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Saint Mary of the Immaculate Conception Roman Catholic Church

Inspection · 2025-05-15

Date
2025-05-15
Complaint Related
No
Licensing Inspector
Angela Dudek
(804) 629-8167
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 and completed on 5-5-25. The on-site inspection began at 3:50pm and ended at 5:05pm. The inspector reviewed compliance in the areas listed above. There were 34 children present with 4 staff. The inspector reviewed 5 children?s records and 4 staff records on-site. This inspection included document review, tour of the facility, interviews, 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 (5) business days from today, which will be the close of business on 5/27/25. A POC submitted after this date will not appear on the public website.

Violations

4
Standard 22.1-289.031-B-3
The Center is required to complete a daily simple health screening and exclusion of sick children by a person trained to perform such screenings.

There were no staff onsite that had documentation of a Daily Health Observation training.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.031-B-6
The Center is required to ensure that all staff are able to recognize the signs of child abuse and neglect.
The record for Staff #1, Staff #2, and Staff #3 did not contain Child Abuse and Neglect Training.
Plan of Correction: Training was completed.
Standard 22.1-289.035-B-3
The Provider is required to obtain a Central Registry check within 30 days of hire.

The record for Staff #2 contained a Central Registry check completed 14 months after hire. No documentation of follow up was on file.
Plan of Correction: Training has been completed.
Standard 22.1-289.058
The Provider is required to be equipped with at least one carbon monoxide detector.

There was no working carbon monoxide detector installed at the time of inspection.
Plan of Correction: New detector has been installed.
View original record on Virginia Department of Social Services