VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Restoration Church UMC
5145 Dickerson Road
Charlottesville, VA 22911
(434) 973-9077

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Nov. 15, 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

Technical Assistance:

As of 7/1/19 the center must ensure that all incidents involving serious physical injury are reported to the Commissioner. Reports of serious physical injuries shall be submitted annually and reported.

Comments:

An unannounced monitoring inspection was conducted on 11/15/19 from 9:30 am until 12:45 pm at Restoration United Methodist Church to review the religious exempt requirements. At the time of the inspection 29 children were present with six staff. The sample size consisted of five children's records and five staff's records. Children and staff were observed during indoor and outdoor free play, educational and artistic activities, singing, bathroom break, hand washing, pick-up, 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 seven staff were reviewed. Staff 2's start date was 2/19. The center does not have a complete central registry record check for staff 2. Staff 4's start date was 9/17. The center does not have a sworn disclosure statement for staff 4. Staff 5's start date was 9/09. The center does not have a sworn disclosure statement for staff 5. Staff 7's start date was 1/16. The center does not have a sworn disclosure statement or central registry record check for staff 7. 2. The director stated a central registry background check was mailed for staff 2 but was not followed-up. The director called the office of background investigations during the inspection and found the email address was incorrect to receive central registry results for staff 2. They are going to email the results to the director. 3. The director stated the central registry check for staff 7 and sworn disclosure statements could not be found for staff 4, staff 5 and staff 7.
Plan of Correction:	The central registry check paperwork was printed and provided to staff 7 during the inspection. The document will be mailed within a week. The three staff missing sworn statements completed the forms during the inspection. The director will ensure that all new staff complete sworn statements prior to employment and central registry paperwork is mailed upon hire. If central registry results are not received within 30 days the director will follow-up and document it in the file.
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 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 exemption status was not documented. 3. The director verified they do not have the fact the center is exempt from licensure posted or in writing to parents.
Plan of Correction:	The exemption status will be posted and added to the parent handbook.
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. Information regarding the enrollment capacity, health requirements of staff and public liability insurance was not documented in the parent handbook. 2. The director verified parents are not provided this information in writing.
Plan of Correction:	The enrollment capacity, health requirements of staff and public liability insurance will be added to the parent handbook and provided to the parents of current children in care.
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 stated they do not have a procedure to ensure all staff are able to recognize the signs of child abuse and neglect.
Plan of Correction:	All staff will be required to complete training in recognizing child abuse and neglect. In the future all new staff will be required to complete the training prior to working with children.
Standard #:	63.2(17)-1720.1-B-3
Description:	Based on record review and interview, the center failed to obtain a search of child abuse and neglect registry or equivalent registry maintained by any other state in which a new staff has resided in the preceding five years for any founded complaint of child abuse or neglect against him/her by the end of the 30th day of employment. Evidence: 1. The records of seven staff were reviewed. Staff 4's record has documentation in the staff record of living in another state within five years at the time of hire. Staff 4's start date was 9/17. There is not documentation of an out-of-state child abuse and neglect search in staff 4's record. 2. The director verified they did not complete an out-of-of state child abuse and neglect search for staff 4.
Plan of Correction:	The director printed out the needed documents to complete the out-of-state child abuse and neglect search to complete within ten days. In the future the documentation will be completed in the required time frame.