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Congregation Sha'are Shalom
19357 Evergreen Mills Road
Leesburg, VA 20175
(703) 737-0686

VDSS Contact: Maria Robles-Lopez (703) 397-3827

Inspection Date: Nov. 16, 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

Comments:
A code compliance inspection was conducted on 11/16/2023. There were 26 children present, with 7 staff supervising. All groupings were in ratio. The inspector observed the children playing in the playground and engaged in circle time activities.
The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. There was no medication on site today. A total of 3 children?s records and 4 staff records were reviewed.

Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at Maria.Robles@doe.virginia.gov.

Violations:
Standard #: 8VAC20-770-40-D-2
Description: Based on record review, it was determined that the program did not ensure that Central Registry search results were obtained by the end of the 30th day of employment for one staff member.
Evidence:
1) On the date of inspection, the record for Staff #1 (start date 09/01/2022) did not contain the results of a Central Registry search request. There was no documentation in the record that a Central Registry Search had been requested.

Plan of Correction: We have had the employee fill out new paperwork and have requested a Central Registry Search. We will follow up with CRS next week.

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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