Living Word Ministry
825 Taylor Street
Lynchburg, VA 24504
(434) 515-4079
VDSS Contact: Monique Anderson (540) 309-2397
Inspection Date: July 8, 2024
Complaint Related: No
- Areas Reviewed:
-
22.1 Background Checks Code
32.1 Report by person other than physician
63.2 Child abuse and neglect
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Programs
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
- Comments:
-
An unannounced Subsidy Inspection was conducted on July 8, 2024. A Religious Exempt CODE Monitor Inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards were reviewed during this supplemental inspection.
Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.
Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on
July 19, 2024. A POC submitted after this date will not appear on the public website.
- Violations:
-
Standard #: 8VAC20-790-530-B Description: Based on attendance record review, the Vendor failed to maintain a written hard copy record of daily attendance that documents the arrival and departure of each child in care as it occurs for each group of children.
EVIDENCE;
Written daily attendance did not include documentation of departure for each child in each group.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-550-1 Description: Based on record review, the Vendor failed to obtain verification of age and the date of employment for each staff.
EVIDENCE:
1. Record for Staff #2 did not include documentation of age verification.
2. Record for Staff #3 did not include documentation of age verification.
3. Record for Staff #3 did not include the date of hire.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-560-A Description: Based on record review, the Vendor failed to ensure each staff person is evaluated by a health professional and issued a statement that the individual is determined to be free of communicable tuberculosis (TB).
EVIDENCE:
Record for Staff #1 (date of employment unknown) did not include documentation of a negative tuberculosis skin test/screening.
Record for Staff #3 (date of employment unknown) did not include documentation of a negative tuberculosis skin test/screening.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-B Description: Based on record review, the Vendor failed to ensure within the first 90 days of employment all staff who work directly with children complete Virginia Preservice Training.
EVIDENCE:
Record for Staff #2 (date of employment 5/15/2023) did not include documentation of the completed 10 hours Virginia Preservice Training. Staff #2 was observed working with children during the inspection.
Record for Staff #3 (date of employment unknown) did not include documentation of the completed 10 hours Virginia Preservice Training. Staff #3 was observed working with children during the inspection.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-C Description: Based on inspection and discussion with the Center Director, the Vendor failed to ensure each staff person completes orientation training on the required facility specific topics prior to the staff person working alone with children and within seven days of the date of employment for each staff person.
EVIDENCE:
Center Orientation Training was not completed by Staff #3.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-F Description: Based on review of training records, the Vendor failed to ensure staff who work directly with children annually attend at least 16 hours of annual training and staff development activities.
EVIDENCE:
Staff #1 did not complete 16 hours of annual training within the past year. Staff #1 completed 9 hours of training.
Staff #2 did not complete 16 hours of annual training within the past year. Staff #2 did not complete any annual training.
Staff #3 did not complete 16 hours of annual training within the past year. Staff #3 did not complete any annual training.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-600-I Description: Based on review of training records, the Vendor failed to ensure there is at least one staff on duty who has obtained within the last three years instruction in performing a daily health observation of children.
EVIDENCE:
There was not staff present during the inspection who has completed daily health observation training of children.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-650-C-3 Description: Based on inspection, the Vendor failed to have sinks located near the toilets that are supplied with running warm water that does not exceed 120 degrees F.
EVIDENCE:
The hot water temperature exceeded 120 degrees F. Water temperature registered 127.2 degrees F.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-790-A Description: Based on inspection, the Vendor failed to have a written emergency preparedness plan that addresses staff responsibility and facility readiness with respect to emergency evacuation, relocation, lockdown and shelter-in-place procedures.
EVIDENCE:
The Center did not have a written Emergency Preparedness Plan.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-790-C Description: Based on inspection, the Vendor failed to post emergency evacuation and shelter-in-place procedures/maps in a location conspicuous to staff and children.
EVIDENCE:
Emergency maps/procedures were not posted.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-800-A-1 Description: Based on record review, the Vendor failed to conduct monthly evacuation drills.
EVIDENCE:
Monthly evacuation drills have not been completed.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-800-A-2 Description: Based on record review, the Vendor failed to practice shelter-in-place procedures twice a year.
EVIDENCE:
Shelter-in-place procedures have not been practiced.Plan of Correction: Not available online. Contact Inspector for more information.
Standard #: 8VAC20-790-800-A-3 Description: Based on record review, the Vendor failed to practice lockdown procedures at least annually.
EVIDENCE:
Annual lock down drill has not been practiced.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.
