VIRGINIA DEPARTMENT OF SOCIAL SERVICES

New Hanover Presbyterian Church
10058 Chamberlayne Road
Mechanicsville, VA 23116
(804) 427-6418

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: March 22, 2023

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

Technical Assistance:

n/a

Comments:

A code compliance inspection was conducted on Wednesday, March 22, 2023. The inspection was initiated at 10:10am and concluded at approximately 12:08pm. There were 70 children present with nine staff directly supervising. Upon arrival, the children were observed in their designated classrooms, the playground, and participating in music class. Some children were observed during free-play and interacting with one another. The staff were observed having positive interactions with the children. All areas of the facility including classrooms, hallways, outdoor play area, and bathrooms were inspected. Seven staff records and seven children'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 program.

Violations:

Standard #:	22.1-289.031-B-6
Description:	Based on a review of seven staff records and interview, the center did not establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: 1) Seven staff records were reviewed during the inspection. Five of the records did not contain documentation that staff have received training to be able to recognize the signs of child abuse and neglect. 2) During interview, the director stated staff have received information on recognizing the signs of child abuse and neglect, but a formal training was not completed for all staff prior to employment and working with children.
Plan of Correction:	Staff completed the training on 3/25/23, 3/26/23, and 3/27/23.
Standard #:	22.1-289.035-A
Description:	Based on a review of seven staff records, the center did not ensure two staff completed a required background check every five years. Evidence: 1) The most recent sworn statement in the record of Staff #1 was dated 09/29/2017. A new sworn statement should have been completed no later than 09/29/2022. 2) The most recent sworn statement in the record of Staff #5 was dated 10/02/2017. A new sworn statement should have been completed no later than 10/02/2022.
Plan of Correction:	Staff #1 signed a new sworn statement on 3/23/23 and Staff #5 signed a new sworn statement on 3/24/23.
Standard #:	22.1-289.035-B-2
Description:	Based on a review of seven staff records, the center did not ensure four staff had the satisfactory results of the fingerprint-based national criminal background check within the required timeframe. Evidence: 1) The fingerprint-based national criminal background check in the record of Staff #2, employed 09/01/21, was dated 10/04/21. 2) The fingerprint-based national criminal background check in the record of Staff #3, employed 08/11/22, was dated 10/21/22. 3) The fingerprint-based national criminal background check in the record of Staff #4, employed 08/14/19, was dated 09/19/19. 4) The fingerprint-based national criminal background check in the record of Staff #7, employed 09/01/21, was dated 09/08/21. The fingerprint-based national criminal background check results are required to be obtained prior to employment.
Plan of Correction:	The center will make sure to submit searches and fingerprints 30 days before employment starts.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of seven staff records and interview, the center did not ensure four staff had the results of the central registry check within 30 days of the individuals beginning employment. Evidence: 1) The results of the central registry check in the record of Staff #2, employed 09/01/21, were received on 10/13/21. 2) The results of the central registry check in the record of Staff #3, employed 08/11/22, were received on 11/04/22. 3) The record of Staff #4, employed 08/04/19, did not contain the results of the central registry check. 4) During interview, the director reported the results were obtained, but they could not be located. 5) The results of the central registry check in the record of Staff #7, employed 09/01/21, were received on 10/13/21. The search of the central registry check should have been obtained within 30 days of employment.
Plan of Correction:	The center will make sure to submit searches and fingerprints 30 days before employment starts. A new request was submitted for Staff #4 on 03/29/2023.