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Reformation Lutheran Church
13100 Warwick Boulevard
Newport news, VA 23602
(757) 249-0374

VDSS Contact: Christine Mahan (757) 404-0568

Inspection Date: Aug. 13, 2019

Complaint Related: No

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

Comments:
An unannounced monitoring inspection was conducted on August 13, 2019 from approximately 8:45am-1:05pm. Upon arrival to the facility there were 40 children present with 10 staff members. The children ranged in age from Infants to Five Years old. Additional staff were on site for administrative and support purposes. The children were observed in six classrooms doing tabletop activities, having snack, playing in centers, listening to storytime and playing freely. The children also utilized the Chapel. The outdoor playground area and one center vehicle used for transporting children was inspected. A group of children were observed boarding the van before being transported to the Virginia Living Museum for a field trip. Five staff records were reviewed and six children's records were reviewed.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on record review, in three of five staff records reviewed, the center did not ensure that staff have a search of the Central Registry within 30 days of employment. Evidence: The Director confirmed that there were no results of a search of the Central Registry for the following staff members: Staff #1-date of hire 9/19/18 Staff #2-date of hire 4/16/18 Staff #3-date of hire 4/23/19

Plan of Correction: Director will submit for results following today's visit.

Standard #: 63.2(17)-1716-A-6
Description: Based on inspection of the facility, the center had not described all required aspects of the child day center's operations in a written statement to the parents or guardians of the children in the center and made available to the general public. Evidence: The Director confirmed that the health requirements for staff, physical facilities and public liability insurance had not been provided in writing to the parents/guardians and made available to the general public.

Plan of Correction: Director will update the handbook to include the required information.

Standard #: 63.2(17)-1716-B-7
Description: Based on inspection of the facility, the center had not established and implemented procedures to ensure that reports of serious injury or death were adhered to. Evidence: The Director confirmed that the center had not established and implemented procedures to ensure that all incidents involving serious physical injury to or death of children attending the child day center are reported to the Commissioner; that reports of serious physical injuries, which shall include any physical injuries that require an emergency referral to an offsite health care professional or treatment in a hospital, shall be submitted annually and ;reports of deaths shall be submitted no later than one business day after the death occurred.

Plan of Correction: Director will train staff on serious injury and death reporting procedures.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review, in two of five staff records reviewed, the center did not ensure that employees shall undergo a background check prior to employment and every five years thereafter. Evidence: The Director confirmed that the Central Registry findings and/or the Sworn Statement for the following staff members were more than five years old: Staff #4-(date of hire 11/05/12) Central Registry results dated 1/23/13 Staff #5-(date of hire 1998) Central Registry results dated 9/14/99 and Sworn Statement dated 9/3/98

Plan of Correction: Director will submit for results following today's visit. The Director will ensure that the staff submit an updated sworn statement upon arrival.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, in one of five staff records reviewed, the center did not ensure that staff submit to fingerprinting and obtain results prior to employment. Evidence: The Director confirmed that the hire date for Staff #2 as indicated in the record was 4/16/18 and the fingerprint results were dated 4/18/18.

Plan of Correction: Director will ensure fingerprint results are in prior to hire.

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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