VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Forest Hill Presbyterian Church Child Care Center
4401 Forest Hill Avenue
Richmond, VA 23225
(804) 230-2380

Current Inspector: Danielle Morrison (804) 929-3771

Inspection Date: April 27, 2022

Complaint Related: No

Areas Reviewed:

8VAC20-780 Administration. 8VAC20-780 Staff Qualifications and Training. 8VAC20-780 Physical Plant. 8VAC20-780 Staffing and Supervision. 8VAC20-780 Programs. 8VAC20-780 Special Care Provisions and Emergencies. 8VAC20-780 Special Services. 8VAC20-820 THE LICENSE. 8VAC20-820 THE LICENSING PROCESS. 8VAC20-770 Background Checks (8VAC20-770) 20 Access to minor?s records 22.1 Background Checks Code, Carbon Monoxide 32.1 Report by person other than physician 63.2 Child Abuse & Neglect

Comments:

An unannounced monitoring inspection was initiated on 4/27/2022 and concluded on 4/28/2022. The inspector was on site on 4/27/2022 from 2:10 pm-5:02 pm. There were 27 children present, ranging in ages from 21 months to 5 years, with 7 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies, nutrition and background checks. A total of 5 child records and 5 staff records were reviewed. Staff records were partially reviewed remotely. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to me within 5 business days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventative measures. Please do not use staff names; list staff by positions only.

Violations:

Standard #:	22.1-289.035-B-4
Description:	Based on a review of 5 staff records and interview, the center did not ensure to obtain an out of state criminal history and sex offender registry check for 1 staff from any state in which the individual had resided in the preceding five years prior to the first date of employment as required. Evidence: 1. The record of staff #3 (DOH:3/3/2022) contained a sworn statement that indicated that the staff had resided outside of the state within the preceding 5 years. The record did not contain an out of state sex offender or criminal history check for the listed states. 2. Administration acknowledged that the background checks were missing.
Plan of Correction:	We have begun the process to obtain the appropriate documentation from out of state registries.
Standard #:	8VAC20-780-160-C
Description:	Based on a review of 5 staff records and interview, the center did not ensure to obtain documentation of a follow up tuberculosis (TB) screening every 2 years for 1 staff as required. Evidence: 1. The record of staff #5 (DOH:4/27/2021) contained an expired TB dated 7/23/2019. 2. Administration acknowledged that a current follow up TB screening had not been obtained.
Plan of Correction:	A TB screening form was given to the staff on 4/29/2022 to complete asap.
Standard #:	8VAC20-780-40-K
Description:	Based on a review of records and interview, the center did not ensure to develop written procedures for prevention of abusive head trauma as required. Evidence: 1. The written procedures for prevention of abusive head trauma were not observed. 2. Administration acknowledged that the center had not developed the written procedures.
Plan of Correction:	The committee will be meeting to discuss and put this policy in place.
Standard #:	8VAC20-780-60-A-8
Description:	Based on a review of children's records and interview, the center did not ensure to obtain a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Evidence: 1. Administration identified a child in care who had emergency medications for a diagnosed food allergy. The child's record did not contain a written care plan. 2. Administration acknowledged that the care plan had not been obtained.
Plan of Correction:	The allergy care plan was given to the parents on 4/29/2022 to complete and return.
Standard #:	8VAC20-780-70
Description:	Based on a review of 5 staff records and interview, the center did not ensure that 3 staff records contained documentation to demonstrate that the individual possessed the education, certification, and experience required by the job position. Evidence: 1. The records of staff #3 (DOH:3/3/2022), staff #4 (DOH:1/5/2022) and staff #5 (DOH:4/27/2021) did not contain documentation of the staffs' education. Administration identified the staff as lead teachers. 2. Administration acknowledged the records were missing the proof of education.
Plan of Correction:	Needed documentation will be gathered and completed to show proper levels of education, certification and experience to hold the job position.
Standard #:	8VAC20-780-270-A
Description:	Based on observation and interview, the center did not ensure that all areas and equipment of the center, inside and outside were maintained in a clean, safe and operable condition. Evidence: 1. Administration identified a bathroom that was utilized by the children. A large area of rust was observed on a wall that was accessible to the children.
Plan of Correction:	This bathroom will no longer be used as an overflow bathroom.
Standard #:	8VAC20-780-350-F
Description:	Based on a review of records and interview, the center did not ensure to develop and implement a written policy and procedure that describes how the center will ensure that each group of children receives care by consistent staff or team of staff members as required. Evidence: 1. The written policy and procedure for care by consistent staff was not observed. 2. Administration acknowledged that the center had not developed the written policy and procedures.
Plan of Correction:	The committee will be meeting to discuss, write and put this policy in place.
Standard #:	8VAC20-780-530-A-1
Description:	Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current CPR certification. Evidence: 1. During interview, staff #4 (DOH:01/05/2022) stated that she did not have a current CPR Certification. The teacher was observed to be working alone. 2. Administration acknowledged that there was not a staff member with a current CPR certification in every grouping of children.
Plan of Correction:	CPR training will be completed on this staff member until group CPR certification is completed. Staffing will be adjusted so that each group has a CPR certified person in the classroom.
Standard #:	8VAC20-780-530-A-2
Description:	Based on a review of records and interview, the center did not ensure at least one staff in each classroom or area where children are present had a current First Aid certification. Evidence: 1. During interview, staff #4 (DOH:01/05/2022) stated that she did not have a current First Aid Certification. The teacher was observed to be working alone. 2. Administration acknowledged that there was not a staff member with a current First Aid certification in every grouping of children.
Plan of Correction:	First aid training will be completed on this staff member until group first aid certification is completed. Staffing will be adjusted so that each group has a first aid certified person in the classroom.