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St. Mary's Episcopal Church

Inspection · 2025-10-22

Date
2025-10-22
Complaint Related
No
Licensing Inspector
Cindy Horne
(804) 297-4469
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. 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 and completed on 10/22/2025. The on-site inspection began at 10:00 a.m. and ended at 12:15 p.m. The inspector reviewed compliance in the areas listed above. There were 78 children present and 14 staff. The inspector reviewed eight children?s records and five staff records on-site. This inspection included document review (i.e. public disclosure statement posted, proof of ID, immunizations, physicals, and background checks), 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 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 business days from today, which will be the close of business on 11/11/2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years. The most recent national criminal background check and central registry check for Staff #3 was overdue by more than 14 months.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment. There were no sworn statements for Staff #2 and Staff #4, who have both been working at the center for over a year.
Plan of Correction: Not available online. Contact Inspector for more information.
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. Central registry searches have not been requested for Staff #2 and Staff #4, who have both been working at the center for over a year.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services