missing training hours for the period specified and reported she did not take the department?s health and safety update course annually as required.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-630-A
Description:	Based on observations and interview, the vendor did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe, and operable condition. Unsafe conditions include splintered, cracked or otherwise deteriorating wood; chipped or peeling paint; visible cracks, bending or warping, rusting, or breakage of any equipment; head entrapment hazards; protruding nails, bolts, or other components that entangle clothing or skin; and unstable heavy equipment, furniture, or other items that a child could pull down on himself. Evidence: During the inspection of the center?s playground, the following was observed - 1. The fence gate is not securely attached. When the children enter and exit the playground, the provider must hold the gate to ensure it does not fall on a child. 2. The inspector observed the wooden boards around the playground had visible cracks, protruding nails, were bent, warped, and the wood was deteriorating. The children were observed playing on the wooden boards. 3. Several areas around the playground had landscaping weed barrier that presented a tripping hazard for the children in care. The children were observed playing around the weed barrier. 4. During interview, Staff #1 acknowledged the areas that needed work around the playground and reported the center is working to have someone make corrections as soon as possible.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-640-A
Description:	Based on observations and interview, the vendor did not ensure hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: During the inspection of the building, the following was observed - 1. In the bathroom used by children, the inspector observed several bottles of cleaning materials on top of a cabinet. The materials were out of the reach of children, but they were not locked. 2. On the changing table, the inspector observed two bottles of hand sanitizer. 3. On the kitchen counter and on a desk in the main classroom, the inspector observed bottles of hand sanitizer within the reach of children. 4. On the kitchen counter next to the sink, the inspector observed a bottle of bleach water solution. Access to the kitchen from the main classroom by children is not blocked. 5. During interview, Staff #1 reported she was not aware of the requirement that cleaning materials and hazardous materials should be kept in a locked place.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-670-C-6
Description:	Based on a review of documentation, interviews, and observation, the vendor did not ensure when a group of children receiving care includes children from different age brackets, the age of the youngest child in the group shall be used to determine the staff-to-children ratio that applies to that group. Evidence: 1. On 07/11/23 at approximately 9:50am, the inspector observed 19 children in care with only Staff #1 supervising. A review of the center?s record of daily attendance and verification of the ages of children present confirmed there were 19 children present, and the youngest child was 7 months old. At approximately 10:05am, an additional child was dropped off. 2. During interview, Staff #1 acknowledged she was the only staff member present at the center but would contact another staff member for assistance. Staff #3 arrived at the center at approximately 10:37am. The age of the second youngest child present was 9 months old. The staff-to-child ratio that applied to each group was one staff member to four children based on the age of the youngest children present.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-670-D-1
Description:	Based on a review of documentation, interviews, and observation, the vendor did not ensure the maximum group size requirements were maintained when children were in care. Evidence: 1. On 07/11/23 at approximately 9:50am, the inspector observed 19 children with only Staff #1 supervising. At approximately 10:05am, an additional child was dropped off. The children?s ages ranged from 7 months to 9 years of age and were all combined in one group. 2. During interview, Staff #1 acknowledged she was the only staff member supervising children but would contact another staff member for assistance. Staff #3 arrived at the center at approximately 10:37am. The maximum group size is applied to the youngest child in the group and is applicable to the entire group. The maximum group size for children birth to two years is 12 children.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-B-3-c
Description:	Based on observation, the vendor did not ensure A nonabsorbent surface for diapering or changing shall be used. Evidence: During the inspection of the diapering area, the inspector observed the changing pad had a cloth cover, which was absorbent.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-760-B-8
Description:	Based on observation and interview, the vendor did not ensure the diapering surface shall be used only for diapering or cleaning children, and it shall be cleaned with soap and at least room temperature water and sanitized after each use. Tables used for children's activities or meals shall not be used for changing diapers. Individual disposable barriers may be used between each diaper change. If the changing surface becomes soiled, the surface shall be cleaned and sanitized before another child is diapered. Evidence: 1. During the inspection of the diapering area, the inspector observed the changing pad had a cloth cover. Staff were not able to clean it with soap and at least room temperature water and sanitize it after each use. The inspector observed the cover had become soiled and at least four children had been changed throughout the inspection. 2. During interview, Staff #1 acknowledged the changing surface was not cleaned and sanitized before different children were diapered.
Plan of Correction:	Not available online. Contact Inspector for more information.