VIRGINIA DEPARTMENT OF SOCIAL SERVICES

St. Stephen's United Methodist Church
9203 Braddock Rd
Burke, VA 22015
(703) 978-9024

VDSS Contact: Jessica Willis (571) 352-1453

Inspection Date: Nov. 13, 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:

Review Handbook to ensure disclosure of required elements are included. Staff counted in the ratio were discussed and this included the contract staff. Review all staff files to determine CPS and Sworn Disclosure Statements are current and complete.

Comments:

An unannounced inspection was conducted from 12:55- 2:50. The program had only two remaining groups scheduled to stay until 2 and those children were engaged in soccer play activities with ratios of 20 to 2 and 13 to 2. The Program has a new Director and the Administrative team were cooperative as they reviewed files and standards with the Inspector. Please call with questions 703-479-4679

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review and interviews, it was determined the program did not obtain Central Registry Search within 30 days of employment for new staff. Evidence: 1. Program has a new Director and the Director explained she reviewed files and found that none of the staff hired in the last year have had a Central registry Search conducted. 2. Inspector reviewed 6 staff files were reviewed and none had CPS clearances maintained but Director showed documentation that she has been having staff complete the forms..
Plan of Correction:	We will have all staff complete the CPS forms and send out within the week.
Standard #:	22VAC40-665-580-K
Description:	Based on interview, it was determined the program has not had a staff member present who is current in Daily Health Screening. Evidence: 1. Staff interviewed stated they have not attended a Daily Health screening workshop.
Plan of Correction:	We will make sure a few staff attend a training.
Standard #:	63.2(17)-1716-A-6
Description:	Based on record review and interview, it was determined the program did not provide the General Public and parents written disclosure of physical Facilities, enrollment capacity, food services, and health requirements of staff. Evidence: 1. Inspector reviewed handbook and bulletin board and the above reference items were not included in the handbook or posted for public.
Plan of Correction:	We are working on including all items.
Standard #:	63.2(17)-1720.1-A
Description:	Based on interview and record review of long term staff, it was determined staff who have been employed over 5 years have not submitted repeat Sworn Disclosure and CPS checks.
Plan of Correction:	We were having every staff submit a CPS check and will have all staff complete the Sworn Disclosure Statements to affirm the Background Clearances are in compliance.