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Fellowship Baptist Church

Inspection · 2023-10-04

Date
2023-10-04
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
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

8VAC20-770 Background Checks
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

Inspector Notes

A Subsidy Health and Safety inspection was conducted on October 4, 2023 to review supplemental health and safety requirements. This on-site visit was conducted from 11:00 am through 12:45 pm. Five children and nine staff records were reviewed.

A licensing code compliance inspection was also conducted this date; the two inspections combined cover all subsidy health and safety requirements. Only subsidy requirements that are not covered in licensing standards are reviewed during this supplemental inspection.

Areas of non-compliance may be found on the violation notice.

Please complete your plan of correction and return to the licensing inspector within 5 business days.

Please contact the licensing inspector if you have any questions at 540-430-9256.

Violations

6
Standard 8VAC20-790-540-B
Based on record review the facility failed to include written authorization to administer medication in one child's record.

Evidence:

1. Five children's records were reviewed.
2. Child #1 did not have documentation written authorization to administer prescription medication.
3. Administration confirmed authorization had not been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-550-2-d
Based on record review the facility failed to have documentation of a sworn statement for one staff member.

Evidence:

1. Nine staff records were reviewed.
2. Staff #6 did not have documentation of a sworn statement. Date of hire was documented 06/2022.
3. Administration confirmed a sworn statement could not be found for Staff #6.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-B
Based on record review the facility failed to have two staff members complete the Virginia Preservice Training for Child Care staff within 90 days of hire.

Evidence:

1. Nine staff records were reviewed.
2. Staff # 2 and Staff #7 did not have documentation of obtaining Virginia Preservice Training for Child Care Staff within 90 days of employment.
3. Staff #2's date of hire was documented 10/4/2022. Staff #7's date of hire was documented 10/3/2022.
4. Administration confirmed documentation of Virginia Preservice Training could not be found.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-F
Based on record review the facility failed to have one staff member complete the department's annual 3 hour health and safety update course.

Evidence:

1. Nine staff records were reviewed.
2. Staff # 4 did not have documentation of taking the department's health and safety update course. Last documented training update was 8/3/2021.
3. Administration confirmed training documentation could not be found for Staff #4.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-600-G
Based on record review the center failed to have a staff member with medication administration training (MAT) administer medication to one child.

Evidence:

1. On 10/4/2023, Staff #7 administered prescription medication to Child #1.
2. Staff record review revealed Staff #7 did not have MAT certification.
3. Review of 9 staff records revealed no staff had obtained MAT certification.
4. Administration confirmed Staff #7 administered medication and had not obtained MAT certification.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-790-770-E
Based on observation and record review, the facility failed to keep a record of a prescription medication given to children.

Evidence:
1. One child was given medication on 10/4/2023. Interview with staff revealed a record of the medication given to the child was not documented.
2. Administration confirmed a record of prescription medication given to the child was not kept.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services