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Mt. Olive Church

Inspection · 2024-08-05

Date
2024-08-05
Complaint Related
No
Licensing Inspector
Katie Gifford
(276) 698-9981
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

Inspector Notes

An unannounced, on-site monitoring code compliance inspection was initiated and completed on 08/5/2024. The on-site inspection began at 12:25 and ended at 2:00. The inspector reviewed compliance in the areas listed above. There were 13 children present and 4 staff.
The inspector reviewed 3 children?s records and 5staff records on-site. This inspection included document review, tour of the facility, interviews, and observations.

The 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

Violations

5
Standard 22.1-289.031-A-3-a
Based on observation, The center did not maintain the required ratio in the infant room.
Evidence:
The infant room has 5 infants and toddlers with one staff person present.
Plan of Correction: Two staff will be in the infant room if the are more than 4 children. Ratios will be met including during nap time.
Standard 22.1-289.031-A-4
Based on record review and interview, each person was not 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.
Evidence:
1. Staff #2, #3, #4 and #5 did not have health statements on file.
Plan of Correction: Staff will get heir health forms completed. They are due before a staff person begins to work with children.
Standard 22.1-289.031-B-4
Based on record review, the center did not maintain immunizations for all children.
Evidence:
1. Child #1 and #2 need updated immunizations in the their file.
Plan of Correction: Parents will be asked to bring in updated immunization records.
Standard 22.1-289.035-B-1
Based on record review, the staff had not completed an up to date sworn statement.
Evidence:
1. Staff #1 last completed a sworn statement 8/23/18; they need to be completed every 5 years. Staff #3 and #5 had completed an old sworn statemnt form and it did not include the question about living out of state within the last 5 years.
Plan of Correction: Staff will complete the most recent updated sworn statement.
Standard 22.1-289.035-B-3
Based on record review, the center did not have central registry results on file for employees,
Evidence:
1. Staff #1 had a central registry check (CRC) dates 8/9/2018, staff. They are to be repeated every five years. Staff #2 (DOH 5/24/24). staff #3 (DOH 5/7/2024), staff #4 (DOH 2/10/2024) and staff #5 did not have central registry results on file.
Plan of Correction: There have been problems with submitting the central registry checks through the portal. The director will email and or all the CRC to get assistance. The inspector will email the hard copy of the central registry form as well.