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Holy Trinity Lutheran Church

Inspection · 2022-02-24

Date
2022-02-24
Complaint Related
No
Licensing Inspector
Miranda Wright
(571) 596-3661
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

A code compliance inspection was conducted on 2/24/2022. The administrator was contacted via Google Meets to conduct a remote inspection. 17 children are enrolled with 2 direct care staff and an administrator. All documentation to renew the exemption was received by mid-February. The Inspector reviewed 3 staff background records, health statements, trainings and physical space of the two classrooms. Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the facility. Feel free to contact me if you need any assistance.
Ann Dramstad
ann.dramstad@doe.virginia.gov
703-314-0860

Violations

3
Standard 22.1-289.035-B-2
Based on record review and staff statement, an employee did not have a completed fingerprint check prior to employment.
Staff #1 was hired 7/2021 and the fingerprint letter is dated 10/6/2021.
Plan of Correction: Although this does not change when the fingerprint report was received, as additional information, I am attaching a pdf of the email confirmation for the appt received August 31st for an appointment on September 1st. I have no information on the delay in receiving the report.
Standard 22.1-289.035-B-4
Based on staff statement and record review, staff did not obtain a completed Central Registry Search within 30 days of employment.
Evidence:
1. Staff #1 did not obtain CPS search results until 1/27/2022 and was hired 7/2021.
2. Staff #2 did not obtain CPS search results until 2/10/2022 and was hired 9/2021.
3. Staff #3 did not obtain CPS search results until 1/27/2022 and was hired 9/2021.
Plan of Correction: All documents have been received but there was an internal delay and for that I apolgize
Standard 8VAC20-770-40-D-2
Based on record review and staff statement, staff did not complete a Sworn Disclosure Statement (SDS) prior to employment.
Evidence:
3 staff were hired 9/2021 and no SDS are available for review.
Plan of Correction: SDS completed by 3 staff no later than 2/28/2022.
View original record on Virginia Department of Social Services