VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bethel Temple Church, Inc.
1705 Todds Lane
Hampton, VA 23666
(757) 826-1426 (308)

Current Inspector: Christine Mahan (757) 404-0568

Inspection Date: Jan. 14, 2019

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. 22VAC40-80 THE LICENSE. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced Monitoring Inspection was conducted on January 14, 2019, from approximately 10:20 am until 3:40 pm. Upon entrance there were 70 children and 10 staff present with children. There were additional staff on site for administrative and program purposes. The record review sample consisted of 8 children's records and 6 staff records. Children were observed playing musical instruments, eating lunch and freely playing with blocks and cars. The infants were observed during diaper changing process and feeding. Two medications were reviewed. Areas of noncompliance are identified on the violation notice. The results of the inspection were reviewed and verified by the Program Director on this date. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review of eight children's records, the license did not ensure all children's records were maintained and kept at the center and contained all the required information. Evidence: During the inspection on January14, 2019, the following were determined incomplete. 1) The record for Child #7 did not include the address for the second emergency contacts listed. 2) The record for Child #8 did not include the physicians name or phone number.
Plan of Correction:	The center director will have it updated today.
Standard #:	22VAC40-185-70-A
Description:	Based on record review of eight staff records, the license did not ensure staff records shall be kept for each staff person containing all required information. Evidence: During the inspection on January 14, 2019, the record for Staff #1 and Staff # 2 did not include their job titles.
Plan of Correction:	The center director will have it updated today.
Standard #:	22VAC40-185-240-A
Description:	Based on record review of one out of six staff records, the licensee did not ensure all staff receive training by the end of their first day of assuming job responsibilities. Evidence: During the inspection on January 14, 2019, the record for Staff #2 did not include documentation of training in the following areas; 1) job responsibilities and to whom they report 2) policies and procedures that relate to the staff member's responsibilities 3) center's playground safety procedures 4) recognizing child abuse and neglect and the legal requirements for reporting suspected child abuse 5) confidential treatment of personal information about children in care and their families 6) Child Day standards which relate to the staff member's responsibilities
Plan of Correction:	The center director will have it updated today.
Standard #:	22VAC40-185-380-A
Description:	Based on observation of nine classrooms and staff interviews, the licensee did not ensure there was a posted daily schedule that allows for flexibility as children's needs require. Evidence: During the inspection on January 14, 2019, two classrooms, room #111 and #107, did not have a daily schedule posted.
Plan of Correction:	The center director will have it updated today.
Standard #:	22VAC40-185-440-B
Description:	Based on observation and staff interviews, the licensee did not ensure cribs, cots, rest mats, and beds shall be identified for use by a specific child. Evidence: During the inspection on January 14, 2019, one child, Child #8 was observed sleeping in a crib not specifically identified for use by the child.
Plan of Correction:	The center director will have it updated today.
Standard #:	22VAC40-185-510-N
Description:	Based on observation and staff interviews, the licensee did not ensure that when an authorization for medication expires, the parent shall be notified that the medication needs to be picked up within 14 days or the parent must renew the authorization. Medications that are not picked up by the parent within 14 days will be disposed of by the center by either dissolving the medication down the sink or flushing it down the toilet. Evidence: During the inspection on January 14, 2019, one medication, children's pain reliever, for Child #4, had an expired authorization as of 11-15-18 and the medication had not been disposed of or sent home.
Plan of Correction:	The center director will send it home today.
Standard #:	22VAC40-185-560-F
Description:	Based on observation and staff interviews, the license did not ensure that when the center provides food that it shall 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: During the inspection on January 14, 2019, the children in room #101 and #106, ages 2-3 were observed eating lunch. They were served dumplings, corn bread, mixed fruit and milk. The food served did not meet the USDA requirements as it did not include a protein and a vegetable.
Plan of Correction:	The center director will make sure all components were met.
Standard #:	22VAC40-185-560-G
Description:	Based on observation and staff interviews, the licensee did not ensure that when food is brought from home, the food container shall be sealed and clearly dated and labeled in a way that identifies the owner. Evidence: During the inspection on January 14, 2019, in room #106, one lunch box/food container for Child #9 was observed and it was not dated. Child #9 brings his food from home daily.
Plan of Correction:	The center director will talk to the parent.
Standard #:	22VAC40-191-60-C-2
Description:	Based on documentation review and staff interviews, the licensee did not ensure one out of six staff records has a central registry finding within 30 days of employment. Evidence: On January 14, 2019 the record for Staff #1 (hire date 10-26-18) did not include a CPS check within 30 days of employment.
Plan of Correction:	The center director will call OBI.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on documentation review and staff interviews, the licensee did not ensure one out of six staff records has a Office of Background Investigations (OBI) letter stating eligibility for hire in response to the national fingerprint check prior to beginning employment. Evidence: On January 14, 2019 the record for Staff #1 was reviewed and staff start date was June 7, 2018 and the OBI letter of eligibility for hire was dated June 14, 2018. Center staff confirmed Staff #1 began working on June 7, 2019.
Plan of Correction:	The center director will make sure it doesn't happen again.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and staff interviews, the licensee did not ensure one out of six records have a copy of the results of a search of the central registry maintained by any other state in which the individual has resided in the preceding five years for any founded complaint of child abuse or neglect against him. Evidence: During the inspection on January 14, 2019, the record for Staff #2 did not include a search of the central registry for the state outside of VA where the staff member lived within the last 5 years.
Plan of Correction:	The center director will call OBI for the out of state check.