VIRGINIA DEPARTMENT OF SOCIAL SERVICES

The Episcopal Church of Leeds Parish
4332 Leeds Manor Road
Markham, VA 22643
(540) 364-2849

VDSS Contact: Cathy Aylor (540) 222-6352

Inspection Date: Oct. 24, 2019

Complaint Related: No

Areas Reviewed:

22VAC40-191 Background Checks for Child Welfare Agencies 63.2(17) License & Registration Procedures

Technical Assistance:

Sworn statement or affirmations must be completed by the first day of employment. Fingerprint background checks are required before hire or the first day of service. Central registry background checks are required within 30 days of employment or service. All background checks, sworn statement, fingerprint background checks, central registry are required to be repeated every 5 years. Discussed supervision,handwashing procedures, cushioning material and written disclosures to parents, guardians and the general public.

Comments:

An unannounced monitoring inspection was conducted beginning at 9:30 a.m. and ending at 11:30 a.m. with the director/lead teacher. There were 12 children in care, age 4 years old under the care and supervision of 2 staff. Children were observed during morning arrival and circle time. Center documents and three staff records were reviewed. If you have any questions regarding this inspection of a religiously exempt child day center, contact Stephanie Reed at (540) 272-6558 or S.Reed@dss.virginia.gov.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on review of documentation and interview with staff, it was determined that the center did not obtain sworn statement or affirmations by the first day of employment and central registry background check within 30 days of employment. Evidence: Staff #1, start date 9/7/18, did not have documentation of sworn statement or central registry background check results. Staff #2, start date 9/1992, did not have documentation of sworn statement or central registry background check results. Staff #3, start date 9/1993, did not have documentation of sworn statement or central registry background check results.
Plan of Correction:	Staff #2 and Staff #3 completed sworn statements during the inspection. Staff #1 will completed a sworn statement as soon as possible as she is not working today. Central registry background checks were completed in 2018 and we were unable to locate the results during the inspection. Results will be located and provided to the licensing inspector.
Standard #:	63.2(17)-1716-A
Description:	Based on observation and interview with staff, it was determiend that the center did not provide written disclosure to parents and guardians of the children in the center of required information. Evidence: 1. It was not posted that the program is exempt from licensure in a visible location. 2. Qualifciations of personnel employed by the center was not provided in writing.
Plan of Correction:	The exemption letter was posted during the inspection.
Standard #:	63.2(17)-1716-A-6
Description:	Based on observation and interview with staff, it was determined that the center did not provide a written statement of the center's operations to the parents/guardians of the center and made available to the general public regarding physical facilities, enrollment capacity and public liability insurance. Evidence: There was no written statement regarding physical facilities, enrollment capacity and public liability insurance.
Plan of Correction:	Enrollment capacity was posted during the inspection on the exemption letter. Physical faciliites description and public liability disclosure will be added to the handbook.
Standard #:	63.2(17)-1716-A-8
Description:	Based on interview with staff, it was determined that the center failed to ensure that at least one person trained in first aid and CPR was present at the center whenever children are present. Evidence: No staff had documentation of current CPR and First Aid training. Staff #3 indicated that her CPR/First aid training expired in February 2018.
Plan of Correction:	Staff will update CPR/First aid training as soon as possible.
Standard #:	63.2(17)-1716-B-3
Description:	Based on review of documentation and interview with staff, it was determined that the center did not have documentation of a person trained to perform daily simple health screenings and exclusion of sick children. Evidence: No staff had Daily Health Observation (DHO) Training.
Plan of Correction:	Daily health observation training will be completed as soon as possible.