VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Winchester Grace Brethren Church
143 Greenwood Road
Winchester, VA 22602
(540) 662-6360

VDSS Contact: Stephanie Reed (540) 272-6558

Inspection Date: Aug. 6, 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:

An unannounced monitoring inspection was conducted on 8/6/19 from 11:00 am until 1:15 pm to review the religious exempt requirements. At the time of the inspection six children ranging in age from three to eight were present with one teacher. The sample size consisted of five children's records and one staff's record. Children and staff were observed during coloring, clean-up, hand washing, lunch, working puzzles, watching a movie, nap, transition and behavioral management. The parent handbook and center's policies were reviewed. 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 all staff completed a central registry record check within 30 days of employment. Evidence: 1. The record for staff 1 was reviewed. Staff 1's record did not contain a search of central registry record check. Staff 1 has been employed since 8/15. 2. Staff 2 stated they have never completed search of central registry record check for staff.
Plan of Correction:	All current staff will be required to complete and have notarized the paperwork for search of central registry record check and turn them in within five days to be mailed.
Standard #:	63.2(17)-1716-A
Description:	Based on interview, the center failed to disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and has posted the fact that it is exempt from licensure in a visible location on the premises and the qualifications of the personnel. Evidence: 1. The packet provided to parents when children enroll did not contain information regarding the center's exempt status and the qualifications of the personnel. 2. No posting was found stating the center is exempt from licensure. 3. Staff 1 verified this is the only information provided to parents and they do not have a notice posted informing the program is exempt from licensure.
Plan of Correction:	The parent handbook will be updated to include the disclosure completed with the annual paperwork and a notice will be posted.
Standard #:	63.2(17)-1716-A-3
Description:	Based on interview, the center failed to ensure in each grouping of children, at least one adult staff member shall be regularly present. Evidence: 1. At the time of the inspection six children were present. Two children were three and one was four. The ratio for this age group is 1 staff to 10 children. The remaining three children are six, seven and eight. The ratio for this age group is 1 staff to 20 children. There was only one staff with the six children. 2. Staff 2 stated they are working on getting staff qualified to cover ratio.
Plan of Correction:	A second staff member will be added once they meet all the requirements.
Standard #:	63.2(17)-1716-A-6
Description:	Based on interview, the center failed to provide a written disclosure to parents and guardians of the children in the center advising information regarding the physical facilities, enrollment capacity, health requirements for staff, and public liability insurance. Evidence: 1. The packet provided to parents when children enroll did not contain information regarding the physical facilities, enrollment capacity, health requirements for staff, and public liability insurance. 2. Staff 1 verified this is the only information provided to parents.
Plan of Correction:	The disclosure statement completed with the annual paperwork will be added to the parent handbook.
Standard #:	63.2(17)-1716-B-3
Description:	Based on record review and interview, the center failed to establish and implement procedures to ensure that a daily simple health screening and exclusion of sick children was completed by a person trained to perform such screenings. Evidence: 1. The written staff requirements and policies were reviewed. The center has a policy on exclusion of sick children but does not have a policy on daily simple health screening or training staff in daily simple health screening. 2. Staff 1 stated she has not completed training in daily simple health screening and is unaware of a policy regarding daily simple health screening. Staff 1 stated she had been alone with all the children in care since they opened this morning.
Plan of Correction:	One staff person will be required to complete the online class on daily health screening and will train the remaining staff making all staff responsible for completing daily simple health screenings each day. All new staff will be trained within the first 30 days of employment. There will always be at least one trained staff member present to conduct daily simple health screenings.
Standard #:	63.2(17)-1716-B-5
Description:	Based on observation, the center failed to implement procedures to ensure that all areas of the premises accessible to children are free of obvious injury hazards including providing and maintaining sand or other cushioning material under playground equipment. Evidence: The two green slides on the playground have no cushioning material at the end of the slides.
Plan of Correction:	Mulch will be added to the end of the two green slides. In the future all teachers will be instructed to advise the pastor if cushioning material is needed on the playground.
Standard #:	63.2(17)-1716-B-6
Description:	Based on 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. Staff 2 stated they do not have a procedure to ensure all staff are able to recognize signs of child abuse and neglect. 2. Staff 1 stated she completed training on recognizing the signs of child abuse and neglect but not as part of a job requirement or through the center.
Plan of Correction:	All staff will be required to complete training in recognizing signs of child abuse and neglect prior to working with children in the future.