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Deliverance Church of Christ #2
13046 West James Anderson Highway
Buckingham, VA 23921
(434) 414-7833

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Dec. 5, 2023

Complaint Related: No

Areas Reviewed:
22.1 Background Checks Code

8VAC20-790 Physical Plant

32.1 Report by person other than physician

8VAC20-790 Staffing & Supervision

63.2 Child abuse and neglect

8VAC20-790 Programs

8VAC20-790 Introduction

8VAC20-790 Special Care Provisions & Emergencies

8VAC20-790 Administration

8VAC20-790 Special Services

8VAC20-790 Staff Qualifications & Training

Comments:
Licensing Inspector conducted an unannounced Religiously Exempt Code Annual Inspection on December 5, 2023. There were 13 children ages 4 months to 4 years old present under the direct care of 5 staff. The Licensing Inspector reviewed 4 children?s records and 5 staff records, along with any requested program records submitted by the facility to determine if required documentation was complete.

Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the program.

Violations:
Standard #: 22.1-289.031-A-4
Description: Based on record review, the Center failed to ensure every person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.

EVIDENCE:
1. The annual health exam for Staff #1 was dated 3/28/2022 and has expired. Staff #1 was observed working with the children during the inspection.
2. The annual health exam for Staff #2 was dated 4/8/2022 and has expired. Staff #2 was observed working with the children during the inspection.
3. The annual health exam for Staff #3 was dated 3/4/2022 and has expired. Staff #3 was observed working with the children during the inspection.
4. Staff #5 did not have a completed health exam in the record. Staff #5 was observed working with the children during the inspection.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.031-A-8
Description: Based on record review, the Center did not have at least one staff person certified in first aid and cardiopulmonary resuscitation present at the center whenever children are present.

EVIDENCE:
There was not at least 1 staff person present who has current CPR and First Aid certification. Staff #2 first aid and CPR certification expired 11/2022.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.031-B-2
Description: Based on record review, the Center failed to ensure each staff member completed required Fingerprint Background Check before date of employment.

EVIDENCE:
1. Record for Staff #1 did not include a fingerprint background check. Director stated the date of hire was in July 2022 for Staff #1.
2. Record for Staff #4 did not include a fingerprint background check. Director stated the date of hire was in August 2023 for Staff #4.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.049-A
Description: REPEAT VIOLATION
Based on record review, the Center, upon enrollment of a child, failed to require information regarding proof of the child?s age and identity.

EVIDENCE:
Record for Child #1 (enrollment date was not documented), Child #2 (enrollment date 9/5/2023) and Child #3 (enrollment date 8/9/2022) did not include evidence of the child?s proof of age and identity.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22.1-289.058
Description: Based on inspection, the Center failed to have a carbon monoxide detector in each building built before 2015 and houses a child day program that serves preschool children.

EVIDENCE:
A Carbon Monoxide detector has not been installed.

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 8VAC20-770-40-D-2
Description: Based on record review, the Center failed to have Sworn Disclosure Background Check completed for each staff person before date of employment; Center failed to have Central Registry Background Check completed for each staff person by the end of the 30th day of employment.

EVIDENCE:
1. Record for Staff #5 did not include a sworn disclosure background check. Date of hire for Staff #4 was 7/7/2022.
2. Record for Staff #4 did not include a central registry background check. Director stated the date of hire was in August 2023.

Plan of Correction: Not available online. Contact Inspector for more information.

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.

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