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Effort Baptist Church
7820 Thomas Jefferson Pkwy
Palmyra, VA 22963
(434) 808-2447

VDSS Contact: Michelle W. Argenbright (540) 848-4123

Inspection Date: Aug. 17, 2017

Complaint Related: No

Areas Reviewed:
VENDSUB-000 INTRODUCTION.
VENDSUB-000 ADMINISTRATION
VENDSUB-000 STAFF QUALIFICATIONS & TRAINING
VENDSUB-000 PHYSICAL PLANT
VENDSUB-000 STAFFING & SUPERVISION
VENDSUB-000 PROGAMS
VENDSUB-000 SPECIAL CARE PROVISIONS & EMERGENCIES
VENDSUB-000 SPECIAL SERVICES

Comments:
This unannounced annual subsidy health and safety inspection was conducted from 10:00 am until 5:00 pm. At the time of the inspection 60 children were present with 10 staff members. The sample size consisted of six staff's records, eight children's records and three children's medications and supporting documents. All teachers, classrooms and outdoor play areas were observed. Violations were found during this inspection and can be found on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:
Standard #: VENDSUB-000-033-C-1
Description: Based on observation and interview, the vendor failed to ensure food containers were clearly labeled in a way that identifies the owner. Evidence: 1. Children bring a packed snack and lunch. At snack and lunch children were observed and no label was seen on the children's lunch box or food containers. 2. The director stated they have not required lunch boxes or food containers to be labeled.

Plan of Correction: An email will be sent to parents advising them to label children's lunch boxes and food containers. Staff will be advised to follow-up with parents.

Standard #: VENDSUB-000-004-F
Description: Based on interview, the provider failed to have a current list of all children's allergies, sensitivities, and dietary restrictions immediately accessible to staff. Evidence: The director stated they have one child in care with a food allergy. The allergy list is only kept in the office.

Plan of Correction: A current allergy list will be put in the classrooms.

Standard #: VENDSUB-000-005-B
Description: Based on a review of the attendance logs and interviews, the vendor failed to ensure a written record of daily attendance is documented with the arrival and departure of each child in care as it occurs. Evidence: 1. Staff 4 stated she checks by a child's name when they arrive that day but does not mark when they leave. 2. The director stated they only have a check-in sheet for parents.

Plan of Correction: A note was posted at check-in advising parents to check out at pick-up. Staff have been advised of the change and will help parents remember. Teachers will mark children out on the class attendance log as they leave for the day.

Standard #: VENDSUB-000-006-B
Description: Based on record review and interview, the vendor failed to obtain all the required components of children's records. Evidence: 1. Out of the eight children's records reviewed none contained an address for the parent's place of employment and an address for the emergency contact. 2. The director stated they have not collect that information from parents.

Plan of Correction: An amendment of the enrollment form will be emailed to all parents requesting this information.

Standard #: VENDSUB-000-007-2.
Description: Based on record review and interview, the vendor failed to ensure a sworn statement, criminal history check (CRC) and search of central registry (CPS) was completed within the first 30 days of employment. Evidence: 1. Out of six staff records reviewed two did not have background checks completed within the first 30 days of employment. 2. The record for staff 1 did not contain a sworn statement or CRC. 3. The record for staff 6 did not contain a sworn statement. 4. Per the director both employees were employed prior to the new vendor agreement going into effect 1/1/2017.

Plan of Correction: Sworn statements will be redone for all staff. The CRC will be completed and mailed.

Standard #: VENDSUB-000-007-4
Description: Based on record review and interview, the vendor failed to obtain updated sworn statements, search of central registry (CPS) and criminal history background checks (CRC) every three years. Evidence: 1. Out of the six staff records reviewed three contained sworn statements, CPS and CRC that were completed over three years ago. 2. The record for staff 3 contained a sworn statement dated 3/22/12, CRC dated 3/14/14 and CPS dated 7/9/12. 3. The record for staff 5 contained a sworn statement dated 5/16/12, CRC dated 5/16/12 and CPS dated 7/30/14. 4. The record for staff 6 contained a CPS dated 9/20/11. 5. The director verified they have not completed updated sworn statements, CRC's or CPS's for staff.

Plan of Correction: Sworn statements will be completed by all staff. CRC's and CPS's will be completed and mailed for all staff whose current CRC's and CPS's are over three years old.

Standard #: VENDSUB-000-008-A
Description: Based on record review and interview, the vendor failed to ensure a statement that each staff were believed to be free of communicable tuberculosis (TB) was maintained in the staff records. Evidence: 1. Out of the six staff records reviewed none contained a statement that each staff were believed to be free of TB. 2. The director stated the staff have not been advised to provide a statement that they were believed to be free of TB. Four of the staff were employed prior to the new vendor agreement, and two of the staff have been employed for over 21 days.

Plan of Correction: The director will contact the health department to schedule TB screenings for all staff. All new staff will be advised to provide documentation of a TB screening upon hire.

Standard #: VENDSUB-000-012-C
Description: Based on record review and interview, the vendor failed to ensure all staff hired prior to the approval of the subsidy vendor agreement completed the Virginia Pre-Service Training for Child Care Staff by April 1, 2017. Evidence: 1. Out of the six staff records reviewed four were hired prior to the approval of the subsidy vendor agreement. 2. A review was conducted of the four staff members and no certificate of completion was found for completing the Virginia Pre-Service Training for Child Care Staff for staff 3 and staff 4. 3. The record for staff 1 has a certificate of completion dated 5/8/17 and the record for staff 6 has a certificate of completion dated 5/16/17. 4. The director stated she does not have a certificate of completion for staff 3 and staff 4 and is not sure if they had completed the training.

Plan of Correction: All staff will be advised to complete the training and provide a certificate for the records.

Standard #: VENDSUB-000-012-K
Description: Based on record review and interview, the vendor failed to ensure at least one staff member is on duty at all times that has received instruction within the last three years in performing a daily health observation of children. Evidence: 1. Out of the six staff records reviewed none contained documentation of completing instruction within the last three years in performing a daily health observation of children. 2. The director verified they have no staff that have completed instruction within the last three years in performing a daily health observation of children.

Plan of Correction: An RN was contacted by the end of the inspection and is scheduled to complete daily health observation training with all staff on 8/23/17.

Standard #: VENDSUB-000-015-A
Description: Based on observation, the equipment on the playground was not kept in a safe and operable condition. Evidence: The wooden train structure on the playground used by children ages three and up had the end of a sharp screw protruding creating a puncture hazard.

Plan of Correction: The train will be removed. Until then the train will be maintained and monitored by staff.

Standard #: VENDSUB-000-016-A
Description: Based on observation, the center staff failed to ensure all hazardous substances were kept in a locked place using a safe locking method that prevents access by children. Evidence: Each classroom had unlocked hazardous substances such as Clorox wipes, Lysol disinfectant spray and spray bottles of bleach and water. The hazardous substances were found on tables, in unlocked cabinets, under a sink, and on top of cabinets.

Plan of Correction: Extra supplies will be locked in the hall closet instead of the classrooms. Hazardous substances kept in classrooms will be put in the locked cabinets.

Standard #: VENDSUB-000-019-E
Description: Based on observation, the center staff failed to ensure all children under the age of 10 years are always within actual sight and sound supervision of staff. Evidence: Four children between the ages of two and a half to four were seen at different times going to the restroom in the hall. The bathroom is located in the side hallway off of the entrance foyer of the sanctuary building. Three of the classrooms are on the other side of the foyer and two are across the hall from the restrooms. Children were witnessed leaving the classrooms alone, going to the restroom and then returning to the classroom with no staff present. All doors that lead outside are locked to prevent people from entering the building but not to prevent children from leaving.

Plan of Correction: All staff will be retrained on sight and sound supervision and this will be added to the staff handbook to be reviewed at orientation.

Standard #: VENDSUB-000-024-C
Description: Based on a review of seven injury reports, the vendor failed to update the injury reports to include all the required components. Evidence: The form used to document injuries did not include the date and time the parent was notified and a space for either two staff signatures or a staff and parent signature.

Plan of Correction: The injury report form will be updated to include all the components.

Standard #: VENDSUB-000-024-J
Description: Based on record review and interview, the vendor failed to inform parents of the center's emergency preparedness plan. Evidence: 1. Out of the eight children's records reviewed, none contained documentation of parents being informed of the center's emergency preparedness plan. 2. The parent handbook was reviewed and there was no information regarding the center's emergency preparedness plan. 3. The director stated she has not been informing parents of the center's emergency preparedness plan.

Plan of Correction: An email will be forwarded to all parents which includes information regarding the center's emergency preparedness plan.

Standard #: VENDSUB-000-028-A-2
Description: Based on interview, the center staff failed to have children wash hands after diapering. Evidence: Staff 1 stated she does not have the children in her two-year-old class wash hands after diapering.

Plan of Correction: Staff will be trained and this information will be added to the staff handbook to cover during orientation.

Standard #: VENDSUB-000-028-B-8
Description: Based on interview, staff failed to ensure the diapering surface is cleaned with soap and at least room temperature water and sanitized after each use. Evidence: Per staff 1 she either uses Clorox wipes to clean the diapering surface or bleach water to sanitize the diapering surface. She does not use both. It depends on what is available.

Plan of Correction: A spray bottle of liquid soap will be provided to clean the diapering surface. Sanitizing solution (bleach water) will always be available. Staff that diaper will be retrained.

Standard #: VENDSUB-000-029-A
Description: Based on a review of medication, supporting documents and interview, the vendor failed to ensure the center had written permission from the parent prior to administering medication. Evidence: 1. The medication and supporting documents were reviewed for child 9. The center has documentation of the medication being given everyday. There was no documentation of written parent permission to administer the medication. 2. The director verified the center does not have written parent permission to administer the medication for child 9.

Plan of Correction: The director sent an email to the mother of child 9 requesting she complete the required medication permission form at pick-up today.

Standard #: VENDSUB-000-030-D
Description: Based on observation and interview, the vendor failed to ensure each building contained a working battery-operating radio. Evidence: 1. Radios were observed plugged into electricity in each building. One radio was checked for batteries and did not have them. 2. The director stated they do not have batteries for any of the radios.

Plan of Correction: Batteries will be purchased and put with at least one radio in each building.

Standard #: VENDSUB-000-031-C
Description: Based on observation and interview, the vendor failed to post shelter-in-place procedures or maps in a location conspicuous to staff and children in each building. Evidence: 1. The maps observed at the entrance of the buildings and in each classroom did not document procedures or location of shelter-in-place. 2. The director stated they do not have the procedures or location of shelter-in-place posted in a location conspicuous to staff and children in each building.

Plan of Correction: The existing emergency maps will be updated to include the shelter-in-place procedures or location.

Standard #: VENDSUB-000-031-D
Description: Based on interview, the vendor failed to post the 911 or local dial number for police, fire and emergency medical services and the number of the regional poison control center in a visible and conspicuous place. Evidence: The director stated they do not have the numbers posted.

Plan of Correction: The numbers will be posted in each building.

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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