VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Southside Church of the Nazarene
6851 Courthouse Road
Chesterfield, VA 23832
(804) 715-3210

VDSS Contact: Molly Muscat (804) 588-2367

Inspection Date: Feb. 26, 2024

Complaint Related: No

Areas Reviewed:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide 8VAC20-790 Staff Qualifications & Training 32.1 Report by person other than physician 8VAC20-790 Physical Plant 54.1 Must be MAT Certified. 8VAC20-790 Staffing & Supervision 63.2 Child abuse and neglect 8VAC20-790 Programs 8VAC20-770 Background Checks 8VAC20-790 Special Care Provisions & Emergencies 8VAC20-790 Introduction 8VAC20-790 Special Services 8VAC20-790 Administration

Comments:

An unannounced code compliance inspection was conducted February 26, 2024. The licensing inspector was onsite from approximately 10:30am until 12:30pm. There were 97 children present, ranging in ages from two years to four years, with 18 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 8 children's records and 10 staff records were reviewed. Information gathered during the inspection determined noncompliance with applicable standards or law and violations were issued to the program. Please complete the plan of correction and date to be corrected for each violation cited on the violation notice and return it to me within 5 business days from today,03/21/2024. Please specify how the deficient practice will be or has been corrected. Your plan of correction should contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again, and 3) person(s) responsible for implementing each step and/or monitoring any preventative measure(s).

Violations:

Standard #:	22.1-289.031-A
Description:	Based on interview, the center failed to disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure and post the fact that it is exempt from licensure in a visible location on the premises, the qualifications of the personnel employed therein. Evidence: Administration stated that they do not disclose in writing to the parents or guardians of the children in the center the fact that it is exempt from licensure. Administration also stated that they do not have a posting in the center stating that they are exempt from licensure or the qualifications of the personnel employed therein.
Plan of Correction:	We have hung up the Statement of Intent in the Preschool Office and had added a copy to the Parent Handbook effective 02/26/24.
Standard #:	22.1-289.031-A-4
Description:	Based on record review, and interview, the center failed to ensure that each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: 1. The record for staff # 4, date of employment 01/29/24, did not contain a staff health report. Administration confirmed that the record for staff #4 did not contain a staff health report. 2. The record for staff # 10, date of employment 02/26/24, did not contain a staff health report. Administration confirmed that the record for staff #10 did not contain a staff health report.
Plan of Correction:	1. Staff member #4 submitted Staff Health Report on 03/14/24. 2. Staff member #10 no longer works at Southside Church/Guardian Christian Academy effective 03/01/24.
Standard #:	22.1-289.031-A-5-a
Description:	Based on observation, interview, and review of documentation the center did not ensure compliance with the terms of the religious exemption issued by the Virginia Department of Education. Evidence: 97 children were observed to be present at the center. Administration confirmed that there were 97 children present. The center is currently exempt with a capacity of 95 children.
Plan of Correction:	Working with VADOE to get new occupancy requirement as the previous occupancy was oudated.
Standard #:	22.1-289.031-A-6
Description:	Based on interview, the center failed to describe in a written statement provided to the parents or guardians of the children in the center and made available to the general public the physical facilities, enrollment capacity, food services, health requirements for the staff, and public liability insurance. Evidence: Administration stated that they do not describe in a written statement provided to the parents or guardians, the enrollment capacity, food services, health requirements for the staff, and public liability insurance.
Plan of Correction:	We have hung up the Statement of Intent in the Preschool Office and had added a copy to the Parent Handbook effective 02/26/24.
Standard #:	22.1-289.035-A
Description:	Based on record review, and interview, the center failed to ensure that all staff shall undergo a criminal background fingerprint check every five years. Evidence: The record for staff #7, date of employment 02/1/03, contained a criminal background fingerprint check dated 02/20/2018. A criminal background fingerprint check was due on or before 02/20/2023.
Plan of Correction:	Staff member #7 had the criminal background check updated and returned 03/12/24.
Standard #:	22.1-289.035-B-4
Description:	Based on record review, the center failed to obtain a copy of the results of a criminal history record information check from any state in which the individual has resided in the preceding five years. Evidence: The record for staff # 10, date of employment 02/26/24, indicated that staff #10 lived in a state outside of Virginia in the preceding five years. The record did not contain a criminal history record information check from that state.
Plan of Correction:	Staff member #10 no longer works at Southside Church/Guardian Christian Academy effective 03/01/2024.
Standard #:	8VAC20-770-40-D-2
Description:	Based on record review, the center failed to obtain a sworn statement from a staff member prior to employment and the results of search of central registry record check within 30 days of employment. Evidence: 1. The record for staff #10, date of employment 02/26/24, did not contain a sworn statement. Staff # 10 was working with a group of children. 2. The record for staff #1, date of employment 12/11/23 did not contain the results of a search of the central registry background check. 3. The record for staff #2, date of employment 08/17/23, did not contain the results of a search of the central registry background check.
Plan of Correction:	1. Staff member #10 completed the sworn statement on 02/26/24. 2. Staff member #1 completed sworn statement on 02/26/24. 3. Staff member #2 had completed the central registry paperwork and is currently pending. We have reached out to the OBI for further information as to why.