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St. Mark's United Methodist Church

Inspection · 2023-02-24

Date
2023-02-24
Complaint Related
No
Licensing Inspector
Danielle Morrison
(804) 929-3771
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
8VAC20-790 Introduction
8VAC20-790 Administration
8VAC20-790 Staff Qualifications & Training
8VAC20-790 Physical Plant
8VAC20-790 Staffing & Supervision
8VAC20-790 Programs
8VAC20-790 Special Care Provisions & Emergencies
8VAC20-790 Special Services

Inspector Notes

An annual monitoring inspection was initiated on 02/24/2023 and concluded on 02/24/2023. The inspector was on site at the center from 9:50am to 11:12am. There were 19 children in care with 3 staff supervising. Interviews were held with staff throughout the inspection, and the inspector interacted with children in each classroom when appropriate. The center?s playground and all classrooms were inspected today. Five children?s records and five employee records were reviewed during this inspection. Information gathered during the inspection determined areas of non-compliance with applicable regulations or law, and violations were documented on the violation notice issued to the vendor.
If you have any questions regarding this inspection, please contact the licensing inspector at (804) 929-3771.

Violations

5
Standard 22.1-289.031-A-4
Based on record review, the center did not ensure each person in a supervisory position has been certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.
Evidence:
1. The record of staff #3 (employment date: 1/23/2023) did not have documentation showing
that they have been certified by a practicing physician or physician assistant to be free from
any disability which would prevent him from caring for children under his supervision.
2. The record of staff #4 (employment date: 1/23/2023) did not have documentation showing
that they have been certified by a practicing physician or physician assistant to be free from
any disability which would prevent him from caring for children under his supervision.
3. The record of staff #5 (employment date: 1/23/2023) did not have documentation showing
that they have been certified by a practicing physician or physician assistant to be free from
any disability which would prevent him from caring for children under his supervision.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-5
Based on observation, the center did not ensure that all areas of the premises accessible to children are free from obvious injury hazards, including providing and maintaining cushioning material under playground equipment.
Evidence:
1. There was a climbing dome located in the playground area that did not have cushioning
material underneath it.
2. There was a picnic table in the playground area that had broken plastic exposing sharp rusted nails.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-2
Based on record review, the center did not ensure 4 of 5 staff records contained documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #2 (employment date: 8/30/2021) had documentation of fingerprint based national criminal history search results dated 9/8/2021.
2. The record of staff #3 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results.
3. The record of staff #4 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results.
4. The record of staff #5 (employment date: 1/23/2023) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-4
Based on record review and an interview, the center did not ensure one of five staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
Evidence:
1. The record of staff #4 (employment date:1/23/2023) did not have documentation of out
of state criminal history record results, sex offender registry check results and a child
abuse and neglect search request.
2. The record of staff #4 indicated that the staff member has lived outside of Virginia within the
last 5 years. Staff #4 confirmed that she has lived outside of Virginia within the last five years.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-770-40-D-2
Based on record review, the provider did not ensure 4 of 5 staff records had documentation
of central registry results within 30 days of employment and a completed sworn statement
or affirmation prior to employment.
Evidence:
1. The record of staff #2 (employment date: 8/30/2021) had documentation of central registry results dated 10/06/2021.
2. The record of staff #3 (employment date: 1/23/2023) had documentation of a completed sworn statement or affirmation dated 1/29/2023.
3. The record of staff #4 (employment date: 1/23/2023) had documentation of a completed sworn statement or affirmation dated 1/25/2023.
4. The record of staff #5 (employment date: 1/23/2023) did not have documentation of central registry results and a completed sworn statement or affirmation dated 1/31/2023.
Plan of Correction: Not available online. Contact Inspector for more information.