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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.
Yes

Areas Reviewed

? 22.1 Background Checks Code
? 8VAC20-790 Physical Plant
? 32.1 Report by person other than physician
? 8VAC20-790 Staffing & Supervision
? 63.2 Child abuse and neglect
? 8VAC20-790 Programs
? 8VAC20-790 Introduction
? 8VAC20-790 Special Care Provisions & Emergencies
? 8VAC20-790 Administration
? 8VAC20-790 Special Services
? 8VAC20-790 Staff Qualifications & Training

Inspector Notes

An initial subsidy inspection was conducted on February 21, 2023 from 11:00p.m.through 1:45 p.m. There were 36 children, ages 4 months through 4, in the care of 6 staff. 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

3
Standard 8VAC20-790-550-2-a
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: Virginia Central Registry was sent for Staff #9. Result letter was emailed to licensing inspector.
Standard 8VAC20-790-550-2-f
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: An appointment for fingerprinting was immediately scheduled. Results were emailed to the licensing inspector.
Standard 8VAC20-790-640-A
Based on observation, the center failed to placed hazardous substances in a locked place that prevents access by children.

Evidence:

1. One can of Lysol and one container of sanitizing wipes were found on a shelf, unlocked, in the 3-year old classroom.
2. The director confirmed the can of Lysol and sanitizing wipes were not locked and immediately removed them from the classroom.
Plan of Correction: Lock boxes were purchased for classrooms to keep any hazardous supplies.