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Christian Way Ministries

Inspection · 2022-04-08

Date
2022-04-08
Complaint Related
No
Licensing Inspector
Arlene Agustin
(804) 629-7519
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
63.2 Child abuse and neglect
8VAC20-770 Background Checks

Inspector Notes

A compliance inspection to monitor the requirements for Religiously Exempt Child Day Centers was conducted on June 9, 2022 from 10:20am to approximately 12:45pm. At the time of arrival there were seven children in care and five staff members. The records sample size consisted of five children?s records and five staff records. Classroom observations were made and children were observed during free play, tummy time, activity and lunch. Posted information and first aid kits were observed and the center director was interviewed regarding center policies and procedures. Staff report that the program does not transport enrolled children in a vehicle. Information gathered during the inspection determined non-compliance(s) with applicable standards or law and violations were documented on the violation notice issued to the program. The violations are listed on the violation notice issued to the center and were reviewed with the site director at the exit interview.

Violations

3
Standard 22.1-289.035-B-2
Based on record review and interview, it was determined that the fingerprint-based criminal history (CRC) was not completed prior to the first day of employment.
Evidence:
1. In review of 5 staff records, all 5 records did not have the required criminal checks completed in the required timeframe.
a. Staff #1 (date of hire: 04/04/22) has the CRC completed 04/08/2022.
b. Staff #2(date of hire: 04/20/2022) has the CRC completed 04/26/2022.
c. Staff #3 (date of hire: 04/04/2022) has the CRC completed 04/08/2022.
d. Staff #4 (date of hire: 04/04/2022) has the CRC completed 04/18/2022.
e. Staff #5 (date of hire: 05/16/2022) has the CRC completed 05/17/2022.
2. Staff #1 confirmed the required CRC dates were completed and dated after the first day of employment.
Plan of Correction: The center responded with the following: Moving forward, all staff members hired will have their fingerprint based criminal history checks completed prior to the first day of employment.
Standard 22.1-289.035-B-4
Based on record review and interview, it was determined that the criminal record check and child abuse and neglect (CPS) check for staff that lived out of state, in the past five years, were requested in the appropriate timeframe of employment.
Evidence:
1. Two staff members disclosed that they lived outside of the state of Virginia in the past five years and no out of state criminal check and CPS check were completed.
a. Staff #2 (date of hire: 04/20/2022) confirmed on the sworn statement disclosure signed 04/20/2022, that they lived in two states outside of Virginia in the past five years.
b. Staff #5 (date of hire: 05/16/2022) confirmed on the sworn statement disclosure signed 05/17/2022, that they lived in a state outside of Virginia in the past five years.
2. Staff #1 confirmed that no out of state background checks and CPS checks were completed for Staff #2 and Staff #5.
Plan of Correction: The center responded with the following: All out-of-state will be completed on both staff members. Moving forward, all out-of-state background checks will be completed within the appropriate timeframe.
Standard 8VAC20-770-40-D-2
Based on record review and interview, it was determined that the center did not ensure that staff signed sworn disclosure statement form is completed prior to the first day of employment and that central registry (CPS) record checks are completed by the end of the 30th day of employment.
Evidence:
1. The signed sworn statement for 3 of 5 records reviewed were not signed prior to the first day of employment.
a. Staff #1 (date of hire: 04/04/2022) has a sworn statement signed on 04/18/2022.
b. Staff #3 (date of hire: 04/04/2022) has a sworn statement signed on 04/06/2022.
c. Staff #4 (date of hire: 04/04/2022) has a sworn statement signed on 04/06/2022.
2. The central registry record check for 2 of 5 records reviewed did not have the required checks completed by the end of the 30th day of employment.
a. Staff #1 (date of hire: 04/04/2022) does not have the required CPS check completed.
b. Staff #3 (date of hire: 04/04/2022) does not have the required CPS check completed.
3. Staff #1, the director, confirmed that the signed sworn statements were not completed in the required time frame prior to the first day of employment.
4. The director, confirmed that the required CPS checks for Staff #1 and Staff #3 have not been completed.
Plan of Correction: The center responded with the following: Moving forward, all employees will have their signed sworn disclosure statement prior to the 1st day of employment. Administrative staff will ensure all out-of-state background checks/CPS checks are completed within the appropriate timeframe.
View original record on Virginia Department of Social Services