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Welborne United Methodist Church

Inspection · 2025-01-27

Date
2025-01-27
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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

During the inspection, the inspector reviewed the areas listed above. Unless otherwise noted as a violation within this inspection report, the provider was in compliance with the standards reviewed. If there were any serious injuries or fatalities related to a violation, the details will be included in the description of the violation.

Inspector Notes

An unannounced, on-site code compliance inspection was initiated on 1/27/2025 and completed on 1/27/2025. The on-site inspection began at 11:05 am and ended at 12:34 pm. The inspector reviewed compliance in the areas listed above. There were 38 children present with eight staff. The inspector reviewed five children?s records and five staff records on-site on 1/27/2025. This inspection included document review, tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance(s) with applicable code sections, and violations are documented on the violation notice issued to the program.

Please complete the plan of correction (POC) and date to be corrected sections for each violation cited on the violation notice. Specify how the violation will be or has been corrected. Submit your POC within five (5) business days from today, which will be the close of business on 2/5/2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #5 was overdue by one year and 3 months.
Plan of Correction: Central Registry search will be requested for staff by 2/7/2025.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.
Staff #1 and staff #2, who had been employed for five months, did not have a central registry search requested. Staff #1 and #2 were working alone with children.
Plan of Correction: Central Registry search will be requested for staff by 2/7/2025.
Standard 8VAC20-770-40-D-2
For staff hired prior to July 1, 2024, providers must obtain the results of a Central Registry Finding for the employee within 30 days of service.

Staff #3 had been employed for two years, and Staff #4 had been employed for three years, did not have a central registry search requested. Staff #3 and #4 were working alone with children.
Plan of Correction: Central Registry search will be requested for staff by 2/7/2025.
View original record on Virginia Department of Social Services