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: Oct. 13, 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. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minors records 22.1 Background Checks Code, Carbon Monoxide 22.1 Early Childhood Care and Education

Comments:

An unannounced monitoring inspection was conducted on 10/13/2023. The inspector was on site from approximately 9:55 am-11:44 am. There were 15 children present, ranging in ages from 18 months to 4 years, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. 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 #:	8VAC20-780-130-A
Description:	Based on a review of five child records and interview, the center did not ensure to obtain documentation that one child had received the immunizations required by the State Board of Health before the first date of attendance as required. Evidence: 1. The record of child # 4 (date of attendance: 10/2/2023) did not contain an immunization record. 2. Administration acknowledged that they had not obtained the record.
Plan of Correction:	Immunization and health records will be required before a child's start date. Child #4's records were collected on 10/16/2023.
Standard #:	8VAC20-780-40-M
Description:	Based on observation and interview, the center did not ensure to maintain, in a way that is accessible to all staff who work with children, a current written list of all children's allergies, sensitivities, and dietary restrictions documented in the allergy plan required in 8VAC20-780-60 A 8. This list shall be dated and kept confidential in each room or area where children are present. Evidence: 1. An allergy list was not available in the toddler/two year old classroom. The list in the three/four year old classroom did not have a date. 2. Administration acknowledged that the allergy lists were not maintained in accordance with licensing requirements.
Plan of Correction:	The allergy list in the three/four year old room was dated and an allergy list was added to the toddler/two room.
Standard #:	8VAC20-780-70
Description:	Based on a review of five staff records and interview, the center did not ensure that one record was kept that contained the required information. Evidence: 1. The record of staff #1 (date of employment: 10/6/2023) contained one reference that was obtained on 10/9/2023. Staff records are required to contain documentation that two or more references as to character and reputation as well as competency were checked before employment or volunteering. If a reference check is taken over the phone, documentation shall include: a. Dates of contact; b. Names of persons contacted; c. The firms contacted; d. Results; and e. Signature of person making call. 2. Administration acknowledged that the reference results were received after the start of employment.
Plan of Correction:	collect all written and phone reference checks prior to orientation of new staff. To be completed by the director
Standard #:	8VAC20-780-550-G
Description:	Based on a review of documentation and interview, the center did not ensure that monthly evacuation drills were documented. Evidence: 1. Evacuation drills were not documented in June, July, August and September of 2023. 2. Administration stated that the drills had been conducted but not documented as required.
Plan of Correction:	Evacuation drills will be added to the current 2023 list. New drills will be added to the list after completion.