VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Trinity Baptist Church
3601 Dill Road
Richmond, VA 23222
(804) 321-6761

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: Oct. 21, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-665 INTRODUCTION 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 Monday, October 21, 2019 to determine the center's compliance with Subsidy Health and Safety vendor requirements. The inspection was initiated at approximately 1:20 PM and concluded at approximately 4:30 PM. A total of 58 children were present during the inspection and the following staff to child ratios were observed: Twos: 2 children and 1 staff Threes: 9 children and 1 staff Fours: 8 children with 1 staff Pre-K: 13 children and 2 staff Kindergarten ? 2nd Grade: 11 children and 1 staff 3rd ? 5th Grade: 15 children with 1 staff Children were observed napping, washing hands and taking bathroom breaks, eating snack, reviewing colors in English and Spanish, playing with toys, looking at books and completing homework. Ten children?s records and 10 staff records were reviewed. A member of management stated there were no children?s medications present at the center and there were no children enrolled with food allergies. 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 #:	22VAC40-665-520-B
Description:	Based on review of 10 children's records, nine records did not contain the required information. Evidence: 1. The records for Child #1, Child #2, Child #3, Child #4, Child #7, Child #8, Child #9 and Child #10 did not contain the address for the parents? work or school address when applicable. 2. The records for Child #3 and Child #6 did not contain the address for the designated emergency contact in case of an emergency and the parents cannot be reached.
Plan of Correction:	I will contact the families to obtain the information and add it to the record.
Standard #:	22VAC40-665-530-2-a-2
Description:	Based on a review of 10 staff records and interview, the vendor did not ensure that one staff record contained satisfactory results of the Child Protective Services Central Registry check within 30 days of the individual beginning employment or service. Evidence: The record for Staff #3 (hire date 02/02/2019) did not contain satisfactory results of the Child Protective Services Central Registry. Staff #1 confirmed this information while the licensing inspector was on site.
Plan of Correction:	A copy of the form was documented as being sent in 02/2019. I will contact the agency and check if the search was completed. If not, I will resend.
Standard #:	22VAC40-665-530-2-b
Description:	Based on a review of 10 staff records and interview, the vendor did not ensure that two staff records contained satisfactory results of the child abuse and neglect registry from any other state in which the individual has resided in the preceding five years. Evidence: The records for Staff #2 (hire date 8/21/19) and Staff #9 (hire date 9/6/19) indicated the staff has lived in another state in the last five years. Staff #1 stated a child abuse and neglect registry has not been requested from the other states.
Plan of Correction:	I will start the process to request the child abuse and neglect search from the other states and provide a copy of the request to the licensing inspector.
Standard #:	22VAC40-665-580-E-1
Description:	Based on review of 10 staff records, the vendor did not ensure two staff that work directly with children had current cardiopulmonary resuscitation (CPR) within 90 days of employment. Evidence: The record for Staff #4 (hire date 04/6/17) and Staff #6 (hire date 6/25/19) did not contain documentation of current certification in CPR. Staff #1 confirmed these staff members need to obtain current certification during the inspection.
Plan of Correction:	We have been searching for a first aid and CPR class that is sponsored by a local agency. We will have the staff schedule a training with another trainer.
Standard #:	22VAC40-665-580-E-2
Description:	Based on review of 10 staff records, the vendor did not ensure two staff that work directly with children had current certification in first aid within 90 days of employment. Evidence: The record for Staff #4 (hire date 04/6/17) and Staff #6 (hire date 6/25/19) did not contain documentation of current certification in first aid. Staff #1 confirmed these staff members need to obtain current certification during the inspection.
Plan of Correction:	We have been searching for a first aid and CPR class that is sponsored by a local agency. We will have the staff schedule a training with another trainer.
Standard #:	22VAC40-665-620-A
Description:	Based on observation, the center did not ensure all hazardous substances were kept in a locked place using a safe locking method that prevented access by children. Evidence: A container of disinfectant spray was located in an unlocked cabinet in the classroom where the Threes and Fours were meeting. Containers of disinfecting wipes were sitting on top of a cabinet in the Third ? Fifth graders classroom.
Plan of Correction:	Corrected during the inspection.
Standard #:	22VAC40-665-780-A-1
Description:	Based on documentation review and interview, the vendor did not ensure evacuation procedures were practiced at least monthly. Evidence: The emergency drill log did not contain documentation of an evacuation drill being completed in September 2019. Staff #1 stated a shelter-in-place drill was completed in September 2019 and she did not realize an evacuation drill also needed to be completed if a shelter-in-place drill was done that month.
Plan of Correction:	An evacuation drill will be completed every month going forward.