Mount Calvary Lutheran Church
5983 South Main Street
Mount jackson, VA 22842
(540) 477-9645
VDSS Contact: Julie Kunowsky (540) 430-9256
Inspection Date: April 30, 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 April 21, 2021 and concluded on April 28, 2021. The director was contacted by telephone to initiate the inspection. There were (71) children present and (14) staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed (4) staff records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance 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.
Please contact the licensing inspector at 540-430-9256 if you have any questions.
- Violations:
-
Standard #: 22VAC40-191-40-D-2 Description: Based on record review, the facility failed to obtain a central registry search within 20 days of employment for two staff.
Evidence:
1. Thirteen staff records were reviewed and updated.
2. Staff # 3 and #4 did not have documentation of a central registry check in the state of Virginia within
30 days of hire.
3. The director confirmed Staff #3 and Staff #4 had not had a central registry check completed in the
state of Virginia.Plan of Correction: Virginia central registry checks for Staff #3 and Staff #4 were completed and mailed on April 27, 2021. Documentation will be provided to the licensing inspector once results are received.
Standard #: 63.2(17)-1720.1-A Description: Based on record review, the facility failed to obtain a repeat central registry check for one employee.
Evidence:
1. Thirteen staff records were reviewed.
2. Staff #10 did not have documentation of a repeated Virginia central registry check being obtained within five years of the prior date.
3. Last documentation of Virginia central registry check was dated 03/01/2016.
4. The director confirmed the repeat check had not been completed.Plan of Correction: A Virginia central registry check was completed and mailed for Staff #10 on April 27, 2021. Documentation of results will be sent 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.
