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Shalom Presbyterian Church
10505 New Road
Fairfax station, VA 22039
(703) 732-7150

VDSS Contact: Nancy Radcliffe (703) 268-3728

Inspection Date: May 5, 2023

Complaint Related: No

Areas Reviewed:
Areas of Standards Reviewed:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide
2.212 Report by person other than physician
54.1 Must be MAT Certified.
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Comments:
A /renewal inspection was conducted today between 9:00am and 10:30am. There were 43 children present, with 6 staff supervising. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and emergencies and nutrition. A total of 4 child records and 7 staff 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 program. Contact Nancy.Radcliffe@doe.virginia.gov or call 703-268-3728 if you have any questions regarding this inspection.

Violations:
Standard #: 22.1-289.031-A
Description: Based on observation, the child day center did not post the fact that it is exempt from licensure in a visible location on the premises.
Evidence
The child day center did not have the notice of exempt from licensure posted.

Plan of Correction: I didn't know it need to be posted. Notice will be posted today.

Standard #: 22.1-289.035-B-2
Description: Based on review of staff records, there is not documentation of submission to fingerprinting for all staff.
Evidence
Staff #1, first day of employment 4/23/2023, does not have documentation of submission to fingerprinting. There is no eligibility letter in their record.

Plan of Correction: Staff will make an appointment and have the fingerprint completed. I will send the inspector the results when received.

Standard #: 8VAC20-770-40-D-2
Description: Based on review of staff records, the center does not have documentary evidence that the center is in compliance of submitting a search of central registry within 30 days of the first day of employment.
Evidence
Child #2, first day of employment 8/24/2018, does not have documentation of a central registry search.

Plan of Correction: The CPS form was sent to the staff member instead of the center, she has already completed the new form. I will submit the form today. I will send the results to the inspector when received.

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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