VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Mount Hope Baptist Church
6823 Harrison Road
Fredericksburg, VA 22407
(540) 785-4631

VDSS Contact: Cathy Aylor (540) 222-6352

Inspection Date: Nov. 30, 2022

Complaint Related: No

Areas Reviewed:

Subsidy- 8VAC20-790 Subsidy Regulations

Comments:

An unannounced Subsidy Health and Safety Inspection (SHSI) was conducted on 11/30/22 from 12:15 pm to 2:50 pm with the director and administrative staff. There were 18 children present, ranging in age from 17 months to 4 years. Children were observed on their cots for naptime and finishing up lunch, which consisted of chicken and dumplings with celery and carrots, pears and milk. Seven staff and six children's files were reviewed as well as medications for two children and one allergy care plan. Please provide the Licensing Inspector documentary proof that the request has been submitted for the missing background checks as soon as possible, but no later than 10 business days. Once the background checks have been completed please notify your Licensing Inspector. The areas of non compliance are outlined on the violation notice. The areas of non compliance are outlined on the violation notice.

Violations:

Standard #:	22.1-289.035-B-2
Description:	Based on a review of 7 staff records. the program failed to obtain the results of a fingerprint based criminal record check prior to the date of employment for 2 staff. Evidence: There were no fingerprint based national criminal record check results on file for staff A and staff B, both staff were hired on 8/1/22. The director confirmed the missing fingerprint results.
Plan of Correction:	We will get the fingerprint background checks.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of 7 staff records and an interview with the director and administrative staff, it was determined that the program failed to ensure that sworn disclosure statements were completed by all staff prior to their first day of employment. The program also failed to obtain completed central registry background check within 30 days of employment. Evidence: Staff A, C and D did not have sworn disclosure statements on file. Staff A was hired on 8/1/22, staff C was hired on 11/10/22 and staff D was hired on 10/19/22. Staff B did not have a central registry record check on file within 30 day s of employment. Staff B was hired on 8/1/22.
Plan of Correction:	We will get the sworn statements and central registry background checks.
Standard #:	8VAC20-790-520-A
Description:	Based on observation, interview and a review of recordkeeping, it was determined that the vendor is not in compliance with the terms of the agreement and standards. Evidence: The vendor was caring for a 17 month old child, however their agreement identifies the age range as 2 years through 12 years of age.
Plan of Correction:	We are requesting to increase our age range to include 16 month old children.
Standard #:	8VAC20-790-540-B
Description:	Based on a review of 6 children's files and interview with administrative staff, it was determined that there were no immunization records on file at the time of enrollment nor physical on file within 30 days of enrollment. Evidence: Children A, B and C did not have immunization records or physicals on file. Child B enrolled on 10/3/22 and child C enrolled on 9/12/22.
Plan of Correction:	We will get the immunizations and physicals.
Standard #:	8VAC20-790-540-B-12
Description:	Based on a review of six children's files and interview with administrative staff, it was determined that children A, B and C did not have proof of identity on file within 7 days of enrollment.
Plan of Correction:	We will get the proof of identity.
Standard #:	8VAC20-790-600-B
Description:	Based on a review of 7 staff files and interviews with administrative staff, it was determined that one staff had not obtained the Virginia Preservice Training for Child Care Staff within 90 days of employment. Evidence: Staff A was hired on 8/1/22, and has not completed the VA Preservice Training.
Plan of Correction:	The staff will complete the Preservice Training.
Standard #:	8VAC20-790-640-A
Description:	Based on observation, it was determined that the hazardous substances, sanitizing spray and air freshener spray were stored under the sink in classroom B. The substances were unlocked and accessible to the 2 year old children.
Plan of Correction:	The substances were locked during the inspection.