VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Calvary United Methodist Church
2179 Stuarts Draft Highway
Stuarts draft, VA 24477
(540) 337-2980

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 14, 2022

Complaint Related: 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

Comments:

An unannounced code compliance inspection was initiated on 11/14/2022 with the physical plan inspection from 9:45 AM to 10:45 AM and concluded on 11/22/2022 when all the requested documents were provided. There were 15 children present, ranging in ages from three to four, with 4 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and procedures. A total of two children?s records and four staff?s records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.031-A-4
Description:	Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date and updated every year. Evidence: 1. The record for staff 4 documents the start date as 9/6/22. The staff health report is dated 9/8/22. 2. The director verified the start date.
Plan of Correction:	In the future staff will not be permitted to start working until a staff health report is received.
Standard #:	22.1-289.031-B-5
Description:	Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: 1. The director provided the center's written policy on storage of hazardous materials. Within the policy under the heading Items to keep out of reach of children the following item is listed: Non-aerosol sanitizers, disinfectants, and detergents that are labeled as sanitizing, disinfecting or detergents (including disinfecting wipes). 2. A container of Clorox disinfecting wipes were in the boys bathroom on the counter beside the sink. Children were seen using the restroom throughout the inspection unsupervised.
Plan of Correction:	All staff will be retrained on the staff policies regarding hazardous substances.
Standard #:	22.1-289.031-B-6
Description:	Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1. The record of staff 3 documents the start date as 8/17/21. Documentation of completing training in recognize the signs of child abuse and neglect is dated 1/20/22. 2. The record of staff 4 documents the start date as 9/6/21. Documentation of completing training in recognize the signs of child abuse and neglect is dated 11/15/22.
Plan of Correction:	In the future staff will not be allowed to start working with children until they have completed training in recognizing child abuse and neglect.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. The record for staff 3 documents the hire date as 8/2/21. The fingerprint-based criminal history check determination letter is dated 8/11/21. 2. The record for staff 4 documents the hire date as 9/1/21. The fingerprint-based criminal history check determination letter is dated 9/16/21.
Plan of Correction:	In the future staff will not be hired until fingerprint determination letters are received.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her by the end of 30th day of employment. Evidence: 1. The record for staff 3 documented the hire date as 8/2/21. The sworn statement documents staff 3 lived in NY within the last five years. There was no documentation of a search of central registry being completed in New York in staff 3's record. 2. The director verified a central registry search for New York had not been requested.
Plan of Correction:	The background check for New York has been completed and mailed. If the results are not received within 30 days the director will follow up and document the file. The results will be forwarded to the licensing inspector. In the future new staff that are required to have out of state background checks will have them completed within the required timeframe.