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Our Savior Lutheran Church

Inspection · 2026-03-11

Date
2026-03-11
Complaint Related
No
Licensing Inspector
Leslie Perez
(703) 537-6013
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.
Yes

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
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 03/11/2026. The on-site inspection began at 11:50am and ended at 1:25pm. The inspector reviewed compliance in the areas listed above. There were 8 children present and 2 staff. The inspector reviewed 4 children?s records and 2 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 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 3/16/2026. A POC submitted after this date will not appear on the public website.

Violations

3
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.

1) The sworn statement for Staff #1, was dated the day after their first day of employment.

2) The sworn statement for Staff #2, was dated sixteen months, after their first day of employment.
Plan of Correction: Administration reviewed current personnel records and implemented an updated onboarding procedure to ensure that all required sworn statements are obtained prior to an employee?s first day of employment.
Standard 22.1-289.035-B-2
The center must obtain a completed national criminal background check prior to the employee's first day of employment.

Staff #1's national criminal background check was completed six months after first day of employment.
Plan of Correction: Administration has implemented a revised onboarding checklist to ensure that all national criminal background checks are completed prior to an employee?s first day of work.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #1, who has been employed for more than 6 months, did not have documentation of requesting central registry check or sex offender registry check from a different state lived in the past five years.
Plan of Correction: The violation was corrected at the time of inspection, and the inspector verified that the required out-of-state background check results were requested. Results have been placed in the employee?s personnel file. Moving forward, administration will ensure that all required background checks are completed and documented prior to an employee?s first day of employment