VIRGINIA DEPARTMENT OF SOCIAL SERVICES

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:

8 VAC20-790 Subsidy Regulations. 8VAC20-770 Background Check Requirements 22.1 Background Checks Code; carbon monoxide detectors

Comments:

An unannounced Subsidy Health and Safety 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. Attendance was requested. Additional 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 #:	22.1-289.035-A
Description:	Based on review of three staff and one volunteer 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:	Will ensure that all staff and volunteer have updated sworn statement and CPS & fingerprints.
Standard #:	8VAC20-770-40-D-2
Description:	Based on review of three staff and one volunteer 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:	Will ensure that all staff members have updated sworn statements and CPS background checks.
Standard #:	8VAC20-790-530-B
Description:	Based on review of documentation and interview, the program did not ensure that for each group of children, a written hard copy record of daily attendance was maintained that documented the arrival and departure of each child in care as it occurred. Evidence: On 3/2/23 there was no documentation of attendance available for the day. Staff reported that the document had not been created yet for the month of March.
Plan of Correction:	Attendance for students is documented.
Standard #:	8VAC20-790-600-B
Description:	Based on review of three staff records, the program did not ensure that all staff who work directly with children completed the required Virginia Preservice Training for Child Care Staff within the first 90 days of employment or subsidy vendor approval. Evidence: A Virginia Preservice Training certificate was not submitted by the program for Staff #3.
Plan of Correction:	Will ensure that all staff members who work directly with children complete the Virginia Preservice Training for childcare.
Standard #:	8VAC20-790-600-D-1
Description:	Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in cardiopulmonary resuscitation (CPR) appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no CPR certificate submitted by the program for Staff #3.
Plan of Correction:	Will ensure that all staff that work directly with the children are CPR certified.
Standard #:	8VAC20-790-600-D-2
Description:	Based on review of three staff records, the program did not ensure that all staff who work directly with children had current certification in first aid appropriate to the ages of children in care within 90 days of the date of employment. Evidence: There was no first aid certificate submitted by the program for Staff #3.
Plan of Correction:	Will ensure that all staff members will be First Aid and CPR certified that work directly with children.
Standard #:	8VAC20-790-600-F
Description:	Based on review of three staff records, the program did not ensure that all staff who work directly with children had obtained at least 16 hours of annual training, including the Health & Safety Update training. Evidence: 1. The program did not submit 16 hours of annual training for any staff. 2. The most recent Health & Safety Update training submitted for Staff #1 was dated 4/16/19.
Plan of Correction:	Will ensure that all staff members will receive 16 hours training. Staff will complete updated Health & Safety training.