VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Victory Church
410 E. Yorktown Road
Yorktown, VA 23693
(757) 868-8417

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: Aug. 16, 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

Comments:

An unannounced monitoring inspection was conducted on August 16, 2019 from approximately 10:40 am to 1:10 pm. Eight staff were present with forty-one children. Eight staff records were reviewed.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on review and interview, facility did not ensure 6 of 8 staff have a completed central registry check within 30 days of beginning employment. Evidence: The records for staff #1(start date 10/4/18), staff #2 (start date 8/20/18), staff #4 (start date 9/18/18), staff #5 (start date 9/27/18), staff #6 (start date 4/8/19) and staff #7 (start date 5/28/19) did not have a completed central registry check. Information was confirmed by director.
Plan of Correction:	Director will immediately submit the checks.
Standard #:	63.2(17)-1716-A
Description:	Based on interview, facility did not ensure they have disclosed in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and posted the fact that it is exempt from licensure in a visible location on the premises and the qualifications of the personnel employed. Evidence: Director confirmed parents have not been given written notification that the facility is exempt from licensure and qualifications of the staff employed. Director also confirmed the exemption from licensure is not posted in a visible location on the premises.
Plan of Correction:	Director will request another copy of the religious exemption letter and post it at the entrance as well as put a copy in the enrollment packet.
Standard #:	63.2(17)-1716-A-3-c
Description:	Based on observation and interview, facility did not ensure there is a one staff to eight children from ages 24 months to 36 months. Evidence: Between 11:00 am - 11:30 am, one staff was present with ten children in the 2's classroom. This was observed and confirmed by director.
Plan of Correction:	Director will ensure they are maintaining staff ratios to include if a staff leaves for an appointment.
Standard #:	63.2(17)-1716-A-4
Description:	Based on review and interview, facility did not ensure 1 of 8 staff has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children. Evidence: The record for staff #3 (start date 7/29/19) did not have a completed staff health form.
Plan of Correction:	Staff will obtain the documentation this weekend.
Standard #:	63.2(17)-1716-A-6
Description:	Based on interview, facility did not ensure the following aspects of the center's operations are described in a written statement provided to the parents or guardians and made available to the general public: physical facilities and public liability insurance. Evidence: Director stated there is not a written statement or policy provided to parents, guardians or general public that address physical facilities and public liability insurance.
Plan of Correction:	Director will type policy and add to the parent handbook.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review and interview, facility did not ensure a child abuse and neglect registry check is completed for the state when a staff member has lived outside the state of Virginia within the past 5 years. Evidence: The record for staff #7 (start date 5/28/19) had documentation of living in two other states in the past 5 years and there was not a completed child abuse and neglect registry check for those states.
Plan of Correction:	Director will immediately will obtain information from website and submit to appropriate states.