VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Episcopal Church of the Redeemer
2341 Winterfield Road
Midlothian, VA 23113
(804) 378-8909

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: May 5, 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 05/05/2021 and concluded on 05/06/2021. The director was contacted via video call to initiate the inspection. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 12 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 six of seven staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 9/9/19) had documentation of central registry results dated 10/19/19. 2. The record of staff #2 (start date: 9/9/19) had documentation of central registry results dated 11/20/19. 3. The record of staff #3 (start date: 9/9/19) had documentation of central registry results dated 10/19/19. 4. The record of staff #4 (start date: 9/9/19) had documentation of central registry results dated 10/19/19. 5. The record of staff #6 (start date: 9/23/19) had documentation of central registry results dated 1/25/21. 6. The record of staff #7 (start date: 9/9/19) had documentation of central registry results dated 10/19/19.
Plan of Correction:	In the future we will ensure central registry results are back within 30 days of hire.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on staff record review, the center did not ensure one of seven staff records had documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #6 (start date: 9/23/19) had documentation of fingerprint based national criminal history search results dated 9/27/19.
Plan of Correction:	In the future we will ensure that we have their fingerprint results back before the employees date of hire.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on record review and interview, the center did not ensure one of seven staff records contained documentation of sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years within the required time frame. Evidence: 1. The record of staff #2 (start date: 9/9/2019) had documentation of sex offender registry check results from the state in which the individual has resided in the past five years, dated 4/22/2021. For staff hired prior to July 1, 2020, providers were required to receive out of state sex offender registry check results by December 31, 2020. 2. The record of staff #2 (start date: 9/9/2019) did not have documentation of a child abuse and neglect search request from the state in which the individual has resided in the past five years. Providers are required to have documentation of an out of state child abuse and neglect search request within 30 days of hire.
Plan of Correction:	I will ensure that the out of state background checks are in our possession before the employees date of hire.