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Mount Calvary Lutheran Church

Inspection · 2023-02-21

Date
2023-02-21
Complaint Related
No
Licensing Inspector
Kelly Lindsay
(540) 309-2494
SHSIA monitoring inspection of an approved subsidy vendor to determine compliance with current subsidy requirements regarding the health and safety of children and to promote quality standards for the children in their care.
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

Inspector Notes

Thank you for your assistance during this unannounced monitoring inspection. This on-site visit was conducted on February 21, 2023, from 11:00 a.m. through 1:45 p.m. Upon arrival, there were 36 children, ages 4 months through 4, in the care of 6 staff members. Five children and fourteen staff records were reviewed.

Children were observed during free choice activities, hand washing/bathroom and diapering procedures, outside play, transition, lunch and nap. The facility is well equipped with a variety of age/stage materials for the children in care.

Areas of non-compliance may be found on the violation notice.

Please complete your plan of correction and return to the licensing inspector within 5 business days.

If you have any questions or if I may be of further assistance please call 540-430-9256.

Violations

2
Standard 22.1-289.035-A
Based on record review, the center failed to obtain an updated criminal history record check
for one staff member.

Evidence:
1. Fourteen staff records were reviewed.
2. Staff #14 had not obtained an updated criminal history record check within 5 years of
the prior one dated 02/20/2018.
3. The director confirmed the criminal history record check had not been obtained.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-40-D-2
Based on record review, the center failed to obtain documentation of a Virginia Child Protective Service Central Registry check for one staff member.

Evidence:
1. Fourteen staff records were reviewed.
2. Staff #9 did not have documentation of obtaining a Virginia Child Protective Services
Central Registry check within 30 days of hire.
3. Staff #9's date of hire was documented 11/16/2022.
4. The director confirmed they did not have the results of the Virginia Child Protective Services
Central Registry check for Staff # 9.
Plan of Correction: Not available online. Contact Inspector for more information.