VIRGINIA DEPARTMENT OF SOCIAL SERVICES

First United Methodist Church
101 East Jefferson Street
Charlottesville, VA 22902
(434) 296-6193

VDSS Contact: Michelle Argenbright (540) 848-4123

Inspection Date: Jan. 13, 2022

Complaint Related: No

Areas Reviewed:

22.1 Background Checks Code; carbon monoxide detectors 54.1-3408 Must be MAT Certified. 22VAC40-191 Background Checks for Child Welfare Agencies

Technical Assistance:

All prescription medication is to be administered by MAT certified staff. Information was provided to the center on how to obtain MAT certification.

Comments:

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews (if applicable) and a virtual tour of the program (if applicable). An unannounced code compliance inspection was initiated on 1/13/2022 and concluded on 1/26/2022. The person in-charge was contacted by telephone and a virtual inspection was conducted. There were 19 children present, ranging in ages from two to five, with four staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures and medication. A total of two children?s records and two staff?s records were reviewed. 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 #:	22.1-289.031-A-4
Description:	Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date. Evidence: 1. Staff 1's hire date was 5/1/21. The staff health report is dated 12/14/21. 2. Staff 2's hire date was 5/1/21. The staff health report is dated 11/24/21.
Plan of Correction:	In the future all applicants will be required to provide staff health reports prior to the first day of working with children and then yearly there after.
Standard #:	22.1-289.031-B-3
Description:	Based on record review and interview, the center failed to establish procedure in which a daily health screening was conducted by a staff member trained to perform such a screening. Evidence: The director stated a daily simple health check is conducted upon the arrival of each child each day. However, the staff conducting the daily simple health screening have not been trained to conduct the screening.
Plan of Correction:	Staff will be trained in conducting daily simple health screenings.
Standard #:	22.1-289.035-B-2
Description:	Based on record review and interview, the center failed to obtain fingerprint-based criminal history check determination letters prior to the first day of employment. Evidence: 1. Staff 1's first day of employment was 5/1/21. Per the director a fingerprint-based criminal history check has not been completed for staff 1. 2. Staff 2's first day of employment was 5/1/21. Per the director a fingerprint-based criminal history check has not been completed for staff 2.
Plan of Correction:	Both staff will complete the fingerprint-based criminal history check as soon as they can be scheduled. In the future the director will ensure all new staff complete the fingerprint-based criminal history check before hire.
Standard #:	22.1-289.035-B-4
Description:	Based on record review and interview, the center failed to obtain a copy of the results of criminal history record check and sex offender registry check from any state in which the applicant has resided in the preceding five years prior to employment. Evidence: 1. Staff 2's date of hire was 5/1/21. Staff 2's sworn statement states the staff 2 lived in Florida within the last five years. 2. The director stated no criminal history record check and sex offender registry check were completed for Florida.
Plan of Correction:	A sex offender check for Florida was completed on 1/26/22 for staff 2. A criminal history record check for Florida will be completed as soon as possible. In the future if an applicant has lived outside the state of VA within the last five year a criminal history record check and sex offender registry check will be completed for any state in which the applicant has resided in.
Standard #:	8VAC20-770-40-D-2
Description:	Based on record review and interview, the center failed to to have staff sign a sworn disclosure statement prior to the first day of employment and obtain the results of a completed central registry record check by the end of the 30th day of employment. Evidence: 1. Staff 1's hire date was 5/1/21. The director stated a central registry background check and sworn statement was not completed for staff 1. 2. Staff 2's hire date was 5/1/21. The director stated a central registry background check and sworn statement was not completed for staff 2.
Plan of Correction:	A central registry background check was mailed for staff 1 and staff 2 on 1/25/22. A sworn statement for staff 1 was completed on 1/25/22 and for staff 2 on 1/24/22. In the future central registry background checks will be mailed for all new staff upon hire and sworn statement upon application.