VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Lighthouse Worship Center, Inc.
3464 Worth Crossing
Charlottesville, VA 22911
(434) 973-7557

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Feb. 4, 2021

Complaint Related: No

Areas Reviewed:

63.2 Child Abuse & Neglect 63.2(17) License & Registration Procedures 63.2 Facilities & Programs. 22VAC40-191 Background Checks for Child Welfare Agencies

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. An unannounced code compliance inspection was initiated on 2/4/21 and concluded on 2/5/21. The person in-charge was contacted by telephone to initiate the inspection. There were 50 children present and 12 staff. The inspector emailed the provider a list of items required to complete the inspection. The Inspector reviewed 3 staff records and 3 children?s immunization records submitted by the facility to ensure documentation was complete. Violations from the previous inspection were reviewed to ensure current compliance. The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs. Information gathered during the inspection determined non-compliances with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations:

Standard #:	22VAC40-191-40-D-2
Description:	Based on record review and interview, the center failed to obtain a search of central registry record within 30 days of employment for one out of three staff records reviewed. Evidence: 1. The record for staff 1 documents the start date as 2/22/20. The record contains a copy of an incomplete central registry that was certified 2/20/20. 2. The director stated they never received the results of the central registry and never followed-up to find out why.
Plan of Correction:	The director will follow-up and find out what happened to the central registry search. In the future, if the central registry results are not received within 30 days the director will follow-up.
Standard #:	63.2(17)-1716-A-9
Description:	Based on observation and interview, the center failed to ensure compliance with all safe sleep guidelines recommended by the American Academy of Pediatrics. Evidence: 1. During the virtual tour of the facility, several cribs were seen with blankets in them. 2. The director stated the cribs are used by infants under the age of 12 months. 3. American Academy of Pediatrics states that loose bedding, such as sheets and blankets, should not be used.
Plan of Correction:	The director stated all loose bedding, such as sheets and blankets, will be removed from cribs for infants under 12 months of age.
Standard #:	63.2(17)-1716-B-4
Description:	Based on a review of the staff handbook and interview, the center failed to implement a procedure to ensure all children in the center are in compliance with immunization provisions of obtaining immunizations prior to the first date of attendance. Evidence: 1. The center's parent handbook states the following: The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. 2. The record for child 1 documents the start date as 12/7/20. The immunization record for child 1 is dated 12/29/20. 3. The record for child 3 documents the start date as 5/4/20. The immunization record for child 3 is dated 8/28/20. 4. The director verified the dates.
Plan of Correction:	In the future no child will be allowed to attend until the immunization records are obtained.
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 documentation in staff 1's record has a start date as 2/22/20. The sworn statement dated 1/20/20 documents staff 1 lived in another state within the last five years. There is no documentation in the record of central registry being completed. 2. The director verified a central registry was not completed for the other state.
Plan of Correction:	A central registry will be completed for the state staff 1 previously lived in. In the future all new staff that have lived in another state within the last five years by the end of the 30th day of employment.
Standard #:	63.2(17)-1720.1-B-4
Description:	Based on record review and interview, the center failed to obtain a copy of the results sex offender registry check from any state in which the applicant has resided in the preceding five years by 12/31/20 for staff hired prior to 7/1/20. Evidence: 1. The documentation in staff 1's record has a start date as 2/22/20. The sworn statement dated 1/20/20 documents staff 1 lived in another state within the last five years. There is no documentation in the record of a sex offender registry check. 2. The director stated they have not obtained a sex offender registry check for staff 1.
Plan of Correction:	The sex offender registry check for staff 1 will be completed. In the future for new staff the sex offender search will be completed prior to the first day of work.