VIRGINIA DEPARTMENT OF SOCIAL SERVICES

All Saints Episcopal Church
8787 River Road
Henrico, VA 23229
(804) 288-7861

VDSS Contact: Lynn Powers (804) 840-8260

Inspection Date: May 10, 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 05/10/2021 and concluded on 05/10/2021. The director was contacted via video call to initiate the inspection. There were 49 children present and 10 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 7 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 seven of seven staff records had documentation of central registry results within 30 days of employment. Evidence: 1. The record of staff #1 (start date: 9/15/20) did not have documentation of central registry results. 2. The record of staff #2 (start date: 9/15/20) did not have documentation of central registry results. 3. The record of staff #3 (start date: 9/15/20) did not have documentation of central registry results. 4. The record of staff #4 (start date: 10/19/20) did not have documentation of central registry results.. 5. The record of staff #5 (start date: 9/15/20) did not have documentation of central registry results. 6. The record of staff #6 (start date: 9/15/20) did not have documentation of central registry results. 7. The record of staff #7 (start date: 9/10/19) did not have documentation of central registry results.
Plan of Correction:	I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on staff record review, the center did not ensure two of seven staff records had documentation of fingerprint based national criminal history search results prior to employment. Evidence: 1. The record of staff #4 (start date: 10/19/20) had documentation of fingerprint based national criminal history search results dated 12/14/2020. 2. The record of staff #7 (start date: 9/10/19) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction:	I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on record review, the center did not ensure two of seven staff records contained documentation of criminal history record results, 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. Evidence: 1. The record of staff #1 (start date: 9/15/2020) did not have documentation of criminal history record results, 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. 2. The record of staff #7 (start date: 9/10/2019) did not have documentation of criminal history record results, 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. 3. The Sworn Statement or Affirmation for staff #1 and staff #2 indicated that each staff has lived in one other state within the past five years.
Plan of Correction:	I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.