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St. Michael Church

Inspection · 2025-01-22

Date
2025-01-22
Complaint Related
No
Licensing Inspector
Stacy Doyle
(571) 835-0386
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. 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 and completed on 1/22/2025. The on-site inspection began at 9:30am and ended at 11:05am. The inspector reviewed compliance in the areas listed above. There were 31 children present with 5 staff. The inspector reviewed 5 children?s records and 5 staff records on-site. This inspection included document review, tour of the facility and observations.

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 1/29/2025. A POC submitted after this date will not appear on the public website.

Violations

3
Standard 22.1-289.035-B-1
The center is required to obtain a completed sworn statement prior to the employee's first day of employment.

Staff #3, who is currently working, did not have a sworn statement on file and had been working over 5 months.
Plan of Correction: As we continue to search for the original sworn
statement, we will have Staff #3 fill out a new
Form and submit it.
Standard 22.1-289.035-B-3
The center must request a search of the central registry prior to the employee's first day of employment.

Staff #2, who had been employed for five months, did not have a central registry search requested. Staff #2 had not been working alone.
Plan of Correction: As we continue to search for staff #2 central
registy document, we will resubmit our
paperwork and send results in immediately.
Standard 22.1-289.035-B-4
The center is required to obtain background checks from any state in which the individual has resided in the preceding five years.

Staff #2, employed for 5 months, lived in another state in the last five years and did not have documentation of requesting a sex offender registry check and did not have the results. Staff #2 did not have documentation of requesting the Criminal History Record Information search or the Child Abuse and Neglect Registry prior to employment. Both the Criminal History Record Information search and the Child Abuse and Neglect Registry were received on 11/07/2024. Staff #2 does not work alone.
Plan of Correction: We will have staff #2 complete the sex offender
registry and submit the documents immediately.
In the future we will create a check list system
to make sure we have all documentation in
order before any new employee begins work.