VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. Stephen Lutheran Church
612 Jamestown Road
Williamsburg, VA 23185
(757) 229-6688

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: Nov. 15, 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 22VAC40-665 INTRODUCTION

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program. A code compliance inspection was initiated on November 16, 2021 and concluded on November 17, 2021. The director was contacted by telephone and a virtual inspection was conducted. There were 26 children present, ranging in ages from 3 to 5, with 5 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 3 children?s records and 3 staff records were reviewed. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review, in two of three records reviewed, the center did not ensure that staff had obtained background checks for employees, volunteer, or any other person who is expected to be alone with one or more children enrolled in the religious exempt child day center, a sworn statement or affirmation before employment or commencement of service at the facility and a search of central registry (CPS) within 30 days of employment. Evidence: The Administrator confirmed the following Staff #1-(hire date 9-19-2019)CPS dated 12-5-2019 and sworn statement dated 9-28-2019 Staff #2-(hire date 9-6-2019) CPS dated 3-22-2020 and sworn statement dated 3-10-2020
Plan of Correction:	Staff #1 and Staff #2 were both hired as substitute teachers, who serve ass teachers aides. they were never left alone with the children. Employees' Fingerprint checks, Sworn Statements and CPS were completed prior to permanent positions with St. Stephens. Future hires, including substitute teachers, will not begin employment prior to completion of all background check.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review, one of three staff records reviewed, the center did not ensure staff obtained a fingerprint check results prior to the first day of employment. Evidence: The Administrator confirmed Staff #1 (date of hire 9-19-2019) began employment prior to obtaining fingerprint results. Fingerprint check results dated 9-26-20219.
Plan of Correction:	Employees's date of employment was indeed prior to their Fingerprint check. Employee's Fingerprint check was completed seven days after the date of employment. Future hires will not begin employment prior to completion of all background checks.