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Mt. Olive Brethren Church Building Blocks Children's Center

Inspection · 2023-04-11

Date
2023-04-11
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.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-770 Background Checks (8VAC20-770)
22.1 Background Checks Code, Carbon Monoxide

Inspector Notes

An unannounced renewal inspection was conducted on-site April 11, 2023 and concluded remotely April 12, 2023. The director was available during the inspection. There were 34 children present, ranging in ages from 8 months to 5 years, with 8 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 5 child records, 1 board member record and 5 staff records were reviewed.

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. Please specify how the deficient practice will be or has been corrected. Your plan of correction should 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

6
Standard 8VAC20-770-40-D-1-a
Based on a review of records on April 11, 2023, the center failed to ensure to obtain a central registry check from each Officer of the Board before the end of the 30 days after the change of officer.
Evidence: The record of board member #1, took office October 1, 2022, contained a central registry finding dated January 13, 2023.
Plan of Correction: Has been obtained.
Standard 8VAC20-780-240-E
Based on a review of staff records and interview on April 11, 2023, the center failed to ensure within 30 days of employment staff orientation training in first aid and cardiopulmonary resuscitation (CPR), as appropriate to the age of children in care.
Evidence: The records of staff #4 (hired 02/09/23) and staff #5 (hired 02/21/23), and staff #6 (hired 01/24/23) did not contain documentation of first aid and cpr orientation training. Staff #2 confirmed the training was not completed.
Plan of Correction: First aid and cpr orientation will be done asap.
Standard 8VAC20-780-40-J
Based on a review of the injury prevention plan and interview on April 11, 2023, the center failed to ensure the injury prevention procedures shall be updated at least annually based on documentation of injuries and a review of the activities and services.
Evidence: A review of documentation of the injury prevention plan indicated it was last updated January 1, 2019. Staff #2 confirmed the plan had not been updated.
Plan of Correction: Injury prevention plan has been updated.
Standard 8VAC20-780-50-A
Based on observation and interview on April 11, 2023, the center failed to ensure staff and children's records are treated confidentially.
Evidence: The supplemental page of the inspections dated October 27, 2022 and May 31, 2023 were posted on the parent bulletin board. This page is to be kept confidential. Staff #2 confirmed the supplemental pages were posted.
Plan of Correction: Supplemental pages have been taken down.
Standard 8VAC20-780-550-F
Based on a review of the log for procedures for emergencies and interview on April 11, 2023, the center failed to ensure lockdown procedures are practiced at least annually.
Evidence: There was no documentation of a lockdown drill being practiced in 2022. The last lockdown drill recorded on the log was dated October 18, 2021. Staff #2 confirmed the center did not practice a lockdown drill in 2022.
Plan of Correction: Lockdown drill was done on 4/12/23.
Standard 8VAC20-780-70
Based on a review of staff records and interview on April 11, 2023, the center failed to ensure that each staff record contains all required information to be kept at the center.
Evidence: The records of staff #4 and staff #5 did not contain documentation about any health problems that may interfere with fulfilling the job responsibilities. Staff #2 confirmed that they were not completed.
Plan of Correction: New staff has filled out forms.
View original record on Virginia Department of Social Services