VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Good Hope Baptist Church
2930 Beautiful Run Road
Radiant, VA 22732
(540) 661-0300

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 12, 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 11/12/19 from 10:20 am until 1:20 pm at Good Hope Church to review the religious exempt requirements. At the time of the inspection 24 children were present with four staff. The sample size consisted of five children's records and four staff's records. Children and staff were observed during snack, free indoor play, educational and artistic activities, singing, hand washing, bathroom break, lunch, transitions and behavioral guidance. 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 for further assistance.

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. The records of four staff were reviewed. No staff record contained a sworn statement and staff 2 and staff 3 did not have documentation of a completed central registry check (CPS). The first dates of employment for the staff are as follows: staff 1 9/14 staff 2 9/14 staff 3 9/4/19 staff 4 10/19 2. The director verified they do not have sworn statements for any of the staff and they have not required staff 3 to obtain a CPS check. Staff 2 has completed a CPS check but the documentation could not be found.
Plan of Correction:	All staff will be required to complete a sworn statement. Staff 2 and staff 3 will be required to complete the paperwork for the CPS within five days to be mailed within 10 days. In the future all new staff will be required to complete a sworn statement and the documentation for a CPS check at application. The CPS check 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:	A statement will be posted stating the center is exempt from licensure.
Standard #:	63.2(17)-1716-A-4
Description:	Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date and updated every year. Evidence: 1. The records of the four staff were reviewed. Staff 4's start date was 10/19. There is no documentation of a staff health report in the staff record. 2. The director verified they do not have a staff health report for staff 4.
Plan of Correction:	Staff 4 will be required to obtain a staff health report as soon as an appointment can be scheduled. In the future no staff will start working for the center until a staff health report is received.
Standard #:	63.2(17)-1716-A-6
Description:	Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the physical facilities, enrollment capacity, food services, health requirements of staff and public liability insurance. Evidence: 1. The parent handbook was reviewed. The required information was not found in the parent handbook. 2. The director verified they do not give parents this information in writing.
Plan of Correction:	Information regarding the physical facilities, enrollment capacity, food services, health requirements of staff and public liability insurance will be added to the parent handbook and provided to the parents of children currently in care and all future parents of children in care.
Standard #:	63.2(17)-1716-B-3
Description:	Based on 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: The director stated no staff have received training in daily health screening. The center does have a procedure for exclusion of sick children.
Plan of Correction:	Staff will be trained in daily health screening.
Standard #:	63.2(17)-1716-B-6
Description:	Based on interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1. Staff 3 stated she received training in recognizing child abuse and neglect while working for a previous employer. 2. The director stated they do not require training in recognizing child abuse and neglect for center staff.
Plan of Correction:	All staff will be required to complete training in recognizing child abuse and neglect. In the future all new staff will be required to complete training in recognizing child abuse and neglect prior to working with children.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review and interview, the center failed to obtain repeat background checks every five years. Evidence: 1. The records for four staff were reviewed. The central registry background check (CPS) for staff 1 was dated 9/11/14. 2. The director verified the CPS dated 9/11/14 is the most current CPS for staff 1.
Plan of Correction:	Staff 1 will be required to complete the paperwork for a CPS background check within five days to be mailed within 10 days. A system will be implemented to ensure all background checks will be updated every five years.
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. Evidence: 1. The records for four staff were reviewed. Staff 4's start date was 10/19. There was no fingerprint-based criminal history check determination letter in staff 4's record. 2. The director verified staff 4 has not obtained a fingerprint-based criminal history check.
Plan of Correction:	Staff 4 will schedule an appointment for a fingerprint-based criminal history check within 10 days. In the future all potential staff will be required to provide a fingerprint-based criminal history check determination letter prior to hire.