VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greater Mt. Calvary Christian Church
9514 Westmoreland Avenue
Manassas, VA 20110
(703) 368-5941

VDSS Contact: Laura Brindle (540) 905-2062

Inspection Date: Sept. 18, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Technical Assistance:

Discussed the new ratio requirements for Religiously Exempt Child Day Centers that were effective 7/1/2019.

Comments:

An annual subsidy health and safety inspection (SHSI) was conducted on September 18, 2019 from 12:00 p.m.-2:30 p.m. There were no children in care during today's inspection. Child care areas were observed. Three staff records and five children's records and center documents were reviewed. A Religiously Exempt Child Day Center (RECDC) inspection was conducted in conjunction with this inspection. For any questions regarding this inspection, please contact the licensing inspector Stephanie Reed at (540) 272-6558 and S.Reed@dss.virginia.gov.

Violations:

Standard #:	22VAC40-665-520-B
Description:	Based on review of documentation, it was determined that the vendor did not maintain all required documents in the childrens' records. Evidence: Child #2, enrolled 2013, did not have the full address and telephone number for an emergency contact. Child #5, enrolled 7/8/19, did not have documentation of parent's work information and one emergency contact with full address and phone number.
Plan of Correction:	Parent/Guardian provided information on the documents on 09/19/19
Standard #:	22VAC40-665-530-2-a
Description:	Based on review of staff records, it was determined that the vendor did not obtain documentation of national fingerprint background check results before the first day of employment. Evidence: Staff #1, rehired 1/15/19, did not have documentation of fingerprint check in the record.
Plan of Correction:	Form completed on 09/19/19
Standard #:	22VAC40-665-530-2-c
Description:	Based on review of staff records, it was determined that the vendor did not obtain documentation of sworn statement or affirmation by the first day of employment. Evidence: Staff #1, rehired 1/15/19, did not have documentation of a sworn statement in the record.
Plan of Correction:	Form completed on 09/19/19
Standard #:	22VAC40-665-540-A
Description:	Based on review of documentation, it was determined that the vendor did not obtain documentation of TB test for staff prior to the staff by the first day of employment and prior to coming into contact with children. Evidence: Staff #1, rehired 1/15/2019, did not have documentation of a TB test or screening in the record.
Plan of Correction:	Report of TB completed on 09/22/19
Standard #:	22VAC40-665-560-A
Description:	Based on review of documentation, it was determined that the vendor did not obtain documentation that each child had received the immunizations required by the State Board of Health before attending the center and did not obtain documentation of additional immunizations once every six months for children less than two years of age.. Evidence: Child #4, date of birth 5/2/11, date of enrollment not available, immunization record was dated 7/7/2011.
Plan of Correction:	Updated Immunization submitted by parent and date of enrollment was added to the file by administration
Standard #:	22VAC40-665-580-D
Description:	Based on review of staff records, it was determined that the vendor did not have documentation of orientation training. Evidence: Staff #1, rehired 1/15/19, did not have documentation of orientation training in the record.
Plan of Correction:	Orientation Training was conducted on 09/19/19 by administration
Standard #:	22VAC40-665-580-H
Description:	Based on review of documentation, it was determined that the vendor did not document at least 16 hours of training for each staff. Evidence: Staff #2, hired 9/9/02, had 11 hours of training documented for 2018.
Plan of Correction:	Will take online classes and onsite classes to receive the number of hours training needed.
Standard #:	22VAC40-665-610-A
Description:	Based on observation, not all areas of the center, inside and outside, were maintained in a safe, operable condition. Evidence: At the front entrance of the center, the metal handrail and railing have several areas of rust and the rungs are completely rusted exposing sharp edges that are no longer secured to the railing.
Plan of Correction:	Had a welding company to give an estimate; in the process of raising funds to get it fixed
Standard #:	22VAC40-665-780-A-1
Description:	Based on review of documentation, it was determined that evacuation drills were not documented monthly. Evidence: There were no drills documented for October 2018, November 2018 or December 2018.
Plan of Correction:	Extra Evacuation drills were completed in 2019 for October, November and December 2018
Standard #:	22VAC40-665-780-A-2
Description:	Based on review of documentation, it was determined that shelter in place drills were not documented twice per year. Evidence: There were no shelter in place drills documented for 2018.
Plan of Correction:	Shelter in place 2018 drills were completed twice in 2019
Standard #:	22VAC40-665-780-A-3
Description:	Based on review of documentation, it was determined that an annual lock down drill was not documented. Evidence: There were lock down drill documented for 2018.
Plan of Correction:	2018 Annual lock down drill was completed in 2019
Standard #:	VENDSUB-000-030-C-2
Description:	Based on observation and interview with staff, there was no battery operated radio available. Evidence: There were no batteries available for the emergency radio.
Plan of Correction:	Batteries was installed in both radios on 09/20/19