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St. Paul's Episcopal Church
42 East Main Street
Salem, VA 24153
(540) 389-4087

VDSS Contact: Susan Mallory (276) 608-4267

Inspection Date: March 2, 2020

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 St. Paul Episcopal Day School an announced RECDC Monitor Inspection on March 2, 2020. Licensing Inspector arrived & started inspection at 9:55 AM. There were a total of forty-four (44) children ages 23 months ? 6 years old under the direct care & supervision of seven (7) staff members. The Center Director was also present during today?s inspection. The Licensing Inspector reviewed information for seven (7) staff members. Center does not administer medication however several staff members have current certification in Medication Administration (MAT). Center provides transportation only for scheduled field trips. Violations found during today?s inspection are identified on the violation notice. Licensing Inspector conducted an exit interview along with reviewing the Risk Assessment and the areas of non-compliance with the Center Director on March 2, 2020. Inspection concluded at 11:30 AM. 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 a Central Registry Background Check within 30 days of employment or commencement of service.

EVIDENCE:
Licensing Inspector information for seven (7) staff members. Information for Staff #4 did not include evidence of completed Central Registry (CPS) Background Check.

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.

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 seven (7) staff members. Evidence of Staff Health Report was unavailable for Staff #4.

Plan of Correction: Staff member will complete a physical exam. Documentation of the results will be maintained on file at the center. Director will submit documentation of completion to the Licensing Inspector.

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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