VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shenandoah Baptist Church
6520 Williamson Road
Roanoke, VA 24019
(540) 366-2432 (119)

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Sept. 24, 2019

Complaint Related: No

Areas Reviewed:

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

Technical Assistance:

Out-of-State Central Registry Background Checks must be submitted within the first 7 days of hire and followed-up within 45 days

Comments:

The Licensing Inspector for Shenandoah Baptist Church pre-school conducted an unannounced RECDC Monitor Inspection on Tuesday, September 24, 2019. Licensing Inspector arrived & started inspection at 11:05 AM and concluded at 1:45 PM. There were a total of thirty-nine (39) children ages 2-5 years old present under the direct care and guidance of seven (7) staff members. Licensing Inspector reviewed information for eight (8) staff members. Areas of non compliance and the Risk Assessment were reviewed with the Center's representative during the exit interview on September 24, 2019. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on review of staff information, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled in a religious exempt child day center has completed Sworn Disclosure Background Check before employment/commencement of service and Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for eight (8) staff members. Information for Staff #2, Staff #4 and Staff #5, did not include evidence of completed Central Registry (CPS) Background Check. Information for Staff #2 did not include evidence of a completed Sworn Disclosure
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/24/2019)
Standard #:	63.2(17)-1716-A
Description:	Based on inspection, the Center failed to post the fact that it is exempt from licensure in a visible location on the premises. the Center failed to disclose in writing to the parents or guardians of the children in the center, the fact that it is exempt from licensure and the qualifications of the personnel employed. EVIDENCE: Required letter of exemption was not posted in a visible location on the premises. Required written disclosures have not been provided to the parents or guardians of the children in the center.
Plan of Correction:	Center will post the Letter of Exemption & disclose additional required information to the parents/guardians & the general public
Standard #:	63.2(17)-1716-A-4
Description:	Based on review of staff information, the Center failed to ensure each employee has been certified by a practicing physician to be free from any disability which would prevent him from caring for children under his supervision. EVIDENCE: Licensing Inspector reviewed health information for eight (8) staff members. Evidence of Staff Health Report was unavailable for Staff #2.
Plan of Correction:	Staff will complete a health exam. Documentation of the findings will be maintained in the staff record
Standard #:	63.2(17)-1716-A-6
Description:	Based on review of center information, the Center failed to provide a written statement regarding physical facilities, health requirements for the staff and public liability insurance to the parents/guardians of the children in the center and made available to the general public. EVIDENCE: A written description of the center's physical facilities, information regarding the center's health requirements for staff and information regarding the center's public liability insurance were not included in the parent handbook nor posted.
Plan of Correction:	Center will disclose in writing additional required information to the parents/guardians & the general public
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of staff information, the Center failed to request/obtain a copy of the results of a search of the central registry and any child abuse and neglect registry or equivalent registry maintained by any other state in which the staff member has resided in the preceding 5 years. EVIDENCE: Licensing Inspector reviewed background check information for eight (8) staff members. Information for Staff #3 and Staff #8 did not include out-of-state Child Protective Services background check for the State of California and Pennsylvania..
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/24/2019)
Standard #:	63.2(17)-1721.1-B-2
Description:	Based on record review, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled has submitted documentation of completed Fingerprint Background Check before employment/commencement of service. EVIDENCE: Licensing Inspector reviewed information for eight (8) staff records. Information for Staff #7 did not include evidence of completed fingerprinting Background Check.
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/24/2019)