VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Shady Grove United Methodist Church
4825 Pouncey Tract Road
Glen allen, VA 23059
(804) 360-3533

VDSS Contact: Florence Martus (804) 389-0157

Inspection Date: April 20, 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 conducted on Thursday, April 20, 2023. The inspector was on site from 9:45am to approximately 12:15pm. There were 63 children in attendance with 12 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. Six children's records and six staff 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 #:	22.1-289.035-B-4
Description:	Based on a review of six staff records and interview, the center did not obtain the results of a sex offender registry check and a search of the child abuse and neglect registry or equivalent registry from two states in which one staff member had resided in the preceding five years within the required timeframe. Evidence: 1) The record of Staff #5, employed on 09/01/21, indicated the staff had resided in two other states outside of Virginia within the last five years. The record did not contain a sex offender registry check or a search of the child abuse and neglect registry from one of the states. For the second state, the record did not contain a sex offender registry check and the child abuse and neglect registry was received on 01/27/23. The out-of-state sex offender registry check is required to be obtained prior to employment and the out-of-state search for founded complaints of child abuse or neglect is required to be requested within the first 30 days of employment. An out-of-state criminal history record information check was not required because the states participate in the National Fingerprint File (NFF) program through the FBI. 2) During interview, a member of management acknowledged the required out-of-state background checks were not obtained within the required timeframe.
Plan of Correction:	The sex offender registry checks were requested while the inspector was on site on 04/20/23. The central registry check was requested on 04/22/23.
Standard #:	8VAC20-770-40-D-2
Description:	Based on a review of six staff records and interview, the center did not ensure six staff had two required background checks within the required timeframes. Evidence: 1) The central registry check in the record of Staff #1, employed on 09/01/22, was completed on 02/22/23. 2) The record of Staff #2, employed on 01/25/22, did not contain the results of the central registry check. The sworn statement was completed on 09/01/22. 3) The central registry check in the record of Staff #3, employed on 09/01/18, was completed on 11/15/21. The sworn statement was completed on 07/21/21. 4) The central registry check in the record of Staff #4, employed on 02/28/20, was completed on 11/15/21. The sworn statement was completed on 07/27/21. 5) The record of Staff #5, employed on 09/01/21, did not contain the results of the central registry check. 6) The central registry check in the record of Staff #6, employed 09/01/21, was completed on 11/15/21. A complete sworn statement or affirmation is required before employment. A search of the central registry check is required within 30 days of employment. 2) During interview, a member of management acknowledged the required background checks were not obtained within the required timeframes.
Plan of Correction:	The missing central registry checks were obtained on 04/27/23. Moving forward, all staff, including substitutes, will have the required background checks completed within the required timeframe.