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Mount Calvary Lutheran Church
5983 South Main Street
Mount jackson, VA 22842
(540) 477-9645

VDSS Contact: Julie Kunowsky (540) 430-9256

Inspection Date: Feb. 21, 2023

Complaint Related: No

Areas Reviewed:
? 22.1 Background Checks Code
? 8VAC20-790 Physical Plant
? 32.1 Report by person other than physician
? 8VAC20-790 Staffing & Supervision
? 63.2 Child abuse and neglect
? 8VAC20-790 Programs
? 8VAC20-790 Introduction
? 8VAC20-790 Special Care Provisions & Emergencies
? 8VAC20-790 Administration
? 8VAC20-790 Special Services
? 8VAC20-790 Staff Qualifications & Training

Comments:
An initial subsidy inspection was conducted on February 21, 2023 from 11:00p.m.through 1:45 p.m. There were 36 children, ages 4 months through 4, in the care of 6 staff. Five children and fourteen staff records were reviewed.

Children were observed during free choice activities, hand washing/bathroom and diapering procedures, outside play, transition, lunch and nap. The facility is well equipped with a variety of age/stage materials for the children in care.

Areas of non-compliance may be found on the violation notice.

Please complete your plan of correction and return to the licensing inspector within 5 business days.

If you have any questions or if I may be of further assistance please call 540-430-9256.

Violations:
Standard #: 8VAC20-790-550-2-a
Description: Based on record review, the center failed to obtain documentation of a Virginia Child Protective Service Central Registry check for one staff member.

Evidence:

1. Fourteen staff records were reviewed.
2. Staff #9 did not have documentation of obtaining a Virginia Child Protective Services Central Registry check within 30 days of hire.
3. Staff #9's date of hire was documented 11/16/2022.
4. The director confirmed they did not have the results of the Virginia Child Protective Services Central Registry check for Staff # 9.

Plan of Correction: Virginia Central Registry was sent for Staff #9. Result letter was emailed to licensing inspector.

Standard #: 8VAC20-790-550-2-f
Description: Based on record review, the center failed to obtain an updated criminal history record check for one staff member.

Evidence:

1. Fourteen staff records were reviewed.
2. Staff #14 had not obtained an updated criminal history record check within 5 years of the prior one dated 02/20/2018.
3. The director confirmed the criminal history record check had not been obtained.

Plan of Correction: An appointment for fingerprinting was immediately scheduled. Results were emailed to the licensing inspector.

Standard #: 8VAC20-790-640-A
Description: Based on observation, the center failed to placed hazardous substances in a locked place that prevents access by children.

Evidence:

1. One can of Lysol and one container of sanitizing wipes were found on a shelf, unlocked, in the 3-year old classroom.
2. The director confirmed the can of Lysol and sanitizing wipes were not locked and immediately removed them from the classroom.

Plan of Correction: Lock boxes were purchased for classrooms to keep any hazardous supplies.

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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