VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First United Methodist Church
101 East Jefferson Street
Charlottesville, VA 22902
(434) 296-6193

VDSS Contact: Kelly Campbell (540) 309-2494

Inspection Date: March 6, 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

Technical Assistance:

Substitute providers are required to have all the same background checks and training regular staff are required to have.

Comments:

An unannounced code compliance inspection was initiated on 03/06/2023 and concluded on 03/06/2023 from 10:00 AM to 11:00 AM. There were 28 children present, ranging in ages from three to five, with seven staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and procedures. A total of five children?s records and five staff?s records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22.1-289.031-A-4
Description:	REPEAT VIOLATION Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date. Evidence: 1. The record for staff 3 did not contain a staff health report. 2. The director stated staff 3 is a substitute and she was unaware substitutes needed a staff health report. She stated staff 3 started some time in October 2021. 3. Per the director staff 1 started working with children on 9/6/22. The staff health sheet for staff 1 is dated 9/14/22.
Plan of Correction:	Staff 3 will be advised to provide a completed staff health report as soon as an appointment can be made. In the future no staff will be allowed to start working with children until a staff health report is received.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. The record of staff 1 documents the orientation date as 8/23/22. The fingerprint results are dated 8/31/22. 2. The director verified staff 1 orientation is paid and was conducted starting 8/23/22.
Plan of Correction:	In the future no staff will be allowed to start work until fingerprint results are obtained.
Standard #:	8VAC20-770-40-D-2
Description:	REPEAT VIOLATION Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: 1. The record for staff 3 did not contain a sworn statement or central registry check. 2. The director sated staff 3 is a substitute that started sometime in October of 2021 and she was unaware the documents were not completed. 3. The record for staff 1 did not have a central registry background check. 4. The director stated staff 1 started 8/23/22 with orientation and with children on 9/6/22. The documents for the central registry was mailed and at some point she followed up but has not heard anything back about the status of the background check and has no documentation. The sworn statement was not signed until 8/25/22.
Plan of Correction:	Staff 3 will be required to complete the sworn statement for the fie. In the future staff will complete the sworn statement with application. A new central registry will be completed for staff 1 and staff 3 within 10 days. If results are not received within 30 days the director will follow-up and document the file. The licensing inspector will be informed of each step. In the future central registry background checks will be sent through the portal upon hire and followed-up if not received within 30 days. The file will be documented upon each step.