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Fellowship Baptist Church
725 Gate Road
Madison, VA 22727
(540) 948-5970

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Oct. 4, 2023

Complaint Related: No

Areas Reviewed:
22.1 Religious Exempt; Background Check Code; Carbon Monoxide
32.1 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect

Technical Assistance:
As a reminder the program is responsible for complying with Section 54.1-3408 (O) of the Code regarding medication administration when administering prescription medications.

Comments:
An unannounced monitoring inspection was conducted on October 4, 2023. This on-site visit was conducted from 11:00 a.m. through 12:45 p.m. Five children and nine staff records were reviewed.

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

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

If you have any questions, please contact the licensing inspector at 540-430-9256.

Violations:
Standard #: 54.1-3408-O
Description: Based on record review the center failed to have a staff member with medication
administration training (MAT) administer medication to one child.

Evidence:
1. On 10/4/2023, Staff #7 administered prescription medication to Child #1.
2. Staff record review revealed Staff #7 did not have MAT certification.
3. Review of 9 staff records revealed no staffhad obtained MAT certification.
4. Administration confirmed Staff #7 administered medication and had not obtained
MAT certification.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-40-D-2
Description: Based on record review the facility failed to have documentation of a sworn statement for
one staff member.

Evidence:
1. Nine staff records were reviewed.
2. Staff #6 did not have documentation of a
sworn statement. Date of hire was documented 06/2022.
3. Administration confirmed a sworn statement could not be found for Staff #6.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:

A compliance history is in no way a rating for a facility.

The online compliance history includes only information after July 1, 2003. In addition, the online compliance history includes information regarding adverse actions that may be the subject of a pending appeal. An adverse action is not final until a provider has exhausted or waived all due process rights. For compliance history prior to July 1, 2003, or information regarding the status of pending adverse actions, please contact the Licensing Inspector listed in the facility's information. The Virginia Department of Social Services (VDSS) is not responsible for any errors in or omissions from the compliance history information.

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