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Valley Baptist Church
408 Stoney Creek Road
Edinburg, VA 22824
(540) 984-3833

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Aug. 13, 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 8/13/19 from 10:30 am until 2:00 pm to review the religious exempt requirements. At the time of the inspection 101 children were present with 22 staff. The sample size consisted of seven children's records and seven staff's records. Children and staff were observed during diaper changing, nap, free play, art, movie time, 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 of seven staff were reviewed. No staff record contained a sworn disclosure statement or central registry record check. 2. The administrator stated they have not completed sworn disclosure statements or central registry records check for any staff.

Plan of Correction: All current staff will be required to complete a sworn statement within five days and the documentation of central registry to be mailed within five days. In the future all new staff will complete a sworn statement and the documentation for a central registry as part of the application. The central registry will be mailed upon hire.

Standard #: 63.2(17)-1716-A
Description: Based on review of the parent handbook and interview, the center failed to disclose in writing to the parents or guardians of the children in the center the qualifications of the personnel and post the fact that the center is exempt from licensure in a visible location on the premises. Evidence: 1. The parent handbook stated to see attached information regarding the qualifications of the center staff. There was no information attached. 2. A walk through of the center was completed. No posting of the center's exemption status was observed. 3. The director stated they do not provide parents in writing with the qualifications of the center staff and they do not have the exemption status of the center posted.

Plan of Correction: The center staff qualifications will be added to the parent handbook. The center's exemption status was posted during the inspection at the entrance to the center.

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. Staff 8's staff health report is dated 4/12/18. 2. The director stated they do not have staff provide a staff health report prior to starting work.

Plan of Correction: Staff 8 will be advised to provide a staff health report. Systems will be put in place to ensure staff health reports are obtained yearly in the future. All new staff will be required to provide a staff health report prior to starting work.

Standard #: 63.2(17)-1716-A-5-a
Description: Based on observation and interview, the center failed to to comply with the requirements set by their religious exempt status as it refers to capacity. Evidence: The Statement of Intent dated 2/11/19 has a capacity listed as 92. During the inspection 101 children were present.

Plan of Correction: A new Statement of Intent will be completed and submitted to the licensing office with a modification request for the capacity to be raised.

Standard #: 63.2(17)-1716-A-9
Description: Based on observation and interview, the center failed to ensure safe sleep guidelines recommended by the American Academy of Pediatrics which advises babies should sleep on their backs on a flat surface free of blankets, pillows, or other soft items until the age of 1 to reduce the risk of SIDS. Evidence: 1. In the infant room three infants were asleep in cribs with a blanket and one infant was asleep in a swing with a blanket. 2. The director stated all four infants are under 12 months of age.

Plan of Correction: All staff will be trained in safe sleep requirements and parents will be informed. The blankets were removed immediately.

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 for seven children were reviewed. Three contained immunizations that were not received prior to attendance.
Child 5 - start date 6/6/17 - immunizations dated 8/11/17;
Child 6 - start date 8/24/17 - immunizations dated 4/6/18;
Child 7 - start date 3/15/18 - immunizations dated 8/7/18.
2. The parent handbook lists the policy for parents providing immunization records within the first 30 days of attendance.
3. The director verified the dates.

Plan of Correction: The policy in the parent handbook will be changed to state immunizations are due prior to the first date of attendance.

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. Evidence: 1. Staff 2's hire date was 1/30/18. The fingerprint results are dated 7/23/18. 2. The administrator verified the date and stated she thought all staff had until 9/30/18 to obtain fingerprints.

Plan of Correction: In the future all new staff will be required to provide fingerprint-based criminal history check determination letter prior to the first day of employment.

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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