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Woodstock United Methodist Church
156 South Muhlenberg Street
Woodstock, VA 22664
(540) 459-4657

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: June 18, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures

Comments:
This unannounced monitoring inspection was conducted on 6/18/19 from 9:45 am until 12:30 pm to review the religious exempt requirements. At the time of the inspection 46 children were present with eleven staff. The sample size consisted of five staff's records and five children's records. Children and staff were observed during outdoor free play, water play, bathroom break, arrival, hand washing, diaper changing, lunch, transitions and behavioral management. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing inspector at (540) 292-5933 for further assistance.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on record review and interview, the center failed to ensure a search of central registry is completed within 30 days of employment. Evidence: 1. The records for five staff were reviewed. The records for the following four staff did not contain documentation of a search of central registry being completed: staff 1 (start date 9/1/90), staff 2 (start date 8/25/14), staff 4 (start date 5/9/15), and staff 5 (start date 1/26/16). 2. The director stated they just realized they needed to do a search of central registry and are in the process of having all staff complete the documentation to be mailed.

Plan of Correction: All staff have already been given central registry documents to complete and they will be mailed within five days.

Standard #: 63.2(17)-1716-A
Description: Based on interview, the center failed to provide a written disclosure to parents and guardians of the children in the center advising the center is exempt from licensure and the qualifications of personnel.

Evidence:

1. The parent handbook was reviewed. The documentation did not contain information regarding the facility being exempt from licensure and qualifications of personnel.
2. The director stated they do not have this information in writing for the parents but the parents are verbally advised.

Plan of Correction: The parent handbook will be updated to include this information.

Standard #: 63.2(17)-1716-A-6
Description: Based on interview, the center failed to provide a written statement to parents and guardians of the children in the center and make available to the general public information regarding the physical facilities, enrollment capacity, health requirements of staff and public liability insurance. Evidence: 1. The parent handbook was reviewed. The documentation did not contain information regarding the physical facilities, enrollment capacity, health requirements of staff and public liability insurance. 2. The director stated they do not have this information in writing for the parents but the parents are verbally advised.

Plan of Correction: The parent handbook will be updated to include this information.

Standard #: 63.2(17)-1716-B-7
Description: Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect.

Evidence:

1. Out of five staff records reviewed one contained documentation of a staff member completing training in recognizing child abuse and neglect. No written policies contained information regarding staff obtaining training in recognizing child abuse and neglect.
2. The director stated staff may obtain training during workshops through out the year but they do not have a policy of training staff in recognizing child abuse and neglect.

Plan of Correction: All current staff that have not completed training in recognizing child abuse and neglect will be required to complete the training. All future staff will be required to complete training in recognizing child abuse and neglect as part of new staff orientation.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review and interview, the center failed to complete a sworn statement and obtain a criminal background check every five years effective 9/1/17. Evidence: 1. The record for staff 1 was reviewed. The most current sworn statement in the file is dated 11/14/13. 2. The record for staff 3 was reviewed. The most current central registry is dated 8/11/05. 3. The director and administrator verified they do not have a more current sworn statement for staff 1 and central registry for staff 3.

Plan of Correction: Staff 1 will complete a sworn statement to be added to the file. Staff 3 will complete the documentation for a central registry and the document will be mailed within five days.

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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