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Compassion Church Radford - RCD Classroom

Inspection · 2024-12-18

Date
2024-12-18
Complaint Related
No
Licensing Inspector
Julia Kimbrough
(804) 921-7596
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

8VAC20-780 Administration
8VAC20-780 Staff Qualifications and Training
8VAC20-780 Physical Plant
8VAC20-780 Staffing and Supervision
8VAC20-780 Programs
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services
8VAC20-820 THE LICENSE
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

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 monitoring inspection was initiated on 12/18/24 and completed on 12/18/24. The on-site inspection began at 8:30am and ended at 9:40am. The inspector reviewed compliance in the areas listed above. There were 15 children present and 3 staff. The inspector reviewed 5 children?s records and 3 staff records on-site.
This inspection included document review, tour of the facility, 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.

Violations

7
Standard 22.1-289.035-B-1
Provide a sworn statement or affirmation disclosing whether he has ever been convicted of or is the subject of pending charges for any offense within or outside the Commonwealth and whether he has been the subject of a founded complaint of child abuse or neglect within or outside the Commonwealth prior to hire.

Staff #1 had a completed sworn disclosure statement one day after hire.
Staff #3 did not have the sworn disclosure and was actively working with the children during this inspection.
Plan of Correction: Sworn disclosures will be completed prior to hire as required moving forward.
Standard 22.1-289.035-B-2
Have a completed finger print back ground check prior to hire.

Staff #1 had a completed finger print dated 17 days after hire and working with the children.
Staff #2 had a completed finger print dated 21 days after hire and working with the children.
Staff #3 did not have proof of a completed finger print letter and was actively working with the children during the inspection.
Plan of Correction: Finger prints will be completed and an eligible approval letter received as required prior to hire moving forward.
Standard 8VAC20-780-160-A
Each staff member and individual from an independent contractor shall submit documentation of a negative tuberculosis screening prior to hire; it may not be more than 30 days old.

Staff #1 had a TB screening dated as completed 11 months prior to hire.
Staff #2 had a TB screening dated as completed 7 months prior to hire.
Staff #3 had a TB screening dated as completed 8 months prior to hire.
Plan of Correction: TB screenings will be completed prior to hire, and not be older than 30 days moving forward.
Standard 8VAC20-780-210-A
Program leaders shall be at least 18 years of age, have fulfilled a high school program completion or the equivalent, and meet one of the qualifications for the position.

Staff #1stated she was working as the lead teacher during the inspection today, and did not have lead teacher qualifications.
Plan of Correction: A qualified lead teacher will fill in when the normal lead teacher is absent moving forward.
Standard 8VAC20-780-245-L
There shall always be at least one staff member on duty who has obtained within the last three years instruction in performing the daily health observation of children.

There were 3 staff working with the children during this inspection, there was no documentation showing that either of the staff held current training in daily health observation as required.
Plan of Correction: At least one staff will be present at all times who has current training in daily health observation moving forward.
Standard 8VAC20-780-60-A
Each center shall maintain and keep at the center a separate record for each child enrolled which shall contain two emergency contacts.

Child record #3, newly enrolled, did not have 2 emergency contacts information on file as required.
Plan of Correction: The information will be added to the child's file.
Standard 8VAC20-780-70
Staff records shall be kept for each staff person containing proof of education for the position, and references.

Staff #2 and #3 did not have proof of education for the position held as required.
Staff #3 did not have references on file as required.
Both staff were actively working with the children at today's inspection.
Plan of Correction: This will be corrected as soon as possible.
View original record on Virginia Department of Social Services