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Family Community Church
120 Chestnut Drive
Culpeper, VA 22701
(540) 825-6420

VDSS Contact: Amy Tomblin (804) 629-3923

Inspection Date: Oct. 2, 2020

Complaint Related: No

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

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.
A monitoring inspection was initiated on 10/2/20 and concluded on 10/5/20. The vendor was contacted by telephone to initiate the inspection. There were 24 children present and 5 staff. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 3 children?s records and 3 staff records submitted by the facility to ensure documentation was complete.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:
Standard #: 22VAC40-665-520-B-11
Description: Based on documentation provided by the director, the vendor failed to obtain a written allergy care plan for a child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and steps to be taken in the event of a suspected or confirmed allergic reaction.

Evidence:

The director stated one child in care has a diagnosed food allergy and provided an allergy care plan signed by the child's parent. The vendor did not obtain an allergy care plan from the physician.

Plan of Correction: An allergy care plan will be obtained from the physician.

Standard #: 22VAC40-665-580-H
Description: Based on a review of the documentation provided by the director, the vendor failed to ensure one staff hired prior to 1/19/18 completed the department's health and safety update course by 9/30/18.

Evidence:

1. Per documentation provided by the director, staff 1 was hired 9/30/15. No documentation was provided showing staff 1 completed the department's health and safety update course.
2. The director stated staff 1 did not complete the course.
3. Per documentation provided by the director, staff 2 was hired 1/27/07. The documentation of the departments health and safety update course is dated 7/11/19.

Plan of Correction: Staff 1 will complete the department's health and safety update course.

Standard #: 63.2(17)-1720.1-A
Description: Based on a review of documentation provided by the director, the vendor failed to obtain updated central registry background checks every five years for one out of three staff.

Evidence:

1. The documentation for staff 1 provided by the director has a central registry background check dated 9/23/15.
2. The director stated she had not completed an updated central registry for staff 1.

Plan of Correction: Staff 1 completed the paperwork on 10/5/20 and once it is notarized it will be mailed. In he future the director will insure central registry background checks will be updated every five years.

Standard #: 63.2(17)-1720.1-B-2
Description: Based on a review of documentation provided by the director, the vendor failed to obtain a fingerprint background check for one out of three staff hired prior to 1/19/18 by 9/30/18.

Evidence:

1. The documentation provided by the director for staff 1 did not contain a fingerprint background check. The documentation showed a start date for staff 1 as 9/30/15.
2. The director stated she was unable to find documentation of a fingerprint background check for staff 1 and is unsure if one was completed.

Plan of Correction: Staff 1 had her fingerprints done on 10/5/20 and they are waiting for the results. In the future fingerprint background checks will be completed as required.

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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