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Mt. Olive Brethren Church Building Blocks Children's Center

Inspection · 2021-11-23

Date
2021-11-23
Complaint Related
No
Licensing Inspector
Michelle Argenbright
(540) 848-4123
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

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.
22VAC40-191 Background Checks (22VAC40-191)
22.1 Early Childhood Care and Education

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.

A monitoring inspection was initiated on November 23, 2021 and concluded on November 29, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 29 children present, ranging in ages from 6 months to five year of age, with nine staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of five child records and eight staff records were reviewed.

New requirements became effective on October 13, 2021. The facility has not yet fully complied with the following requirement(s): Written abusive head trauma policy, written continuity of care policy, new requirements regarding tuberculosis screenings, and orientation requirements.. The facility is to review the new requirements and work with their assigned inspector to ensure future compliance.

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.

If you have any questions please contact the Licensing Inspector at 540-430-9257.

Violations

5
Standard 22.1-289.035-A
Based on review of staff records, the center failed to obtain fingerprints prior to the first day of employment.

Evidence:
1. Staff #1's date of rehire was 08/30/2021. The were no fingerprints on file.
2. Staff verified that there was not a current fingerprint on file for Staff #1.
Plan of Correction: Staff #1's fingerprints have been completed and sent to the Licensing Inspector.
Standard 8VAC20-770-60-C-2
Based on review of staff records, the center failed to complete a central registry finding within in 30 days of employment.

Evidence:
1. Staff #2's rehire date was 08/30/3021. The central registry finding on file was dated 01/06/2020.
2. Staff verified the date of rehire and the date on the central registry finding.
Plan of Correction: Staff # 2 had been previously employed with us from 2010 until 2020, administration misunderstood the requirement of new background checks being completed if it has been more than 90 days since employment. In the future we will run all required background checks in the required time frame. The provider will send evidence of the background check being completed or sent off within 10 business days of the receipt of the inspection report.
Standard 8VAC20-780-130-A
Based on a review of staff records, the center failed to obtain immunizations prior to the first day of enrollment.

Evidence:
1. Child #1's date of enrollment was 08/09/2021. The immunizations on file were dated 08/18/2021.
2. Staff verified the Child #1 date of enrollment and the date on the immunization record.
Plan of Correction: Child's immunizations are up-to-date and in his file.
Standard 8VAC20-780-160-C
Based on a review of staff records, the center failed to ensure that follow-up tuberculosis screening or test was completed every two years.

Evidence:
1. Staff #8's last documented tuberculosis screening was dated 10/04/2019.
2. Staff verified the date of the tuberculosis screening, and that an update had not been completed.
Plan of Correction: Staff #8's TB screening has been completed and sent to the Licensing Inspector.
Standard 8VAC20-780-70
Based on review of staff records, the center failed to have documentation of required tuberculosis screening with in the required time frame for those employees hired before 10/13/2021.

Evidence:
1. Staff #1's tuberculosis screening on file was dated 10/10/2021. Date of employment for Staff #1 was 09/16/2021. The tuberculosis screen should have been completed by 10/07/2021.
2. Staff #2's tuberculosis screening on file was dated 11/15/2021. Date of employment for Staff #2 was 08/30/2021. The screening should have been completed by 9/20/2021.
3. Staff verified the date of employment for Staff #1 and Staff #2, and the date on the tuberculosis screening on file.
Plan of Correction: Staff #1 and Staff #2's TB screening are up-to-date and in their files.
View original record on Virginia Department of Social Services