VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Three Chopt Presbyterian Church
9315 Three Chopt Road
Henrico, VA 23229
(804) 965-0400

VDSS Contact: Heather Dapper (804) 625-2304

Inspection Date: April 26, 2023

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

Technical Assistance:

n/a

Comments:

A code compliance inspection was conducted on Wednesday, April 26, 2023. The inspector was on site from 10:15am to approximately 11:25am. There were 42 children in attendance with nine staff directly supervising. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, hallways, outdoor play areas, and bathrooms were inspected. Five children's records and five staff 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 program.

Violations:

Standard #:	22.1-289.031-A-4
Description:	Based on a review of five staff records and interview, the center did not ensure one staff in a supervisory position was certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision prior to employment. Evidence: 1) The staff health report in the record of Staff #1, employed 06/01/22, was completed on 10/11/22. 2) During interview, Staff #1 acknowledged the staff health report was completed after employment.
Plan of Correction:	Moving forward, a staff health report will be obtained for each staff prior to employment.
Standard #:	22.1-289.031-B-3
Description:	Based on observation and interview, the center did not establish and implement a procedure to ensure daily simple health screening and exclusion of sick children by a person trained to perform such screenings. Evidence: During the inspection, nine staff were observed supervising children. Management reported that staff observe children upon arrival for signs of illness, but the staff did not have current certification in conducting daily health screenings when the inspection was conducted.
Plan of Correction:	Staff will take the required daily health observation training.
Standard #:	22.1-289.035-B-2
Description:	Based on a review of five staff records and interview, the center did not ensure four staff had the satisfactory results of the fingerprint-based national criminal background check prior to employment. Evidence: 1) The results of the fingerprint-based national criminal background check in the record of Staff #1, employed 06/01/22, were dated 03/21/23. 2) The results of the fingerprint-based national criminal background check in the record of Staff #2, employed 08/29/22, were dated 03/23/23. 3) The results of the fingerprint-based national criminal background check in the record of Staff #4, employed 10/26/21, were dated 10/27/21. 4) The results of the fingerprint-based national criminal background check in the record of Staff #5, employed 08/02/21, were dated 08/23/21. 5) During interview, management confirmed the fingerprint-based national criminal background check for Staff #1, Staff #2, Staff #4, and Staff #5 were not obtained prior to employment.
Plan of Correction:	Moving forward, fingerprints will be obtained prior to employment.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of five staff records and interview, the center did not ensure four staff had the required background checks within the required timeframes. Evidence: 1) The results of the central registry check in the record of Staff #1, employed 06/01/22, were dated 07/14/22. The sworn statement was completed on 08/15/22. 2) The results of the central registry check in the record of Staff #2, employed 08/29/22, were dated 11/19/22. 3) The results of the central registry check in the record of Staff #4, employed 10/26/21, were dated 01/31/22. 4) The sworn statement in the record of Staff #5, employed 08/02/21, was completed on 08/19/21. A complete sworn statement or affirmation is required before employment. A search of the central registry check is required within 30 days of employment.
Plan of Correction:	Moving forward, the required background checks will be obtained within the required timeframe.