VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Leakes Chapel Church of the Brethren
2334 Honeyville Road
Stanley, VA 22851
(540) 778-3008

VDSS Contact: Stephanie Reed (540) 272-6558

Inspection Date: Nov. 14, 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 11/14/19 from 10:10 am until 12:30 pm at Leakes Chapel Church of the Brethren to review the religious exempt requirements. At the time of the inspection 9 children were present with two staff. The sample size consisted of five children's records and three staff's records. Children and staff were observed during free indoor play, story time, hand washing, bathroom break, snack, pick-up, transitions and behavioral management. 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: The center does not have staff records. Staff 1 stated they do not have documentation of sworn statements or central registry checks for the three staff. She is unsure if they had been completed. Staff 3 stated she had never completed a sworn statement or central registry check. The start dates for the three staff are as follows: Staff 1 8/12 Staff 2 1/14 Staff 3 9/4/19.
Plan of Correction:	Staff will be required to complete a sworn statement and documentation for a central registry check within five days to be mailed within 10. In the future sworn statements will be required and paperwork for a central registry will be completed upon application. The central registry will be mailed upon hire.
Standard #:	63.2(17)-1716-A
Description:	Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the qualifications of personnel and 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 parent handbook was reviewed. The handbook did not contain information regarding the qualifications of personnel. 3. The lead teacher verified they do not have the fact the center is exempt from licensure posted. 4. The lead teacher verified information regarding the qualifications of personnel is not provided to parents in writing.
Plan of Correction:	The parent handbook will be updated to include information regarding the qualifications of personnel. Parents of children currently in care will be given the additional information in writing and all future parents of children in care will be provided the updated parent handbook. The exemption letter will be posted in a location for parents and the public to see.
Standard #:	63.2(17)-1716-A-5-a
Description:	Based on interview, the center failed to comply with the exemption status regarding age range. Evidence: 1. The exemption paperwork received from the facility on 9/5/19 states the age range for children in care is ages three through four. 2. The director stated the youngest child in care the day of the inspection was two. The oldest child that will be in care this school year will be five.
Plan of Correction:	A modification for the exemption will be requested.
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 handbook did not contain information regarding the physical facilities, enrollment capacity, food services, health requirements of staff and public liability insurance. 2. The lead teacher verified the information is not provided to parents in writing.
Plan of Correction:	The parent handbook will be updated to include information regarding the physical facilities, enrollment capacity, food services, health requirements of staff and public liability insurance. Parents of children currently in care will be given the additional information in writing and all future parents of children in care will be provided the updated parent handbook.
Standard #:	63.2(17)-1716-A-8
Description:	Based on record review and interview, the center failed to ensure a person trained and certified in first aid will be present at the child day center whenever children are present. Evidence: Staff 1 could not provide documentation of staff completing first aid training.
Plan of Correction:	At least one staff member will be trained in first aid.
Standard #:	63.2(17)-1716-B-2
Description:	Based on observation, the center failed to establish and implement a procedure for appropriate supervision of all children in care. Evidence: The center consists of two rooms with a short hallway and bathroom between the two rooms. The ages of the children in care during the inspection were two through three. Four separate times children were seen alone in a room from one to 10 minutes before staff checked on them. The children freely walked between the classrooms with the two teachers together in one of the rooms.
Plan of Correction:	A gate will be put up between the classrooms to prevent children from going back and forth unless a teacher is in each classroom.
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: The center does not have staff records. Staff 1 stated she received training prior to working at this center. Staff 2 stated she has never completed training in recognizing signs of child abuse and neglect. They do not believe staff 3 has completed the training. The center does not require staff to obtain training in recognizing child abuse and neglect.
Plan of Correction:	All staff will be required to obtain training in recognizing signs of abuse and neglect. In the future new staff will be required to complete training in recognizing signs of abuse and neglect prior to working with children.
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 and by 9/30/18 for staff hired prior to 1/22/18. Evidence: The center does not have staff records. The lead teacher stated none of the three staff have ever completed fingerprint-based criminal history checks. The start dates for the three staff are as follows: Staff 1 8/12 Staff 2 1/14 Staff 3 9/4/19
Plan of Correction:	All staff will be required to obtain fingerprint-based criminal background checks by 11/21/19. In the future no staff will be hired until fingerprint-based criminal background check determination letters are obtained.