VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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: April 27, 2022

Complaint Related: Yes

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-820 THE LICENSE.

Comments:

An unannounced inspection was initiated on 04/27/2022 in response to a complaint that was received on 4/22/2022 regarding allegations in the area of supervision of children. The inspection was initiated on 04/27/2022 and completed on 08/15/2022. On 04/27/2022, two inspectors were on site from 2:10 pm-5:02 pm. Two inspectors returned on 06/17/2022 from 1:00 pm-2:45 pm. Interviews with staff were completed, observations were made in the center, and documentation was reviewed. Additional interviews were conducted remotely. The preponderance of the evidence gathered during the investigation supports the allegations; therefore, the complaint is determined to be valid. In addition to the original complaint, there were also violations found during the inspection regarding children?s records, physical examinations for children, and form and content of immunization reports for children. See the violation notice for more details. If you have any questions about this inspection, please contact the licensing inspector at (540) 430-0384. 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. Just writing the word corrected is not acceptable. Your plan of correction must 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 #:	8VAC20-780-140-A
Complaint related:	No
Description:	Based on a review of two (2) children?s records and interview, the center did not ensure that one (1) child had a physical examination by or under the direction of a physician: 1. before the child's attendance; or 2. within 30 days after the first day of attendance. Evidence: 1. The record of child #2 (DOE: 3/22/2021) did not contain a physical examination report. 2. Administration acknowledged that the physical examination report was not obtained.
Plan of Correction:	Child #2 enrolled during Covid and was unable to get an in person dr. appointment. All children's files will be reviewed for proper physical and immunization records and updates/corrections will be made.
Standard #:	8VAC20-780-150-B
Complaint related:	No
Description:	Based on a review of 2 children?s records and interview, the center did not ensure that 1 child?s record contained an immunization form that was signed by a physician, his designee, or an official of a local health department. Evidence: 1. The record of child #2 (DOE: 03/22/2021) contained an immunization report that was unsigned. 2. Administration acknowledged that the report was missing the required signature.
Plan of Correction:	All children's files will be reviewed for proper immunization documentation. New enrollees paperwork will be thoroughly examined before entrance dates.
Standard #:	8VAC20-780-60-A
Complaint related:	No
Description:	Based on a review of two (2) children?s records and interview, the center did not ensure that one (1) record contained all of the required information. Evidence: 1. The record of child #2 (DOE: 3/22/2021) did not contain a complete address for one (1) designated person to call in an emergency. The record must contain the name, address, and phone number of two (2) designated people to call in an emergency if a parent cannot be reached. The record did not contain the last date of attendance as required. The record was viewed on 6/17/2022 and administration confirmed the child?s last day was 5/12/2022. 2. Administration acknowledged that the record was not complete.
Plan of Correction:	All children's files will be reviewed and updated for all required information by the director. New enrollees paperwork will be thoroughly examined before entrance dates.
Standard #:	8VAC20-780-340-A
Complaint related:	Yes
Description:	Based on a review of documentation and interview with law enforcement, the center did not ensure that when staff are supervising children, they always ensure their care and protection. Evidence: 1. In a forensic interview, child #1 (DOE: 10/22/2019) reported that staff #1 (date of employment: 08/02/2021) took him into the bathroom alone and asked him to pull down his pants. He reported that staff #1 ?took pictures of my butt? with his phone. Child #1 also reported that staff #1 touched his bottom. 2. Law enforcement obtained several photos from staff #1?s private cell phone that supported child #1?s disclosure. 3. In an interview with law enforcement, staff #1 confirmed that the photos recovered from his phone were of child #1. Staff #1 stated that the pictures were taken on different days in the hallway staff bathroom starting in the fall of 2021.
Plan of Correction:	The center has reviewed policies and procedures, made edits and trained current staff members in these edits. Including staff will not be left alone with one child in a closed space. The center is also obtaining quotes to add surveillance cameras to the hallways.
Standard #:	8VAC20-780-340-D
Complaint related:	Yes
Description:	Based on record review and interview, the center did not ensure that in each grouping of children at least one staff member who meets the qualifications of a program leader or program director was regularly present Evidence: 1. In interview, staff disclosed that staff #1 was left alone with children in the afternoon when he performed his janitorial services. Staff #1 was reported to have been seen taking children with him as special helpers to mop classrooms and take out the trash. Staff #1 was also reported to have worked alone in the mornings on several occasions due to short staffing. 2. Staff #1?s record reflected that he was not lead qualified. Administration confirmed that Staff #1 was an aide and did not meet the qualifications of a program leader. Administration also confirmed that Staff #1 had worked alone before.
Plan of Correction:	Proper documentation has been collected from all current staff. Policies and procedures have been reviewed by current staff. Program leaders are present in each classroom at all times as well as when moving around the building.