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New Life Community Church
509 E. Main Street
Louisa, VA 23093
(540) 967-4847

VDSS Contact: Kelly Adriazola (804) 840-8245

Inspection Date: Sept. 30, 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 9/30/19 from 10:20 am until 12:15 pm at New Life Community Church to review the religious exempt requirements. At the time of the inspection fourteen children were present with four staff. The sample size consisted of five children's records and six staff's records. Children and staff were observed during free play, educational lessons, bathroom break, snack, pick-up, transitions and behavioral management. 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.

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. Six staff's records were reviewed.
Staff 1's start date was in 7/19. There is no central registry check in the file.
Staff 2's start date was in 7/19. There is no central registry check in the file.
Staff 3's start date was 7/1/19 and the sworn statement is dated 7/12/19 and there is no central registry check in the file.
Staff 6's start date was 8/18 as a substitute and 8/19 as a teacher. There is no central registry check in the file.
2. The director verified the dates are correct and the four staff do not have a central registry check.

Plan of Correction: All four staff have completed the paperwork for central registry but have not had them notarized. Each staff will be required to get the documents notarized and turned in to be mailed within five days. In the future sworn statements will be completed upon hire and central registry checks will 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: The exemption status will be posted for parents to see.

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 conducted daily.

Evidence:

1. The center has a written exclusion policy but does not have a policy regarding a daily health screening being completed by trained staff.
2. The director verified they do not have a trained staff that conducts a daily health screening.

Plan of Correction: At least one staff member will be trained in daily health screening and will conduct the screening upon children's arrival each day.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review and interview, the center failed to obtain repeat background checks (sworn statement, central registry check and fingerprint based background checks) every five years.

Evidence:

1. The records of six staff were reviewed. Staff 5's most current sworn statement is dated 6/14/10.
2. The director verified the date of the sworn statement.

.

Plan of Correction: A system will be put into place to ensure all background checks are updated every five years. Staff 5 will be required to complete an updated sworn statement within five days.

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 and by 9/30/18 for staff hired prior to 1/22/18.

Evidence:

1. The records of six staff were reviewed.
Staff 2's start date was in 7/19. The fingerprint results are dated 8/5/19.
Staff 3's start date was 7/1/19. The fingerprint results are dated 7/26/19.
2. The director verified the dates.

Plan of Correction: In the future all staff will be required to obtain fingerprint-based criminal history check determination letters prior to the first day of employment.

Standard #: 63.2(17)-1720.1-B-3
Description: Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her by the end of the 30th day of employment.

Evidence:

1. Six staff records were reviewed. The record for staff 1 has a start date of 7/19 and documents staff 1 lived in LA within the last five years. The record for staff 6 has a start date of 8/18 and documents staff 6 lived in AR within the last five years. Neither staff file contains documentation of a search of child abuse and neglect registry or equivalent registry maintained by the other state.
2. The director verified a search of child abuse and neglect registry or equivalent registry was not completed by the other state.

Plan of Correction: The search of child abuse and neglect registry or equivalent registry maintained by the other states will be completed for staff 1 and 6. In the future if staff indicate they lived in another state within the last five years a search of child abuse and neglect registry or equivalent registry will be completed by the other state.

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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