Bethany Lutheran Church
18 Sophia Grace Drive
Fishersville, VA 22939
(540) 942-4361 (3)
VDSS Contact: Michelle Argenbright (540) 848-4123
Inspection Date: May 25, 2022
Complaint Related: No
- Areas Reviewed:
-
?22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
?32.1 Report by person other than physician
?54.1 Must be MAT Certified.
?63.2 Child abuse and neglect
? 8VAC20-770 Background Checks
- Comments:
-
An unannounced code compliance inspection was initiated on 5/25/2022 and concluded on 5/25/2022 from 10:00 AM to 11:20 AM. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision and procedures. A total of three children?s records and three staff?s records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.
- Violations:
-
Standard #: 22.1-289.031-B-6 Description: Based on record review and interview, the center failed to implement a procedure to ensure all staff are trained to recognize signs of child abuse and neglect prior to working with children.
Evidence:
1. Staff 1's start date, per the director, was 8/23/21. The certificate of completion of training in recognizing child abuse and neglect is dated 11/29/21.
2. Staff 3's start date, per the director, was 8/10/21. The certificate of completion of training in recognizing child abuse and neglect is dated 11/29/21.Plan of Correction: In the future all staff will be required to complete the training on recognizing child abuse and neglect upon hire and before working with children.
Standard #: 22.1-289.035-B-2 Description: Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment.
Evidence:
1. The director advised staff 1's date of hire was 8/23/21.
2. The fingerprint-based criminal history check determination letter is dated 9/20/21.Plan of Correction: In the future staff will not be hired until fingerprint results are received.
Standard #: 8VAC20-770-40-D-2 Description: Based on record review and interview, the center failed to have a completed central registry record check by the end of the 30th day of employment.
Evidence:
1. The director stated the hire date for staff 1 was 8/23/21
2. The record for staff 1 did not contain documentation of the findings of a central registry background check.
3. The director stated the central registry background check was completed for staff 1 but she cannot locate it. The staff cover sheet for the staff file has a check beside central registry.Plan of Correction: The day of the inspection the director called and left a message to request a copy of the central registry findings. A follow up email will be sent. Once the findings are received a copy 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.
