VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bright Hope, Inc./Change Me Ministries & Fellowship
2310 Fort Avenue
Lynchburg, VA 24501
(434) 528-4502

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Jan. 27, 2020

Complaint Related: No

Areas Reviewed:

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

Comments:

A Subsidy Health and Safety inspection was conducted on January 27, 2020 to review supplemental health and safety requirements. LI Campbell arrived & started inspection at 9:30 AM. There was one child age 4 years.and two (2) staff members present. The Licensing Inspector reviewed 3 children & 3 staff records. Center does not administer medication. Violations were found during the supplemental subsidy health and safety inspection requirements and are identified on the violation notice. Licensing Inspector conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director . Inspection concluded at 12:30 PM. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-665-520-B-4
Description:	Based on record review, the Vendor failed to ensure children records include all required documentation/information. EVIDENCE: Licensing Inspector reviewed 3 children records. Records for Child #2 did not include the addres of at least one person designated by the parent to contact in case of an emergency and the parent cannot be reached.
Plan of Correction:	The Director will have the parent to add a complete address to the record and will review all records for completeness.
Standard #:	22VAC40-665-770-B-1-b
Description:	Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include required procedures. EVIDENCE: The evacuation procedures in the center's Emergency Preparedness Plan did not include methods to alert staff.
Plan of Correction:	The director added the method to alert all staff during a shelter in place emergency.
Standard #:	22VAC40-665-770-B-3-a
Description:	Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include required procedures. EVIDENCE: The lock-down procedures of the center's Emergency Preparedness Plan did not include methods to alert staff.
Plan of Correction:	During the inspection the director added the way of alerting staff during a lock down drill.
Standard #:	22VAC40-665-770-B-3-f
Description:	Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include required procedures. EVIDENCE: The lock-down procedures of the center's Emergency Preparedness Plan did not include methods to reunite children with a parent or an authorized person designated by the parent to pick up the child.
Plan of Correction:	The director added the method of reuniting children with parents or persons designated by parent to pick up child.
Standard #:	22VAC40-665-770-B-4
Description:	Based on inspection, the Vendor failed to ensure staff receive training in the Emergency Preparedness requirements. EVIDENCE: Training for the center's Emergency Preparedness Plan has not been completed by staff # 3.
Plan of Correction:	The staff was hired on 1/24/2020 and the training has not been documented. Today we will finish the training and will document.
Standard #:	22VAC40-665-770-B-5
Description:	Based on review of the Center's Emergency Preparedness Plan, the Vendor failed to include required procedures. EVIDENCE: The center's Emergency Preparedness Plan did not include continuity of operations procedures to ensure that essential functions are maintained during an emergency.
Plan of Correction:	The director will had a more detailed procedure to meet the requirement.
Standard #:	22VAC40-665-770-C
Description:	Based on inspection & discussion with the Center Director, the Vendor failed to post emergency evacuation and shelter-in-place procedures/maps in a location conspicuous to staff and children on each floor of each building. EVIDENCE: The emergency maps did not contain the location of the shelter in place.
Plan of Correction:	The director will had the shelter in place location to the map today.