VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Tree of Life Ministries
2812 Greenview Drive
Lynchburg, VA 24502
(434) 455-0294

VDSS Contact: Kelly Campbell (540) 309-2494

Inspection Date: Oct. 31, 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 Tree of Life Ministries conducted an unannounced RECDC Monitor Inspection on Thursday, October 31, 2019. Licensing Inspector arrived & started inspection at 12:30 PM and concluded at 3:30 PM. There were one hundred and seven (107) children ages 6 month-5 year olds under the direct care and supervision of sixteen (16) staff members. Licensing Inspector reviewed information for twenty-one (21) staff members. Areas of non-compliance and found during today?s inspection along with the risk assessment were reviewed with the Center Director on 10/31/2019. 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-one (21) staff members. Information for Staff #3 did not include evidence of completed Central Registry (CPS) Background Check.
Plan of Correction:	The center will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/31/2019).
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 twenty-one (21) staff members. Evidence of Staff Health Report was unavailable for Staff #13 and #16.
Plan of Correction:	Staff members will complete physical examination with physician. Upon completion, documentation of the results will be maintained on file.
Standard #:	63.2(17)-1720.1-A
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 undergo Background Checks (Sworn Disclosure, Fingerprint and Child Protective Services) prior to employment and every five years thereafter. EVIDENCE: Licensing Inspector information for twenty-one (21)staff members. Child Protective Services Background Check has not been updated for Staff #1. Staff #1 last completed cps on 7/06/2004).
Plan of Correction:	The center will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/31/2019).
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-one (21) staff members. Information for Staff #8 did not include out-of-state Child Protective Services background check for the State of New York.
Plan of Correction:	The center will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/31/2019).