VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Bethel United Methodist Church
142 Old Bethel Road
Lancaster, VA 22503
(804) 462-5790

VDSS Contact: Carla Alexander (804) 840-3662

Inspection Date: Jan. 31, 2023

Complaint Related: No

Technical Assistance:

n/a

Comments:

A code compliance inspection was conducted on Tuesday, January 31, 2023. The inspection was initiated at 10:05am and concluded at approximately 11:30am. There were 11 children present with two staff supervising. Upon arrival, the children were observed in their designated classrooms. The children were observed during a craft activity and interacting with one another. The staff were also observed having positive interactions with the children. All areas of the facility including classrooms, hallways, outdoor play area, and bathrooms were inspected. Three staff records and five children's records were reviewed. Additional documentation was submitted to the inspector electronically on 02/02/23 and on 02/06/23. 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 three staff records, one staff did not obtain the required staff health report within the required timeframe. Evidence: The staff health report in the record of Staff #2, employed 12/01/21, was dated 01/21/22. The staff health report should have been obtained prior to the staff beginning employment.
Plan of Correction:	Obtained late due to facility closure/holidays. Currently up to date.
Standard #:	22.1-289.031-B-3
Description:	Based on interview and staff record review, 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: 1) The records of the two staff present during the inspection were reviewed. The record of Staff #1 and the record of Staff #2 did not contain documentation of the staff receiving training in daily health screening. 2) The director stated staff observe children upon arrival for signs of illness, but the staff do not have current certification in conducting daily health screenings.
Plan of Correction:	Online trainings were completed by a staff member on 2/19 in the allotted timeframe.
Standard #:	22.1-289.031-B-6
Description:	Based on record review and interview, the center did not establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1) Three staff records were reviewed during the inspection. The records did not contain documentation that staff have received training to be able to recognize the signs of child abuse and neglect. 2) During interview, the director stated staff have received information on recognizing the signs of child abuse and neglect, but the center did not require staff to complete child abuse and neglect training prior to employment and working with children.
Plan of Correction:	Training completed by staff member in allotted timeframe.
Standard #:	22.1-289.035-B-2
Description:	Based on a review of three staff records, the center did not ensure one staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe. Evidence: The fingerprint-based national criminal background check in the record of Staff #3, employed 08/04/21, was dated 08/16/21. The results are required to be obtained prior to employment.
Plan of Correction:	Correct employment dates submitted.
Standard #:	22.1-289.035-B-4
Description:	Based on a review of three staff records and interview, the center did not obtain a copy of the results of a criminal history record information check, or a sex offender registry check from any state in which one staff member had resided in the preceding five years. Evidence: 1) The record of Staff #1, employed 10/01/18, indicated the staff had resided in a state outside of Virginia in the last five years. 2) The record did not contain a copy of the results of a criminal history record information check or a sex offender registry check from that state at the time of the inspection. The results of the out-of-state background check searches were required to be obtained by December 31, 2020 for existing staff hired prior to July 1, 2020.
Plan of Correction:	The missing out-of-state background checks were requested on 02/02/2023 and on 02/03/2023. Submitted proof of clear background check/sex offender check on 2/8/23.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of three staff records and interview, the center did not ensure two staff had the results of the central registry check within 30 days of the individuals beginning employment. Evidence: 1) The record of Staff #1, employed 10/01/18, did not contain the results of the central registry check. 2) The central registry check in the record of Staff #2, employed 12/01/21, were received on 01/14/22. The search of the central registry check should have been obtained within 30 days of employment.
Plan of Correction:	Central registry requests submitted. Status is "pending."