VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Providence Baptist Church
3501 Providence Road
Hayes, VA 23072
(804) 642-5112

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: Feb. 7, 2020

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on February 7, 2020 from approximately 9:55 am-12:35 pm. Upon arrival to the facility, there were 28 children present with five staff members. Additional staff were on site for administrative and support purposes. The children were observed during music and movement, doing activities in their workbooks and playing freely amongst themselves. Nine classrooms and three restroom areas were observed. The outdoor play area has wood mulch as cushioning material. Five staff records were reviewed. The center does not offer transportation. There are MAT trained staff present to administer medication if necessary.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in two of five staff records reviewed, the center did not ensure that staff have required background checks prior to employment and/or within 30 days of being employed. Evidence: The Director confirmed that there was not a completed sworn statement or a Central Registry finding for Staff #4 (date of hire 1/3/19).
Plan of Correction:	The staff member completed the sworn statement during the inspection.The central form was printed and will be given to the staff member to complete.
Standard #:	63.2(17)-1716-A
Description:	Based on observation and staff interview, the center did not ensure with all written disclosures to parents and guardians of the children in the center. Evidence: The Director confirmed that the center had not posted the fact that it is exempt for licensure in a visible location on the premises.
Plan of Correction:	Director will type the notice and put it outside the office door.
Standard #:	63.2(17)-1716-A-6
Description:	Based on staff interview and inspection of the facility, the center had not described all required aspects of the child day center's operations in a written statement to the parents or guardians of the children in the center and made available to the general public. Evidence: The Director confirmed that the health requirements for staff had not been described in a written statement to the parents and guardians of the center and made available to the general public.
Plan of Correction:	Director will put that information in the parent handbook and the parent handout.
Standard #:	63.2(17)-1716-B-6
Description:	Based on staff interview, the center did not establish and implement procedures to ensure that staff are able to recognize signs of abuse and neglect. Evidence: The Director confirmed that the center had not established procedures to ensure that staff are able to recognize signs of abuse and neglect.
Plan of Correction:	Director will have a staff meeting to discuss the information.
Standard #:	63.2(17)-1716-B-7
Description:	Based on staff interview, the center did not establish and implement procedures regarding reports of serious injury or death of children attending the center. Evidence: The center had not developed and implemented the following procedures: 1. Ensuring that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Commissioner. 2. Reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care professional or treatment in a hospital, shall be submitted annually. 3. Reports of deaths shall be submitted no later than one business day after the death occurred.
Plan of Correction:	Director will establish and implement the procedures and discuss with all staff at the next staff meeting.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review, in two of five staff records reviewed, the center did not ensure that staff have repeat background checks every five years. Evidence: The Director confirmed that the most recent sworn statement for Staff #3 was dated 8/2/2006 and the most recent sworn statement for Staff #5 was dated 2/2002.
Plan of Correction:	Both sworn statements were completed during the inspection.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, in two of five staff records reviewed, the center did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: The Director confirmed that there was no documentation of fingerprint results for Staff #1 (date of hire 6/10/19). Staff #2 was hired on 6/10/19 and the fingerprint results letter was dated 2/4/2020.
Plan of Correction:	Director will call the Office of Background Investigations to inquire about the status. If they do not have record of the fingerprint, the staff will redo.