VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Word of Life Outreach Ministries
14605 Woods Edge Road
South chesterfield, VA 23834
(804) 530-1150

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Sept. 17, 2019

Complaint Related: No

Areas Reviewed:

63.2(17) License & Registration Procedures 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Technical Assistance:

N/A

Comments:

An unannounced Subsidy Health & Safety inspection was conducted Tuesday, September 17, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at approximately 10:00 AM and concluded at approximately 1:30 PM. A total of seven children were present during the inspection and being supervised by three staff members. All required staff-to-child ratios were being maintained. Children were observed learning about their shapes and colors, singing, playing memory games, watching children's programs on T.V., washing hands and taking bathroom breaks, eating lunch and resting at nap time. Five children?s records and four staff records were reviewed. Violations were cited during the inspection. See the violation notice for additional information. If you have any questions, please contact the licensing inspector at (804) 662-9790.

Violations:

Standard #:	22VAC40-665-500-B
Description:	Based on review of four staff records and interview, the vendor did not obtain satisfactory results of the finger-print based national criminal background check for one staff prior to beginning employment. Evidence: The record for Staff #4 (hire date 08/18/2018) contained satisfactory results of the finger-print based national criminal background check dated 08/30/2018.
Plan of Correction:	We will make sure to receive the results of the national background check before letting staff start working in the future.
Standard #:	22VAC40-665-520-B
Description:	Based on the review of five children's records, the vendor did not obtain the required information for one child. Evidence: The record for Child #3 did not contain the address of the emergency contact designated by the parent to contact in case of an emergency and the parent cannot be reached.
Plan of Correction:	We will ask the parent for the emergency contact's address.
Standard #:	22VAC40-665-540-B
Description:	Based on the review of four staff records, the vendor did not ensure subsequent TB screenings were completed at least every two years from the date of the initial screening, or more frequently if recommended by a physician. Evidence: The record for Staff #1 contained a TB reading dated 08/25/2017. The record for Staff #3 contained a TB reading dated 08/14/2017.
Plan of Correction:	We will have staff get an updated TB test or screening.
Standard #:	22VAC40-665-560-A
Description:	Based on the review of five children's records, the vendor did not obtain documentation of the immunizations required by the State Board of Health for one child before the child attended the center. Evidence: The record for Child #2 (first day of attendance 08/12/19) did not have documentation of immunizations. Staff #1 confirmed this information while the inspector was on site. The parent handbook states ?immunization records must be signed by each child?s physician or Health Department prior to his/her first day of attendance?.
Plan of Correction:	We have requested the shot record for the child. We let the parent know again we need a copy of the shot record.
Standard #:	22VAC40-665-580-E-1
Description:	Based on review of four staff records and interview, the vendor did not ensure all staff had current certification in cardiopulmonary resuscitation (CPR) appropriate to the age of children in care. Evidence: The records for Staff #1, Staff #2, Staff #3 and Staff #4 contained CPR cards that expired on 08/29/19. Staff #1 stated they have not had a CPR training since the certification had expired. Currently the center has four staff employed.
Plan of Correction:	We will schedule a CPR training. We will look for a training that is valid for two years.
Standard #:	22VAC40-665-650-E
Description:	Based on interview, the vendor did not 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: Staff #1 stated there has not been a policy developed for care by consistent staff or team of staff members.
Plan of Correction:	We will write a plan for consistent care.
Standard #:	22VAC40-665-770-A
Description:	Based on a review of documentation, the center did not have an emergency preparedness plan that addresses staff responsibility and facility readiness with respect to relocation, lockdown and shelter-in-place procedures. The plan shall address the most likely to occur emergency scenario or scenarios, including but not limited to fire, severe storms, loss of utilities, natural disaster, chemical spills, intruder, and violence on or near the facility, and facility damage or other situations that may require evacuation, lockdown or shelter-in-place. Evidence: The center had a written plan for fire evacuation and shelter in place. The plan did not include information regarding lock down procedures, reunification and how to have continuous care during an emergency.
Plan of Correction:	A template with all the required information was given during the inspection. I will complete the emergency plan.
Standard #:	22VAC40-665-780-A-3
Description:	Based on interview, the vendor did not ensure the lockdown procedure was practiced at least annually. Evidence: Staff #1 stated the center has not practiced a lockdown drill and did not know it was required.
Plan of Correction:	We will practice a lockdown drill.
Standard #:	22VAC40-665-780-B
Description:	Based on documentation review, the vendor did not ensure that a record of the dates of practiced drills was maintained for one year. Evidence: The drill log did not document an evacuation drill for August 2019. Staff #1 stated a drill was completed but was not written down.
Plan of Correction:	We will make sure to write down the dates all drills take place in the future.