VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Trinity Missionary Baptist Church
233 Halifax Street
Petersburg, VA 23803
(804) 732-3000

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Oct. 20, 2023

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Regulations.

Comments:

A subsidy health and safety inspection was conducted on October 20, 2023 from approximately 10:30 am to 12:00 pm. There were 13 children present, ranging in ages from 12 months to 3 years, with 4 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 5 children's records and 5 staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the plan of correction and ?date to be corrected? for each violation cited on the violation notice, sign, and return it to me within 5 business days from today, 11/06/2023. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

Violations:

Standard #:	8VAC20-790-550-1
Description:	Based on interview, the vendor failed to keep the name, address, verification of age, and date of employment or volunteering for all staff. Evidence: When asked to see the records for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-2-a
Description:	Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the fingerprint-based national criminal background check. Evidence: When asked to see the results of the fingerprint-based national criminal background check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-2-a
Description:	Based on interview, the vendor failed to maintain documentation that background checks were completed including the department's letter indicating eligibility to be hired provided by the department or the department's contractor indicating satisfactory results of the Virginia Child Protective Services Central Registry Check. Evidence: When asked to see the results of the Virginia Child Protective Services Central Registry Check for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-2-d
Description:	Based on interview, the vendor failed to maintain documentation that background checks were completed including the individual's sworn statement or affirmation as to whether the individual has ever been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth or convicted of a crime or is the subject of any pending criminal charges within the Commonwealth or any equivalent offense outside the Commonwealth. Evidence: When asked to see the individual sworn statements for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-3
Description:	Based on interview, the vendor failed to maintain documentation of tuberculosis screening results. Evidence: When asked to see the tuberculosis screening results for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-4
Description:	Based on interview, the vendor failed to maintain documentation certifications of first aid and cardiopulmonary resuscitation and other certifications as required by the responsibilities held by the staff member. Evidence: When asked to see the documentation of certifications of first aid and cardiopulmonary resuscitation and other certification as required by the responsibilities held by the staff members for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-550-5
Description:	Based on interview, the vendor failed to maintain documentation that training required in 8VAC20-790-600 has been completed, including the date completed, the total hours of the session, and the names of the trainer. Evidence: When asked to see documentation of trainings for staff #1, staff #2, staff #3, staff #4, and staff #5, the vendor stated that the records have been misplaced.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-630-C-2
Description:	Based on observation, the vendor did not ensure that electrical outlets shall have protective covers. Evidence: Classroom #2 had an electrical outlet without a plate on it. The wall surrounding the electrical outlet was exposed. There was not a protective cover on the outlets. The youngest child in the room was 12 months old.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-670-I
Description:	Based on observation, the vendor failed to ensure that children 10 years of age and older shall be within actual sight and sound supervision of staff. Evidence: Child #4, age 3 years, was observed walking out of the classroom and into the large playroom to throw trash away on three separate occasions. The trash can was located in the middle of the playroom approximately 50 feet diagonally from the door of the classroom. Staff did not stand in the doorway to supervise the child and there were no other staff present in the playroom at the time. Child #4 was not within actual sight and sound supervision of staff.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-780-A
Description:	Based on observation, and interview, the vendor did not ensure the first aid kit contains the minimum required supplies. Evidence: The first aid kit did not contain tweezers, adhesive tape, antiseptic, or triangular bandages. The Director confirmed that the first aid kit did not contain tweezers, adhesive tape, antiseptic tape, or triangular bandages.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-800-B
Description:	Based on interview, the vendor failed to maintain a record of the dates of the practice drills for one year. Evidence: When asked to see the record of the dates of the practice drills the vendor stated that they did not have a record.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-790-810-C-1
Description:	Based on observation, and interview, the vendor did not ensure that when food is brought from home, the food container shall be clearly labeled in a way that identifies the owner. Evidence: There were three lunch boxes sitting on the counter outside of the classrooms. When asked who the lunch boxes belonged to the vendor stated that they belonged to the children at the center. The vendor acknowledged that they were not labeled in a way that identifies the owner.
Plan of Correction:	Not available online. Contact Inspector for more information.