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. 10, 2024

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

Comments:

An unannounced renewal inspection was conducted on 01/10/2024. There were 18 children, 11 months-5 years, and 7 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, 5 staff records, and 3 applicant records were reviewed. The children were observed during story time, in free choice center play, during art time, participating in music and movement, having lunch, and during rest time. The inspector arrived for the inspection at 9:00 am and departed at 12:00 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 #:	22.1-289.036-A
Description:	Based on record review, the center failed to ensure that every applicant for licensure of a child day center shall undergo a background check in accordance with the Code of Virginia prior to the issuance of a license and every five years thereafter. Evidence: The most recent criminal record check for Applicant 1 was dated 06/18/2018. There was not an updated criminal record check obtained by 06/18/2023 available for review.
Plan of Correction:	Fingerprinting appointment was made during the inspection. Will send the results to the inspector.
Standard #:	8VAC20-780-160-C
Description:	Based on record review, the center failed to ensure that each staff member shall submit documentation of a negative tuberculosis screening at least every two years from the date of the original screening or test. Evidence: The tuberculosis screening in the record for Staff 1 was dated 12/04/2021; there was not a follow-up screening obtained by 12/04/2023.
Plan of Correction:	Will get that scheduled today.
Standard #:	8VAC20-780-280-D
Description:	Based on observation, the center failed to ensure that cleaning and sanitizing materials shall not be located above food, food equipment, utensils or single-service articles and shall be stored in areas physically separate from food. Evidence: There were two containers of animal crackers and various cleaning and sanitizing materials (surface disinfectant, Palmolive, air freshener) on the top shelf of a storage cabinet in the Transitional Room.
Plan of Correction:	Will remove the food immediately.
Standard #:	8VAC20-780-280-G
Description:	Based on observation and staff interviews, the center failed to ensure that if hazardous substances are not kept in original containers, the substitute container shall clearly indicate their contents. Evidence: There was an unlabeled clear plastic spray bottle containing a liquid solution on the top self of a cabinet in the Transitional Room. Staff 6 stated that the bottle contained a soap and water solution.
Plan of Correction:	Will label today.
Standard #:	8VAC20-780-430-L
Description:	Based on observations and staff interviews, the center failed to ensure that infant walkers shall not be used. Evidence: There was an infant walker observed in the infant class. Staff 4 verified that the walker was used by children enrolled at the center.
Plan of Correction:	The walker was removed during the inspection.
Standard #:	8VAC20-780-430-M
Description:	Based on observations, the center failed to ensure that play yards do not use any pillows or filled comforters. Evidence: There was a pink tent style play yard in the infant class that contained two pillows.
Plan of Correction:	The pillows were removed during the inspection.
Standard #:	8VAC20-780-500-B
Description:	Based on observations, the center failed to ensure that the diapering surface shall be used for diapering or cleaning children. Evidence: 1. The changing table in the Transitional Room had a timer, various containers of play-dough and a pacifier laying on it. 2. The changing table in the infant room had a puzzle laying on it.
Plan of Correction:	Will not allow anything but the diapering supplies to be on the diapering surface.
Standard #:	8VAC20-780-510-L
Description:	Based on observation and staff interviews, the center failed to ensure that medication, including refrigerated medication and staff?s personal medication, shall be kept in a locked place using a safe locking method that prevents access by children. Evidence: There was a bottle of DG Rapid Release Pain Reliver on top of the refrigerator in the infant room. Staff 4 stated that it was their medication.
Plan of Correction:	Staff were instructed to leave medication in their cars.