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St. Mark Lutheran Church (ELCA) of Charlottesville, Virginia
100 Alderman Road
Charlottesville, VA 22903
(434) 293-0792

VDSS Contact: Michelle W. Argenbright (540) 848-4123

Inspection Date: Dec. 7, 2017

Complaint Related: No

Areas Reviewed:
63.2 Child Abuse and Neglect
63.2 Licensure and Registration Procedures
63.2 Facilities and Programs..
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
This unannounced monitoring inspection was conducted at 12:20 pm on 12/7/17 in response to a self-reported incident. An interview was conducted with staff and staff's records were reviewed relating to the incident reported. The information gathered during the investigation did lead to violations. The violations resulting from this inspection can be found on the violation notice. If you have any questions, contact your licensing inspector at (540) 292-5933.

Violations:
Standard #: 63.2-1716-B-2
Description: Based on observation and interview, the provider failed to establish and implement procedures in appropriate supervision of all children in care. Evidence: 1. Per the director, on 11/18/17 at 12:15 pm two four-year-old boys were brought into the office by staff 2. She informed the director that while they were on the playground a four-year-old girl reported to her that the boys had put their hands down her pants and when she told them no they spit on her. Another child witnessed this and reported the same. Neither staff that were on the playground at the time of the incident witnessed the incident. Both boys have had behavioral issues in the past. 2. The director stated she was watching the staff outside when this happened and saw staff 2 go over to staff 1 to talk. They were talking at the time the incident occurred. The director stated the staff have been told on several occasions to not cluster together on the playground. The staff handbook states "Children shall always be within actual sight and sound of the staff member directly charged with care." 3. At the time of the inspection two staff were witnessed standing together facing each other and talking on the playground while supervising children.

Plan of Correction: Immediately following the inspection, the director met with each staff member to discuss the importance of playground supervision and reiterated the expectation of the center policy of sight and sound supervision. Staff were also reminded that teachers are not to cluster together on the playground, but rather station themselves around the perimeter, sweeping from side to side and corner to corner, keeping account of all children and double checking spots were children might hide. Administration will be vigilant in their supervision of staff on the playground and will direct staff if necessary. As suggested by the inspector, in addition to the current Policy for Supervision and Care of Children in the staff handbook, a policy for playground supervision has be written and established. Staff members will attend in-service training on the new policy for playground supervision and discussion will be opened for staff to address any concerns regarding safety and supervision on the playground. The concerns will be addressed and if needed added to the policy.

Standard #: 63.2-1720.1-B-3
Description: Based on record review, the provider failed to obtain a search of the out of state child abuse and neglect registry or equivalent registry maintained by another state for a staff member that resided in that state within the preceding five years. Evidence: 1. The record for staff 1 has documentation of staff 1 living in DC in 2014. The record of staff 1 does not contain a search of child abuse and neglect registry or equivalent in DC. 2. The director stated she had not completed a search of the registry in DC.

Plan of Correction: Staff 1 completed a CPR check for DC and was mailed via UPS next day air. Scans of the completed, notarized forms were sent via email to the inspector on 12/13/17. The director will follow-up with the DC agency within 30 days if completed request has not satisfactorily been returned to the center. If for any reason this request should be returned with a positive finding in the registry, then staff 1 will be terminated immediately. The Virginia searches have been completed and returned clear. After the inspection all background checks were reviewed to ensure that all current employees and volunteers background checks have been completed and returned and clear. The director will ensure that all employee and volunteer background checks are completed and returned in accordance with the time lines and procedures outlined in current VDSS regulations.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. Eligible child care facilities must be fully licensed, licensed exempt and a VDSS subsidy vendor, or a voluntary registered day home and a VDSS subsidy vendor. Only programs enrolled in Virginia Quality will display a rating. Virginia Quality contact information for your region is available at the following link Regional Contacts.

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