Lutheran Church of Our Saviour
9601 Hull Street Road
N. chesterfield, VA 23236
(804) 276-8194
VDSS Contact: Molly Muscat (804) 588-2367
Inspection Date: Feb. 15, 2023
Complaint Related: No
- Areas Reviewed:
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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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services
- Comments:
-
An annual monitoring inspection was initiated on 02/15/2023 and concluded on 02/15/2023. The inspector was on site at the center from 10:50am to 12:15pm. There were 20 children in care with 4 staff supervising. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground and all classrooms were inspected today. Five children?s records and six employee records were reviewed during this inspection. Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
- Violations:
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Standard #: 22.1-289.031-B-5 Description: Based on observation, the center did not ensure to provide cushioning material under playground equipment.
Evidence:
There were two slides located in the playground area that did not have cushioning material.Plan of Correction: Two moveable slides were moved to sand area.
Standard #: 22.1-289.035-A Description: Based on record review, the facility failed to obtain repeat sworn statement or affirmation for 3 of 6 staff within five years since the date of the last completed sworn statement or affirmation.
Evidence:
1. The record of staff #1 (employment date: 9/2000) had documentation of central registry results dated 9/13/17.
2. The record of staff #4 (employment date: 9/1999) had documentation of central registry results dated 9/13/17.
3. The record of staff #5 (employment date: 8/2016) had documentation of central registry results dated 7/11/16.Plan of Correction: Statements will be emailed.
Standard #: 8VAC20-770-40-D-2 Description: Based on record review, the provider did not ensure 1 of 6 staff records had documentation of central registry results within 30 days of employment.
Evidence:
1. The record of staff #2 (employment date: 8/29/2022) had documentation of central registry results dated 10/5/22.Plan of Correction: In the future will follow up with OBI in a timely manner.
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.
