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Fifth Street Baptist Church

Inspection · 2025-05-05

Date
2025-05-05
Complaint Related
No
Licensing Inspector
Jaime Harris
(804) 807-3278
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

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 THE LICENSE.
8VAC20-820 THE LICENSING PROCESS.
8VAC20-820 HEARINGS PROCEDURES.
8VAC20-770 Background Checks (8VAC20-770)
20 Access to minor?s records
22.1 Background Checks Code, Carbon Monoxide
63.2 Child Abuse & Neglect

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, on-site monitoring inspection was initiated on 5/5/2025 and completed 5/5/2025. The on-site inspection began at 10:35 am and ended at 2:00 pm. The inspector reviewed compliance in the areas listed above. There were 46 children present and seven staff. The inspector reviewed five children?s records and five staff records on-site on 5/5/2025.

This inspection included document review, tour of the facility, interviews and observations.

Information gathered during the inspection determined non-compliance with applicable standards or law, 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 (5) business days from today, which will be the close of business on 5/19/2025. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.035-A
The center is required to have employees undergo a background check every five years.

The most recent central registry check for staff #3 was overdue by eight months, and the most recent national fingerprint check for Staff #2 was overdue by one year and 11 months and was overdue by one year for Staff #3.
Plan of Correction: Directors will ensure background checks are done every 5 years.
Standard 8VAC20-780-160-C
REPEAT VIOLATION

A tuberculosis (TB) screening is required every two years from the last screening.

Staff #1 updated screening was due two
months ago The updated screenings have not
yet been completed.
Plan of Correction: Directors will review staff files 2 times per year.
Standard 8VAC20-780-245-A
Staff shall complete a minimum of 16 hours of training annually, appropriate to the age of children in care.

Staff #1, Staff #4 and Staff #5 obtained seven of the 16 required hours in 2024 and Staff #2 and Staff # 3 obtained none of the 16 required hours in 2024.
Plan of Correction: Directors will ensure 16hrs of training annually.
Standard 8VAC20-780-70
Documentation to demonstrate that the
individual possesses the education, certification, and experience required by the job position.

The records for Staff #2, did not have documentation of their education in the file. Staff #2 has been employed for 12 years.
Plan of Correction: Directors will review files to ensure education documentation.