VIRGINIA DEPARTMENT OF SOCIAL SERVICES

Prince of Peace Lutheran Church
8306 Old Keene Mill Rd
Springfield, VA 22152
(703) 451-6177

VDSS Contact: Stacy Doyle (571) 835-0386

Inspection Date: Oct. 25, 2023

Complaint Related: No

Areas Reviewed:

22.1 Religious Exempt; Background Checks Code; Carbon Monoxide 32.1 Report by person other than physician 54.1 Must be MAT Certified. 63.2 Child abuse and neglect 8VAC20-770 Background Checks

Technical Assistance:

Discussed the Child Abuse and Neglect Training, background checks, the parent agreement and the Fictitious Name Filing.

Comments:

An unannounced code compliance inspection was conducted on 10/25/2023 from 9:09am to 12:19am. At the time of entrance, 97 children were in care with 14 staff members present. Children were observed doing the following: playing in centers, water table activities, playing with slime, painting at the easel, playing with play dough, working on art projects (gluing and cutting with scissors), using paint sticks, playing outside, morning reading with the teacher in circle time and, singing. Interactions between the children and caregivers were positive. The site was clean, organized and contained an abundant supply of developmentally appropriate materials. Walls, bulletin boards and several other areas of the programming space was decorated with artwork, crafts and projects completed by the children. A selection of staff and children 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 facility. Please complete the ?plan of correction? and ?date to be corrected? for each violation cited on the violation notice and return it to the department within 5 business days from receipt. Please specify how the deficient practice will be or has been corrected. Please do not use caregiver names; list caregivers by positions only. Any plans of correction not received within 5 business days will result in the plans not appearing on the Violation Notice and public website. Please contact me if you have any questions at Stacy.Doyle@doe.virginia.gov or 571-835-0386.

Violations:

Standard #:	22.1-289.031-A-4
Description:	Based on review of staff records, the center did not obtain from each person in a supervisory position has been certified 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: 1. Staff #3 (Date of hire `1/09/2023) did not have a complete Staff Health Report on file.
Plan of Correction:	1. Staff #3: Staff Health Report was noted missing and communicated to Staff #3 on Monday, Oct 23 with the expectation that the report would be signed by a physician before our license expires. Once received, it will be shared with inspector.
Standard #:	22.1-289.031-B-4
Description:	Based on review of children's records, the center did not obtain the immunization record of all children enrolled to ensure that all children in the center are in compliance with the provisions of ? 32.1-46 regarding the immunization of children against certain diseases. Evidence: 1. Child #2 (start date 9/06/2023) did not have an immunization record on file at the center office.
Plan of Correction:	1. Child #2 immunization records have been received by our school office as of October 27. They are dated Aug 30, 2023.
Standard #:	22.1-289.031-B-5
Description:	Based on observation, the center did not ensure that all areas of the premises accessible to children are free of obvious injury hazards. Evidence: 1. Two bolt heads were protruding out of the wall in classroom 7B and needed covered or removed. 2. On the upper #4 playground, two stakes were raised on the playground border approximately 1/2 inch. 3. In the indoor playground bathroom, one tile had visible rust.
Plan of Correction:	School Custodian was alerted to these three hazards on Oct 25. #1 and #2: will be fixed by Nov 9. #3: A new bathroom divider will be ordered by Nov. 9 to replace the one that is causing rust on the tile.
Standard #:	22.1-289.035-B-4
Description:	Based on review of five staff records, the center did not have the sex offender registry check(before 1st day of employment), the criminal history record information check (before 1st day of employment), or the child abuse and neglect registry (requested within 30 days of employment and followed up on within 45 days of request) for any state in which the individual has resided in the preceding five years. Evidence: 1. Staff #1 (Date of hire 10/20/2023) lived in Arizona, Louisiana, Rhode Island and Texas in the last 5 years and the center did not obtain the criminal history record for those states before the 1st day of employment. The center did not obtain the sex offender registry check for Arizona, Louisiana, Rhode Island, North Carolina, Kansas and Texas states before the 1st day of employment. 2. Staff #4 (Date of hire 5/23/2023) lived in Florida in the last 5 years and the center did not obtain the sex offender registry check before the 1st day of employment and did not send the child abuse and neglect registry within 30 days of employment for any state in which the individual has resided in the preceding five years.
Plan of Correction:	1. Staff #1: - criminal history records for non NFF states (AZ, LA, RI, TX) are in process and evidence of requests will be emailed to state inspector by Nov 8 - sex offender registry all clear results were emailed on Oct 25 to state inspector - child abuse and neglect registry requests for all 6 states are in process and documentation that requests have been made will be emailed to state inspector by Nov 8 2. Staff #4: - Florida sex offender registry check was emailed on Oct 25 to inspector - FL child abuse and neglect registry request will be submitted by Nov 8 and documentation sent to inspector
Standard #:	8VAC20-770-40-D-2
Description:	Based on review of five staff records, the center did not obtain the central registry report within 30 days of employment for two staff members. Evidence: 1. Staff #3 (Date of hire 1/09/2023) and Staff #4 (Date of hire 8/23/2023) did not have the results of the central registry in the staff file sent by the center by the end of the 30th day of employment.
Plan of Correction:	1. Staff #3: - Central Registry Background Check results emailed to inspector Oct 26 2. Staff #4: - Central Registry Background Check results requested (and documented with inspector) Oct 26