VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Northridge Community Church
5100 Dickerson Road
Charlottesville, VA 22911
(434) 964-1560

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: April 18, 2019

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 4/18/19 from 9:35 am until 11:30 am to review the religious exempt requirements. At the time of the inspection 16 children were present with four staff. The sample size consisted of five children's records and five staff's records. Children and staff were observed during free indoor play, educational activities, hand washing, bathroom break, transitions, and behavioral guidance. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and returned it to me within five calendar days from today. You will need to specify how the deficient practice will be or has been corrected. Just writing the word ?corrected? is not acceptable. Your plan of correction must contain: 1) steps to correct the noncompliance with the standard(s), 2) measures to prevent the noncompliance from occurring again; and 3) person(s) responsible for implementing each step and/or monitoring any preventive measure(s). If you have questions or concerns contact the licensing inspector 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 central registry record check within 30 days of employment. Evidence: 1. Five staff records were reviewed. The records for staff 3, start date 2017, and staff 4, start date 9/18, did not contain documentation of a central registry background check. 2. The director stated they thought central registry background checks no longer had to be done. Central registry background checks were not completed for staff 3 and staff 4.
Plan of Correction:	All Central Registry forms for all current employees have been printed for staff to complete and a notary is coming to the center on 4/30/19. They will be mailed on 4/30/19.
Standard #:	63.2(17)-1716-A-4
Description:	Based on record review and interview, the center failed to ensure all staff upon hire and yearly thereafter be certified by a practicing physician to be free from any disability which would prevent him/her from caring for children under his/her supervision. Evidence: 1. The record for staff 5, start date 2007, does not have documentation of a physician health form in the staff record. 2. The director stated staff 5 is a substitute and they have not required her to get a physician health form. Staff 5 is used for ratio purposes.
Plan of Correction:	The form was given to staff 5 on 4/24/19 to have a physician complete.
Standard #:	63.2(17)-1716-B-3
Description:	Based on interview, the center failed to establish and implement a procedure to ensure a daily simple health screening and exclusion of sick children by a person trained to perform such screenings is completed daily. Evidence: The director stated the center has a policy regarding daily simple health screenings, however they do not have a policy for the screening to be conducted by a staff member that is trained to perform such screenings.
Plan of Correction:	The director will attend the Daily Health Screening training on 5/14/19 and will train the rest of the staff on site.
Standard #:	63.2(17)-1716-B-7
Description:	Based on interview, 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 director stated they have provided staff with training on recognizing child abuse and neglect but not at the time of hire and they do not have a policy for staff to be trained in recognizing child abuse and neglect. 2. The director stated staff 4, start date 9/18, has not had training in recognizing child abuse and neglect.
Plan of Correction:	Each staff member has been given the link to complete the online training on Recognizing Child Abuse and Neglect.
Standard #:	63.2(17)-1720.1-A
Description:	Based on record review and interview, the center failed to update sworn disclosure statement, central registry record check and criminal background check every five years effective 7/1/17. Evidence: 1. The records for five staff were reviewed. Staff 1 has a central registry record check dated 8/30/07 and a criminal background check dated 9/10/07. Staff 2 has a central registry record check dated 10/10/07 and a criminal background check dated 9/10/07. Staff 5 has a sworn disclosure statement dated 6/19/13, central registry record check dated 8/30/07 and a criminal background check dated 9/10/07. 2. The director verified they have not updated these documents.
Plan of Correction:	All Central Registry forms for all current employees have been printed for staff to complete and a notary is coming to the center on 4/30/19. Staff 5 will be required to update the sworn statement.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center failed to ensure staff hired after 1/22/18 had a fingerprint-based criminal history check determination letter prior to the first day of employment, and that staff hired before 1/22/18 obtained a fingerprint-based criminal history check determination letter by 9/30/18. Evidence: 1. The records for five staff were reviewed. Staff 4, start date 9/18 and staff 5, start date 2007, do not have documentation of fingerprint results. 2. The director stated staff 4 and staff 5 have not completed fingerprints. Staff 4 was told to complete fingerprints but did not go to the appointment.
Plan of Correction:	Staff 4 and staff 5 have been advised to complete a fingerprint background check immediately.