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St. Matthew's Lutheran Church
12351 All Saints Place
Woodbridge, VA 22192
(703) 494-3090

VDSS Contact: Cathy Aylor (540) 222-6352

Inspection Date: May 18, 2023

Complaint Related: No

Areas Reviewed:
22.1-289.031. Child day center operated by religious institution exempt from licensure
22VAC40-191 Background Checks for Child Welfare Agencies
22.1 Background Checks Code; carbon monoxide detectors

Comments:
An unannounced Code Compliance inspection was conducted with the Director from 9:45 am to 10:30 am. Sixty-three children were present with ten staff providing supervision. The ages of the children ranged from 3 to 5 years. The children were observed dancing, learning about science during work time, outside on the playground and handwashing. Seven staff files were reviewed as well as verification that staff on site has Medication Administration Training, Daily Health Observation Training and First Aid/CPR certification. The areas of non compliance is outlined on the violation notice.

Violations:
Standard #: 22.1-289.035-A
Description: Based on a review of seven staff files and interview with the Administrative staff, it was determined that there was no repeat background check every five years.
Evidence:
Staff A's Sworn Disclosure Statement was dated 9/12/16 and the check had not been repeated within five years of that date.

Plan of Correction: We will have staff A complete the Sworn Disclosure Statement today.

Standard #: 22.1-289.058
Description: Based on observation and interview it was determined that there is no carbon monoxide detector in the building.

Plan of Correction: We will install a carbon monoxide detector tomorrow.

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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