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Restoring America's Families Ministries

Inspection · 2024-09-09

Date
2024-09-09
Complaint Related
No
Licensing Inspector
Sydney Emory
(804) 807-3277
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

8VAC20-790 Subsidy Regulations

Inspector Notes

An unannounced, on-site subsidy inspection was initiated on 9/9/2024 and
completed on 9/9/2024.The on-site inspection began at 2:15pm and ended at 3:15pm. The inspector reviewed compliance in the areas listed above. There were thirteen children present and four staff. The inspector reviewed four children?s records and four staff records electronically on 9/11/2024. This inspection included document review, tour of the facility, interviews, and observations.

Information gathered during the inspection determined non-compliance with applicable standards or
law, 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 deficient practice will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 9/20/2024 . A POC submitted after this date will not appear on the public website.

Violations

4
Standard 8VAC20-790-540-A
Based on review of children records, the center failed to maintain and keep enrolled children's records onsite and available upon request.

Evidence: During annual subsidy inspection, staff stated all children, staff, and drill log files were not present in the building. Staff stated the center moved to the current location in June and were awaiting the paper files from the main office.
Plan of Correction: All children records are kept on site. We will keep them on site in the future.
Standard 8VAC20-790-540-B-16
Based on a review of children records, the provider failed to have a written statement to notify parents of an ill child and pick up procedures.

There was not a written statement in the record for Child #1, Child #2, Child #3, and Child #4 regarding the policy regarding a child when they become and ill and the pick up procedures.
Plan of Correction: Statement is always on page 2 of contract - see attached.
Standard 8VAC20-790-600-F
Based on a review of staff the records, the center failed to ensure staff maintained a minimum of 16 hours of training annually.

Evidence: 1. Staff #1 (DOH 03/2020) and Staff #3 (DOH 01/1999) did not complete any annual training hours within the last year. Staff #1 and Staff #3 did not have record of completing the annual subsidy training for the fiscal year of 2023-2024 updated in their files.
Plan of Correction: Staff training was completed. See files. See attached sent files 9/11/23.
Standard 8VAC20-790-800-B
Based on review of documentation of emergerency response drills, the provider failed to provide emergency response drill logs for the previous year.

Evidence: During record review, provider failed to provide documentation of emergency response drills for the 2023-2024 year. Emergency response drills for the fiscal year 2023-2024 were not available for review.
Plan of Correction: Drill were completed sent files 9/11/23 see attached.
View original record on Virginia Department of Social Services