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St. Mary's Episcopal Church
12291 River Road
Henrico, VA 23238
(804) 784-2049

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: March 14, 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
8VAC20-770 Background Checks
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

Comments:
An annual monitoring inspection was initiated on 03/14/2023 and concluded on 03/14/2023. The inspector was on site at the center from 12:00pm to 1:40pm. There were 75 children in care with 14 staff supervising. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground and all classrooms were inspected today. Seven children?s records and seven employee records were reviewed during this inspection. Information gathered during the inspection determined areas of noncompliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771.
Inspection Report Revised 3/16/2023

Violations:
Standard #: 22.1-289.031-B-4
Description: Based on observation, the center did not ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against
certain diseases.
Evidence:
1. The record of child #6 (enrollment date: 9/6/2022) did not have documentation of immunizations.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.035-A
Description: Based on record review, the facility failed to obtain a repeat sworn statement or affirmation and central registry search for 1 of 7 staff within five years since the date they were last completed.
Evidence:
1. The record of staff #7 (employment date: 8/2011) had documentation of central registry
results dated 9/20/17.
2. The record of staff #7 (employment date: 8/2011) had documentation of a sworn statement or affirmation dated 2/7/12.

Plan of Correction: [Staff] #7 will be asked to complete ASAP.

Standard #: 22.1-289.058
Description: Based on observation and an interview, the
center did not ensure that the building serving
preschool aged children was equipped with at
least one carbon monoxide detector.
Evidence:
The licensing inspector did not see a carbon
monoxide detector installed in the center. The
center?s administrator could not confirm that a carbon
monoxide detector is currently installed in
the building.

Plan of Correction: Ordered 2 detectors.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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