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Winchester Grace Brethren Church

Inspection · 2025-07-24

Date
2025-07-24
Complaint Related
No
Licensing Inspector
Stephanie Reed
(540) 272-6558
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, on-site code compliance inspection was initiated on July 24, 2025 and completed on August 12, 2025. The on-site inspection began at 9:15 a.m. and ended at 11:15 a.m. The inspector reviewed compliance in the areas listed above. There were 28 children present with 7 staff. The inspector reviewed eight staff records on-site. This inspection included document review, tour of the facility, and interviews

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 August 19, 2025 . A POC submitted after this date will not appear on the public website.

Violations

5
Standard 22.1-289.035-A
REPEAT VIOLATION

The center is required to have employees undergo a background check every five years. The most recent fingerprint check for staff #8 was overdue by over seven months.
Plan of Correction: See Intensive Plan of Correction
Standard 22.1-289.035-B-3
The program is required to conduct a central registry background check prior to the first day of employment.

Staff #2 working more than five months did not have central registry background check results on file. Staff #3 working more than six months did not have central registry background check results on file.
Plan of Correction: See Intensive Plan of Correction
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.
Staff #6, employed for more than 2 years, did not have documentation of requesting a central registry check from one state. Staff #8, employed more than five years, did not have documentation of requesting a central registry check from one state.
Plan of Correction: See Intensive Plan of Correction
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.058
Programs that serve preschool age children and operate in a building that was built before 2015 must be equipped with at least one carbon monoxide detector.
There was no carbon monoxide detector on site.
Plan of Correction: Not available online. Contact Inspector for more information.
View original record on Virginia Department of Social Services