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St. Mark Lutheran Church (ELCA) of Charlottesville, VA

Inspection · 2021-06-23

Date
2021-06-23
Complaint Related
No
Licensing Inspector
Beth Orebaugh
(540) 847-9173
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

63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

An unannounced code compliance inspection was initiated on 6/23/2021 and concluded on 6/24/2021. The person in-charge was contacted by telephone to initiate the inspection. There were 42 children present and 10 staff. The inspector emailed the provider a list of items required to complete the inspection. A virtual tour was taken of the facility. The Inspector reviewed 2 staff records submitted by the facility to ensure documentation was complete.

The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.
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.

Violations

2
Standard 22VAC40-191-40-D-2
Based on record review and interview, the center failed to have a completed central registry record check by the end of the 30th day of employment.

Evidence:

1. The record for staff 2 was reviewed. The start date was documented at 12/6/16. There was no central registry background in the record.
2. The director was unable to locate a completed central registry background check. At the time of the inspection the director did not have access to the church records and was unaware if the church had a copy.
Plan of Correction: The director will talk to the church administration to see if they have a copy of staff central registry background checks. If they do not a central registry background check will be completed for staff 2. In the future central registry background checks will be completed for all staff to be mailed upon hire.
Standard 63.2(17)-1716-B-6
Based on record review and interview, the center failed to establish and implement a procedure to ensure that all staff are able to recognize the signs of child abuse and neglect.

Evidence:

1. The record for staff 1 was reviewed. There was no documentation for completing training in recognizing the signs of child abuse and neglect.
2. The director stated staff 1 completed training in sexual abuse but not recognizing the signs of child abuse and neglect.
Plan of Correction: Staff 1 will be signed up to complete training in recognizing the signs of child abuse and neglect on 7/1/21 when the training becomes available. In the future all new staff will be required to complete the training prior to working with children.
View original record on Virginia Department of Social Services