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Trinity Presbyterian Church
3101 Fontaine Avenue Extended
Charlottesville, VA 22903
(434) 977-3700

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 13, 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 11/13/19 from 9:45 am until 11:45 am at Trinity Presbyterian Church to review the religious exempt requirements. At the time of the inspection 14 children were present with two staff. The sample size consisted of five children's records and six staff's records. Children and staff were observed during educational and artistic lessons, free play, story time, singing, bathroom break, hand washing, snack, transitions and behavioral management. 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 six staff were reviewed. Staff 4's start date was 8/18 and the central registry is dated 4/3/19 and sworn statement is dated 4/1/19.
2. The director verified the sworn statement for staff 4 is dated 4/1/19 and the central registry check was 4/3/19.

Plan of Correction: In the future new staff will be required to complete the sworn statement and documentation for the central registry at application. Upon hire the central registry will be mailed and if not returned within 30 days the director will follow-up and document it in the file.

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 enrollment capacity, health requirements of staff and public liability insurance.

Evidence:

1. The parent handbook was reviewed. The handbook did not contain information regarding the enrollment capacity, health requirements of staff and public liability insurance.
2. The director verified this information is not provided to the parents in writing.

Plan of Correction: The enrollment capacity, health requirements of staff and public liability insurance will be added to the parent handbook and all parents of children in care present and future will be provided with the updated information.

Standard #: 63.2(17)-1716-B-3
Description: Based on interview, the center failed to establish and implement a procedure in which a daily health screening and exclusion of sick children by a person trained to perform such a screening is conducted daily.

Evidence:

The director stated the center staff complete daily health checks on children each morning and has an exclusion policy but none of the staff have received training in conducting daily health checks.

Plan of Correction: Staff will be required to complete training in daily health checks.

Standard #: 63.2(17)-1716-B-6
Description: Based on 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 stated two of the staff have completed training in recognizing signs of child abuse and neglect years ago but the remaining staff have not. The center does not have a procedure that requires staff to complete the training.

Plan of Correction: All staff will be required to complete training in recognizing child abuse and neglect. In the future new staff will be required to complete the training prior to 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 and by 9/30/18 for staff hired prior to 1/22/18.

Evidence:

1. The records of six staff were reviewed. None of the six staff completed the fingerprint-based criminal history check determination letters in the required time frames.
2. The dates are as follows:
Staff 1 start date 8/07 letter dated 4/12/19
Staff 2 start date 8/02 letter dated 4/17/19
Staff 3 start date 9/12 letter dated 4/15/19
Staff 4 start date 8/18 letter dated 4/17/19
Staff 5 start date 9/02 letter dated 4/8/19
Staff 6 start date 8/16 letter dated 4/8/19.
3. The director verified the dates.

Plan of Correction: In the future no staff will be hired until the fingerprint-based criminal history check determination letter is received.

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.

Virginia Quality is a voluntary quality rating and improvement system for early care and education facilities serving children ages birth through pre-K. To find programs participating in Virginia Quality, click here.

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