VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Friends Church
1062 Big Bethel Road
Hampton, VA 23666
(757) 265-6966

VDSS Contact: Tiffany Jones (757) 403-3045

Inspection Date: Jan. 23, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on January 23, 2020 from approximately 8:50 am-11:45 am. Upon arrival to the facility, there were 34 children with four staff members. Additional staff were on site for administrative and support purposes. The children were observed arriving to the program, doing worksheets at their desks, transitioning to the music room and talking freely amongst each other. Five staff records were reviewed. A school age and preschool playground area were inspected. Two center vehicles were observed.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in one of six staff records reviewed, the center did not ensure that staff shall have a central registry record check by end of the 30th day of employment. Evidence: The Director confirmed that there was no documentation of a Central Registry finding for Staff #6 (date of hire 11/11/19).
Plan of Correction:	The Director will have the form notarized and it will be mailed today.
Standard #:	63.2(17)-1716-B-7
Description:	Based on staff interview, the facility had not established and implemented procedures regarding reports of serious injury or death of children attending the child day center. Evidence: The Director confirmed that the center had not established and implemented the following procedures: 1. Ensuring that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Commissioner. 2. Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care professional or treatment in a hospital, shall be submitted annually. 3. Reports of deaths shall be submitted no later than one business day after the death occurred.
Plan of Correction:	Director will type the policies. A policy will be written up to staff and parents. A future training for staff will include this information as well so that they know what to do.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in three of six staff records reviewed, the center did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: The Director confirmed that fingerprint results were obtained after employment for the following staff members: Staff #1 (date of hire 8/22/19)-fingerprint results letter dated 8/28/19 Staff #2 (date of hire 9/10/18)-fingerprint results letter dated 9/12/18 Staff #5 (date of hire 9/4/19)-fingerprint results letter dated 10/25/19
Plan of Correction:	Director will make sure the fingerprint results are received before they are officially hired.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review, in one of six staff records reviewed, the center did not obtain a copy of the results of a search of the central registry maintained pursuant to ? 63.2-1515 and any child abuse and neglect registry or equivalent registry maintained by any other state in which the individual has resided in the preceding five years. Evidence: The Director confirmed that the center had not conducted an Out of State Central Registry request for Staff #6 (date of hire 11/11/19) who indicated on the sworn statement as to living outside the state of Virginia within the last five years.
Plan of Correction:	Director will look into that matter today.