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St. Paul's United Methodist Church
2000 Shutterlee Mill Road
Staunton, VA 24401
(540) 490-1343

VDSS Contact: Julie R. Kunowsky (540) 430-9256

Inspection Date: Dec. 12, 2018

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures

Comments:
An unannounced monitoring inspection was conducted on 12/12/18 from 9:50 am until 12:30 pm to review the religious exempt requirements. At the time of the inspection 38 children were present with nine staff. The sample size consisted of five children's records and five staff's records. Children and staff were observed during free indoor play, snack, rehearsal for a Christmas program, singing, educational lesson, pick-up, transitions, and behavioral guidance. Violations were found during this inspection and are documented on the violation notice. If you have questions or concerns contact the licensing office at (540) 292-5933 for further assistance.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on record review and interview, the center failed to ensure all staff completed a sworn statement or affirmation before employment and a search of central registry within 30 days of employment. Evidence: 1. Out of the five staff records reviewed staff 2's record did not contain a search of the central registry. The start date documented in the filed for staff 2 is 6/12/15. 2. Out of the five staff records reviewed none contained documentation of a sworn statement or affirmation. 3. The director stated they do not have a central registry search for staff 2 and they do not have sworn statements or affirmations for any staff.

Plan of Correction: A central registry record search will be completed for staff 2. All staff will complete a sworn statement. In the future new staff will be required to complete sworn statements prior to starting work and central registries will be completed within 30 days of employment.

Standard #: 63.2(17)-1716-A-4
Description: Based on record review and interview, the center failed to obtain annual documentation for one out of five staff from a practicing physician that certifies the staff are free from any disability which would prevent him/her from caring for children under his/her supervision. Evidence: 1. The record for staff 1 contained a health form dated 10/18/17. 2. Staff 1 stated she completed it and thought she turned it in. 3. The director was unable to find the document.

Plan of Correction: If the document cannot be found staff 1 will obtain another health form and turn it in to the director to be filed.

Standard #: 63.2(17)-1716-B-3
Description: Based on a review of the center's procedures and interview, the center failed to establish and implement procedures in which daily simple health screening is completed by a staff member who has obtained instruction in performing the daily health screening.

Evidence:

1. The center's written procedures state staff are to administer daily simple health screening on children daily.
2. Out of the five staff records reviewed no record contained documentation of staff completing training in daily simple health screening.
3. The director stated no staff has received training in daily simple health screening from a health care professional.

Plan of Correction: Staff will be provided training in daily simple health screening to ensure at least one staff is present at all times that has completed the training. All staff will be made aware of the staff that have received the training and directed to refer to them if health concerns are found for children in care.

Standard #: 63.2(17)-1716-B-7
Description: Based on interview and record review, the center failed to establish and implement a procedure to ensure all staff are able to recognize the signs of child abuse and neglect.

Evidence:

1. The five staff records reviewed contained no documentation of training in recognizing the signs of child abuse and neglect.
2. The center's policies and procedures do not address the signs of child abuse and neglect.
3. The director states they discuss being mandated reporters with staff each year but the staff do not receive training in recognizing child abuse and neglect.

Plan of Correction: Staff will be provided with training in recognizing child abuse and neglect. In the future all new staff will be provided with training in child abuse and neglect as part of orientation.

Standard #: 63.2(17)-1720.1-A
Description: Based on record review and interview, the center failed to obtain an updated search of central registry every five years effective 9/1/17. Evidence: 1. The records for four out of five staff did not have updated central registry searches within the last five years. - staff 1 central registry dated 9/20/12 - staff 3 central registry dated 10/13/10 - staff 4 central registry dated 10/13/10 - staff 5 central registry dated 9/6/13 2. The director stated they have not completed updated central registry checks.

Plan of Correction: A review of all staff records will be completed and updated central registry checks will be completed for all staff whose current central registry is over five years old.

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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