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Hope Community Church of the Nazarene

Inspection · 2024-11-18

Date
2024-11-18
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
No

Areas Reviewed

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site code compliance inspection was conducted on 11/18/2024. The on-site inspection began at 9:15 am and ended at 12:13 pm. The inspector reviewed compliance in the areas listed above. There were 57 children present with 14 staff. The inspector reviewed 6
children?s records and 7 staff records on site. This inspection included document review, a tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance with applicable code sections, and violations are 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 violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 11/25/2024. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.031-A-4
Prior to providing supervision to children and annually thereafter, each person in a
supervisory position must be certified by a practicing physician or physician assistant
to be free from any disability that would prevent them from caring for children under their
supervision.

The most recent staff health report for staff #3 was received over one month after the start of employment. The most recent staff health report for staff #4 received over one month after the start of employment. Both staff cared for children prior to the center receiving the staff health reports.
Plan of Correction: SHR will be required before the DOE Annually we will notify of upcoming renewal one month before expiration. This will be noted in the next edition of the Employee Handbook and Contract.
Standard 22.1-289.031-B-3
The center is required to have a daily simple health screening and exclusion of sick children
by a person trained to perform such screenings.

The center did not have staff on site who were trained in daily health observation.
Plan of Correction: Executive and Administrative Team is being trained in DHO. Going forward all staff will be trained in the 1st 90 days.
Standard 22.1-289.031-B-4
The center shall establish and implement procedures for ensuring the center is in compliance with the immunization provisions of section 32.1-46 of the Code. Before a child may attend the center, the provider must obtain documentation that the child has been adequately immunized according to the requirements of ? 32.1-46 A of the Code of Virginia and applicable State Board of Health regulations.

The center's procedure is to obtain and maintain in the record, a copy of each child's immunization record prior to attendance. The record of child #3, who has been enrolled for 2 months and 30 days, did not contain an immunization record.
Plan of Correction: All documentation for child #3 has been received and added to their file. A checklist is being created to track all necessary documentation required before the 1st Day of School to ensure all items are accounted for.
Standard 22.1-289.031-B-6
REPEAT VIOLATION

The center shall establish and implement procedures for ensuring all staff are able to recognize the signs of child abuse and neglect.

The center's most recent procedure required that staff complete the online child abuse and neglect training offered through the department within 90 days of employment. Staff #1, who has been employed for over 5 months did not have the training. Staff #2 who has been employed for over 5 months did not have the training. Staff #5's child and abuse neglect training was completed over one month late.
Plan of Correction: The most recent policy was implemented 30days ago and all current (Non Seasonal) Staff will be completed within the 90 days.
Standard 22.1-289.035-B-2
REPEAT VIOLATION

Providers must obtain a completed national criminal background check prior to the
employee's first day of employment.

Staff #3's fingerprint background check was received 3 days late. Staff #7's fingerprint background check was received 11 days late.
Plan of Correction: Fingerprints must be received before first DOE as noted in the Staff Orientation Documentation.
Standard 22.1-289.035-B-3
REPEAT VIOLATION

The center must request a search of the central registry prior to the employee's first day
of employment.

Staff #3's central registry was requested 22 days after the start of employment. Staff #4's central registry was requested 22 days after the start of employment. Staff #7's central registry was requested 12 days after the start of employment.
Plan of Correction: ACA will request search of the Central Registry prior to the 1st DOE as noted in the Staff Orientation Documentation. Going forward we will use the online OBI portal.
Standard 22.1-289.049-A
The center shall require that upon enrollment, the person enrolling the child present the regulated child day program with the proof of the child's identity and age.

The record of child #3, who had been in attendance for 2 months and 30 days, did not contain the proof of age and identity.
Plan of Correction: All documentation for child #3 has been received and added to their file. A checklist is being created to track all necessary documentation required before the 1st Day of School to ensure all items are accounted for.
View original record on Virginia Department of Social Services