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: Sept. 21, 2023

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code 8VAC20-790 Physical Plant 32.1 Report by person other than physician 8VAC20-790 Staffing & Supervision 63.2 Child abuse and neglect 8VAC20-790 Programs 8VAC20-790 Introduction 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Administration 8VAC20-790 Special Services 8VAC20-790 Staff Qualifications & Training

Comments:

An unannounced Subsidy Inspection was conducted on September 21, 2023. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in religious exempt requirements were reviewed during this supplemental inspection. There were 3 children ages 4 to 9 years old present under the direct care of 1 staff. The Licensing Inspector reviewed 3 children?s records and 1 staff record, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	8VAC20-790-620-A
Description:	Based on inspection, the Vendor failed to have an annual fire inspection report from the appropriate fired official having jurisdiction. EVIDENCE: The annual fire inspection has not been completed. Most recent fire inspection conducted on 9/13/2022
Plan of Correction:	Director will contact local fire department to complete annual inspection.
Standard #:	8VAC20-790-620-B
Description:	Based on inspection, the Vendor failed to have an annual certification from the health department. EVIDENCE: The annual health inspection has not been completed. Most recent health inspection was conducted on 9/21/2022
Plan of Correction:	Director will contact the local health department to complete annual inspection.
Standard #:	8VAC20-790-650-C-3
Description:	Based on inspection, the Vendor failed to ensure sinks located near toilets are supplied with running warm water that does not exceed 120 degrees F. EVIDENCE: Center did not have hot water.
Plan of Correction:	Director will contact maintenance to inspect/repair/replace hot water unit.
Standard #:	8VAC20-790-670-E
Description:	Based on review of documentation, 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: Center did not have a written plan of continuity policy and procedure.
Plan of Correction:	Director will develop a consistent care written plan of continuity.