VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Cloverhill Church
12310 Bailey Bridge Road
Midlothian, VA 23112
(804) 739-3115

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: May 6, 2021

Complaint Related: No

Areas Reviewed:

32.1 Report by person other than physician 54.1-3408 Must be MAT Certified. 63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs. 22VAC40-191 Background Checks for Child Welfare Agencies

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia. A code compliance inspection was initiated on 05/06/2021 and concluded on 05/06/2021. The director was contacted via video call to initiate the inspection. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 7 staff records submitted by the facility to ensure documentation was complete. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the facility. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on staff record review, the center did not ensure six of seven staff records contained documentation of central registry results within 30 days of employment and a completed sworn statement or affirmation prior to employment. Evidence: 1. The record of staff #1 (start date: 12/15/20) did not have documentation of central registry results and a completed sworn statement or affirmation. 2. The record of staff #2 (start date: 8/19/20) did not have documentation of central registry results and a completed sworn statement or affirmation. 3. The record of staff #3 (start date: 8/24/20) did not have documentation of central registry results and a completed sworn statement or affirmation. 4. The record of staff #4 (start date: 9/12/19) did not have documentation of central registry results and a completed sworn statement or affirmation. 5. The record of staff #5 (start date: 12/14/20) did not have documentation of central registry results and a completed sworn statement or affirmation. 6. The record of staff #6 (start date: 8/24/20) did not have documentation of central registry results and a completed sworn statement or affirmation. 7. The record of staff #7 (start date: 8/4/20) did not have documentation of central registry results and a completed sworn statement or affirmation.
Plan of Correction:	Cloverhill Christian Academy intends to correct the items we were recently cited on by ensuring ALL staff have completed the following documents for their personal file: Central Registry
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on staff record review, the center did not ensure five of seven staff records had documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #2 (start date: 8/19/20) had documentation of fingerprint based national criminal history search results dated 8/24/20. 2. The record of staff #4 (start date: 9/12/19) had documentation of fingerprint based national criminal history search results dated 10/14/20. 3. The record of staff #5 (start date: 12/14/20) had documentation of fingerprint based national criminal history search results dated 1/4/21. 4. The record of staff #6 (start date: 8/24/20) did not have documentation of fingerprint based national criminal history search results. 5. The record of staff #7 (start date: 8/04/20) had documentation of fingerprint based national criminal history search results dated 9/10/20.
Plan of Correction:	Cloverhill Christian Academy intends to correct the items we were recently cited on by ensuring ALL staff have completed the following documents for their personal file: Staff #2 fingerprint (has an appointment May 13th)