VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Westover Baptist Church
1125 Patrick Henry Drive
Arlington, VA 22205
(703) 538-2724

VDSS Contact: Jessica Willis (571) 352-1453

Inspection Date: Nov. 4, 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. 22VAC40-665 INTRODUCTION 22VAC40-665 ADMINISTRATION 22VAC40-665 STAFF QUALIFICATIONS & TRAINING 22VAC40-665 PHYSICAL PLANT 22VAC40-665 STAFFING & SUPERVISION 22VAC40-665 PROGAMS 22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES 22VAC40-665 SPECIAL SERVICES

Technical Assistance:

DSS website lists MAT trainers and only EMAT is required for Epipen administration. Also, Background clearances need to be repeated within 5 years. All Staff must have finger print checks complete before employment and staff who have lived outside of Virginia in the last five years, require the program obtain central registry checks in that state of residence as well.

Comments:

An unannounced inspection was conducted from 830- 10:00. The program had 43 children present today and each group had 2 staff present in each group. The classrooms were all checked and programs were observed as well. The Program's files were also maintained and the Inspector had access to review children's and staff files. Medication procedures and authorizations were also reviewed. Please call with questions 703-479-4679

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review of staff files, it was determined the program did not obtain a Sworn Disclosure Statement before employment and a Central Registry Search within 30 days of employment for a staff member. Evidence: 1. Staff #7 started employment in September. The file did not contain a completed Sworn Disclosure Statement and a Central Registry search. 2. Staff stated it had not been completed at this time.
Plan of Correction:	We will have the forms completed and will also review all files to ensure all staff files are up to date and complete.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review and staff interviews. it was determined the program had not obtained repeat Background Clearances for staff within 5 years since the last checks were conducted. Evidence: 1. Staff #5 had a Central Registry Search last completed October 14, 2014. 2. Staff 1, 2, 3, 4, and 5 had signed Sworn Disclosure Statements but were completed over 5 years ago. 3. Director stated she started leading the program this year and was not aware updates were required every 5 years.
Plan of Correction:	I will review all files to make sure all staff have current Sworn Disclosure statements and CPS checks and have the staff resubmit current forms.