VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Rhema's "Gentle Care" Child Development Center
321 Alleghany Avenue
Lynchburg, VA 24501
(434) 847-0257

Current Inspector: Rebecca Forestier (540) 309-2835

Inspection Date: Jan. 24, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-780 ADMINISTRATION. 8VAC20-780 STAFF QUALIFICATIONS AND TRAINING. 8VAC20-780 PHYSICAL PLANT 8VAC20-780 STAFFING AND SUPERVISION. 8VAC20-780 PROGRAMS. 8VAC20-780 SPECIAL CARE PROVISIONS AND EMERGENCIES 8VAC20-780 SPECIAL SERVICES. 8VAC20-770 BACKGROUND CHECKS 22.1 BACKGROUND CHECKS, CODE, CARBON MONOXIDE 63.2 CHILD ABUSE AND NEGLECT

Comments:

An unannounced monitoring inspection was conducted on 01/24/2023. There were 22 children, 12 months-4 years, and 5 staff members present during the inspection. The inspector reviewed compliance in the areas of administration, staff qualifications and trainings, staffing and supervision, physical plant, programs, emergencies and nutrition. A total of 5 children?s records and 5 staff records were reviewed. The children were observed watching television, in free choice activities and having lunch. The inspector discussed the following with the staff: handwashing, staff training and space for items from home. The inspector arrived for the inspection at 9:55 am and departed at 12:30 pm. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the provider.

Violations:

Standard #:	8VAC20-780-130-E
Description:	Based on document review, the center failed to obtain documentation of additional immunizations once every six months for children under the age of two years. Evidence: Child 2 was confirmed to be 14 months old. The most recent documentation of immunizations in the record for Child 2 was dated 10/20/2021. The documented first date of attendance for Child 2 was 12/13/2021. Documentation of additional immunizations were not obtained every six months for a child under two years.
Plan of Correction:	Will contact the parents.
Standard #:	8VAC20-780-140-A
Description:	Based on record review, the center failed to obtain documentation that each child shall have a physical examination by or under the direction of a physician before the child?s attendance or within 30 days after the first day of attendance. Evidence: The record for Child 2 contained a documented start date of 12/13/2021. There was not documentation of a physical examination in the record for Child 2.
Plan of Correction:	Will contact the parents.
Standard #:	8VAC20-780-60-A
Description:	REPEAT VIOLATION Based on record review and discussion with the staff, the center failed to ensure that the separate record for each child enrolled contains all of the elements as required by the standards. Evidence: 1. The record for Child 2 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 12/13/2021. 2. The record for Child 4 did not contain documentation of child updates and confirmation of up-to-date information as required, the most recent update of the record took place on 09/13/2021. 3. The record for Child 5 did not contain information regarding allergies and intolerance to medication or any other substance, an actions to take in an emergency situation.
Plan of Correction:	Will get the records updated each January and a staff will check behind the Program Director to ensure accuracy.
Standard #:	8VAC20-780-80-A
Description:	Based on document review and interviews, the center failed to ensure that for each grouping of children, the center shall maintain a written record of daily attendance that documents the arrival and departure of each child in care as it occurs. Evidence: 1. The attendance record for the pre-k to school-age group contained documentation that there were 16 children in care. There were only 14 children in care at the time of the inspection. Staff 4 stated that 2 children had departed the center for school. The attendance record did not document the departure of each child as it occurred. 2. The attendance record for the infant/toddler class contained documentation that there were 7 children in care. There were actually 8 children in care at the time of the inspection. Staff 1 stated that one child had not yet been marked present. The attendance record did not document the arrival of each child as it occurred.
Plan of Correction:	Will verify that all children are accounted for. Children will be accounted for at arrival and departure.
Standard #:	8VAC20-780-245-A
Description:	Based on record review, the center failed to ensure that staff shall complete a minimum of 16 hours of training annually. Evidence: 1. The records for Staff 1, Staff 2, Staff 3, and Staff 4 contained documentation of completing only 12 hours of annual training for 2022. 2. The record for Staff 2 contained documentation of completing only 2 hours of annual training for 2022. 3. All 5 staff were employed for the entire 2022 year.
Plan of Correction:	Will get the 16 hours of training and make sure to document all trainings.
Standard #:	8VAC20-780-245-L
Description:	Based on record review, the center failed to ensure that there shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children. Evidence: There was no one on duty during the 01/24/2023 inspection that has obtained instruction in performing daily health observations within the last three years.
Plan of Correction:	Will train the staff at tonight's staff meeting.
Standard #:	8VAC20-780-260-A
Description:	Based on document review, the center failed to obtain an annual fire inspection report from the appropriate fire official having jurisdiction. Evidence: The most recent fire inspection was conducted on 12/14/2021; a fire inspection was not conducted in 2022.
Plan of Correction:	Will call and request an inspection today.
Standard #:	8VAC20-780-500-A
Description:	REPEAT VIOLATION Based on observation, the center failed to ensure that staff shall wash their hands with soap and running water after any contact with body fluids and before preparing or serving food or beverages. Evidence: Staff 3 was observed wiping a child?s nose and did not wash their hands. Staff 3 was then observed helping to serve the children?s lunch.
Plan of Correction:	Will retrain the staff.