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Smithfield Baptist Church
100 Wainwright Drive
Smithfield, VA 23430
(757) 357-7452

VDSS Contact: Melinda Popkin (757) 802-5281

Inspection Date: Oct. 21, 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

Technical Assistance:
Today we discussed the requirements for follow up when a Search of the Central Registry is requested within 10 days of hire but results are not received upon 30 days of employment. Please ensure that when you contact the agency to inquire, that you document who you spoke with, what they said, what steps you have taken and subsequent updates to the inquiry.

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program.

A code compliance inspection was initiated on 10/21/2021 and concluded on 10/21/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 59 children present, ranging in ages from 2 1/2 years to 6 years old with 9 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 4 staff records were reviewed.

Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 63.2(17)-1716-A-4
Description: Based on a review of records and interview, the program director was not able to demonstrate that she ensured that each staff supervising children has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
Evidence:
Four staff records were reviewed.
The records for staff #1 and staff #3, who were both hired in September 2021, did not contain a Staff Health Report from a physician or physician assistant stating that the staff is free from any disability which would prevent him from caring for children under his supervision.
The Program Director stated that these staff have not yet been to a physician to have the form completed and signed.

Plan of Correction: The program director stated that both staff #1 and staff #3 have already made appointments to be evaluated and have these forms completed before the end of November.

Standard #: 63.2(17)-1720.1-B-4
Description: Based on a review of records and interview, the program director did not ensure that the results of a criminal history record information check, a sex offender registry check, and a search of the child abuse and neglect registry or equivalent registry from any state in which the staff have resided in the preceding five years are obtained.
Evidence:
The record for staff #3 who has been employed since September 13, 2021 contained a Sworn Disclosure Statement that stated she had resided in Missouri and North Carolina within the past 5 years.
There was not a Child Abuse and Neglect Registry report, a Criminal History Name Check or a Sex Offender Registry report from Missouri or North Carolina in staff #3's record.
The record for staff #4 who has been employed since September 13, 2021 contained a Sworn Disclosure Statement that stated she had resided in Maryland and Florida within the past 5 years.
There was not a Child Abuse and Neglect Registry report, a Criminal History Name Check or a Sex Offender Registry report from Maryland or Florida in staff #4's record.
The program director stated that she was not aware that these out of state background checks were required.

Plan of Correction: The program director will utilize the instructions and contacts provided via email by the inspector to obtain the required out of state background checks for staff #3 and staff #4. Any staff hired that has resided outside of the state of Virginia in the previous 5 years will have the out of state background checks obtained and maintained in their staff record.

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.

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