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Greater Mt. Calvary Christian Church
9514 Westmoreland Avenue
Manassas, VA 20110
(703) 368-5941

VDSS Contact: Laura Brindle (540) 905-2062

Inspection Date: March 2, 2023

Complaint Related: No

Areas Reviewed:
22.1-289.031 Code of Virginia Requirements for RECDCs
8VAC20-770 Background Check Requirements
22.1 Background Checks Code; carbon monoxide detectors

Comments:
An unannounced Code Compliance inspection was conducted with a staff member on 3/2/23 from 10:35am to 11:45am. There were three children present, ranging in age from 22-months to three-years-old, supervised by one staff. Children were observed participating in a ?Brown Bear? activity with a felt board, washing hands, and eating lunch brought from home. The classroom, postings, and bathroom were observed. Documentation was not able to be reviewed on-site as the Director had stepped out, so information was requested to be emailed by 3/3/23. Some documents were received, but the inspection was closed on 3/15/23 after a follow-up request for documentation went unanswered. If you have any questions about this inspection, you may contact the Licensing Inspector, Laura Brindle, at laura.brindle@doe.virginia.gov of 540-905-2062.

Please complete the "Plan of Correction" and "Date to be Corrected" areas on the Violation Notice for each violation cited and return to me by close of business on 3/17/2023. Plans of correction should include steps to correct the noncompliance with the standard, and measures to prevent the noncompliance from occurring again.

Violations:
Standard #: 22.1-289.031-A-4
Description: Based on review of three staff and one caregiver records, the program did not ensure that each person in a supervisory position had been certified annually by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision. Evidence: The most recent annual health statement submitted by the program for Staff #2 was dated 5/9/2021. There were no health statements submitted for Staff #3 or Volunteer #1.

Plan of Correction: Staff & Volunteer will have an annual physical.

Standard #: 22.1-289.031-A-8
Description: Based on review of three staff and one caregiver records, the program did not ensure there was a person trained and certified in first aid and cardiopulmonary resuscitation (CPR) present at any location in which children attending the child day center were present. Evidence: Staff #3 reportedly drives children to and from school each day. First aid and CPR certificates were not submitted by the program for Staff #3.

Plan of Correction: Staff will complete CPR & First Aid Training.

Standard #: 22.1-289.035-A
Description: Based on review of three staff and one caregiver records, the program did not obtain sworn statements, fingerprints, and the results of a search of the central registry (CPS) for each caregiver every five years from the date of the last background check. Evidence: 1. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #1 were dated 2/20/18. The CPS results submitted for Staff #1 were dated 10/12/17. 2. The sworn statement submitted for Staff #1 was dated 8/30/17. The fingerprints submitted for Staff #2 were dated 2/6/18. The CPS results submitted for Staff #2 were dated 10/12/17.

Plan of Correction: Staff #1 & 2 will submit an updated sworn statement and CPS and Fingerprints Background.

Standard #: 8VAC20-770-40-D-2
Description: Based on review of three staff and one caregiver records, the program did not obtain for each caregiver a sworn statement prior to employment or beginning to serve as a volunteer or the results of a search of the central registry (CPS) within 30 days of employment or beginning to serve. Evidence: Background checks were requested from the program for all caregivers. A sworn statement was not submitted by the program for Staff #3 who began employment in approximately 2/2019. There were no CPS results submitted by the program for Volunteer #1 (who began service on 9/17/2021) or Staff #3.

Plan of Correction: A sworn statement will be submitted to Staff #3 and CPS results will be sent off by mail for Volunteer #1 and Staff #3.

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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