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Cornerstone Ministries of Virginia, Inc.

Inspection · 2023-05-15

Date
2023-05-15
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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

Inspector Notes

An annual monitoring inspection was initiated on 05/15/2023 and concluded on 05/15/2023. The inspector was on site at the center from approximately 11:45am to 3:37pm. There were 46 children in care with 8 staff supervising. Interviews were held with staff throughout the
inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground, vans and classrooms were inspected today. Five children?s records and five employee records were reviewed during this inspection. Information gathered during the
inspection determined areas of noncompliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.

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 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.

If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771.

Revised Inspection Report 6/2/2023

Violations

3
Standard 22.1-289.031-A-9
Based on observation and interviews, the child
day center was not in compliance with safe
sleep guidelines recommended by the
American Academy of Pediatrics.
Evidence:
1. The inspector observed three infant
children sleeping mechanical swings
during naptime.
2. The American Academy of Pediatrics state
that sleep should be avoided in a ?seating
device, like a swing?.
Plan of Correction: We provided knowledge about the standard and unsafe sleep practices. We explained why infants are supposed to be on their backs. We also gave expectation and procedures for moving forward the correct way. [Center Director] and/or [Assistant Director] will make sure there is adequate lighting and hold them accountable for unsafe decisions moving forward.
Standard 22.1-289.035-B-2
Based on record review, the center did not ensure three of five staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #1 (employment date: 7/8/2022) had documentation of fingerprint based national criminal history search results 8/4/2022.
2. The record of staff #2 (employment date: 9/6/2022) had documentation of fingerprint based national criminal history search results 9/13/2022.
3. The record of staff #3 (employment date: 1/20/2023) had documentation of fingerprint based national criminal history search results 1/23/2023.
Plan of Correction: Staff 1, 2, and 3 I will ensure we have the fingerprint national criminal history prior to the first day of employment. We will not do orientation or give start dates until the background checks have been received back.
Standard 8VAC20-770-40-D-2
Based on record review, the center did not ensure two of five staff records had documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #1 (employment date: 7/8/2022) had documentation of central registry results dated 9/4/2022 and a completed sworn statement or affirmation dated 7/28/2022.
2. The record of staff #2 (employment date: 9/6/2022) had documentation of central registry results dated 10/20/2022.
Plan of Correction: (Staff #1 and 2) I will reach out to Central registry to ensure we have proper documentation to show why there is a delay in the file. I will make sure to add emails to the file of the delay for central registry when it is due to them ebing backed up. [Center Director] and/or [Assistant Director] will ensure this is done in a timely manner.

(Staff #1) I will make sure to check the dates behind all new hires to ensure the dates match on all paperwork and there are no errors due to moving fast on the new hire's behalf. I have gotten the staff member to make the proper corrections to the date and initial the correction. Moving [Director] and/or [Assistant Director] will ensure we are more vigilant with the dates as well.
View original record on Virginia Department of Social Services