VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rhema's "Gentle Care" Child Development Center
321 Alleghany Avenue
Lynchburg, VA 24501
(434) 847-0257

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: July 12, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-185 ADMINISTRATION. 22VAC40-185 PHYSICAL PLANT. 22VAC40-185 STAFFING AND SUPERVISION. 22VAC40-185 SPECIAL CARE PROVISIONS AND EMERGENCIES. 22VAC40-185 SPECIAL SERVICES. 22VAC40-191 Background Checks (22VAC40-191) 63.2(17) License & Registration Procedures

Comments:

An unannounced renewal inspection took place on July 12, 2019, between the hours of 9:45am and 3:20pm. There were 28 children, ages 11 months to 11 years, and 6 staff present during the inspection. The inspector reviewed 5 children's records, 5 staff records, and 3 board member's records. Children were observed during the following activities: free choice play, lunchtime, music time, and hand washing/diapering practices. There were discussions about gross motor activities, staff and board member records, and usage of other rooms in the facility. The final inspection documents were sent to the director on 07/26/2019. Please contact your inspector if you have any questions: Jensen Mellnick (540)309-2051.

Violations:

Standard #:	22VAC40-185-60-A
Description:	Based on record review and discussion with staff, the facility failed to maintain and keep at the center, a separate record for each child enrolled which shall contain all elements as required by the standards. Evidence: Child (2) did not have documented: the address of two designated people to call in an emergency; the address for one of the two designated people was missing.
Plan of Correction:	The provider will obtain this information as soon as possible.
Standard #:	22VAC40-185-270-A
Description:	Based on observation and discussion with staff, the facility failed to ensure that areas and equipment, of the center inside and outside, shall be maintained in a clean, safe, and operable condition. Evidence: 1. The brown and green "Step 2" play structure, located on the playground, was broken. 2. A cabinet located in the infant room had a rusty hinge and the wood was deteriorated. The cabinet was accessible to children.
Plan of Correction:	Staff removed the play structure the same day of the inspection. Staff stated that the cabinet was also removed.
Standard #:	22VAC40-185-280-B
Description:	Based on observation and discussion with staff, the facility failed to ensure that hazardous substances, such as cleaning materials, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. In the infant room, there was an automatic spray aerosol can of room air deodorizer in an unlocked cabinet. The cabinet was not accessible to children.
Plan of Correction:	The staff in charge removed the aerosol spray during the inspection.
Standard #:	22VAC40-185-510-J
Description:	Based on observation and discussion with staff, the facility failed to ensure that all medication shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: 1. The first aid kit located on a top shelf in the "preschool room" had within it, aspirin and anti-acids and those items were unlocked. The first aid kit was not accessible to children.
Plan of Correction:	The provider removed all medications from the first aid kit the same day of the inspection.
Standard #:	22VAC40-185-560-M
Description:	Based on observation and discussion with staff, the facility failed to ensure that staff sit with children during meal times. Evidence: 1. During lunchtime, staff in the "preschool room" were not observed sitting with the children.
Plan of Correction:	The provider plans to ensure that staff sit with the children.
Standard #:	22VAC40-191-40-D-1-A
Description:	Based on record review and discussion, the facility failed to ensure that all agents/licensees who are involved in the day-to-day operations of the facility, had sworn statements or affirmation and search of central registry whenever an applicant, licensee, or registrant changes. Evidence: 1. Board officers 1, 2, and 3 did not have central registry or sworn statements/affirmations in their records. 2. The board members were listed on the renewal application and the date the department received the application was May 30, 2019.
Plan of Correction:	The provider will show proof of all background checks for all board members and keep these items readily available in files for inspection.
Standard #:	22VAC40-191-60-C-2
Description:	Based on record review and discussion with staff, the facility failed to ensure that all employees have central registry findings within 30 days of employment. Evidence: 1. Staff (3) has a documented hire date of 05/07/2019 and a central registry date of 06/12/2019.
Plan of Correction:	The provider will obtain documentation showing central registry from this point forward.
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review and discussion with staff, the facility failed to ensure that every agent/officer had a background check in accordance with Code of Virginia prior to appointment as a board officer. Evidence: Board officers (1, 2, and 3) did not have fingerprints or evidence of a criminal background check as required by the Code of Virginia within their files.
Plan of Correction:	Not available online. Contact Inspector for more information.