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Reformation Lutheran Church

Inspection · 2025-02-26

Date
2025-02-26
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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 on 2-26-2025 and completed on 2-27-2025. The on-site inspection began at 1:40 pm and ended at 2:55 pm. The inspector reviewed compliance in the areas listed above. There were 38 children present with 8 staff. The
inspector reviewed 5 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 violations are documented on theviolation 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 3/11/2025. A POC submitted after this date will not appear on the public website.

Violations

2
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. Staff #4 did not have documentation of updated criminal records check and it was overdue by 16 months
Plan of Correction: Updated record was misplaced but has since been submitted for renewal and results received.
Standard 22.1-289.049-A
The center shall require from the person enrolling the child regarding previous child day care and schools attended by the child and the proof of the child's identity and age. The records for child #1, #2, #3, and #5 did not include previous child care / schools attended.
Plan of Correction: Records were updated by parents upon pickup.
View original record on Virginia Department of Social Services