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Trinity Baptist Church

Inspection · 2022-10-25

Date
2022-10-25
Complaint Related
No
Licensing Inspector
Lauren Bickford
(540) 280-0742
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

22.1-289.031.A WRITTEN DICSLOSURE TO PARENTS; GUARDIANS:
22.1-289.031.A.6 WRITTEN STATEMENT TO PARENTS; GUARDIANS AND THE GENERAL PUBLIC:
22.1-289.031.A.3 (a-f):
22.1-289.031.A.3 STAFFING:
22.1-289.031.B.(1-7) ESTABLISHMENT; IMPLEMENTATION OF PROCEDURES:
22.1-289.031.A.5.d TRANSPORTATION:
22.1-289.031.B.(1-7) ESTABLISHMENT; IMPLEMENTATION OF PROCEDURES:
22.1-289.031.A.5.d TRANSPORTATION:
8VAC20-770-40.D.2 BACKGROUND CHECKS:
22.1-289.035.(B.2 and B.4) BACKGROUND CHECKS:
22.1-289.035.A BACKGROUND CHECKS:
22.1-289.031.A.5.(a & c) CENTER COMPLIANCE:
22.1-289.031.A.(8 and 9) CPR/FIRST AID;SAFE SLEEP:

Inspector Notes

A code compliance inspection was conducted on Tuesday, October 25, 2022 from 11:25am to approximately 2:00pm. There were 28 children in attendance and a total of five staff directly supervising. Upon arrival, the children were observed interacting with peers and staff. The children were preparing for lunch and were later observed during rest time and quiet time. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, kitchen, hallways, outdoor play area, and bathrooms were inspected. Medication is
administered and medications and authorizations were reviewed. Five children's records and five 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.

Violations

3
Standard 22.1-289.035-A
Based on a review of five staff records and interview, the center did not obtain documentation of subsequent background checks conducted every five years for one staff member.

Evidence: 1) The central registry check in the record of Staff #3, employed 09/04/2012, expired on 04/18/2022. 2) During interview, management reported the central registry check for Staff #3 was not completed every five years as required.
Plan of Correction: A new request for the central registry check for Staff #3 will be requested on 10/25/22.
Standard 22.1-289.058
Based on observation and interview, the child day program, which was build before 2015, was not equipped with at least one carbon monoxide detector.

Evidence: 1) A carbon monoxide detector was not observed during the walk-through of the facility. 2) During interview, management stated the center is not equipped with a carbon monoxide detector.
Plan of Correction: The facility will purchase and install a carbon monoxide detector by the end of the week.
Standard 8VAC20-770-40-D-2
Based on a review of five staff records and interview, the center did not ensure one staff had the results of the central registry check within 30 days of the individual beginning employment.

Evidence: 1) The record of Staff #1, employed 09/08/2022, did not contain the results of the central registry check. 2) During interview, management confirmed the central registry findings were not received within 30 days of employment for Staff #1. The record did not contain documentation of any further contact with the Office of Background Investigations within 30 days of employment, and the staff member had been continuously employed.
Plan of Correction: The facility followed up with OBI on 10/26/2022. The results will be filed upon receipt.
View original record on Virginia Department of Social Services