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Gloria Dei Lutheran School

Inspection · 2025-04-30

Date
2025-04-30
Complaint Related
No
Licensing Inspector
Christine Mahan
(757) 404-0568
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

8VAC20-780 Administration.
8VAC20-780 Staff Qualifications and Training.
8VAC20-780 Physical Plant.
8VAC20-780 Staffing and Supervision.
8VAC20-780 Programs.
8VAC20-780 Special Care Provisions and Emergencies
8VAC20-780 Special Services.
8VAC20-820 The License.
8VAC20-820 The Licensing Process.
8VAC20-820 Hearing Procedures.
8VAC20-770 Background Checks
20 Access to minors records
22.1 Early Childhood Care and Education
63.2 Child Abuse & Neglect

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 renewal inspection was initiated on 4-30-2025 and completed on 5-1-2025 . The onsite inspection began at 10:00am and ended at 2:10pm. The inspector reviewed compliance in the areas listed above. There were 131 children present and 19 staff. The inspector reviewed 10 children?s records and 10 staff records on-site. This inspection included document review, tour of the facility, interviews, observations, and measurements. 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.

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 5/12/2025. A POC submitted after this date will not appear on the public website.

Violations

7
Standard 22.1-289.035-A
Repeat Violation
The center is required to have employees undergo a background check every five years. The background checks for Staff #6 have not been updated. The most recent fingerprint check and sworn statement are overdue by 3 months and the most recent central registry check is overdue by one month.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 22.1-289.057-A
The program is required to submit to VDH and implement a plan to test potable water for lead. The program did not have evidence of a testing plan submitted to VDH and/or the program did not have evidence of the implementation of the required testing plan.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-330-B
Repeat Violation
Playground equipment with moving parts or climbing apparatus must have appropriate fall zones that encompass sufficient area to include the child's trajectory in the event of a fall. Where playground equipment is provided, resilient surfacing shall comply with minimum safety standards and shall be under equipment with moving parts or climbing apparatus. The following equipment did not have sufficient resilient surfacing as a minimum of 6 inches was required.
1.On the toddler playground, the resilient surfacing under the swings measured between 3 and 4 inches and at the base of the slide chute and in the slides fall zone the surfacing measured between 4 to 5 inches.
2. On the preschool playground, the resilient surfacing under the swings and in the fall zone measured between 4 ? and 5 ? inches.
3. On the Pre-K playground, the resilient surfacing under the swings and in the fall, zone measured between 3 ? and 4 inches. At the base of the blue/yellow slide the surfacing measured between 3 ? and 5 inches and in the fall zone some areas measured between 1 and 3 ? inches.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-340-D
In each grouping of children at least one staff member who meets the qualifications of a program leader or program director. Staff #6 and Staff #10 were alone supervising children, and they do not meet the qualification for program leader/director.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-500-B
The diapering area shall have a non-absorbent surface for diapering or changing. The diaper pad in Classroom A, had a rip and therefore was no longer a non-absorbent surface for diapering.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-510-P
When an authorization for medication expires, the facility shall notify parents that the medication must be picked up within 14 days of the authorization expiring or that a new authorization should be completed. Child #11 has a medication authorization for 1 medication that expired 2 months ago. The authorizations had not been renewed, and the medication had not been returned or disposed of as required.
Plan of Correction: Not available online. Contact Inspector for more information.
Standard 8VAC20-780-60-A
Repeat Violation
Each center shall maintain and keep at the center a separate record for each child enrolled that contains all of the required information. The records for Child #4 and Child #7 did not have employment location or phone number for both parents and did not have the home address and phone number for one parent.
Plan of Correction: Not available online. Contact Inspector for more information.