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First Presbyterian Church of Winchester

Inspection · 2023-09-12

Date
2023-09-12
Complaint Related
No
Licensing Inspector
Amy Tomblin
(804) 629-3923
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
8VAC20-790 Subsidy Program Vendor Requirements for Child Day Centers

Inspector Notes

An unannounced code compliance inspection was conducted on 09/12/2023 from 10:00 AM to 11:45 AM. There were 78 children present, ranging in ages from 4 months to four years old, with 20 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, procedures and medication. A total of five children?s records and five staff?s 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 facility.

If you have any questions or concerns, please contact the Licensing Inspector at (804) 629-3923.

Violations

4
Standard 22.1-289.031-A
Based on observations and interview, the center failed to post the fact that the center is exempt from licensure in a visible location on the premises.
Evidence:
1. A tour of the facility was conducted. No posting stating the center?s exemption was found.
2. The director confirmed that the center?s exemption was not posted.
Plan of Correction: Posted the letter and public disclosure statement on 9/12/23.
Standard 22.1-289.031-A-9
Based on observation, the center failed to comply with safe sleep guideline by the American Academy of Pediatrics.
Evidence:
1. In the infant room, there were two infants, ages four months and seven months. Both infants were sleeping in cribs at the time of the inspection. Both cribs had gaps between the mattress and the sides of the cribs. The sheets in both cribs were also observed to be loose.
2. The infant that was four months old was observed to have a pacifier with a small blanket attached to the end.
3. Staff #1 and Staff #2 confirmed the ages of the children to be four and seven months old.
Plan of Correction: 1) Mattress that fit the cribs without any gaps and follow the American Academy Of Pediatrics Safe Sleep 365 regulations were ordered on 9/12/23 at 1:00PM and delivered and installed 9/13/23.
2) All pacifiers that come with infants that have any items attached are removed before entering the classroom.
3) Safe Sleep 365 poster was posted in the infant classroom on 9/12/23 at the conclusion of the inspection.
Standard 22.1-289.035-B-2
Based on review of records, the center failed to obtain a Criminal History Background Check prior to the first day of employment.
Evidence:
1. Staff #2?s start date was April 2022. The Criminal History Background Check on file for Staff #2 was dated 7/21/2022.
Plan of Correction: 1) Staff #1 understands and will be in compliance of the 7 day requirement for hirings and completing documentations required for licensure status. Moving forward, all employees hired will have paperwork completed within the timelines stated in licensing codes.
Standard 8VAC20-770-40-D-2
Based on review of record, the center failed to receive a Central Registry Background Check for each employee by the end of the 30th day of employment and the center failed to obtain a Sworn Statement prior to the first day of employment.
Evidence:
1. Staff #5?s start date was 09/30/2022. There was no Central Registry Background Check on file for Staff #5. Staff #1 confirmed that there was no Central Registry Background Check on file for Staff #5.
2. Staff #2?s start date on file was April 2022. Staff #2?s central registry was dated 10/27/2022.
3. Staff #2?s start date was April 2022. The sworn statement on file for Staff #2 was dated 7/11/2022.
Plan of Correction: 1) Staff #5 Central Registry Background Check was notarized on 9/13/23 and mailed to Virginia Department of Social Services on 9/13/23.
2) and 3) Staff #1 understands and will be in compliance of the 7 day requirement for hirings and completing documentations required for licensure status. Moving forward, all employees hired will have paperwork completed within the timelines stated in licensing codes.
View original record on Virginia Department of Social Services