Bethany Lutheran Church
2501 Beacon Hill Road
Alexandria, VA 22306
(703) 765-8687
VDSS Contact: Leah Pagala (703) 537-6757
Inspection Date: May 1, 2019
Complaint Related: No
- Areas Reviewed:
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22VAC40-191 Background Checks for Child Welfare Agencies
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
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
- Technical Assistance:
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1. Reviewed background check requirements and required time lines. 2. Discussed storage of hazardous items out of reach of children.
- Comments:
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10:15am-12:20pm Conducted an unannounced religious exempt program inspection. Observed 49 children + 10 direct-care staff. Ratios and supervision were in compliance. Children were engaged in a variety of activities, to include: science activities, art projects, sensory exploration, creative play, snack, and outdoor active play. The physical facility was found to be very clean, safeguarded appropriately, and well supplied with toys and equipment for the children. Background check, training, and safety violations found.
- Violations:
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Standard #: 22VAC40-191-40-C-2 Description: Based on records reviewed, it was determined that 1 of 6 staff records did not include a completed central registry check (CPS) by July 2018. Evidence: Staff #2 - The CPS was submitted, but results not received. Plan of Correction: The Director contacted OBI today and is waiting a return call to verify the completion of the CPS. If needed, the CPS check will be re-submitted. Within 10 days, the Director will send the results of a completed CPS check, or a copy of the re-submitted CPS application.
Standard #: 63.2(17)-1716-B-3 Description: Based on interview conducted, it was determined that no staff have been trained in daily health screening. Plan of Correction: Staff will receive training.
Standard #: 63.2(17)-1716-B-6 Description: Based on observations made, it was determined that a piece of playground equipment was not maintained in a manner that ensured it was free of obvious hazard. Evidence: The brown climber has 3 cracks in the plastic, located at the base, where a child could cut or trap their skin. Plan of Correction: The Director indicated that the cracks would be covered in duck tape to ensure the cracks are no longer a hazard.
Standard #: 63.2(17)-1720.1-B-3 Description: Based on records reviewed and interview conducted, it was determined that 2 of 6 staff records did not include completed out-of-state CPS checks. Evidence: (1) Staff #4, and Staff #6. Plan of Correction: CPS checks will be submitted to the required States, and a copy of such will be sent to the inspector within in 10-days.
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.
