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True Heart Ministries

Inspection · 2024-08-13

Date
2024-08-13
Complaint Related
No
Licensing Inspector
Anita Drewry
(757) 404-5261
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

A code compliance inspection was initiated and concluded on August 13, 2024. There were twenty-nine children present, ranging in ages from infants to school age, with five staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of five children?s records and five staff records were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.

Violations

2
Standard 22.1-289.031-A-4
Based on review, facility did not ensure 1 of 4 have documentation from a physician or physician's assistant that the individual is free from any disability which would prevent him from caring for children under his supervision.

Evidence: The record for staff #3 had documentation of a staff health form dated 4/10/2023 which is more than a year old.
Plan of Correction: Facility will make sure staff have completed health forms annually before expiration of the previous year.
Standard 22.1-289.035-A
(Repeat Violation) Based on review, facility did not ensure 2 of 5 staff have met background check requirements.

Evidence: The following was found during record review:
1. The record for staff #3 had documentation of a disqualifying central registry search dated 6/3/2022. Staff #3 was observed working on date of inspection.
2. The record for staff #5 had a most recent central registry search dated 2/11/2015. The background check should have been completed every 5 years.
Plan of Correction: 1. Staff # 3 will be terminated.

2. Director will research to see if a more current central registry search can be located. If it is not found, a new central registry search will be submitted online.
View original record on Virginia Department of Social Services