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Effort Baptist Church
7820 Thomas Jefferson Pkwy
Palmyra, VA 22963
(434) 808-2447

VDSS Contact: Michelle W. Argenbright (540) 848-4123

Inspection Date: Oct. 1, 2018

Complaint Related: No

Areas Reviewed:
63.2 Licensure and Registration Procedures
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:
A Subsidy Health and Safety inspection was conducted on 10/1/18 from 10:45 am until 3:25 pm to review health and safety requirements. At the time of the inspection 49 children were in care with 9 staff. The sample size consisted of eight children's records, five staff's records, and one child's medication documentation. Children and staff were observed during free indoor and outdoor play, diapering, bathroom break, hand washing, snack, nap, transition, departure, and behavioral management. Violations from the previous inspection were reviewed for current compliance and repeat violations were found. Violations found during the subsidy health and safety inspection are identified on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:
Standard #: 63.2-1720.1-B-2
Description: Based on record review and interview, the center failed to ensure all staff hired after 1/22/18 completed fingerprint background checks prior to employment. Evidence: 1. The record for staff 5 documents the start date as 6/20/18. The record did not contain documentation of a fingerprint background check. 2. The director stated they did not have a fingerprint background check for staff 5.

Plan of Correction: The fingerprint background check for staff 5 was completed on 10/4/18 and a copy was forwarded to the licensing inspector for review. In the future the new hire packet has been updated to include directions to complete fingerprint background checks and new staff will be advised they cannot start employment until the fingerprint results are received.

Standard #: VENDSUB-000-006-B-11
Description: Based on a review of medication and supporting documents and interview, the center failed to obtain a written allergy care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic to and steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. The center had emergency medication for child 1. A review of the medication and supporting documents did not contain an written allergy care plan. 2. The director stated they did not have a written allergy care plan for child 1.

Plan of Correction: The parents of child 1 will be advised to provide a written allergy care plan. Staff involved in supervising MAT procedures at the center will be trained in ensuring a written allergy care plan from a physician is obtained for each child with a diagnosed food allergy.

Standard #: VENDSUB-000-007-2-b
Description: Based on record review and interview, the center failed to obtain a search of central registry for all staff hired prior to vendor agreement. Evidence: 1. The record for staff 1 documents the start date as 6/10/15. The record for staff 1 does not contain documentation of a search of the central registry being completed. 2. The record for staff 4 documents the start date as 7/26/16. The record for staff 4 does not contain documentation of a search of the central registry being completed.

Plan of Correction: Central registry background checks will be completed for staff 1 and staff 4.

Standard #: VENDSUB-000-007-3
Description: Based on record review and interview, the center failed to obtain a search of central registry and criminal background check for all staff within 30 days of employment for all staff hired after the vendor agreement. Evidence: 1. The record for staff 2 documents the start date as 7/25/17. The record for staff 2 has a search of central registry dated 10/4/17 and criminal history check dated 9/14/17. 2. The record for staff 5 documents the start date as 6/20/18. The record for staff 5 does not contain documentation of a search of the central registry or criminal background check being completed. 3. The director verified the record for staff 5 did not contain the central registry check and criminal background check documents and the date for the central registry checks and criminal background check for staff 2.

Plan of Correction: Staff 5 was rehired after a two to three year absence on 6/20/18 and updated central registry and criminal background checks were not completed for staff 5. A search of central registry will be completed for staff 5 and the current requirement for fingerprints was completed for staff 5 on 10/4/18. In the future all new staff will have central registry background check paperwork mailed within seven days of employment.

Standard #: VENDSUB-000-007-4
Description: Based on record review and interview, the center failed to obtain subsequent criminal background checks and central registry checks every three years prior to 1/22/18. Evidence: 1. The record for staff 3 documents the start date as 3/25/10. The criminal background check is dated 9/26/11 and the central registry is dated 3/20/11. 2. The director verified the dates.

Plan of Correction: Staff 3 completed a fingerprint background check on 6/14/18. an updated central registry will be completed for staff 3.

Standard #: VENDSUB-000-012-B
Description: Based on record review and interview, the center failed to ensure all staff completed Virginia Pre-Service Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record for staff 2 documents the start date as 7/25/17. The certificate of completion of Virginia Pre-Service Training for Child Care Staff for staff 2 is dated 9/14/18. 2. The record for staff 5 documents the start date as 6/20/18. Staff 5's record does not have a certificate of completion for Virginia Pre-Service Training for Child Care Staff in their record. 3. The director verified the start date of certificate date for staff 2 and verified staff 5 has not completed the training.

Plan of Correction: Staff 5 will be required to complete the Virginia Pre-Service Training for Child Care Staff. In the future all staff will be required to complete the training within 90 days after employment.

Standard #: VENDSUB-000-031-B
Description: Based on a review of the emergency preparedness plan, the center failed to ensure the emergency preparedness plan contained all the required components. Evidence: The emergency plan did not contain the following: - Designated assembly points away from the building. - Methods to ensure all children are accounted for in each scenario. - Methods to ensure essential documents, including emergency contact information, attendance records, medications and supplies are taken to the assembly point and relocation site. - Procedures to address reuniting children with parents or authorized person designated by the parent to pick up the child. - A relocation plan that includes transportation. - Staff training requirements (new staff & updates). - Plan for review and update of the emergency plan (who and how often). - The current plan calls for evacuation practice drills to be conducted once per year. The evacuation drills are required to be conducted once per month.

Plan of Correction: The emergency plan will be updated and the local authorities have been contact to review the completed updates.

Standard #: VENDSUB-000-032-B
Description: Based on interview, the center failed to document the dates of the practice drills. Evidence: At the time of the inspection the director was unable to provide documentation of at least two shelter-in-place drills for 2017 and at least one lockdown drill for 2017. There was no documentation of shelter-in-place or lockdown drills so far in 2018. Evidence: The director stated they conducted the required shelter-in-place and lockdown drills but she could not find documentation and is not sure if it was ever documented.

Plan of Correction: A review of the director's notes showed a shelter-in-place drill was conducted on October of 2017 and one was conducted 3/14/18. A form will be created to document the two required shelter-in-place drills and one required lockdown drill each year.

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. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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