VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tinkling Spring Presbyterian Church
30 Tinkling Spring Drive
Fishersville, VA 22939
(540) 886-7974

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Sept. 16, 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 9/16/19 from 9:40 am until 12:10 pm at Tinkling Spring Presbyterian Church to review the religious exempt requirements. At the time of the inspection 26 children were present with five staff. The sample size consisted of seven staff's records and five children's records. Children and staff were observed during free indoor play, snack, bathroom break, hand washing, transitions and behavioral guidance. 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) 848-4123 for further assistance.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: 1. Seven staff records were reviewed. None of the staff had documentation of completing central registry record checks. 2. Staff 2's start date was 11/7/18 and there is no sworn statement in the record. Staff 6's start date was in 2019 and there is no sworn statement in the record. Staff 7's start date was 7/30/19 and there is no sworn statement in the record. 3. The director verified they do not complete central registry background checks and they are missing sworn statements for staff 2, staff 6 and staff 7.
Plan of Correction:	The three staff will be required to complete the sworn statements and all new staff will be required to complete sworn statements at hire. All staff will be required to complete the paperwork for a central registry check to be mailed within five days. All future staff will be required to complete the paperwork to be mailed upon hire.
Standard #:	63.2(17)-1716-A
Description:	Based on observations and interview, the center failed to post the fact that the center is exempt from licensure in a visible location on the premises. Evidence: 1. A tour of the facility was conducted. No posting of the center's exemption status was found. 2. The director verified they do not have the fact the center is exempt from licensure posted.
Plan of Correction:	A statement will be posted stating the center is exempt from licensure.
Standard #:	63.2(17)-1716-A-4
Description:	Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to the start of employment and updated every year. Evidence: 1. The records of seven staff were reviewed. Staff 2's health form was dated 6/21/18. Staff 5's health form was dated 8/23/18. Staff 7's start date was 7/30/19 and the health form was dated 8/9/19. 2. The director verified the dates of the staff health forms.
Plan of Correction:	In the future staff health forms will be obtained from all newly hired staff prior to the first date of employment and existing staff yearly.
Standard #:	63.2(17)-1716-A-6
Description:	Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the health requirements of staff and public liability insurance status of the center. Evidence: 1. The parent handbook was reviewed. The handbook did not contain information regarding the health requirements of staff and the public liability of the center. 2. The director verified this information is not provided to parents in writing.
Plan of Correction:	This information will be added to the parent handbook. An addendum will be forwarded to the parents of the children currently enrolled.
Standard #:	63.2(17)-1716-B-3
Description:	Based on record review and interview, the center failed to establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is completed daily. Evidence: The director stated they do not have a procedure and staff have not been trained in daily health screening.
Plan of Correction:	The director will take the class, develop a procedure and train staff on the daily health screening and the new procedure.
Standard #:	63.2(17)-1716-B-5
Description:	Based on observation and interview, the center failed to implement a policy to ensure the center stays free of obvious injury hazards. Evidence: 1. In the older children's classroom Lysol disinfectant spray and Clorox wipes were on a low open shelf accessible to children. 2. The director stated the procedure is for hazardous substances to be out of reach of children.
Plan of Correction:	The Lysol and Clorox will be moved. All staff will be retrained to ensure all hazardous substances are out of reach of children. The director will conduct spot checks to ensure the procedure is being followed.
Standard #:	63.2(17)-1716-B-6
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. A review of the seven staff records were reviewed. There was no documentation of staff receiving training in recognizing child abuse and neglect. 2. The director stated they do not require staff to complete training in recognizing child abuse and neglect.
Plan of Correction:	The director will complete the training on recognizing child abuse and neglect and then will train all current staff. In the future all staff will be trained on recognizing child abuse and neglect upon hire.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment for staff hired after 1/22/18. Evidence: 1. Seven staff records were reviewed. Staff 7's start date was 7/30/19. Staff 7's record did not contain a fingerprint-based criminal history check determination letter. 2. The director verified staff 7 has not completed a fingerprint-based criminal history check.
Plan of Correction:	Staff 7 will schedule an appointment to complete a fingerprint-based criminal history check within five days. In the future all potential staff will be required to obtain fingerprint-based criminal history check determination letters prior to hire.