VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Raleigh Court Presbyterian Church
1837 Grandin Road, SW
Roanoke, VA 24015
(540) 343-5541 (109)

VDSS Contact: James R Basham (804) 588-2370

Inspection Date: Sept. 23, 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.

Comments:

The Licensing Inspector for Raleigh Court Presbyterian Church day care conducted an unannounced RECDC Monitor Inspection on Monday, September 23, 2019. Licensing Inspector arrived & started inspection at 10:50 AM and concluded at 2:25 PM. There were a total of seventy-four (74) children ages 12 months-5 years present under the direct care and guidance of eighteen (18) staff members. Information for all staff members was reviewed. Areas of non-compliance and the risk assessment for each violation found during today?s inspection were reviewed with the Center Director during the exit interview on September 23, 2019. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:

Standard #:	22VAC40-191-40-D-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 Sworn Disclosure Background Check before employment/commencement of service and Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for twenty-six (26) staff members. Information for Staff #8, 16, 17 and 21 did not include evidence of a completed Sworn Disclosure Information for all staff (1-26) did not include evidence of completed Central Registry (CPS) Background Check.
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/23/2019)
Standard #:	63.2(17)-1716-A
Description:	Based on inspection, the Center failed to post the fact that it is exempt from licensure in a visible location on the premises. EVIDENCE: Required letter of exemption was not posted in a visible location on the premises.
Plan of Correction:	Director will post Letter of Exempt in the entrance area of the day care.
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 twenty-six (26) staff members. Evidence of Staff Health Report was unavailable for Staff #16, 17, 18, 19, 20, 21, 22, 23, 24 and 25.
Plan of Correction:	Staff will complete health examination. Documentation of the findings will be maintained in each staff record.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on inspection, the Center failed to ensure each staff member submit to Fingerprinting Background Check before employment. EVIDENCE: Licensing Inspector reviewed Background Check information for twenty-six (26) staff members. Documentation of a completed Fingerprint Background Check for Staff #9, 11,13,23,24,25 and 26 was unavailable.
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/23/2019)
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on review of staff information, the Center failed to request/obtain a copy of the results of a search of the central registry and any child abuse and neglect registry or equivalent registry maintained by any other state in which the staff member has resided in the preceding 5 years. EVIDENCE: Licensing Inspector reviewed background check information for twenty-six (26) staff members. Information for Staff #22 did not include out-of-state Child Protective Services background check for the State of Iowa.
Plan of Correction:	The provider will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (9/23/2019)