VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Zion United Methodist Church
1674 Zion Road
Troy, VA 22974
(434) 459-1913

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: March 11, 2020

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 3/10/20 from 10:05 am until 12:30 pm at Zion United Methodist Church to review the religious exempt requirements. At the time of the inspection 52 children were present with 8 staff. The sample size consisted of five children's records and five staff's records. Children and staff were observed during free indoor play, educational and artistic activities, bathroom break, hand washing, clean-up, pick-up, gym activities, music, transitions and behavioral management. The violations from the previous inspection were reviewed. One repeat violation was found. Violations found during this inspection are documented on the violation notice.

Violations:

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:	The exemption status will be posted.
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 five staff were reviewed. Staff 1's start date was 7/19 The staff health report is dated 9/24/19. 2. The director verified the 9/24/19 staff health form is the most current health form they have for staff 1.
Plan of Correction:	The director will ensure that in the future all new staff will have a staff health form on file before starting to work.
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 enrollment capacity and public liability insurance. Evidence: 1. The parent handbook was reviewed. Information regarding the enrollment capacity and public liability insurance was not in the parent handbook. 2. The director stated the enrollment capacity and public liability insurance is not in the parent handbook and no other information in writing is provided to the parent. The director also advised the enrollment capacity and public liability insurance is not on the center's web page.
Plan of Correction:	The enrollment capacity and public liability insurance will be added to the parent handbook.
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 they have a procedure to in which morning staff are trained in daily simple health check and have a procedure to check children as they arrive but they do not have trained staff nor a procedure for when school age children arrive after school.
Plan of Correction:	The after school staff will be trained in daily health screening and a procedure will be put in place for after school staff to conduct daily health screening as the after school children get off the school bus. The after school staff trained in daily health screening will be oriented in the procedure.
Standard #:	63.2(17)-1716-B-5
Description:	Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: 1. One outlet did not have a cover in both the two-year-old classroom and the three-year-old classrooms. 2. The director stated the center procedure is for all outlets to have outlet covers.
Plan of Correction:	The outlets were covered. All staff were reminded to check their rooms each day as they enter to ensure all outlets have a cover and there are no hazards.
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: 1. The records of five staff were reviewed. Staff 1's start date was 7/19. The fingerprint-based criminal history check determination letters dated 8/2/19. Staff 2's start date was 8/13. The fingerprint-based criminal history check determination letters dated 7/18/19. Staff 3's start date was 8/13. The fingerprint-based criminal history check determination letters dated 7/18/19. Staff 4's start date was 12/17. The fingerprint-based criminal history check determination letters dated 7/8/19. Staff 5's start date was 8/17. The fingerprint-based criminal history check determination letters dated 7/8/19. 2. The director verified all the dates.
Plan of Correction:	All staff records have been reviewed and all staff now have fingerprint-based criminal history check determination letters. In the future no staff will be hired until fingerprint-based criminal history check determination letters are received.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her by the end of the 30th day of employment. Evidence: 1. The records for five staff were reviewed. Staff 5's first date of employment was 8/17. The sworn statement documents staff 5 lived in SC within the last five years. There is no documentation in the file of a search of child abuse and neglect registry being completed in SD. 2. The director stated a search of child abuse and neglect registry for SC has not been completed for staff 5.
Plan of Correction:	During the inspection the director started the process of completing a search of child abuse and neglect registry in SC for staff 5. In the future the director will review the sworn statement for all new staff for information regarding residency in other states within the last five years and will process the paperwork for search of child abuse and neglect registry for the new staff within the first 30 days of employment.