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Forest Hill Presbyterian Church Child Care Center
4401 Forest Hill Avenue
Richmond, VA 23225
(804) 230-2380

Current Inspector: Jennifer Moore (540) 430-0384

Inspection Date: May 8, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-185 ADMINISTRATION.
22VAC40-185 STAFF QUALIFICATIONS AND TRAINING.
22VAC40-185 PHYSICAL PLANT.
22VAC40-185 STAFFING AND SUPERVISION.
22VAC40-185 PROGRAMS.
22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES.
22VAC40-185 SPECIAL SERVICES.
63.2 General Provisions.
63.2 Facilities and Programs..
22VAC40-191 Background Checks (22VAC40-191)

Technical Assistance:
Technical assistance was provided on the following topics: general review of standards for licensed child day centers, and cleaning/ sanitizing.

Comments:
The licensing inspector conducted an unannounced monitoring inspection 05/08/2018 from 11:06 a.m. to 2:30 p.m. The children were observed participating in story time, reading books, singing, eating lunch, and napping. Lunch consisted of riblets, macaroni and cheese, green beans, and milk. The lunch menu was posted. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The staff was observed singing, reading stories, and preparing for future projects. There were 22 children, two to four years in age, in care at the time of the inspection. There were 5 staff members working directly with the children in their classrooms. All classrooms and playground were inspected today. The facility was equipped with manipulatives and supplies, and items were available to the children. Medication is not administered at this time. However, a staff person does have E-MAT training. 5 children?s records and 5 employee records were reviewed during this inspection. 8 injury reports were reviewed. The center's first aid kit and emergency supplies were inspected. Last emergency drill: 03/19/2018 Last shelter-in-place drill: 09/2017 Last fire inspection: 01/12/2018 Last health inspection: 03/30/2018 Total enrollment: 24 Today, the following child to staff ratios were observed: Twos ? 7:2 Threes ? 8:2 Pre-K ? 7:1 The violations from the previous inspections were checked for corrections. There was one repeat violation found during today?s inspection. If you have any questions about this inspection, please contact the licensing inspector, Kandra Brown, at (804) 662-9038. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:
Standard #: 22VAC40-185-140-A
Description: Based on a review of children's records on 05/08/2018, the facility did not ensure that each child shall have a physical examination by or under the direction of a physician before the child's attendance or within one month after attendance as required by 22 VAC 40-185-140-A. Evidence: 1. Out of five records reviewed on 05/09/2018, the record for child #1 did not contain a physical examination. 2. Child #1 was enrolled on 02/19/2018. Documentation of a physical examination should have been obtained by the center within 30 days. The 30 day due date was 03/21/2018.

Plan of Correction: Child #1's parents were contacted immediately and given proper forms. Student files will be checked regularly by the Director.

Standard #: 22VAC40-185-60-A
Description: Based on a review of five children's records on 05/08/2018, the center did not ensure that each child's record contained proof of identity, age and confirmation of up-to-date information. Evidence: 1. Child #1 was enrolled on 02/19/2018 and the child's record did not contain proof of identification and any previous childcare. 2. Child #2 was enrolled on 09/05/2017 and the record was last updated 3/29/2017. Child #3 was enrolled on 08/03/2015 and the record was last updated 07/10/2015. Child #5 was enrolled on 06/27/2016 and the record was last updated 06/23/2016. Documentation and confirmation of up-to-date information must be obtained at least annually for each child.

Plan of Correction: Child #1's parents have been contacted and requested they provide this information. And updated form is being produced and distributed to all parents to go into each file. Children's files will be checked and updated regularly / annually by the Director.

Standard #: 22VAC40-185-70-A
Description: Based on record review of five staff records the center did not ensure that one staff had all required documents on file. Evidence: Out of five staff records reviewed by the inspector, the record for staff #5 did not contain the following documentation: name, address and telephone number of a person to be notified in an emergency which shall be kept at the center.

Plan of Correction: Proper documentation was immediately placed in the staff files. Staff will update file information yearly to make any adjustments. Director

Standard #: 22VAC40-185-240-C
Description: Based on observation, the center did not ensure that staff who work directly with children shall annually attend 16 hours of staff development activities that shall be related to child safety and development and the function of the center. Evidence: 1. Out of five staff records reviewed by the inspector, the record for staff #2 contained documentation of 12.5 annual training hours.

Plan of Correction: Staff was reminded of their need to have 16 hours of training annually. The Director will monitor training hours closely. Provide training opportunities and update files regularly to ensure each staff member meets or exceeds the needed hours.

Standard #: 22VAC40-185-270-A
Description: Based on observation, the center did not ensure that areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition. Evidence: The following safety hazards were observed on the playground by the inspector on 05/08/2018: 1. Exposed nails were protruding from the wooden rail at the top of the tall wooden playhouse / climber. 2. There were two protruding rods sticking up from a wooden log located in the ground. The protruding rods were sticking up about 4-6 inches from ground level. The rods were about a 1/2 inch thick. 3. The chains connected to the swings were covered with chipped and peeling yellow paint. 4. There was a splintered wooden barrier located near the fence. 5. There was a small wooden stump, 3-4 inches in height, protruding from the ground presenting a tripping hazard.

Plan of Correction: The church maintenance committee has been contacted in regards to fixing items 1-5. Conduct routine maintenance on the playground to prevent items from becoming unsafe. The church maintenance committee and Director will work together to see that items 1-5 are rectified.

Standard #: 22VAC40-185-280-B
Description: Based on observation, the center did not ensure that hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: The Pre-Kindergarten and the Preschool classrooms each contained an unlocked bottle of hand sanitizer with hazard warnings on the label. The hazard warnings observed by the inspector was as follows: "KEEP OUT OF REACH OF CHILDREN" and "FLAMMABLE."

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-290-3
Description: Based on observation, the center did not ensure that all electrical outlets had protective covers that are of a size that cannot be swallowed by children. Evidence: The Pre-Kindergarten classroom had one uncovered outlet.

Plan of Correction: Corrected during the inspection.

Standard #: 22VAC40-185-330-B
Description: Based on observation, the center did not ensure that the playground equipment provided to the children contained, resilient surfacing and proper fall zones that comply with minimum safety standards. Evidence: 1. The playground contained three structures that required resilient surfacing: Swings, slide, and a dome climber. Resilient surfacing surrounding all structures were measured by the inspector and did not meet the minimum safety standards required by the American Society for Testing and Materials because the mulch only measured 0-4 inches in depth when 6 inches was required for the slide and dome climber, and 9 inches was required for the swings. 2. The swings and slide were measured by the inspector and did not have fall zones that encompass sufficient area to include the child's trajectory in the event of a fall while the equipment is in use according to American Society for Testing and Materials. The slide was over 6 feet tall requiring over a 10 foot use zone, but only 8'7" was available. The swings measured 7'11" in height, requiring a use zone of 15'10" in front of the swings and behind the swings. There was only 15'8" in front of the swings and 14'4" behind the swings.

Plan of Correction: Students are not allowed on the swings, slide, and dome climber at this time. They will use push and riding toys. A discussion will begin with the Child Care Center Committee on purchasing new mulch and finding structures better suited for our playground. Teachers & Director

Standard #: 22VAC40-185-340-F
Description: Based on observation, the center did not ensure that children under 10 years of age always shall be within actual sight and sound supervision of staff, except that staff need only be able to hear a child who is using the restroom. Evidence: 1. During the inspection child #6 (5 yrs. of age) walked out of the classroom alone and went to use the restroom down the hallway. The distance between the classroom and the hallway was too far for the teacher to hear or see the child in the restroom.

Plan of Correction: Teachers were reminded of the sight and sound supervision. Staff will take the whole class to the bathroom or utilize other teachers within ratio to listen to their students during the bathroom time. Director

Standard #: 22VAC40-185-430-C
Description: Base on observation, the center did not ensure that S-hooks on swings were not open more than the thickness of a penny. Evidence: 1. Most of the swings located on the playground had S-hooks that were open more than the thickness of a penny. 2. The director stated that the children enrolled use the playground swings regularly.

Plan of Correction: Students will no longer use the swings. The swings have been put out of reach of the children. A discussion has started with the Child Care Center Committee in regards to the removal of the swings.

Standard #: 22VAC40-185-560-F
Description: Based on review of documentation, the center did not follow the most recent, age-appropriate nutritional requirements of a recognized authority such as the Child and Adult Care Food Program of the United States Department of Agriculture (USDA). Evidence: After review of the center's menu and interviewing the director, the inspector concluded the following: 1. On 05/07/2018 the children in attendance were served a p.m. snack that contained only one food component. According to USDA snacks must contain two food components. 2. On 05/08/2018 the children were served applesauce and water for breakfast. Two components were required. 3. On 05/08/2018 the children were served riblets, macaroni and cheese, green beans, and milk. According to USDA this meal is missing an additional serving of fruit or vegetable.

Plan of Correction: The menu for the week of 5/7-11 and USDA web site were reviewed. The menu prepared for 5/14-18 and henceforth will include all necessary components. The Director will continue to use the USDA web site as a resource when planning meals.

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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