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Hope Lutheran Church

Inspection · 2024-10-17

Date
2024-10-17
Complaint Related
No
Licensing Inspector
Brandie Viscayda
(757) 636-3427
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

Inspector Notes

An unannounced, on-site code compliance inspection was initiated on October 17, 2024 and completed on October 17, 2024. The on-site inspection began at 10:55am and ended at 12:26pm The inspector reviewed compliance in the areas listed above. There were 57 children present with 12 staff. The inspector reviewed 14 staff records on-site. This inspection included document review, tour of the facility, interviews and observations. The 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 11/5/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.031-B-5
All areas on the premises accessible to children are free from obvious injury hazards.
1. The Infant 2 Room had phone cord hanging within reach of a crib.
2. The 2 ? - 3 year old room had two metal brackets under a white board sticking out of a wall that was at a child?s head/eye level causing a potential snagging or poking injury.
3. The outdoor plastic water table had a broken section exposed causing a potential snagging or cutting injury.
Plan of Correction: 1. Phone cord replaced with a shorter cord no longer within reach of the crib.
2. Metal Brackets have been removed .
3 .Plastic water table has been discarded and is no longer accessible.
Standard 22.1-289.035-A
All employees shall undergo a background check prior to employment and every five years thereafter.
Staff #3, who was currently working and employed for over five years had an expired sworn statement in their record.
Plan of Correction: Steff #3 completed an updated sworn statement. Will ensure that sworn statements are filled out every five years.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.
Staff #1, staff #2, staff #4, and staff #5 who were all currently working and employed for over two months did not have a completed sworn statement.
Plan of Correction: Staff #1, #2, #4 and #5 completed sworn statements and has form has been added as part of new hire paperwork
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.
Staff #4, who had been employed for six years, did not have a completed national criminal background check.
Plan of Correction: Staff #4completed a fingerprints.
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 #4, who had been employed for six years, did not have a central registry search requested. Staff #4 was working alone with children.
Plan of Correction: Central Registry Request has been submitted and Is attached. 10/25/2024. This request is now part of our new hiring process.