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

VDSS Contact: Cathy Aylor (540) 222-6352

Inspection Date: Oct. 19, 2023

Complaint Related: No

Areas Reviewed:
Subsidy- 8VAC20-790 Subsidy Regulations

Comments:
An unannounced subsidy health and safety inspection (SHSI) was conducted on 10/19/23 from 11:15 am to 3:15 pm with the director. Twenty seven children were present with 4 staff providing supervision. The ages of the children present ranged from 2 to 4 years. The Licensing Inspector was able to observe 3 occupied classrooms the children were journaling, returning to their classroom fromoutside time, handwashing, and transition to lunch time. For lunch, the children were served mini corn dogs with ketchup, oranges, fries, and milk. Two children had medications on site. Seven staff files were reviewed during this inspection.
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.

Violations:
Standard #: 22.1-289.035-B-2
Description: Repeat Violation:
Based on a review of 7 staff files and interview with the director, it was determined that the center failed to obtain fingerprint background checks prior to the date of employment for 3 staff.
Evidence:
Staff A was hired on 8/1/22, staff B was hired on 6/1/23, staff E was hired on 9/6/23 and there were no fingerprint background checks on file for these staff.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-40-D-2
Description: Repeat Violation:

Based on a review of 7 staff files and interview with the director, it was determined that the center failed to obtain central registry background checks within 30 days of employment for 6 staff.
Evidence:
There were no Central Registry background checks on file for staff A, B, C, D, E and F.
Staff A was hired on 8/1/22, staff B was hired on 6/1/23, staff C was hired on 8/14/23, staff D was hired in 7/23, staff E was hired on 9/6/23 and staff F was hired on 2/21/23.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-520-E
Description: Based on interviews it was determined that all staff who work with children were not informed or did not know of the children's allergies, sensitivities, and dietary restrictions.
Evidence:
The staff for child D did not know of their pineapple and seafood allergy; the staff of child E did not know of their egg and nut allergy, the staff of child G did not know of their sensitivity to milk.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-520-F
Description: Based on observation and interview, it was determined that a current written list of children's allergies, sensitivities, and dietary restrictions were not kept in each room where children are present.
Evidence:
Child F has an egg allergy however this allergy was not listed on the allergy list dated 9/25/23.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-540-B-11
Description: Based on interview and a review of recordkeeping it was determined that there was no written allergy care plan for each child with a diagnosed food allergy.
Evidence:
There was no allergy care plan for the pineapple and seafood allergy for child D.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-560-A
Description: Based on a review of recordkeeping and interviews, it was determined that staff have not been evaluated by a health professional to determine if they are fee of Tuberculosis. This is required at the time of employment and prior to coming in contact with chiildren.
Evidence:
Staff A ( hired 8/1/22) and staff F ( hired 2/21/23) did not have Tuberculosis tests/screenings on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-560-D
Description: Based on a review of recordkeeping and interview with the director, it was determined that at the time of hire, staff were not seen by a medical professional to show that they are physically and mentally able to care for children and perform their duties.
Evidence:
There was no medical statement on file for staff D, who was hired in July 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-600-B
Description: Repeat Violation:
Base don a review of 7 staff files and interview with the director, it was determine that not all staff had obtained the Virginia Preservice Training for Child Care Staff within 90 days of employment.
Evidence:
Staff D was hired in July 2023 and has not obtained the Preservice Training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-600-C
Description: Based on a review of 7 staff files and interview with the director, it was determined that all staff had not obtained orientation training within 7 days of the date of employment.
Evidence:
Staff A was hired on 8/1/22, staff B was hired on 6/1/23, staff C was hired on 8/14/23, staff F was hired on 2/21/23 and none of the staff had been given orientation training.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-600-D-1
Description: Based on a review of 7 staff files and interview with the director, it was determined that all staff who work directly with children did not have within 90 days of the date of employment current CPR certification.
Evidence:
Staff B, hired 6/1/23 and Staff F, hired 2/21/23 did not have CPR Certification on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-600-D-2
Description: Based on a review of 7 staff files and interview with the director, it was determined that all staff who work directly with children did not have within 90 days of the date of employment current First Aid certification.
Evidence:
Staff B, hired 6/1/23 and Staff F, hired 2/21/23 did not have First Aid Certification on file.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-630-A
Description: Based on observation, it was determined that the outside area was not maintained in a safe condition.
Evidence:
The ground covering underneath and surrounding the swings and slides on the playground was exposed and presented a tripping hazard.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-660
Description: Based on observation, it was determined that the outside play area did not maintain an adequate amount of cushioning material under the playground equipment. The play equipment required at least six inches of resilient surfacing.
Evidence:
1. There was no resilient surfacing (pea gravel) underneath and surrounding the yellow swing, the 4 green swings nor the green slide on the playground.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-770-A
Description: Based on interviews, it was determined that Acetaminophen was administered to child A on 10/13/23 and child B on 10/19/23 without written permission from the parent.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-770-E
Description: Based on interviews and a review of recordkeeping, it was determined that an Inhaler was administered to child C on 8/23/23, however the center failed to maintain a record that documents the administration of the medication.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-790-800-A-3
Description: Based on interviews, it was determined that there had been no lockdown drill in 2022. Lockdown drills are required at least annually.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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