Epiphany Lutheran Church
1400 Horsepen Road
Richmond, VA 23226
(804) 282-7506
VDSS Contact: Florence Martus (804) 389-0157
Inspection Date: April 15, 2021
Complaint Related: No
- Areas Reviewed:
-
32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies
- Comments:
-
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A code compliance inspection was initiated on 04/15/2021 and concluded on 04/15/2021. The director was contacted virtually to initiate the inspection. There were 23 children present and 7 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 6 staff records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the facility.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
- Violations:
-
Standard #: 22VAC40-191-40-D-2 Description: Based on staff record review, the center did not ensure two of six staff records had documentation of a sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #3 (start date: 9/4/18) had documentation of a completed sworn statement of affirmation dated 5/9/19.
2. The record of staff #5 (start date: 1/19/11) did not have documentation of a completed sworn statement of affirmation.Plan of Correction: I will get the staff to sign a new one a put it in the file. In the future we will get all background checks on time.
Standard #: 63.2(17)-1720.1-B-4 Description: Based on record review and interview, the center did not ensure one of two staff records contained documentation of sex offender registry check results from any state in which the individual has resided in the past five years.
Evidence:
1. The record of staff #1 (start date: 9/3/2019) did not have documentation of sex offender registry check results from any state in which the individual has resided in the past five years.
2. The Sworn Statement or Affirmation of staff #1 indicated that the staff has lived in one other state within the past five years.Plan of Correction: In the future we will get all staff background checks on time.
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.
