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Community Advent Christian Church
4512 Old Mountain Road
Roanoke, VA 24019
(540) 366-0893

VDSS Contact: Tara K Martin (804) 588-2371

Inspection Date: Nov. 28, 2023

Complaint Related: Yes

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

Comments:
An unannounced complaint inspection for the religiously exempt child day center was conducted on 11/28/2023 based on a complaint received on 11/14/2023 regarding background checks and staffing. A code compliance inspection was also conducted on 11/28/2023. A total of 47 children, ages 2 years-5 years and 8 staff were present during the inspection. A total of 5 staff records, as well as other required documents were reviewed during the inspection. One inspector and one administrator arrived at approximately 11:30 am and departed at approximately 1:15 pm.

The information gathered during the complaint inspection did support the complaint and therefore the complaint was determined to be valid.

Information gathered during the inspection determined non-compliance with the Code of Virginia and violations were documented on the violation notice issued to the provider.

Violations:
Standard #: 22.1-289.035-B-2
Complaint related: Yes
Description: Based on document review and staff interviews, the center failed to ensure that no person shall be hired for compensated employment prior to the facility obtaining an employment eligibility letter upon the completion of a fingerprint background check as required by the Code of Virginia.

Evidence:
1. Staff 4 verified that Staff 1 was hired in 08/01/2022. There was not an eligibility letter for Staff 1 available for review during the inspection. Staff 1 was observed working during the inspection.
2. Staff 4 verified that Staff 2 was hired in 08/01/2022. There was not an eligibility letter for Staff 2 available for review during the inspection. Staff 2 was observed working during the inspection.
3. Staff 4 verified that Staff 4 was hired in 08/01/2022. There was not an eligibility letter for Staff 4 available for review during the inspection. Staff 4 was observed working during the inspection.

Plan of Correction: Fingerprint background checks from staff will be obtained.

Standard #: 8VAC20-770-40-D-2
Complaint related: Yes
Description: Based on record review and staff interviews, the center failed to ensure that an employee must not be employed until the agency has the person?s completed sworn statement or affirmation and to obtain the findings from a search of the central registry within 30 days of employment.

Evidence:
1. Staff 4 verified that Staff 1 was hired on 08/01/2022. The sworn statement was dated 09/07/2022. A sworn statement or affirmation was not obtained prior to the persons employment.
2. Staff 4 verified that Staff 2 was hired on 08/01/2022. The sworn statement was dated 09/06/2022. A sworn statement or affirmation was not obtained prior to the persons employment.
3. Staff 4 verified that Staff 1 was hired on 08/01/2022. There was no findings from a search of the central registry for Staff 1 available for review during the inspection. Findings from a search of the central registry were not obtained within 30 days of employment.
4. Staff 4 verified that Staff 2 was hired on 08/01/2022. There was no findings from a search of the central registry for Staff 2 available for review during the inspection. Findings from a search of the central registry were not obtained within 30 days of employment.
5. Staff 4 verified that Staff 3 was hired on 08/01/2023. There was no findings from a search of the central registry for Staff 3 available for review during the inspection. Findings from a search of the central registry were not obtained within 30 days of employment.
6. Staff 4 verified that Staff 4 was hired on 08/01/2022. There was no findings from a search of the central registry for Staff 4 available for review during the inspection. Findings from a search of the central registry were not obtained within 30 days of employment.
7. Staff 4 verified that Staff 5 was hired on 08/01/2023. There was no findings from a search of the central registry for Staff 5 available for review during the inspection. Findings from a search of the central registry were not obtained within 30 days of employment.

Plan of Correction: All request from the central registry have been submitted.

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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