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West Main Baptist Church
450 West Main Street
Danville, VA 24541
(434) 792-5960

VDSS Contact: Tara K Martin (804) 588-2371

Inspection Date: Nov. 6, 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 West Main Baptist Church pre-school program conducted an unannounced RECDC Monitor Inspection on Wednesday, November 6, 2019. Licensing Inspector arrived & started inspection at 10:15 AM and concluded at 12:50 PM. There were thirty-four (34) children ages 2-4 years old & seven (7) staff members present during today?s inspection. Licensing Inspector reviewed information for nine (9) staff members. The Licensing Inspector conducted an exit interview with the Center Director which included a review of the areas of non-compliance and the risk assessment on 11/06/2019. 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 nine (9) staff members. Information for Staff #1, #2, #3, #4, #5, #7, #8 and #9, did not include evidence of completed Central Registry (CPS) Background Check. Information for Staff #1, #2, #5, #6 and #9 did not include evidence of a completed Sworn Disclosure.

Plan of Correction: The program will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (11/06/2019).

Standard #: 63.2(17)-1716-A
Description: Based on inspection, the Center failed to disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure. EVIDENCE: Required written disclosure of exemption status has not been provided to the parents or guardians of the children in the center.

Plan of Correction: Center Director will include exemption status in the parent handbook

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 nine (9) staff members. Evidence of current Staff Health Report was unavailable for Staff #2, #4, #5 and #8.

Plan of Correction: Staff will complete a health exam from a physician. Upon completion, documentation of the findings will be maintained on file.

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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