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St. John's Episcopal Church
205 Elmwood Ave
Lynchburg, VA 24503
(434) 846-1914

VDSS Contact: Monique Anderson (540) 309-2397

Inspection Date: Oct. 25, 2019

Complaint Related: No

Areas Reviewed:
22VAC40-191 Background Checks for Child Welfare Agencies
54.1-3408 Must be MAT Certified.
32.1 Report by person other than physician
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.

Comments:
The Licensing Inspector for St. Johns Episcopal Church conducted an unannounced RECDC Monitor Inspection on Friday, October 25, 2019. Licensing Inspector arrived & started inspection at 1:30 PM and concluded at 2:40 PM. There were seventeen (17) children ages 2-5 year olds under the direct care and supervision of four (4) staff members. Licensing Inspector reviewed information for fifteen (15) staff members. Areas of non-compliance and found during today?s inspection along with the risk assessment were reviewed with the Center Director on 10/25/2019. If you have any questions, the Licensing Inspector for this facility can be reached at (540) 309-2397.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on review of staff information, the Center failed to ensure each employee, volunteer or any other person who is expected to be alone with one or more children enrolled in a religious exempt child day center has completed Sworn Disclosure Background Check before employment/commencement of service and Central Registry Background Check within 30 days of employment/commencement of service. EVIDENCE: Licensing Inspector information for fifteen (15) staff members. Information for Staff #12, #13, #14 and #15 did not include evidence of completed Central Registry (CPS) Background Check. Information for all staff members did not include evidence of a completed Sworn Disclosure.

Plan of Correction: The program will send documentation to the Licensing Inspector that the background checks have been requested no later than 10 days following this notification date (10/25/2019).

Standard #: 63.2(17)-1716-A
Description: Based on inspection, the Center failed to post the fact that it is exempt from licensure in a visible location on the premises. EVIDENCE: Required letter of exemption was not posted in a visible location on the premises.

Plan of Correction: Center Director will post letter of exempt at the entrance of the day care

Standard #: 63.2(17)-1716-A-6
Description: Based on review of center information, the Center failed to provide a written statement regarding public liability insurance to the parents/guardians of the children in the center and made available to the general public. EVIDENCE: A written information regarding the center's public liability insurance was not included in the parent handbook nor posted.

Plan of Correction: Center Director will document the center's public liability insurance information in the parent's handbook

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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