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Calvary Road Baptist Church
6811 Beulah Street
Alexandria, VA 22310
(703) 971-8004

VDSS Contact: Eureka Nance (703) 638-5968

Inspection Date: Sept. 18, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
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:
1. Reviewed safe storage for hazardous items.
2. Recommended cot spacing be at least 12" between each occupied cot.
3. Discussed background check requirements. A copy of the current sworn disclosure statement was provided to management.

Comments:
1:05-3:25pm Religious exempt program inspection completed. Observed 54 children + 4 direct-care staff in the preschool program. Ratios and supervision were in compliance. The facility was found to be very clean and well supplied with equipment for the children. Children were napping during the inspection. Policies, procedures, and practices reviewed. Met with the Principal and Assistant Principal. Staff training requirements met. Background check non-compliance found. Corrective actions taken will be sent to the inspector for verification.

Violations:
Standard #: 22VAC40-191-50-A-1-a
Description: Based on records reviewed, it was determined that 7 of 7 staff records did not include a completed sworn disclosure statement. Evidence: The sworn statement include on the employment application does not include the required questions outlined on the model form. Staff records checked today that are not in compliance include: Staff #1, #2, #3, #4, #5, #6, and #7.

Plan of Correction: Staff will completed a new sworn disclosure statement.

Standard #: 22VAC40-191-50-A-2-a
Description: Based on records reviewed, it was determined that 2 of 7 staff records did not include a current central registry check (CPS), completed within the last 5 years and within the first 30-days of employment.

Evidence:

1. Staff #4 - The previous CPS check was dated as completed 9/1/05.

2. Staff #6 - Began working in August 2019, and the CPS check has not been submitted.

Plan of Correction: CPS checks will be completed promptly.

Standard #: 22VAC40-191-50-A-3-a
Description: Based on records reviewed, it was determined that 1 of 7 staff records did not include a completed criminal record check prior to the first date of employment. Evidence: Staff #7 - Employment began in August 2019, and the results of the fingerprinting are not on-file.

Plan of Correction: The school indicates that the fingerprints have been completed, and they are awaiting results.

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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