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All Saints Episcopal Church

Inspection · 2021-05-10

Date
2021-05-10
Complaint Related
No
Licensing Inspector
Sharon Curlee
(804) 840-8312
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 05/10/2021 and concluded on 05/10/2021. The director was contacted via video call to initiate the inspection. There were 49 children present and 10 staff. The inspector emailed the director a list of items required to complete the inspection. The Inspector reviewed 7 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

3
Standard 22VAC40-191-40-D-2
Based on staff record review, the center did not ensure seven of seven staff records had documentation of central registry results within 30 days of employment.
Evidence:
1. The record of staff #1 (start date: 9/15/20) did not have documentation of central registry results.
2. The record of staff #2 (start date: 9/15/20) did not have documentation of central registry results.
3. The record of staff #3 (start date: 9/15/20) did not have documentation of central registry results.
4. The record of staff #4 (start date: 10/19/20) did not have documentation of central registry results..
5. The record of staff #5 (start date: 9/15/20) did not have documentation of central registry results.
6. The record of staff #6 (start date: 9/15/20) did not have documentation of central registry results.
7. The record of staff #7 (start date: 9/10/19) did not have documentation of central registry results.
Plan of Correction: I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.
Standard 63.2(17)-1720.1-B-2
Based on staff record review, the center did not ensure two of seven staff records had documentation of fingerprint based national criminal history search results prior to employment.
Evidence:
1. The record of staff #4 (start date: 10/19/20) had documentation of fingerprint based national criminal history search results dated 12/14/2020.
2. The record of staff #7 (start date: 9/10/19) did not have documentation of fingerprint based national criminal history search results.
Plan of Correction: I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.
Standard 63.2(17)-1720.1-B-4
Based on record review, the center did not ensure two of seven staff records contained documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.

Evidence:
1. The record of staff #1 (start date: 9/15/2020) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
2. The record of staff #7 (start date: 9/10/2019) did not have documentation of criminal history record results, sex offender registry check results and a child abuse and neglect search request from any state in which the individual has resided in the past five years.
3. The Sworn Statement or Affirmation for staff #1 and staff #2 indicated that each staff has lived in one other state within the past five years.
Plan of Correction: I will make sure we get all required background checks within 10 days. In the future we will ensure to obtain background checks on time.
View original record on Virginia Department of Social Services