VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Faith Christian Center International
2186 Richmond Road
Charlottesville, VA 22911
(434) 979-1704

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Sept. 9, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 54.1-3408 Must be MAT Certified. 63.2 Child Abuse & Neglect 22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL SERVICES

Comments:

An unannounced subsidy health and safety inspection was conducted on 9/9/19 from 10:10 am until 3:05 pm to review the subsidy health and safety requirements. At the time of the inspection 90 children were in care with 18 staff present. The sample size consisted of nine children's records, nine staff's records, six injury reports and medications and supporting documents. Children and staff were observed during free indoor and outdoor play, educational activities, singing, snack, hand washing, cleaning, bottle feeding, nap, bathroom break, transitions and behavioral guidance. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:

Standard #:	22VAC40-665-650-E
Description:	Based on a review of the policies and procedures, the vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members. Evidence: 1. The staff handbook did not contain a policy and procedure regarding consistent staff. 2. The director verified they had not developed a specific policy on consistent staff.
Plan of Correction:	A policy and procedure will be developed to ensure that each group of children receives care by a consistent staff or team of staff members. All staff will be trained in the new policy.
Standard #:	22VAC40-665-700-C
Description:	Based on record review, the vendor failed to maintain all the components of a written record of children's serious and minor injuries in which entries are made the day of occurrence. Evidence: Six injury reports were reviewed. Injury report #1 dated 7/11/19 did not contain information regarding contacting the parent and did not have a list of staff that were present. Injury report #3 did not have when or how the parents were contacted. The parent did sign the injury report. Injury report #5 dated 7/11/19 did not contain information regarding contacting the parent. Injury report #6 did not have a list of the staff present and when or how the parents were contacted. The parent did sign the injury report.
Plan of Correction:	All staff will be retrained in completing injury reports.
Standard #:	22VAC40-665-770-B-5
Description:	Based on interview, the vendor failed to have a procedure regarding continuity of operations to ensure that essential functions are maintained during an emergency. Evidence: The director stated they do not have a specific procedure regarding continuity of operations.
Plan of Correction:	A procedure will be added to the emergency plan regarding continuity of operations. All staff will be trained on the new procedure.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the vendor failed to ensure new staff that resided outside of VA within the past five years of the day of employment has an out-of-state child abuse and neglect search by the end of the 30th day of employment. Evidence: 1. Nine staff records were reviewed. Staff 5's first date of employment was 1/9/19 and the record shows staff 5 lived out of state within the last five years. The original paperwork to be sent to the other state was in the record with no results. Staff 8's first day of employment was 10/29/18 and the record shows staff 8 lived out of state within the last five years. There was no documentation of a background check being conducted in the other state. 2. The director stated that it appeared staff 5's paperwork was completed but never mailed and staff 8's was never completed.
Plan of Correction:	The out-of-state background checks will be completed for both staff 5 and staff 8. In the future the administrator will ensure that out-of-state background checks are completed within the required 30 days.