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First Baptist Church Denbigh Child Development Center & Academy
3628 Campbell Road
Newport news, VA 23602
(757) 833-7261

Current Inspector: Cassie Anderson-Leichty (757) 409-4668

Inspection Date: March 11, 2020

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

Technical Assistance:
Reviewed the requirements for cleaning and sanitizing items

Comments:
An unannounced Monitoring Inspection was conducted on March 11, 2020 from approximately 8:20 pm until 1:00 pm. Upon entrance there were 23 children and 4 staff present with children. There were additional staff on site for administrative and program purposes. The record review sample consisted of 5 children's records and 3 staff records. Children were observed preparing to go to school and listening to bible stories. Seven medications were reviewed. The resilient surfacing was not measured due to inclement weather. Areas of non-compliance are identified on the violation notice. Please contact the licensing inspector with any questions (757) 404-0568.

Violations:
Standard #: 22VAC40-185-60-A
Description: Based on documentation review of five children's records and staff interviews, the licensee did not ensure the center shall maintain and keep at the center a separate record for each child enrolled which shall contain all required information.

Evidence: The following records were reviewed and determined to be incomplete;
1) The record for child #1, child #2, child #3, child #4 and child #5 did not include the previous childcare/school.
2) The record for child #1 and child #3 did not include schools/programs currently attending.
3) The record for child #3 did not include the street name, house or apartment number or zip code for both emergency contacts listed.
4) The record for child #5 did not include the city, state or zip code for one emergency contact listed, and the appropriate legal paperwork was not on file when the custodial parent requests the center not to release the child to the other parent

Plan of Correction: The Center Director will get the information in the records.

Standard #: 22VAC40-185-70-A
Description: Based on record review of three staff records and staff interviews , the licensee did not ensure the staff records shall be kept for each staff person and contains all required information.

Evidence: The record for Staff #2 and Staff #3 did not include written information to demonstrate that the individual possesses the orientation training required by the job position. The record for Staff #2 did not include documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. Staff #2 date of hire 9-10-2019 and Staff #3 9-26-2019,

Plan of Correction: The Center Director will get the information in the records.

Standard #: 22VAC40-185-510-E
Description: Based on observation and staff interview, the licensee did not ensure medication shall be labeled with the child's name, the name of the medication, the dosage amount, and the time or times to be given.

Evidence: Two medication, children's cough medication and children's vitamins were observed and the Center Director confirmed they belonged to children who are no longer enrolled in the center. The medications were not labeled with a child's name.

Plan of Correction: The Center Director will dispose of medication.

Standard #: 22VAC40-185-510-N
Description: Based on observation and staff interviews the licnesee 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; One medication, an Epinephrine pen had an expired authorization for Child #1 and the medication had not been returned to the parent or disposed of as required. The authorization was only for the school year 2018 to 2019.

Plan of Correction: The Center Director will return the medication.

Standard #: 22VAC40-185-550-C
Description: Based on observation and staff interview, the licensee did not ensure the emergency evacuation and shelter-in-place procedures/maps shall be posted in a location conspicuous to staff and children on each floor of each building.

Evidence: The emergency evacuation procedures posted do not include the secondary means of egress.

Plan of Correction: The Center Director will update the evacuation map.

Standard #: 22VAC40-185-550-D
Description: Based on documentation review and staff interviews, the licnesee did not ensure the center shall implement a monthly practice evacuation drill and a minimum of two shelter-in-place practice drills per year for the most likely to occur scenarios.

Evidence: There was not documentation available for review for evacuation drills conducted September 2019 to December 2019 and in February 2020.

Plan of Correction: The Center Director will add the information to their booklet.

Standard #: 22VAC40-185-550-H
Description: Based on observation and staff interviews, the licnesee did not ensure to prepare emergency document for vehicles.

Evidence: The center shall prepare a document containing local emergency contact information, potential shelters, hospitals, evacuation routes, etc., that pertain to each site frequently visited or of routes frequently driven by center staff for center business (such as field trips, pickup/drop off of children to or from schools, etc.). This document must be kept in vehicles that centers use to transport children to and from the center. The Center Director and Staff #1 confirmed they did not have this document.

Plan of Correction: The Center Director will create the documents and place them in the vehicles.

Standard #: 22VAC40-185-550-M
Description: Based on documentation review and staff interviews, the licensee did not ensure the center shall maintain a written record of children's serious and minor injuries in which entries are made the day of occurrence. and include all required information.

Evidence: Eight injury reports were available for review and five did not include the time the parent was notified of the injury and two did not include how the parent was notified of the injury and one did not include future action to prevent injury.

Plan of Correction: The Center Director will make sure the forms are taken care of and staff is retrained.

Standard #: 22VAC40-185-580-C
Description: Based on observation and staff interviews the licensee did not ensure the center shall ensure that during transportation of children all requirements are met.

Evidence: The Center Director and Staff #1 confirmed there was not a list of the names of the children being transported to school. and a 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center was posted in a visible place during transportation.

Plan of Correction: The Center Director will make this update.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on review of three staff records, the licensee did not ensure that all staff submit to fingerprinting and results obtained prior to the first day of employment.

Evidence: One out of three records reviewed did not include finger print checks conducted as required. The record for Staff #2 included the results of the finger print check dated 9-17-2019 and the first date of employment was on 9-10-2019. The finger print check was obtained after the first day of employment .

Plan of Correction: The Center Director will make sure in the future no one will work until the check is back.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on review of three staff records and staff interviews, the licensee did not ensure that the child day center obtain a copy of the results of a search of the central registry maintained and any child abuse and neglect registry or equivalent 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: The record for Staff #2 (date of hire 9-10-2019) did not include an out of state check for Georgia where they had lived within the last 5 years. The Center Director confirmed this information during inspection.

Plan of Correction: The Center Director will get the check,

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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