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Mount Gilead Baptist Church
4768 Shannon Hill Road
Columbia, VA 23038
(804) 457-2938

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: April 18, 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

Technical Assistance:
n/a

Comments:
A code compliance inspection was initiated on Tuesday, April 18, 2023 and concluded on April 20, 2023. On April 18, the inspector was on site from9:45am to approximately 11:30am. There were 27 children in attendance with six staff directly supervising. During the inspection, the children and staff were observed participating in a variety of activities. Staff were observed having positive interactions with the children. All areas of the facility including classrooms, hallways, the outdoor play area, and bathrooms were inspected. Five children's records and five staff records were reviewed. Additional documentation was submitted electronically on April 20, 2023.

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-A-4
Description: Based on a review of five staff records, one staff did not obtain the required staff health report within the required timeframe.

Evidence: Staff #5, employed on 09/28/21, did not have an updated annual staff health report in the record. The staff health report on file dated 02/25/2022 should have been repeated no later than 02/25/2023.

Plan of Correction: Moving forward, staff will be on the same schedule to make sure all staff health forms are completed within the required timeframe.

Standard #: 8VAC20-770-40-D-2
Description: Based on a review of five staff records and interview, the center did not ensure one staff had the results of the central registry check within 30 days of the individual beginning employment.

Evidence: 1) The central registry check in the record of Staff #2, employed on 09/01/2019, was dated 09/11/2020. 2) During interview, management reported the central registry check from 2019 could not be located for Staff #2.

Plan of Correction: Corrected. In the future, the center will follow up with the Office of Background Investigation if the central registry check is not received within 30 days of employment.

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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