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Fairmount Christian Church

Inspection · 2024-11-14

Date
2024-11-14
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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 conducted on 11/14/2024. The on-site inspection began at 3:20 pm and ended at 5:25 pm. The inspector reviewed compliance in the areas listed above. There were 49 children present with 10 staff. The inspector reviewed 5
children?s records and 11 staff records on site. This inspection included document review, a tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance with applicable code sections, and violations are 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
11/22/2024. A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.031-B-2
REPEAT VIOLATION

Providers must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #1 who has been employed for over 3 years and two months did not have a fingerprint background check. Staff #3 who has been employed for over 3 years and 4 months did not have a fingerprint background check. Staff #5 who has been employed for over 6 months did not have a fingerprint background check. Staff #6 who has been employed for over 2 years and 5 months did not have a fingerprint background check. Staff #7 who has been employed for over 2 years and 1 month did not have a fingerprint background check. Staff #8 who has been employed for 1 year and 2 months did not have a fingerprint background check. Staff #9 who has been employed for over 1 year and 11 months did not have a fingerprint background check. Staff #10 who has been employed for over 6 months did not have a fingerprint background check Staff #11 who has been employed for over 4 months did not have a fingerprint background check.
Plan of Correction: Will obtain copies of background check results to rebuild copies lost in computer malfunction. Going forward will also keep paper copies for redundancy.
Standard 22.1-289.031-B-3
The center is required to have a daily simple health screening and exclusion of sick children
by a person trained to perform such screenings.

The center did not have a staff on site who was trained in daily health observation.
Plan of Correction: Begin training for daily simple health screening
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent fingerprint background check for Staff #4 was overdue by over 1 year and 8 months. The most recent sworn statement and central registry were missing from the record. Staff #4 stated that the background checks had been previously completed and that the repeat checks were due to be completed.
Plan of Correction: Updating all outdated background checks
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Staff #2, who has been employed for over 2 months, had a central registry request that was made 11 days after the start of employment.
Plan of Correction: Will not set new employees start date until all background checks and required documentation is in hand.
Standard 8VAC20-770-40-D-2
For staff hired before July 1, 2024, providers must obtain the results of a central registry search for an employee, within 30 days of service. The center must request a search of the central registry prior to the employee's first day of employment.

Staff #3 did not have a central registry check and has been employed for over 3 years and 4 months. Staff #6 did not have a central registry check and has been employed for over 2 years and 5 months. Staff #7 did not have a central registry check and has been employed for over 2 years and 1 month. Staff #8 did not have a central registry check and has been employed for 1 year and 2 months. Staff #10 did not have a central registry check and has been employed for over 6 months. Staff #11 did not have a central registry check and has been employed for over 4 months. Staff #5 who has been employed for over 6 months did not have a sworn statement.
Plan of Correction: Will obtain copies of and/or update central registry background check results and sworn statements to rebuild copies lost in computer malfunction. Going forward will also keep paper copies on file for redundancy.
View original record on Virginia Department of Social Services