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Bethany Lutheran Church

Inspection · 2024-05-13

Date
2024-05-13
Complaint Related
No
Licensing Inspector
Karen Dickens
(571) 423-6978
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
8VAC20-790 Staff Qualifications & Training
32.1 Report by person other than physician
8VAC20-790 Physical Plant
54.1 Must be MAT Certified.
8VAC20-790 Staffing & Supervision
63.2 Child abuse and neglect
8VAC20-790 Programs
8VAC20-770 Background Checks
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Introduction
8VAC20-790 Special Services
8VAC20-790 Administration

Inspector Notes

A monitoring inspection was conducted on May 13, 2024 from approximately 10:30am-11:15am. There were 33 children in care with 8 staff supervising. Children were observed finishing up snack, washing hands and preparing to play in centers. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and emergencies. A total of 5 staff records were reviewed.

Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the program.

If you have any questions regarding this inspection, please contact Leah Pagala at 703-537-6757 or leah.pagala@doe.virgina.gov

Violations

2
Standard 22.1-289.035-A
Based on record review, the center did not ensure all staff completed repeat background checks every 5 years.

Evidence: Staff 1, 2 and 5 have expired background checks which were not repeated within 5 years of the most recent background check.
Plan of Correction: We will conduct the checks as soon as possible.
Standard 22.1-289.035-B-4
Based on record review, the center did not obtain out of state background checks for all states an individual has resided in the preceding five years.

Evidence: Staff 3 does not have out of state checks completed in the states they have lived in within the preceding five years.
Plan of Correction: We will conduct the checks as soon as possible.