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Great Commission Garden of Prayer Church, Inc.
1161 Franklin Street
Rocky mount, VA 24151
(540) 483-4501

VDSS Contact: Monique D Anderson (540) 309-2397

Inspection Date: Aug. 30, 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:
The Licensing Inspector for Great Commission Garden of Prayer Church (Bright Stars) conducted an announced SHSI Monitor Inspection on Wednesday, August 30, 2017. LI Anderson arrived & started inspection at 10:05 AM on 8/30/2017. There were a total of three (3) children ages 14 months years-3 years old present under the direct care & supervision of two (2) staff members. An additional 3 year old child arrived during the inspection. The Licensing Inspector reviewed four (4) children records & three (3) staff records. Center does not administer medication. LI Anderson conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director on August 30, 2017. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:
Standard #: VENDSUB-000-005-B
Description: Based on inspection, the Vendor failed to maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. EVIDENCE: Daily attendance sheets did not include arrival and departure times.

Plan of Correction: I will add to the sign in sheet the arrival and departure times.

Standard #: VENDSUB-000-007-1
Description: Based on record review, the Vendor failed to ensure each staff record includes all required information. EVIDENCE: Licensing Inspector reviewed three (3) staff records. 3 out of 3 records did not include documentation of age verification and the date of employment.

Plan of Correction: I will ask staff for verification of age by drivers licens documentation. I will also ask that all applications be dated

Standard #: VENDSUB-000-007-2-a
Description: Based on record review, the Vendor failed to ensure Criminal Record Background Checks are completed for each staff member. EVIDENCE: Licensing Inspector reviewed three (3) staff records. Records for Staff #1 and #2 did not include documentation of a completed Criminal Record Background Check. The date of employment for each staff member was not documented in the records.

Plan of Correction: Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.

Standard #: VENDSUB-000-007-2-b
Description: Based on record review, the Vendor failed to ensure each staff member completes a Central Registry Background Check. EVIDENCE: Licensing Inspector reviewed three (3) staff records. Record for Staff #2 did not include documentation of an initial Central Registry Background Check. The date of hire was not documented in the staff member's record.

Plan of Correction: Center will submit documentation to the Licensing Inspector confirming completion of required Background Check within 10 days.

Standard #: VENDSUB-000-008-A-1
Description: Based on record review, the Vendor failed to ensure each staff member submits documentation of a negative TB skin test/screening. EVIDENCE: Licensing Inspector reviewed three (3) staff records. 3 out of 3 records did not include documentation of completed TB skin test/screening.

Plan of Correction: I have asked staff and they have appointments in the next 2 weeks. I am also taking the TB test

Standard #: VENDSUB-000-012-B
Description: Based on record review, the Vendor failed to ensure all direct care staff member's complete VA Pre-Service Training for Child Care Staff. EVIDENCE: Licensing Inspector reviewed three (3) staff records. Staff #2 and #3 have not completed the VA Pre-Service Training. The date of hire for Staff #2 and #3 was not documented in the staff records.

Plan of Correction: Both staff will be taking VA Pre Service training

Standard #: VENDSUB-000-012-D
Description: Based on record review, the Vendor failed to ensure orientation training for staff is completed on facility specific topics prior to the staff member working along with children and within seven date of the date of employment or the date of subsidy vendor approval. EVIDENCE: Licensing Inspector reviewed three (3) staff records. Orientation was not completed for all three (3) staff members.

Plan of Correction: Training will be completed

Standard #: VENDSUB-000-031-B-2
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include Shelter-in-Place procedures in the Emergency Preparedness Plan. EVIDENCE: The Center's Emergency Preparedness Plan did not include shelter-in-place procedures.

Plan of Correction: I wil complete Emergency Plan for the Shelter-in-Place procedures

Standard #: VENDSUB-000-031-B-3
Description: Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include Lock-down procedures in the Emergency Preparedness Plan. EVIDENCE: Lock-down procedures were not included in the Center's Emergency Preparedness Plan.

Plan of Correction: I will complete Emergency Plan for Lock-down procedures

Standard #: VENDSUB-000-031-C
Description: Based on inspection, the Vendor failed to ensure emergency evacuation and shelter-in-place procedures/maps are posted in a location conspicuous to staff and children. EVIDENCE: Emergency evacuation and shelter-in-place procedures/maps were not posted

Plan of Correction: Will complete the emergency evacuation and shelter in place procedures maps will be posted

Standard #: VENDSUB-000-031-E
Description: Based on inspection, the Vendor failed to ensure that all staff received training regarding emergency evacuation, relocation, shelter-in-place and lock-down procedures. EVIDENCE: Staff members have not received Evacuation Procedure training. Shelter-in-Place and Lock-down procedures have not yet been developed.

Plan of Correction: I will complete Emergency staff training regarding emergency evacuation, relocation, shelter-in-place

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. To find programs participating in Virginia Quality, click here.

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