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The Church of the Good Shepherd

Inspection · 2021-11-09

Date
2021-11-09
Complaint Related
No
Licensing Inspector
Lisa Hudson
(571) 389-2459
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

32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies
22VAC40-665 ADMINISTRATION
22VAC40-665 STAFF QUALIFICATIONS & TRAINING
22VAC40-665 PHYSICAL PLANT
22VAC40-665 STAFFING & SUPERVISION
22VAC40-665 PROGAMS
22VAC40-665 SPECIAL CARE PROVISIONS & EMERGENCIES
22VAC40-665 SPECIAL SERVICES

Inspector Notes

A renewal inspection was initiated today. This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program. The director was contacted by telephone and a virtual inspection was conducted. There were a total of 36 children present with 6 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, programming, medication, special care and facilities and programs A total of 4 child records and all staff records were reviewed. Information gathered during the inspection determined non-compliance with applicable standards or law and violations and were documented on the violation notice issued to the program. Feel free to contact me if you need any assistance at: lisa.hudson@doe.virginia.gov.

Violations

1
Standard 63.2(17)-1720.1-A
Based on staff record review, one required background check was not completed.
Evidence:
Staff # 1 does not have the results of a Central Registry search.
Plan of Correction: We sent a second search request on 09/16/2021. Once results are received, we will forward the search results to the Licensing Inspector for review within 10 days.
View original record on Virginia Department of Social Services