VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Life Tabernacle Church
801 Virginia Avenue
Vinton, VA 24179
(540) 525-6073

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Jan. 24, 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

Comments:

Licensing Inspector conducted an unannounced CODE Monitoring Inspection on January 24, 2023. There were 52 children ages 2 1/2 years old - 10 years old old present under the direct care of 4 staff. The Licensing Inspector reviewed 4 children records and 8 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22.1-289.031-A
Description:	Based on record review and interview with staff, the Center failed to disclose in writing to the parents/guardians of the children in the center the qualifications of the personnel employed. EVIDENCE: A written statement regarding staff qualifications was not disclosed to the parents/guardians. Staff#1 confirmed this was not completed.
Plan of Correction:	Director will develop qualifications of personnel. Information will be disclosed to the parents/guardians and the general public.
Standard #:	22.1-289.031-A-4
Description:	Based on record review, the Center failed to ensure staff members complete a staff health report. EVIDENCE: Licensing Inspector review 8 staff records. Records for Staff #2, #3, #4 #6, #7,and #8 did not have documentation of a completed staff health report.
Plan of Correction:	Each staff person will complete a physical examination. Documentation of the health report will be maintained in each record.
Standard #:	22.1-289.031-B-3
Description:	Based on record review, the Center failed to have at least one (1) staff on duty who has received instruction in performing daily simple health screening & exclusion of sick children screening. EVIDENCE: Center could not produce documentation of at least one (1) staff member trained in the Daily Health Observation of children.
Plan of Correction:	Center Director will seek daily health observation training for all staff persons. Procedures will also be developed
Standard #:	22.1-289.031-B-4
Description:	Based on record review, the Center failed to ensure children are in compliance with immunization provisions. EVIDENCE: Licensing Inspector reviewed 4 children records. Record for Child #1 #2 & #3 did not include documentation to ensure children are in compliance with immunization provisions.
Plan of Correction:	Director will request current immunizations from each child. Documentation of the findings will be kept in the child?s record.
Standard #:	22.1-289.031-B-5
Description:	Based on observation, the Center failed to ensure that all areas of the premises accessible to children are free of obvious injury hazards. EVIDENCE: Hot water temperature at sinks used by the children in care exceeded 127.6? F
Plan of Correction:	Church administration will review options to adjust hot water temperature at the sinks used by the children. Hot water will be maintained no higher than 120? F
Standard #:	22.1-289.031-B-6
Description:	Based on record review and interview with staff, the Center failed to ensure all staff can recognize signs of child abuse & neglect. EVIDENCE: Licensing Inspector reviewed 8 staff records and had a discussion with Staff #1. Staff have not been trained in recognizing signs of child abuse & neglect.
Plan of Correction:	Director will schedule a child abuse neglect training to ensure staff members can recognize signs of child abuse & neglect.
Standard #:	22.1-289.035-A
Description:	Based on record review, the Center failed to ensure staff Background Checks are updated every 5 years. EVIDENCE: Licensing Inspector reviewed 8 staff records. Records for Staff #1 and #6 did not include documentation of updated Central Registry background checks completed within 5 years since the most recent check. Staff #1 date of hire was 9/29/2017 and the most recent central registry was completed 11/04/2017. Staff #6 record did not include date of hire; the most recent central registry was completed 4/12/2017
Plan of Correction:	Director will submit request to complete Central Registry background check for each staff person. Center will submit documentation of completion to the Licensing Inspector within 10 day
Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview with staff, the Center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the competition of a fingerprint background check as required by the Code of Virginia. EVIDENCE: 1. Staff #2 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #1 stated the hire date for Staff #2 was October 2022. 2. Staff #3 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #1stated the hire date for Staff #3 was August 2022. 3. Staff #5 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #1 stated the hire date for Staff #5 was November 2022. 4. Staff #7 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #1 stated the hire date for Staff #7 was October 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	22.1-289.058
Description:	Based on observation and interview with staff, the Center failed to have at least one carbon monoxide detector. EVIDENCE: Staff #1 confirmed that the center building was built before 2015. A carbon monoxide detector was unavailable.
Plan of Correction:	Church will purchase and install a carbon monoxide detector.
Standard #:	8VAC20-770-40-D-2
Description:	Based on record review, the Center failed to ensure each staff person has a signed sworn disclosure statement prior to the 1st day of employment. EVIDENCE: Licensing Inspector reviewed 8 staff records. Record for Staff #3 did not have documentation of a signed Sworn Disclosure statement. Hire date for Staff #3 was August 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.
Standard #:	8VAC20-770-40-D-2
Description:	Based on record review, the Center failed to obtain the finding from a search of the central registry within 30 days of hire. EVIDENCE: 1. Staff #2 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #1 stated the hire date for Staff #2 was October 2022. 2. Staff #5 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #1 stated the hire date for Staff #5 was November 2022. 3. Staff #7 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #1 stated the hire date for Staff #7 was October 2022 4. Staff #8 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #1 stated the hire date for Staff #8 was June 2022.
Plan of Correction:	Not available online. Contact Inspector for more information.