VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Orange Presbyterian Church
162 West Main Street
Orange, VA 22960
(540) 672-4240

VDSS Contact: Kelly Adriazola (804) 840-8245

Inspection Date: Oct. 2, 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 10/2/19 from 10:00 am until 12:00 pm at Orange Presbyterian Church to review the religious exempt requirements. At the time of the inspection 18 children were present with three staff. The sample size consisted of five children's records and four staff's records. Children and staff were observed during free indoor play, structured group activities, art, 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 inspector at (540) 848-4123 for further assistance.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review and interview, the center failed to have staff sign a sworn disclosure statement prior to the first day of employment and have a completed central registry record check by the end of the 30th day of employment. Evidence: 1. The records of four staff were reviewed. Staff 1's start date was 8/1/19. There is no central registry background check in staff 1's record. Staff 3's start date was 9/3/19. The sworn statement is dated 10/13/19 and there is no central registry background check in staff 3's record. Staff 4's start date was 9/3/19. The sworn statement is dated 10/14/19 and there is no central registry background check in staff 4's record. 2. The director verified the dates and the missing documents.
Plan of Correction:	All staff will be required to complete the paperwork for the central registry and they will be mailed within five working days of the receipt of this violation notice. In the future new staff will be required to complete a sworn statement and the paperwork for a central registry upon application. The central registry will be mailed upon hire.
Standard #:	63.2(17)-1716-A
Description:	Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents that includes information regarding the fact the center is exempt from licensure, the qualifications of personnel and failed to post the fact that the center is exempt from licensure in a visible location on the premises. Evidence: 1. A tour of the facility was conducted. No posting of the center's exemption status was found. 2. The parent handbook was reviewed and the exempt status and qualifications of personnel was not documented in the parent handbook. 3. The principal verified they do not have the fact the center is exempt from licensure posted and is not provided to parents in writing. The director also verified the qualifications of personnel is not provided in writing to parents.
Plan of Correction:	The exemption status will be posted in a place parents can see and parents of children currently enrolled will be provided in writing information regarding the center's exempt status and the qualifications of personnel. The handbook will be updated to include this information to be given to parents of new children to the center.
Standard #:	63.2(17)-1716-A-5-a
Description:	Based on interview, the center failed to comply with the exemption status regarding age range. Evidence: 1. The center's religious exemption documents state the age range of children they enroll are between three and five. 2. The director stated they do enroll children that are two under special arrangement. They currently have three children enrolled age two that started 9/3/19. One will be three in November and the other two will be three in February.
Plan of Correction:	A modification request will be completed and sent to licensing to request the exemption be changed to include two-year-old children. Starting next school year, no child under the age of three will be enrolled into the program.
Standard #:	63.2(17)-1716-A-6
Description:	Based on a review of the parent handbook and interview, the center failed to provide a written disclosure to parents and guardians of the children in the center and the general public that includes information regarding the physical facilities, enrollment capacity, health requirements of staff and public liability insurance. Evidence: 1. The parent handbook was reviewed. The following information was not in the parent handbook: physical facilities, enrollment capacity, health requirements for the staff and public liability insurance. 2. The director verified they do not provide this information to parents in writing.
Plan of Correction:	Parents of children currently in care will be provided in writing information regarding the center's physical facilities, enrollment capacity, food services, health requirements for the staff and public liability insurance. The handbook will be updated to include this information to be given to newly enrolled children.
Standard #:	63.2(17)-1716-B-4
Description:	Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure all children in the center are in compliance with immunization provisions. Evidence: 1. Five children's records were reviewed. All five records contained immunization records dates prior to the first date of attendance. 2. The director stated the center's policy is for parents to provide their children's immunization records prior to the first date of attendance but they do not have every child's immunization record yet. The first day of school was 9/3/19.
Plan of Correction:	All parents of children without immunization records at the center will be informed in writing they need to provide documentation of immunizations before the end of October of their child can no longer attend the childcare until the immunization record is received.
Standard #:	63.2(17)-1716-B-5
Description:	Based on a review of the staff handbook and interview, the center failed to establish and implement a procedure to ensure that all areas of the premises accessible to children are free of obvious injury hazards, including providing and maintaining cushioning material under playground equipment. Evidence: The playground used by children does not have cushioning material under it. The equipment sits on top of dirt and grass.
Plan of Correction:	Cushioning material will be purchased and placed under the playground equipment. The equipment will not be used until the cushioning material is down.
Standard #:	63.2(17)-1716-B-6
Description:	Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect. Evidence: The director provided documentation of staff completing training in recognizing child abuse and neglect. Staff 4's start date was 9/3/19 and has documentation of training dated 10/14/19.
Plan of Correction:	In the future all new staff will be required to complete training in recognizing child abuse and neglect before working with children.
Standard #:	63.2(17)-1720.1-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment for staff hired after 1/22/18. Evidence: 1. The records of four staff were reviewed. The start dates for each staff were as follows: staff 1 8/1/19, staff 3 9/3/19 and staff 4 9/3/19. There is no fingerprint-based criminal history check determination letters in any of the staff records. 2. The director verified they do not have fingerprint-based criminal history check determination letters for any staff.
Plan of Correction:	Fingerprint-based criminal history check determination letters will be obtained for all staff within five business days of receiving the fieldprint number to complete the fingerprints.