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Community Fellowship Church of the Nazarene

Inspection · 2022-01-31

Date
2022-01-31
Complaint Related
No
Licensing Inspector
Beth Orebaugh
(540) 847-9173
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 Background Checks Code; carbon monoxide detectors
32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, including telephone contacts, documents review, interviews and a virtual tour of the program.
An unannounced code compliance inspection was initiated on 1/31/2022 and concluded on 2/1/2022. The person in-charge was contacted by telephone and a virtual inspection was conducted. There were 42 children present, ranging in ages from infants to five, with 11 staff. The inspector reviewed compliance in the areas of administration, physical plant, staffing and supervision, and procedures. A total of three children?s records and three staff?s records were reviewed.
Information gathered during the inspection determined non-compliance with applicable standards or law and violations were documented on the violation notice issued to the facility.

Violations

2
Standard 22.1-289.031-A-4
Based on record review and interview, the center failed to ensure all staff have been certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children under his/her supervision prior to start date.

Evidence:

1. Staff 1's start date is documented as 7/7/21. Staff 1 has not provided documentation of being certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children.
2. Staff 3's start date is documented as 11/22/21. The staff health report for staff 2 is dated 12/3/21.
Plan of Correction: In the future all staff will be required to provide documentation of being certified by a practicing physician or physician assistant to be free from any disability which would prevent him/her from caring for children prior to starting work.
Standard 22.1-289.031-B-4
Based on a record review, the center failed to implement the center procedure to ensure all children in the center are in compliance with immunization provisions to obtain a copy of children's immunizations records prior to the first date of attendance.

Evidence:

Child 2's first date of attendance is documented as 8/10/21. The immunization records are dated 11/18/21.
Plan of Correction: In the future the administration will ensure immunization records are obtained prior to attendance.