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Bright Hope, Inc./Change Me Ministries & Fellowship

Inspection · 2023-09-21

Date
2023-09-21
Complaint Related
No
Licensing Inspector
Tara K Martin
(804) 588-2371
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.
Yes

Areas Reviewed

22.1 Background Checks Code

8VAC20-790 Physical Plant

32.1 Report by person other than physician

8VAC20-790 Staffing & Supervision

63.2 Child abuse and neglect

8VAC20-790 Programs

8VAC20-790 Introduction

8VAC20-790 Special Care Provisions & Emergencies

8VAC20-790 Administration

8VAC20-790 Special Services

8VAC20-790 Staff Qualifications & Training

Inspector Notes

An unannounced Subsidy Inspection was conducted on September 21, 2023. A licensing inspection was conducted on the same date as the SHSI supplemental inspection; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in religious exempt requirements were reviewed during this supplemental inspection.

There were 3 children ages 4 to 9 years old present under the direct care of 1 staff. The Licensing Inspector reviewed 3 children?s records and 1 staff record, along with any requested program records submitted by the facility to determine if required documentation was complete.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations

4
Standard 8VAC20-790-620-A
Based on inspection, the Vendor failed to have an annual fire inspection report from the appropriate fired official having jurisdiction.

EVIDENCE:
The annual fire inspection has not been completed. Most recent fire inspection conducted on 9/13/2022
Plan of Correction: Director will contact local fire department to complete annual inspection.
Standard 8VAC20-790-620-B
Based on inspection, the Vendor failed to have an annual certification from the health department.

EVIDENCE:
The annual health inspection has not been completed. Most recent health inspection was conducted on 9/21/2022
Plan of Correction: Director will contact the local health department to complete annual inspection.
Standard 8VAC20-790-650-C-3
Based on inspection, the Vendor failed to ensure sinks located near toilets are supplied with running warm water that does not exceed 120 degrees F.

EVIDENCE:
Center did not have hot water.
Plan of Correction: Director will contact maintenance to inspect/repair/replace hot water unit.
Standard 8VAC20-790-670-E
Based on review of documentation, the Vendor failed to develop and implement a written policy and procedure that describes how the vendor will ensure that each group of children receives care by consistent staff or team of staff members.

EVIDENCE:
Center did not have a written plan of continuity policy and procedure.
Plan of Correction: Director will develop a consistent care written plan of continuity.
View original record on Virginia Department of Social Services