VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Christian Fellowship Center USA and Foreign Countries
4535 Bainbridge Boulevard
Chesapeake, VA 23320
(757) 962-2494

VDSS Contact: Brandie Viscayda

Inspection Date: June 7, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Comments:

An unannounced subsidy inspection was conducted on 6/7/23. Areas of noncompliance are noted in the violation narrative and were discussed with the provider during the exit meeting at the conclusion of the inspection.

Violations:

Standard #:	8VAC20-790-540-B
Description:	Based on record review and interview it was determined the center did not ensure each child's record contained all of the required information. Evidence: 1.The record for child #1 did not contain: a. Address for each parent who has custody b. Name, address, for each custodial parent's place of employment or school attendance, if applicable 2. The record for child #2 did not contain: a. Address for each parent who has custody b. Name, address, for each custodial parent's place of employment or school attendance, if applicable 3. The record for child #3 did not contain: a. Address for each parent who has custody b. Proof of a child's identity and age as stated in ? 22.1-289.049 of the Code of Virginia 4. The record for child #4 did not contain: a. Address for each parent who has custody b. Name, address, for each custodial parent's place of employment or school attendance, if applicable 5. The record for child #5 did not contain: a. Address for each parent who has custody b. Name, address, for each custodial parent's place of employment or school attendance, if applicable 6. Staff confirmed that the above records did not contain all of the required components.
Plan of Correction:	All parents were advised that the father's work address must be listed on the enrollment form also. The enrollment form has been updated to add the additional information.
Standard #:	8VAC20-790-550-2-a
Description:	Based on record review and interview it was determined the center did not ensure that each staff member had satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: 1. The record for staff #6, working at time of inspection, did not contain the results of the fingerprint-based national criminal background check. 2. Staff confirmed that this documentation was not available during this inspection.
Plan of Correction:	Submitted Central Registry forms and scheduled 5 yr renewal finger prints. Will expire 8/13/2023.
Standard #:	8VAC20-790-550-2-a
Description:	Based on record review and interview it was determined the center did not ensure all staff had satisfactory results of the Virginia Child Protective Services Central Registry check within 30 days of employment. Evidence: 1. The record for staff #1(hired Sept 2022) did not contain the results of the Virginia Child Protective Services Central Registry check. 2. Staff confirmed this documentation was not available during this inspection.
Plan of Correction:	The staff members were supplied with the form. Staff member filled out central registry form the same day.
Standard #:	8VAC20-790-560-A
Description:	Based on record review and interview it was determined the center did not ensure that each staff submitted at the time of employment and prior to coming into contact with children a TB screening. Evidence: 1. The record for staff #1(hired Sept 2022) did not contain a TB screening form. 2. Staff confirmed this documentation wasn't available.
Plan of Correction:	Temporary staff member will have TB test completed by 6/25/2023.
Standard #:	8VAC20-790-580-A
Description:	Based on record review the vendor did not obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. Evidence: 1. The record for child #2 did not contain signed immunization documentation. 2. The record for child #4 did not contain signed immunization documentation. 3. Staff confirmed that the immunization records weren't signed.
Plan of Correction:	Parent have been advised that the physician must check one of the boxes on the immunization record.
Standard #:	8VAC20-790-600-B
Description:	Based on record review and interview it was determined the center did not ensure all staff completed Virginia Preservice Training for Child Care Staff within the first 90 days of employment. Evidence: 1. The record for staff #1 did not contain documentation of completed Virginia Preservice Training for Child Care Staff. 2. Staff confirmed this was not available.
Plan of Correction:	Temporary staff was given website and is currently completing 10 hrs. as well as 3hr course.
Standard #:	8VAC20-790-630-A
Description:	Based on observation and interview it wad determined the center did not ensure all areas and equipment of the center, inside and outside, were maintained in a clean, safe, and operable condition. Evidence: 1. In the restroom utilized by children in care there was a light switch plate cover on the wall that had an opening where the wiring could be accessed. 2. Two of the wooden play kitchen equipment pieces were unstable and rocked when pulled on.
Plan of Correction:	The light switch in the girls bathroom was replaced with a dummy switch cover. Wooden kitchen playset was attached with safety anchors.
Standard #:	8VAC20-790-710-1
Description:	Based on observation and interview it was determined the center did not ensure that staff do not handle the children in care roughly. Evidence: 1. Inspector observed staff #4 pick up child #2 by one arm at the wrist from the floor twice. 2. The director spoke with staff #4 about not picking children up by the arms. 3. Inspector the observed staff #4 pick up another child by both arms at the wrist from the floor. 4. Inspector observed staff #5 roughly move a child around on a cot at nap time.
Plan of Correction:	Scheduled training was conducted on 6/8/2023. We addressed the correct way to pick up a child and ways to place a child in a crib.
Standard #:	8VAC20-790-730-F-1
Description:	Based on observation and interview it was determined the center did not provide cribs for children birth to 12 months of age and for children older than 12 months of age who are not developmentally ready to sleep on a cot, rest mat, or bed during the designated rest periods. Evidence: 1. Inspector observed 5 children (under 12 months of age) in baby bouncer/rocker seats at nap time. 2. There were only 2 unoccupied cribs in the center during this inspection. 3. Staff confirmed that more cribs will need to be purchased to accommodate all the children in care under the age of 12 months.
Plan of Correction:	All children have mats and cribs. 2 more cribs were added.
Standard #:	8VAC20-790-730-F-2
Description:	Based on observation and interview it was determined the center did not provide cots, rest mats or beds for children older than 12 months of age. Evidence: 1. Inspector observed staff give five children (over the age of 12 months) in highchairs blankets at nap time. 2. When asked why these children were in these seats, staff reported these children do not stay on cots and disturb the other children during nap time.
Plan of Correction:	All kids were placed on cots and in the beds immediately.
Standard #:	8VAC20-790-730-G
Description:	Based on observation and interview it was determined the center did not ensure there is at least 12 inches of space between occupied cribs. Evidence: 1. There were five occupied cribs without 12 inches of space. 2. Staff confirmed that there was not 12 inches of space in between occupied cribs.
Plan of Correction:	All cribs were spaced 12 inches apart the same day.
Standard #:	8VAC20-790-800-A-2
Description:	Based on record review and interview it was determined the center did not ensure that shelter-in-place drills were practiced twice a year. Evidence: 1.There were no records of shelter-in-place drills. 2. Staff confirmed that shelter-in-place drills were not practiced.
Plan of Correction:	Shelter in place drill was conducted on 6/8/2023.
Standard #:	8VAC20-790-800-A-3
Description:	Based on record review and interview it was determined the center did not ensure that a lockdown drill was practiced at least annually. Evidence: 1.There was no record of lockdown drills. 2. Staff confirmed that a lockdown drill was not practiced.
Plan of Correction:	Lockdown drill was conducted 6/8/23.