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Amherst Baptist Church
226 Lexington Tpke.
Amherst, VA 24521
(434) 444-2474

VDSS Contact: Kelly Campbell (540) 309-2494

Inspection Date: Jan. 23, 2023

Complaint Related: No

Comments:
Licensing Inspector conducted an unannounced CODE Compliance Inspection on January 23, 2023. There were 34 children ages 8 months to 4 years old present under the direct care of 6 staff. The Licensing Inspector reviewed 4 children?s records and 9 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22.1-289.031-A
Description: Based on record review and interview with staff, the Center failed to disclose in writing to the parents/guardians of the children in the center the qualifications of the personnel employed.

EVIDENCE: A written statement regarding staff qualifications was not disclosed to the parents/guardians. Staff #9 confirmed this was not completed.

Plan of Correction: Director will develop qualifications of personnel. Information will be disclosed to the parents/guardians and the general public.

Standard #: 22.1-289.031-A-4
Description: Based on record review, the Center failed to ensure staff members complete a staff health report.

EVIDENCE: Licensing Inspector review 9 staff records. Records for Staff #1, #4, #8 and #9 did not have documentation of a completed staff health report.

Plan of Correction: Each staff person will complete a physical examination. Documentation of the health report will be maintained in each record.

Standard #: 22.1-289.031-B-4
Description: Based on record review, the Center failed to ensure children are in compliance with immunization provisions.

EVIDENCE: Licensing Inspector reviewed 4 children records. Record for Child #2 & Child #3 did not include documentation to ensure children are in compliance with immunization provisions.

Plan of Correction: Director will request current immunizations from each child. Documentation of the findings will be kept in the child?s record.

Standard #: 22.1-289.031-B-6
Description: Based on record review and interview with staff, the Center failed to ensure all staff can recognize signs of child abuse & neglect.

EVIDENCE: Licensing Inspector reviewed 9 staff records and had a discussion with Staff #1. Staff have not been trained in recognizing signs of child abuse & neglect.

Plan of Correction: Director will schedule a child abuse neglect training to ensure staff members can recognize signs of child abuse & neglect.

Standard #: 22.1-289.035-B-2
Description: Based on record review and interview with staff, the Center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

EVIDENCE:
1. Staff #1 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #1 was October 2020

2. Staff #2 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #2 was August 2022.

3. Staff #3 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #3 was August 2022

4. Staff #4 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #4 was July 2022

5. Staff #8 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #8 was August 2021.

6. Staff #9 was observed working with children during the inspection. There was no employment eligibility letter available for review during the inspection. Staff #9 stated the hire date for Staff #9 was January 8, 2023.

Plan of Correction: Director will have each staff person schedule an appointment to complete the fingerprint background check. Center will submit documentation to the Licensing Inspector within 10 days

Standard #: 22.1-289.058
Description: Based on observation and interview with staff, the Center failed to have at least one carbon monoxide detector.

EVIDENCE: Staff #9 confirmed that the center building was built before 2015. A carbon monoxide detector was unavailable.

Plan of Correction: Church will purchase and install a carbon monoxide detector.

Standard #: 8VAC20-770-40-D-2
Description: Based on record review, the Center failed to ensure each staff person had a signed sworn disclosure statement prior to the 1st day of employment.

EVIDENCE:

1. Staff #1 was observed working with children during the inspection. There was no sworn disclosure statement in the record. Staff #9 stated the hire date for Staff #1 was October 2020.

2. Staff #7 was observed working with children during the inspection. There was no sworn disclosure statement in the record. Staff #9 stated the hire date for Staff #7 was January 2020.

3. Staff #8 was observed working with children during the inspection. There was no sworn disclosure statement in the record. Staff #9 stated the hire date for Staff #8 was August 2021.

4. Staff #9 was observed working with children during the inspection. There was no sworn disclosure statement in the record. Staff #9 stated the hire date for Staff #9 was January 8, 2023.

Plan of Correction: Each staff person will complete a physical examination. Documentation of the health report will be maintained in each record.

Standard #: 8VAC20-770-40-D-2
Description: Based on record review and interview with staff, the Center failed to obtain the finding from a search of the central registry within 30 days of hire.

EVIDENCE:
1. Staff #2 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #9 stated the hire date for Staff #2 was August 2022.

2 Staff #4 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #9 stated the hire date for Staff #4 was July 2022.

3. Staff #5 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #9 stated the hire date for Staff #5 was September 2019.

4. Staff #8 was observed working with children during the inspection. A return search of the central registry was not in the record. Staff #9 stated the hire date for Staff #8 was August 2021.

Plan of Correction: Director will submit request to complete Central Registry background check for each staff person. Center will submit documentation of completion to the Licensing Inspector within 10 days.

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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