VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First Presbyterian Church of Winchester
116 South Loudoun Street
Winchester, VA 22601
(540) 662-7588

VDSS Contact: Amy Tomblin (804) 629-3923

Inspection Date: Sept. 12, 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 8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Comments:

An unannounced code compliance inspection was conducted on 09/12/2023 from 10:00 AM to 11:45 AM. There were 78 children present, ranging in ages from 4 months to four years old, with 20 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures and medication. A total of five children?s records and five staff?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 facility. If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations:

Standard #:	22.1-289.031-A
Description:	Based on observations and interview, the center failed to post the fact that the center is exempt from licensure in a visible location on the premises. Evidence: 1. A tour of the facility was conducted. No posting stating the center?s exemption was found. 2. The director confirmed that the center?s exemption was not posted.
Plan of Correction:	Posted the letter and public disclosure statement on 9/12/23.
Standard #:	22.1-289.031-A-9
Description:	Based on observation, the center failed to comply with safe sleep guideline by the American Academy of Pediatrics. Evidence: 1. In the infant room, there were two infants, ages four months and seven months. Both infants were sleeping in cribs at the time of the inspection. Both cribs had gaps between the mattress and the sides of the cribs. The sheets in both cribs were also observed to be loose. 2. The infant that was four months old was observed to have a pacifier with a small blanket attached to the end. 3. Staff #1 and Staff #2 confirmed the ages of the children to be four and seven months old.
Plan of Correction:	1) Mattress that fit the cribs without any gaps and follow the American Academy Of Pediatrics Safe Sleep 365 regulations were ordered on 9/12/23 at 1:00PM and delivered and installed 9/13/23. 2) All pacifiers that come with infants that have any items attached are removed before entering the classroom. 3) Safe Sleep 365 poster was posted in the infant classroom on 9/12/23 at the conclusion of the inspection.
Standard #:	22.1-289.035-B-2
Description:	Based on review of records, the center failed to obtain a Criminal History Background Check prior to the first day of employment. Evidence: 1. Staff #2?s start date was April 2022. The Criminal History Background Check on file for Staff #2 was dated 7/21/2022.
Plan of Correction:	1) Staff #1 understands and will be in compliance of the 7 day requirement for hirings and completing documentations required for licensure status. Moving forward, all employees hired will have paperwork completed within the timelines stated in licensing codes.
Standard #:	8VAC20-770-40-D-2
Description:	Based on review of record, the center failed to receive a Central Registry Background Check for each employee by the end of the 30th day of employment and the center failed to obtain a Sworn Statement prior to the first day of employment. Evidence: 1. Staff #5?s start date was 09/30/2022. There was no Central Registry Background Check on file for Staff #5. Staff #1 confirmed that there was no Central Registry Background Check on file for Staff #5. 2. Staff #2?s start date on file was April 2022. Staff #2?s central registry was dated 10/27/2022. 3. Staff #2?s start date was April 2022. The sworn statement on file for Staff #2 was dated 7/11/2022.
Plan of Correction:	1) Staff #5 Central Registry Background Check was notarized on 9/13/23 and mailed to Virginia Department of Social Services on 9/13/23. 2) and 3) Staff #1 understands and will be in compliance of the 7 day requirement for hirings and completing documentations required for licensure status. Moving forward, all employees hired will have paperwork completed within the timelines stated in licensing codes.