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St. James Episcopal Church

Inspection · 2025-05-05

Date
2025-05-05
Complaint Related
No
Licensing Inspector
Cathy Aylor
(540) 222-6352
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 to include standards found out of compliance during the previous inspection. 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 and completed on 5/5/25. The on-site inspection began at 9 am and ended at 10:10 am. The inspector reviewed compliance in the areas listed above. There were 71 children present with 13 staff. The inspector reviewed 7 children?s records and 5 staff records on-site.
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 the violation is 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 5/15/25. A POC submitted after this date will not appear on the public website.

Violations

1
Standard 22.1-289.035-A
All employees shall undergo a background checks in accordance with subsection B prior to employment and every five years thereafter.

Staff A's Central Registry Search was not repeated every five years and was overdue by 1 year and 7 months.
Plan of Correction: Due to online difficulties with the new state system, signed paperwork and check were mailed to the Department of Social Services in Glen Allen, VA on 5/8/25, guaranteed to arrive on 5/9/25. We will forward results when we receive them.