VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Greater Mt. Calvary Christian Church
9514 Westmoreland Avenue
Manassas, VA 20110
(703) 368-5941

VDSS Contact: Laura Brindle (540) 905-2062

Inspection Date: Feb. 1, 2024

Complaint Related: No

Areas Reviewed:

8VAC20-790 Subsidy Regulations. 8VAC20-770 Background Check Requirements 22.1 Background Checks Code; carbon monoxide detectors

Comments:

An unannounced Subsidy Health and Safety Inspection (SHSI) was conducted on 2/1/24 from 9:35am to 11:25am and 1:30pm to 2:25pm in conjunction with a Code Compliance inspection. There was one program staff on site with three children at the beginning of the inspection, and one additional child arrived later. Children were observed working with ?counting bears? and discussing with the staff member the ideas of same, opposite, bigger, and smaller; listening to the story ?Down by the Barn?; completing a coloring sheet; playing with legos and lincoln logs; and getting a drink from the water fountain. Two staff records and four child records were reviewed. The attendance, allergy list, and drill log were requested. If you have questions regarding this inspection, please contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov or 540-905-2062. Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 2/14/2024. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:

Standard #:	22.1-289.031-B-5
Description:	Based on observation, the religious-exempt center did not ensure that all areas of the premises accessible to children were free of obvious injury hazards. Evidence: There were multiple ceiling tiles in the classrooms utilized by the program that had sustained water damage and were bulging down from the ceiling and posed a risk of falling and harming someone. One of these tiles was directly over the table the children were working at during the inspection.
Plan of Correction:	Ceiling tiles was replaced with new tiles by the Deacons of the Church.
Standard #:	22.1-289.031-B-6
Description:	Based on review of two staff records, the religious-exempt center did not ensure that all staff were able to recognize the signs of child abuse and neglect. Evidence: The records for two staff did not include documentation of being trained on recognizing the signs of child abuse and neglect.
Plan of Correction:	The two staff members have signed up for a class.
Standard #:	22.1-289.035-A
Description:	(REPEAT VIOLATION) Based on review of two staff records, the religious-exempt center did not obtain sworn statements, or the results of a search of the central registry, or the results of a national fingerprint-based criminal history record check, every five years for staff. Evidence: 1. The most recent sworn statement on record for Staff #1 was dated 8/30/17. The most recent fingerprint results on record for Staff #1 were dated 2/6/18. The most recent central registry results on record for Staff #1 were dated 10/12/17. 2. The most recent sworn statement on record for Staff #2 was dated 8/30/17. The most recent fingerprint results on record for Staff #2 were dated 2/20/18. The most recent central registry results on record for Staff #2 were dated 10/12/17.
Plan of Correction:	All backgrounds for the two staff records have been sent off and appointment made for the fingerprint.
Standard #:	8VAC20-790-520-F
Description:	Based on observation and interview, the vendor did not maintain a current written list of all children?s allergies, sensitivities, and dietary restrictions that was dated and kept confidential in each room or area where children were present. Evidence: On 2/1/24, there was no allergy list available in either classroom where children were observed in care.
Plan of Correction:	List of children's allergies has been placed in both classrooms where visible.
Standard #:	8VAC20-790-530-B
Description:	(REPEAT VIOLATION) Based on observation and interview, the vendor did not maintain a written hard copy record of daily attendance that documented the arrival and departure of each child in care as it occurred. Evidence: On 2/1/24, there was no attendance available when requested.
Plan of Correction:	Attendance record is being recorded in classroom where teacher has access.
Standard #:	8VAC20-790-540-B-12
Description:	Based on review of four child records, the vendor did not obtain all required documents for child records. Evidence: The record for Child D did not contain proof of the child?s identity and age as stated in 22.1-289.049 of the Code of Virginia.
Plan of Correction:	Birth certificate copy was submitted by child's mother.
Standard #:	8VAC20-790-560-B
Description:	Based on review of two staff records, the vendor did not ensure that subsequent TB screenings were obtained at least every two years. Evidence: The most recent TB on record for Staff #1 was dated 10/4/20. The most recent TB on record for Staff #2 was dated 10/6/20.
Plan of Correction:	Staff will make appointments to update TB.
Standard #:	8VAC20-790-600-F
Description:	(REPEAT VIOLATION) Based on review of two staff records, the vendor did not ensure that staff who work directly with children annually attended at least 16 hours of training, including the department?s health and safety update course. Evidence: 1. The record for Staff #2 contained documentation of eight hours of training. 2. The most recent health and safety update courses on record for Staff #1 and Staff #1 were dated 4/16/19.
Plan of Correction:	The two staff will sign up for classes as they are available for 16 hours of training.
Standard #:	8VAC20-790-810-G
Description:	Based on observation, the vendor did not ensure that tables were sanitized before each use for feeding. Evidence: On 2/1/24 the table the children were served lunch at was not sanitized prior to the children being served.
Plan of Correction:	The staff will ensure tables are sanitized after and before every use.