VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Presbyterian Church
249 S. Wayne Avenue
Waynesboro, VA 22980
(540) 949-8366

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: July 10, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures

Comments:

An unannounced monitoring inspection was conducted on 7/10/19 from 11:00 am until 1:15 pm to review the religious exempt requirements. At the time of the inspection 18 children were present with four staff. The sample size consisted of six staff's records and five children's records. Children and staff were observed during snack, bathroom break, hand washing, free play, during an art project, departure, transitions and behavioral management. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review and interview, the center failed to ensure all staff completed a sworn disclosure statement prior to the first day of employment and a central registry record check within 30 days of employment. Evidence: 1. The records for staff 1, start date 4/26/13, and staff 3, start date 3/19, do not have a sworn disclosure statement and a central registry record check. 2. The records for staff 4, start date 8/30/17, and staff 5, start date 5/25/16, do not have a sworn disclosure statement. 3. The director and administrator verified these staff did not complete the required documents.
Plan of Correction:	Staff 1, 3, 4 and 5 will be required to completed a sworn disclosure statement. Staff 1 and staff 3 will be required to complete the central registry check documents and have them notarized and ready to mail within five days. In the future the sworn disclosure statement and central registry check documents will be part of the application. The central registry documents will be mailed upon hire.
Standard #:	63.2(17)-1716-A
Description:	Based on observation and interview, the center failed to post the fact that the program is exempt from licensure in a visible location. Evidence: 1. During the tour of the center no posting regarding the religious exempt status of the center was seen. 2. The director verified they did not have the religious exempt status of the facility posted in a location for parents to see.
Plan of Correction:	A notice will be posted in a visible location for parents to see.
Standard #:	63.2(17)-1716-A-3
Description:	Based on interview, the center failed to ensure in each grouping of children, at least one adult staff member shall be regularly present. Evidence: 1. The director stated during extended day they only have two staff present with children. The age range is two to five. Extended day is from 7:30 a.m. until 8:45 a.m. for morning care and then aftercare is 12:00 pm until 6:00 pm. 2. The requirement is for children age two, you must have one staff for every eight children, for children age three and four, you must have one staff for every 10 children, and for a child age five, you must have one staff for every 20 children. The center would have to have at a minimum three staff present if these age groups are in attendance.
Plan of Correction:	Additional staff will be hired to ensure at least three staff are present during extended day care. Until staff is hired the existing staff will cover.
Standard #:	63.2(17)-1716-A-4
Description:	Based on record review, the center failed to ensure all staff obtained documentation from a physician that they are free from any disability which would prevent him/her from caring for children under his/her supervision by the first date of employment and annually thereafter. Evidence: 1. The records for staff 3, start date 3/19, and staff 6, start date 6/17, did not have a staff health form from a physician. 2. The director verified they do not have a staff health form for staff 3 and staff 6.
Plan of Correction:	Staff 3 and staff 6 will be required to have an appointment set with a physician to obtain a staff health form within five days. In the future all staff will be required to provide a staff health form prior to the first date of employment and yearly after.
Standard #:	63.2(17)-1716-B-3
Description:	Based on record review and interview, the center failed to establish and implement procedures to ensure that a daily simple health screening and exclusion of sick children was completed by a person trained to perform such screenings. Evidence: 1. The center policies were reviewed. The center has a sick child exclusion policy but does not have a procedure regarding daily health screening. No staff record contained documentation of completing training in daily health screening. 2. The director stated as far as she knew they had no procedure to conduct daily health screenings and no staff had been trained in conducting daily health screenings.
Plan of Correction:	All staff will be trained in conducting daily health screenings and advised of the new procedure to conducted daily health screenings daily as children arrive.
Standard #:	63.2(17)-1716-B-4
Description:	Based on record review and interview, the center failed to implement a procedure to ensure all children in the center are in compliance with the provisions regarding immunization of children against certain diseases. Evidence: 1. The records of five children were reviewed. Child 3's record did not contain an immunization record. Child 3's start date was 6/29/17. 2. The director stated the procedure is to obtain immunization records prior to the first day of care. She is aware that some parents of children in care have not provided immunization records yet and she has spoken to them.
Plan of Correction:	All children's records will be reviewed. Any parent who has not provided an immunization record will be given a note advising the immunization record is required within 10 days or the child cannot attend until the immunizations are obtained. In the future children will not be allowed to start care until the immunization records are received.
Standard #:	63.2(17)-1716-B-6
Description:	Based on 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: The director stated as far as she is aware the center does not have a procedure to ensure staff are trained to recognize child abuse and neglect. The director has not receive the training since she started 3/19.
Plan of Correction:	All staff will be required to complete training in recognizing child abuse and neglect. In the future all new hires will be provided with training in recognizing child abuse and neglect during orientation.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center failed to ensure staff hired after 1/22/18 had a fingerprint-based criminal history check determination letter prior to the first day of employment, and that staff hired before 1/22/18 obtained a fingerprint-based criminal history check determination letter by 9/30/18 for one out of five staff records reviewed. Evidence: 1. The record for staff 6, start date 6/17, does not have a fingerprint-based criminal history check determination letter in the record. 2. The director verified with both staff that they did not complete a fingerprint-based criminal history check.
Plan of Correction:	Staff 6 will be required to schedule a fingerprint-based criminal history check within five days. In the future no staff will be hired until a fingerprint-based criminal history check determination letter is received.