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Mount Calvary Lutheran Church
5983 South Main Street
Mount jackson, VA 22842
(540) 477-9645

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Feb. 21, 2023

Complaint Related: No

Areas Reviewed:
? 22.1 Background Checks Code
? 8VAC20-790 Physical Plant
? 32.1 Report by person other than physician
? 8VAC20-790 Staffing & Supervision
? 63.2 Child abuse and neglect
? 8VAC20-790 Programs
? 8VAC20-790 Introduction
? 8VAC20-790 Special Care Provisions & Emergencies
? 8VAC20-790 Administration
? 8VAC20-790 Special Services
? 8VAC20-790 Staff Qualifications & Training

Comments:
An initial subsidy inspection was conducted on February 21, 2023 from 11:00p.m.through 1:45 p.m. There were 36 children, ages 4 months through 4, in the care of 6 staff. Five children and fourteen staff records were reviewed.

Children were observed during free choice activities, hand washing/bathroom and diapering procedures, outside play, transition, lunch and nap. The facility is well equipped with a variety of age/stage materials for the children in care.

Areas of non-compliance may be found on the violation notice.

Please complete your plan of correction and return to the licensing inspector within 5 business days.

If you have any questions or if I may be of further assistance please call 540-430-9256.

Violations:
Standard #: 8VAC20-790-550-2-a
Description: Based on record review, the center failed to obtain documentation of a Virginia Child Protective Service Central Registry check for one staff member.

Evidence:

1. Fourteen staff records were reviewed.
2. Staff #9 did not have documentation of obtaining a Virginia Child Protective Services Central Registry check within 30 days of hire.
3. Staff #9's date of hire was documented 11/16/2022.
4. The director confirmed they did not have the results of the Virginia Child Protective Services Central Registry check for Staff # 9.

Plan of Correction: Virginia Central Registry was sent for Staff #9. Result letter was emailed to licensing inspector.

Standard #: 8VAC20-790-550-2-f
Description: Based on record review, the center failed to obtain an updated criminal history record check for one staff member.

Evidence:

1. Fourteen staff records were reviewed.
2. Staff #14 had not obtained an updated criminal history record check within 5 years of the prior one dated 02/20/2018.
3. The director confirmed the criminal history record check had not been obtained.

Plan of Correction: An appointment for fingerprinting was immediately scheduled. Results were emailed to the licensing inspector.

Standard #: 8VAC20-790-640-A
Description: Based on observation, the center failed to placed hazardous substances in a locked place that prevents access by children.

Evidence:

1. One can of Lysol and one container of sanitizing wipes were found on a shelf, unlocked, in the 3-year old classroom.
2. The director confirmed the can of Lysol and sanitizing wipes were not locked and immediately removed them from the classroom.

Plan of Correction: Lock boxes were purchased for classrooms to keep any hazardous supplies.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.


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  http://www.dss.virginia.gov/facility/search/cc.cgi