Virginia
Sign in
Back
Epiphany Lutheran Church

Inspection · 2021-04-15

Date
2021-04-15
Complaint Related
No
Licensing Inspector
Jennifer Moore
(540) 430-0384
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

32.1 Report by person other than physician
54.1-3408 Must be MAT Certified.
63.2 Child Abuse & Neglect
63.2(17) License & Registration Procedures
63.2 Facilities & Programs.
22VAC40-191 Background Checks for Child Welfare Agencies

Inspector Notes

This inspection was conducted by licensing staff using an alternate remote protocol, necessary due to a state of emergency health pandemic declared by the Governor of Virginia.

A code compliance inspection was initiated on 04/15/2021 and concluded on 04/15/2021. The director was contacted virtually to initiate the inspection. There were 23 children present and 7 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 6 staff records submitted by the facility to ensure documentation was complete.
Information gathered during the inspection determined non-compliance(s) with applicable code sections and violations were documented on the violation notice issued to the facility.
The Licensing Inspector has reviewed with the provider COVID-19 Essential Guidance for Child Care programs.

Violations

2
Standard 22VAC40-191-40-D-2
Based on staff record review, the center did not ensure two of six staff records had documentation of a sworn statement or affirmation prior to employment.
Evidence:
1. The record of staff #3 (start date: 9/4/18) had documentation of a completed sworn statement of affirmation dated 5/9/19.
2. The record of staff #5 (start date: 1/19/11) did not have documentation of a completed sworn statement of affirmation.
Plan of Correction: I will get the staff to sign a new one a put it in the file. In the future we will get all background checks on time.
Standard 63.2(17)-1720.1-B-4
Based on record review and interview, the center did not ensure one of two staff records contained documentation of sex offender registry check results from any state in which the individual has resided in the past five years.

Evidence:
1. The record of staff #1 (start date: 9/3/2019) did not have documentation of sex offender registry check results from any state in which the individual has resided in the past five years.
2. The Sworn Statement or Affirmation of staff #1 indicated that the staff has lived in one other state within the past five years.
Plan of Correction: In the future we will get all staff background checks on time.
View original record on Virginia Department of Social Services