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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:
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Must be MAT Certified.

Comments:
This unannounced inspection was conducted from 10:00 am until 5:00 pm to review the requirements for religious exempt facilities. At the time of the inspection 60 children were in care 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 #: 54.1-3408-O
Description: Based on record review and interview, the provider failed to obtain written authorization from a parent or guardian to administer medication. Evidence: 1. The medication and supporting documents were reviewed for child 9. The center has documentation of the prescription medication being given everyday. There was no documentation of written parent permission to administer the prescription medication. 2. The director verified the center does not have written parent permission to administer the prescription 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 #: 63.2-1716-B-1
Description: Based on interviews, the provider failed to establish and implement procedures for hand washing by children 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 #: 63.2-1716-B-2
Description: Based on observation, the center failed to establish and implement procedures in appropriate supervision of all children in care. 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 #: 63.2-1716-B-3
Description: Based on record review and interview, the provider failed to establish and implement procedures to ensure that a daily simple health screening and exclusion of sick children was completed by a person trained to perform such screenings. Evidence: 1. Out of the six staff records reviewed none contained documentation of completing instruction in performing a daily health screening of children. 2. The director verified they have no staff that have completed instruction in performing a daily health screening 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 #: 63.2-1716-B-6
Description: Based on observation, the provider failed to establish and implement procedures to ensure that all areas of the premises accessible to children are free of obvious injury hazards. 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 #: 63.2.1720.1-A
Description: Based on record review and interview, the provider failed to ensure a sworn statement was completed at the time of hire and criminal history check (CRC) and search of central registry (CPS) was completed within the first 30 days of employment and every five years thereafter. Evidence: 1. Out of six staff records reviewed two did not have background checks completed within the first 30 days of employment and three did not obtain updated background checks. 2. The record for staff 1 did not contain a sworn statement or CRC. 3. The record for staff 3 had documentation of a sworn statement dated 3/22/12 and CPS dated 7/9/12. 4. The record for staff 5 had documentation of a sworn statement dated 5/16/12. 5. The record for staff 6 did not contain a sworn statement and had documentation of a CPS dated 9/20/11. 4. Per the director staffs 1 and 6 have been employed for over 30 days.

Plan of Correction: Sworn statements will be completed by all staff. CRC's and CPS's will be completed and mailed.

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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