VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Fort Lewis Baptist Church
4215 West Main Street
Salem, VA 24153
(540) 380-2721

VDSS Contact: Susan Mallory (276) 608-4267

Inspection Date: July 24, 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 63.2 Facilities & Programs.

Technical Assistance:

Provide required written information to parents for both pre-school and afterschool parents.

Comments:

The Licensing Inspector for Fort Lewis Baptist conducted an unannounced RECDC Monitor Inspection on Wednesday, July 24, 2019. Licensing Inspector arrived & started inspection at 11:10 am and concluded at 1:30 pm. Upon arrival, Licensing Inspector observed a total of thirty-nine (39) children ages 4-10 years old, seven (7) staff members and the Center Director present. Information for 5 enrolled children & 5 staff members were reviewed during today?s inspection. LI Anderson conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director on July 24, 2019. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-191-40-C-2
Description:	Based on review of staff information, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled in a religious exempt child day center has completed Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for five (5) staff members. Information for Staff #2, Staff #4 and Staff #5, did not include evidence of completed Central Registry (CPS) Background Check. Information for Staff #4 did not include evidence of a completed Sworn Disclosure. Date of hire for each staff member was not documented.
Plan of Correction:	The Center must send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date 7/24/2019
Standard #:	63.2(17)-1716-A-4
Description:	Based on review of staff information, the Center failed to ensure each employee has been certified by a practicing physician to be free from any disability which would prevent him from caring for children under his supervision. EVIDENCE: Licensing Inspector reviewed health information for five (5) staff members. Staff #4 did not have documentation of a health examination.
Plan of Correction:	Staff member will complete physical examination. Documentation of results will be maintained on file.
Standard #:	63.2(17)-1716-B-5
Description:	Based on inspection & discussion with the Center Director, the Center failed to ensure all children in the center are in compliance with the regulations regarding the immunization of children against certain diseases. EVIDENCE: Licensing Inspector requested immunization information for five (5) enrolled children. 3 out of the 5 children (Child #3, #4 and #5) did not have information regarding immunizations against certain diseases.
Plan of Correction:	Director will request information from children's parents.
Standard #:	63.2(17)-1720.1-A
Description:	Based on review of staff information, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled in a religious exempt child day center undergo Background Checks (Sworn Disclosure, Fingerprint and Child Protective Services) prior to employment and every five years thereafter. EVIDENCE: Licensing Inspector information for five (5) staff members. Sworn Disclosure Background Check has not been updated for Staff #1. Staff #1 last completed sworn disclosure on 2/15/1999. Child Protective Services Background Check has not been updated for Staff #1 and Staff #3. Staff #1 last completed cps on 10/06/2000 and Staff #3 last completed cps on 4/12/2013.
Plan of Correction:	The provider must send documentation to the LI that the background checks have been requested no later than 10 days following this notification date 7/24/2019.