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St. Stephen's Episcopal Church

Inspection · 2022-12-13

Date
2022-12-13
Complaint Related
No
Licensing Inspector
Christina Jones
(540) 340-2672
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
8VAC20-770 Background Checks
32.1 Report by person other than physician
54.1 Must be MAT certified
63.2 Child Abuse and Neglect

Inspector Notes

An unannounced Code Compliance inspection was conducted with the Director on 12/13/2022 from 11:15am through 12:05pm. There were 34 children present supervised by 9 staff. The children were observed building a sleigh for their Christmas program, playing with trains, coloring, and doing various Christmas crafts. Five child records were reviewed for documentation of immunizations. Five staff records were reviewed for background checks, annual health statements, and training. The program has multiple staff with current certification in CPR and First Aid and Daily Health Observation training. The center reportedly does not administer medications. Areas of non-compliance are identified on the Violation Notice.

Please complete the columns for "Plan of Correction" and "Date to be Corrected" for each violation cited on the Violation Notice, and then return a signed and dated copy to the licensing office by 5pm on 1/11/2023. Please email me at morgan.bryson@doe.virginia.gov with any questions.

Violations

2
Standard 22.1-289.031-A-4
Based on record review, the center did not ensure that each person in a supervisory position had been certified by a practicing physician or physician assistant to be free from any disability which would prevent them from caring for children under their supervision.

Evidence: Staff #4 (Date of Hire: 11/15/2022) did not have documentation of a Staff Health Report certified by a practicing physician or physician assistant on file.
Plan of Correction: Add employee's staff health report to file.
Standard 22.1-289.035-B-2
Based on record review, the center did not obtain the results of a fingerprint-based criminal history background check for all staff prior to the first day of employment.

Evidence: Staff #4 (Date of Hire: 11/15/2022) did not have fingerprinting results on file at the time of inspection.
Plan of Correction: Add employees fingerprint results to file.