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St. Andrew Lutheran Church

Inspection · 2022-09-29

Date
2022-09-29
Complaint Related
No
Licensing Inspector
Mahrukh Aziz
(571) 835-4718
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 Background Checks Code; carbon monoxide detectors
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

An unannounced code compliance inspection was conducted on 9/29/22 from10am to 11:15 am. There were 47 children in direct care and supervision of 11 staff members. The children were observed engaged in various structured activities such as coloring, playing outdoors and circle time. Medications, 3 staff and 3 children's records were reviewed. Center postings required for exemption were posted. The information gathered during the inspection determined non compliance with applicable code sections. For any questions related to this inspection, please contact me at 571-835-4718 or mahrukh.aziz@doe.virginia.gov.

Violations

2
Standard 22.1-289.035-B-2
Based on records review and staff interview, the center did not obtain results of a fingerprint based criminal history search for staff before the first day of service.
Evidence:
1. Staff # 1 stated that Staff # 2 worked as a substitute staff in 2018, on an as-needed basis.
2. Staff # 2's fingerprint results were obtained on 9/27/19.
Plan of Correction: Fingerprints will be obtained before the first day of employment.
Standard 8VAC20-770-40-D-2
Based on records review and staff interview, the center did not obtain for a volunteer, a complete Sworn Disclosure Statement (SDS) before the first day of service; and the results of a central registry search within 30 days of service.
Evidence:
1. Staff # 1 stated that in 2018 Staff # 2 worked at the center as a substitute staff on an as-needed basis. Staff # 1 stated in an email that a substitute staff member is used help with the floater position duties.
2. Staff # 2's SDS was not obtained until 9/19/19.
3. Staff # 2'sVA central registry results were obtained on 11/8/19, and not within 30 days of service.
Plan of Correction: Staff background checks will be obtained within the required timeframe.
View original record on Virginia Department of Social Services