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Plymouth Haven Baptist Church
8600 Plymouth Road
Alexandria, VA 22308
(703) 799-2217

VDSS Contact: Kristy Atanackovic (804) 629-5032

Inspection Date: Oct. 15, 2021 and Oct. 19, 2021

Complaint Related: No

Areas Reviewed:
63.2(17) License & Registration Procedures
22VAC40-191 Background Checks for Child Welfare Agencies

Comments:
This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documentation review, interviews and a virtual tour of the program.

A code compliance inspection was initiated on 10/15/2021 and concluded on 10/19/2021. The director was contacted by telephone and a virtual inspection was conducted. There were 58 children present, ranging in ages from 2 years to 5 years, with 10 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and medication. A total of 4 staff records were reviewed.

Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the program. If you have any questions regarding this inspection, please contact the Licensing Inspector, Maria Robles at Maria.Robles@doe.virginia.gov.

Violations:
Standard #: 22VAC40-191-40-D-2
Description: Based on record review and interview, it was determined that the center did not ensure that Central Registry search results are obtained every five years for employees.
Evidence:
1) The most recent Central Registry search request results available in the record for Staff #3 were dated 10/04/2014. The director stated that a new Central Registry search has not been requested for Staff #3.

Plan of Correction: A central registry form was completed on 10/20/21 and a check was requested for the VA Department of Social Services. The check was signed today and the document mailed with the check on 10/26/21

Standard #: 63.2(17)-1720.1-B-4
Description: Based on record review and interview, it was determined that the center did not ensure that employees that had lived out of the state of VA within the last 5 years have in their files the result of an out-of-state Central Registry search request and an out-of-state Sex Offender Registry search request within 30 days of employment.
Evidence:
1) On the date of inspection, the record for Staff #4 (start date 08/31/2020) did not contain the results out-of-state Central Registry (CPS) search request and an out-of-state Sex Offender Registry search request. Staff #4 had declared in their sworn statement having lived out of the state of VA within the last 5 years before employment. 2) The center director showed documentation of a written communication dated 09/14/2020 inquiring about the CPS process. Additional follow up or the results of a request were not available for review. According to the center director, a new CPS search request form was mailed recently.

Plan of Correction: A CPS search for NY was completed, notarized and mailed to NY on 10/28/21, we are waiting for those results. A link was provided by the inspector for New York and a sex offender sears was conducted and obtained that day. A copy of the sex offender search is now in this staff member's file. It was done.

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.

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