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Cornerstone Ministries of Virginia, Inc.

Inspection · 2024-11-19

Date
2024-11-19
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
8VAC20-790 Staff Qualifications & Training
32.1 Report by person other than physician
8VAC20-790 Physical Plant
54.1 Must be MAT Certified.
8VAC20-790 Staffing & Supervision
63.2 Child abuse and neglect
8VAC20-790 Programs
8VAC20-770 Background Checks
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Introduction
8VAC20-790 Special Services
8VAC20-790 Administration

During the inspection, the inspector reviewed the areas listed above to include standards found out of compliance during the previous inspection. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site code compliance inspection was initiated on 11/19/2024 and completed on 11/19/2024. The on-site inspection began at 9am and ended at 11:30am. The inspector reviewed compliance in the areas listed above. There were 47 children present with 10 staff. The inspector reviewed 5 children?s records and 7 staff records on site. This inspection included document review, tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance(s) with applicable code sections, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 12/9/24. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.031-A-3-b
The required ratio for children ages 16 months to 24 months is one staff per five children.

Staff #7 was observed supervising 7 children (youngest child 22 months) from approximately 9am to 9:10am. Staff #5 was observed supervising 7 children (youngest child 22 months) from approximately 9:28am-9:30am while staff #1 left the room to answer the front door.
Plan of Correction: We are actively conducting interviews to acquire more staff to ensure we always remain in ratio.
Standard 22.1-289.031-A-3-c
The required ratio for children ages 24 months to 36 months is one staff per eight children.

Staff #3 was observed supervising 10 children (youngest child 2 years old) from approximately 9:10am to 9:45am.
Plan of Correction: We are actively conducting interviews to gain more staff to ensure we always remain in ratio.
Standard 22.1-289.031-A-9
The child day center is required to be compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics.

Child #2 was observed asleep on a pillow and with two blankets in a crib during the inspection.
Plan of Correction: Mother left instruction on 11/19 that Child #2 cannot lay flat due to respiratory issues. Informed mom we could not let him sleep in the swing or in a boppy pillow; and requested she ask the pediatrician for a wedge for the crib to insure elevation and safe sleep practices. Ms. Ashley spoke with the doctor directly, as doctor instructed mom to let the child sleep in the bouncer. Went over safe sleep practices with parents. Mother is working to get the wedge. Child will not return without the wedge. Also went over safe sleep practices with staff in the room to ensure this does not happen again; with a verbal warning given to the staff in that room.