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Orchard Hills Church
6032 Cloverdale Road
Roanoke, VA 24019
(540) 977-6800

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

Inspection Date: Oct. 24, 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 Orchard Hills Achievement Center conducted an unannounced RECDC Monitor Inspection on Thursday, October 24, 2019. Licensing Inspector arrived & started inspection at 2:10 PM and concluded at 4:00 PM. Upon arrival there were no children or staff members present. Forty-six (46) children ages 5-11 years old arrived during the inspection for the afterschool homework assistance program. Children were under the supervision of seven (7) staff & volunteers. The required adult-to-child ratios were met in each group of children. Licensing Inspector reviewed information for twelve (12) staff and volunteers. Areas of non-compliance and found during today?s inspection along with the risk assessment were reviewed with the Center Director on 10/24/2019. 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 Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for twelve (12) staff members. Information for Staff/Volunteer #8 and #12 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 (10/24/2019)

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 twelve (12) staff and volunteers. Evidence of Staff Health Report was unavailable for staff/volunteer # 8, #9, #10, #11, and #12.

Plan of Correction: Each person will complete a health exam. Documentation of the results will be maintained on file.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on record review, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled has submitted documentation of completed Fingerprint Background Check before employment/commencement of service. EVIDENCE: Licensing Inspector reviewed information for twelve (12) staff and volunteers. Information for Staff #12 did not include evidence of completed fingerprinting 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 (10/24/2019)

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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