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Christ Community Church and School

Inspection · 2024-05-14

Date
2024-05-14
Complaint Related
No
Licensing Inspector
Keesha Minor
(571) 596-3660
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.
8VAC20-820 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

Inspector Notes

An unannounced monitoring inspection was conducted on 5/14/24 from 11:30am to 1:50pm. There were 143 (4 months to 5yrs) directly supervised by 24 staff. The physical plant, 6 staff records, 5 children?s records, 9 children's medications and medication authorization records, evacuation drills, injury reports, emergency supplies, and policies were inspected. Children were observed participating in group play, listening to stories, and preparing for and taking naps. Diapering and hand-washing procedures were also observed. There was a sufficient supply of books, toys, and materials for the children. There was an adequate number of staff with current certification in MAT, CPR and First Aid, as well as DHO training. Staff-to-child ratios were in compliance. The center was clean and organized. Areas of non-compliance are identified in this report. If you have any questions regarding this inspection, please contact the Licensing Inspector. Keesha Minor (keesha.minor@doe.virginia.gov) or 571-596-3660.

Violations

6
Standard 8VAC20-780-240-A
Based on review, the facility did not ensure that the Virginia Dept. of Education sponsored orientation course shall be completed within 90 calendar days of employment.
Evidence: reviewed 6 staff records and found that Staff 5 and 6 had been employed for more than 90 days and did not have documentation of the orientation course.
Plan of Correction: Staff will complete training needed before returning to work.
Standard 8VAC20-780-280-B
Based on observation, the facility did not ensure that hazardous substances shall be kept in a locked place using a safe locking method that prevents access by children.
Evidence:
1) observed an unlocked cabinet with soap water and bleach water in the Jelly Fish room
2) observed an unlocked cabinet with soap water and bleach water in the Sea Stars room
Plan of Correction: Put all hazardous materials away and in a locked cabinet away from children.
Standard 8VAC20-780-440-E
Based on observation, the facility did not ensure that there shall be at least 12 inches of space between occupied cots, beds, and rest mats.
Evidence: observed that there was not 12 inches of space between Jelly Fish and Sea Turtles classrooms.
Plan of Correction: Space cots/mats at least 12 inches a part.
Standard 8VAC20-780-500-A
Based on observation, the facility did not ensure that children's hands shall be washed with soap and running water after toileting and any contact with blood, feces, or urine.
Evidence: observed that the staff member in the Toucans' classroom did not wash 2 children's hands after assisting them with diapering.
Plan of Correction: All hands shall be washed after diapering.
Standard 8VAC20-780-510-E
Based on review, the facility did not ensure that they followed the center's policies for ensuring that they maintained parental/physician written authorization for prescription and over-the-counter medications., or ensured that they did not maintain outdated medications.
Evidence:
1) Reviewed 11 children's medications and found that Child 1's written authorization form expired on 6/1/23; Child 3's written authorization form expired on 8/2023'; Child 7's written authorization form expired on 7/24/23; Child 13's written authorization form expired on 2/6/24; and Child 15's written authorization form expired on 11/30/23.
2) Reviewed 11 children's medications and found that Child 3's Auvi-Q expired on 7/2023; Child 7's Epinephrine expired on 10/2023
Plan of Correction: All expired medications were sent home/ The expired forms were updated and kept with current medications.
Standard 8VAC20-780-550-H
Based on review, the facility did not ensure that for centers offering multiple shifts, the simulated drills shall be divided evenly among the various shifts.
Evidence: the drill log for the past 12 months documented that the emergency drills were only conducted between 9:30am and 9:40 each month. No emergency evacuation drills were conducted midday, afternoon, or evening.
Plan of Correction: Will schedule emergency drills at different times going forward.
View original record on Virginia Department of Social Services