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Grace Covenant Presbyterian Church

Inspection · 2024-11-04

Date
2024-11-04
Complaint Related
Yes
Licensing Inspector
Molly Muscat
(804) 588-2367
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 inspection was initiated on 11/04/2024 and completed on 12/02/2024 in response to a complaint received by the licensing office on 10/29/2024 relating to allegations of supervision. The Department requested that the provider complete an IPOC as result of the last inspection related to background checks, supervision, staff health reports, and handwashing. The inspector reviewed 1 children?s record and 5 staff records on-site and electronically on 12/02/2024. This inspection included document review, tour of the facility, interviews, and observations.

The preponderance of evidence gathered during the investigation does not support the allegation(s); therefore, the complaint is determined to be not valid. Though not a part of the original complaint, violations that were not reported were found related to background checks and staff health reports, and 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 12/10/2024. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.031-A-4
Repeat Violation
Prior to employment each person in a supervisory position must be certified by a practicing physician or physician assistant to be free from any disability which would prevent him from caring for children under his supervision.

The staff health report for staff #1 was completed 3 months after employment.
Plan of Correction: Going forward all new hires will complete staff health report before beginning employment.
Standard 22.1-289.035-B-4
Repeat Violation
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

1. Staff #5, who has been employed for 2 months did not have documentation of requesting a central registry background check from a state that they lived in within the preceding five years.
Plan of Correction: A central registry background check has been completed and placed on the file of staff #5. Going forward all potential staff members will have an out of state background check completed if applicable before beginning employment.
Standard 8VAC20-770-40-D-2
Repeat Violation
For staff hired before July 1, 2024, the center must obtain the results of a central registry search for an employee within 30 days of employment.

Staff #1, employed for 6 months, had the results of the a central registry search 4 months after employment.
Plan of Correction: Central Registry has been completed and placed in staff file. Going forward all new hires will have central registry in file before beginning employment.
View original record on Virginia Department of Social Services