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The Church of the Good Shepherd
9350 Braddock Road
Burke, VA 22015
(703) 323-6120

VDSS Contact: Lisa Hudson (571) 389-2459

Inspection Date: May 6, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Must be MAT Certified.
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-665 INTRODUCTION
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Comments:
An unannounced inspection was conducted from 11:10 - 1245. The area used by the program and classes were observed. There were 53 children being supervised by 9 staff and 2 staff present to answer administrative questions. The program had various activities ongoing and medication procedures were also checked. Please call with questions 703-479-4679.

Violations:
Standard #: 22VAC40-191-40-C-2
Description: Based on record review of 12 staff files, it was determined the program had not obtained search of central registry for 8 staff. Evidence: 1. All 12 Staff records contained Finger Print checks and Sworn Disclosure statements but only 4 staff records contained current CPS checks.

Plan of Correction: We will all have staff complete clearance form and obtain notarization- these forms will all be sent with cashier's check.

Standard #: 63.2(17)-1716-A-6
Description: Based on record review, the program's operations are described in a written statement, but is missing the health requirements for the staff and public liability insurance.

Plan of Correction: We are adding this information to the parent's board.

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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