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All Saints Episcopal Church
8787 River Road
Henrico, VA 23229
(804) 288-7861

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: May 6, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
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:
An exit interview was conducted with the director to discuss the results of today's inspection. Consultation was given regarding updated regulations in child/staff ratios (grouping of children), CPR, out of state searches, and accessing the department's website for memos, forms, and additional information.

Comments:
An unannounced monitoring inspection was conducted today, May 06, 2019 to determine the center's compliance with religious exempt requirements. The inspection was initiated at 10:45am and concluded at approximately 1:00pm. Today 58 children (ages 2-4yrs) were in attendance being supervised by ten staff with the correct child/teacher ratio in each classroom. Administrative records, children's classrooms, restrooms, sanctuary, outdoor playground, and common areas were inspected. See attached notice for violations found during this inspection. If you have any questions regarding this inspection, please contact the licensing inspector at (804) 662-9771.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on the inspection of administrative records, the required central registry background checks were not obtained. Evidence: During the inspection of five staff records and interview with the director, it was discovered there were no staff that have completed the required central registry background checks. The central registry background checks should have been completed on each staff employed by the center on the 30th day of employment.

Plan of Correction: Per director: We will mail them off immediately.

Standard #: 63.2(17)-1716-A
Description: Based on the visual inspection of the facility and administrative records, the required written Code of Compliance Statement was not provided to parents. Evidence: During the visual inspection of the facility and review of administrative records, the following written Code of Compliance Statement was not provided or available to parents: 1. Written notice to parents or guardians of staff qualifications.

Plan of Correction: Corrected on site.

Standard #: 63.2(17)-1716-A-6
Description: Based on the visual inspection of the facility and administrative records, the required written Code of Compliance Statement was not provided to parents. Evidence: During the visual inspection of the facility and review of administrative records, the following written Code of Compliance Statement was not provided or available to parents: 1. Written statement provided to parents or guardians and made available to the general public regarding health requirements for staff.

Plan of Correction: Corrected on site.

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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