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First Presbyterian Church
1901 Patrick Henry Avenue
Martinsville, VA 24112
(276) 632-3431

VDSS Contact: Karen Fanin (540) 204-9631

Inspection Date: Oct. 21, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Must be MAT Certified.
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
The Licensing Inspector for First Presbyterian Church of Martinsville day care conducted an unannounced RECDC Monitor Inspection Monday, October 21, 2019. Licensing Inspector arrived & started inspection at 10:45 AM and concluded at 1:00 PM. There were a total of thirty-one (31) children ages 13 months-5 years old present under the direct care of eight (8) staff members. Information for nine (9) staff members was reviewed. Areas of non-compliance and the risk assessment for each violation found during today?s inspection were reviewed with the Center Director during the exit interview on October 21, 2019. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on review of staff information, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled in a religious exempt child day center has completed Sworn Disclosure Background Check before employment/commencement of service and Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for nine (9) staff members. Information for all 9 staff members did not include evidence of completed Central Registry (CPS) Background Check. Information for all 9 staff members did not include evidence of a completed Sworn Disclosure/Sworn Affirmation.

Plan of Correction: The Center Director will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/21/2019).

Standard #: 63.2(17)-1716-A
Description: Based on inspection, 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 has posted the fact that it is exempt from licensure in a visible location on the premises and the qualifications of the personnel employed therein. EVIDENCE: Required written disclosures have not been provided to the parents or guardians of the children in the center. Required letter of exemption was not posted in a visible location on the premises.

Plan of Correction: Director will document required written disclosures and will post information in the parent entrance area. Information will also be added to the parent handbook. The Letter of Exemption will be posted in the parent entrance area.

Standard #: 63.2(17)-1716-A-4
Description: Based on review of staff information, the Center failed to ensure each employee has been certified by a practicing physician to be free from any disability which would prevent him from caring for children under his supervision. EVIDENCE: Licensing Inspector reviewed health information for nine (9) staff members. Evidence of Staff Health Report was unavailable for Staff #5.

Plan of Correction: Staff will complete health exam. Documentation of the results will be maintained in the staff record.

Standard #: 63.2(17)-1716-A-6
Description: Based on review of center information, the Center failed to provide a written statement regarding physical facilities, enrollment capacity, food services, health requirements for the staff and public liability insurance to the parents/guardians of the children in the center and made available to the general public. EVIDENCE: A written description of the center's physical facilities, food services, information regarding the center's health requirements for staff, enrollment capacity and information regarding the center's public liability insurance were not included in the parent handbook nor posted.

Plan of Correction: Director will document required written disclosures and will post information in the parent entrance area. Information will also be added to the parent handbook

Standard #: 63.2(17)-1716-B-3
Description: Based on discussion with the Center Director, the Center has not established and implemented procedures to ensure a daily simple health screening and exclusion of sick children is conducted by a person trained to perform such screenings. EVIDENCE: Center has not established instructions for the daily health observations of children.

Plan of Correction: Staff will receive information & training of the daily health observations of children

Standard #: 63.2(17)-1716-B-6
Description: Based on discussion with the Center Director, the Center failed to ensure all staff are able to recognize the signs of child abuse and neglect. EVIDENCE: The center Director advised that the staff members have not received required information on child abuse and neglect.

Plan of Correction: Staff will receive child abuse/neglect training & will receive information on being a mandated reporter.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on inspection, the Center failed to ensure each staff member submit to Fingerprinting Background Check before employment. EVIDENCE: Licensing Inspector reviewed Background Check information for nine (9) staff members. Documentation of a completed Fingerprint Background Check for Staff #1, #2, #3, #4, #7 and #8 was unavailable.

Plan of Correction: The Center Director will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/21/2019).

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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