VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Main Street Baptist Church
517 W. Main Street
Smithfield, VA 23430
(757) 357-2604

Current Inspector: Melinda Popkin (757) 802-5281

Inspection Date: Oct. 19, 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. 8VAC20-820 HEARINGS PROCEDURES. 8VAC20-770 Background Checks 20 Access to minor's records 22.1 Early Childhood Care and Education 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was conducted on 10/19/2023 from 2:45 pm to 4:15 pm. At the time of entrance, 5 children were in care with 2 staff members present. The sample size consisted of 5 children?s records and 1 new staff record. Children were observed resting during nap time, having an afternoon snack and engaged in free choice activities. Medication is not administered to children in care at this time and children are not currently being transported in a vehicle while in care. 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.

Violations:

Standard #:	8VAC20-780-150-B
Description:	Based on a review of records and interview, the licensee did not ensure that each enrolled child's record contains documentation of a physical examination by or under the direction of a physician and a record of immunizations, which are signed by a physician, his designee, or an official of a local health department. Evidence: Five children's records were reviewed. The records for child #1, child #2 and child #3 contained ther esults of a physical examination. However, the documentation was not signed by a physician, his designee, or an official of a local health department. The records for child #2 and child #3 contained a printed record of immunizations. However the immunization records were not signed by a physician, his designee, or an official of a local health department.
Plan of Correction:	Immunization and physical documentation will be reviewed and those that are not signed or stamped will result in contacting the parent to request that a signed or stamped document be submitted by November 15, 2023.
Standard #:	8VAC20-780-60-A
Description:	Based on a review of records and interview, the licensee was unable to demonstrate that the program documents child record updates and confirmation of up-to-date information in the child's record. Evidence: Five children's records were reviewed. The records for child #1 (enrolled 6/6/2022) , child #2 (enrolled 7/11/22) and child #4(enrolled 5/2/2022) did not contain documentation that the parents had reviewed the file and confirmed that the information contained in the record was up to date and correct. The program director stated that parents are asked to review the record and confirm the current accuracy of the information, but that this review is not documented in the records.
Plan of Correction:	The program director will begin reviewing the children's information with parents and having each parent sign off in the record on whether changes are made or no changes are necessary in their child's record. The files will be updated to reflect that this review took place, by November 15, and will be reviewed annually with the parents and documented as such in the children's records.
Standard #:	8VAC20-780-320-B
Description:	Based on measurements taken during the inspection, the licensee did not ensure that each restroom provided for children has sinks located near the toilets and that are supplied with running warm water that does not exceed 120?F. Evidence: The temperature of the hot water tap at the sinks located in the restroom that children use while in care measured 139.5 degrees Fahrenheit when taken with a digital thermometer. The program director acknowledged that she is aware that the water is too hot so she ensures staff are in immediate vicinity of the sinks to assist the children with adjusting the mix of hot and cold water during hand washing.
Plan of Correction:	The program director states that she has been communicating with the church regarding this issue and has not found a solution to the water temperature. Staff are assisting children to ensure that the water temperature is correctly adjusted before the children place their hands under the water. Staff will continue to closely monitor and assist with this. The program director will discuss this with the pastor and a solution will be agreed upon and implemented within 30 days.