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Jerusalem Baptist Church
5424 Ox Road
Fairfax station, VA 22039
(703) 278-8166 (101)

VDSS Contact: Shahana Green (571) 423-6735

Inspection Date: Oct. 28, 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.
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

Technical Assistance:
Discussed Out of State Background checks

Comments:
An unannounced inspection was conducted from 815- 925. Inspector arrived before children began to arrive and reviewed paperwork with the Director. Arrivals were also observed and the programs were all in ratio. At the end of the inspection, there were 34 children ( 24 months- 5 years) with 10 staff. Medication procedures, parent disclosures, and immunizations were also reviewed. Please call with questions 703-479-4679

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on interview and record review, it was determined the program had not obtained, for the staff, a Search of central registry within 30 days of employment.
Evidence:
1. Inspector requested to review the background clearances for the staff. The program had Sworn Disclosure Statements and Finger print searches. The Program did not have completed Search of Central Registry checks on file for all the staff.
2. Director stated they had not conducted those checks.

Plan of Correction: We will have all staff complete the forms and send off by the following week.

Standard #: 22VAC40-665-580-K
Description: Based on interview and staff interview, there was no one currently present who has obtained within the last three years instruction in performing a daily health observation of children.
Evidence:
1. Staff records show staff have received instruction in daily health screening but all were conducted over three years ago.

Plan of Correction: We will complete the training within the next month.

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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